Child psychotherapy with looked after and adopted children: a UK national survey of the profession

Relatively little empirical data is available about the range of work undertaken by child psychotherapists in the UK; however, previous surveys have shown high levels of complexity amongst children referred to child psychotherapists and an increasing proportion of work with children in foster or adoptive placements. Aims: We sought to examine child psychotherapists’ working practices with looked after and adopted children (LAAC), including the types of activities undertaken and their views on this work. Method: An online survey was designed to elicit this information from the members of the Association of Child Psychotherapists (ACP), the regulatory body for child psychotherapists in the UK. The survey included a number of categorical and open-ended questions, which were analysed quantitatively and qualitatively. Findings: 215 responses were received (24.5% of the eligible ACP membership). The vast majority of the sample were working with LAAC in some context (87.9%). Respondents were conducting a range of work: the most frequently conducted activities were assessment (83.7%), direct psychotherapy (82.3%), work with foster carers and adoptive parents (80.9%) and consultation with the professional network (76.7%). Thematic analysis of qualitative data suggested the complexity of problems amongst the children attending psychotherapy, as well as the perceived need for long-term work with these children. Many respondents placed emphasis on the importance of working with the professional network around the child, including foster carers and adoptive parents, despite feeling that this was often an under-resourced area of child and adolescent mental health services. The implications of the survey for practice and future research are discussed.     

The nature of probability

The thesis of this article is that the nature of probability is centered on its formal properties, not on any of its standard interpretations. Section 2 is a survey of Bayesian applications. Section 3 focuses on two examples from physics that seem as completely objective as other physical concepts. Section 4 compares the conflict between subjective Bayesians and objectivists about probability to the earlier strident conflict in physics about the nature of force. Section 5 outlines a pragmatic approach to the various interpretations of probability. Finally, Sect. 6 argues that the essential formal nature of probability is expressed in the standard axioms, but more explicit attention should be given to the concept of randomness.     

Individuals and environments: Linking ability and skill ratings with interests

Holland's (1997) theory of corresponding person and work environment structures was evaluated by comparing the integration of individual and occupational ratings of interests, abilities, and skills. Occupational ratings were obtained from the U.S. Department of Labor's O*NET database (U.S. Department of Labor, 2007). College students (494 women, 526 men) provided self-ratings of their interests, abilities, and skills. Property vector fitting was used to embed ability and skill ratings into the Realistic, Investigative, Artistic, Social, Enterprising, and Conventional (RIASEC) interest structure, and bootstrapping was used to generate confidence intervals for the angles of the vectors and the magnitude of their fit to the Holland model. Across the individual and occupational ratings, 18 of 45 (40%) ability vectors and 41 of 48 (85%) skill vectors were fit into the RIASEC model. No significant gender differences were found in the integration of self-rated abilities and skills into the RIASEC circumplex; however, some differences were found between individual and environmental ratings. Obtained results highlight the potential utility and limitations of using Holland's model for representing both individual and occupational data in a common structure.     

Ethnic Differences in Perceived Impairment and Need for Care

Latino children in the U.S. have high rates of unmet need for mental health services, perhaps due to biased perceptions of impairment and need for care by parents and providers. We tested this argument using an experimental vignette design. Vignettes described children with problems that varied on severity (mild vs. serious), nature of the problem (internalizing vs. externalizing), as well as gender and ethnicity (Latino vs. Anglo). Raters were Latino and Anglo parents (N = 185) and providers (N = 189). Vignettes with Latino names were viewed as more impaired by both parents and providers, and this effect was significantly stronger in Latino vignettes with less severe problems. Severity and Latino features of vignettes also interacted with judgments of need for service. At higher severity, vignettes with Anglo names were judged to need service more than vignettes with Latino names, despite the same judged levels of impairment. Results are discussed in the light of the unmet need for Latinos.     

Frontal cortex functioning in the infant broader autism phenotype

Atypical attention has been proposed as a marker of the broader autism phenotype. In the present study we investigated this and the related process of inhibitory control at the youngest possible age through the study of infant siblings of children with an autism spectrum disorder (Sibs-ASD). Both attention and inhibition have been related to the frontal cortex of the brain. Nine- to ten-month-old Sibs-ASD and low-risk control infants completed the Freeze-Frame task, in which infants are encouraged to inhibit looks to peripherally presented distractors whilst looking at a central animation. The attractiveness of the central stimulus is varied in order to investigate the selectivity of infants’ responses. In line with previous studies, it was found that a subset of Sibs-ASD infants had difficulty disengaging attention from a central stimulus in order to orient to a peripheral stimulus. The Sibs-ASD group also showed less Selective Inhibition than controls. However, Sibs-ASD infants did demonstrate Selective Inhibitory Learning. These results provide preliminary evidence for atypical frontal cortex functioning in the infant broader autism phenotype.