A systematic review of training programs for parents of children with autism spectrum disorders: Single subject contributions

Aim: The purpose of this systematic review was to examine research utilizing single subject research designs (SSRD) to explore the effectiveness of interventions designed to increase parents' ability to support communication and social development in children with autism spectrum disorders (ASDs). Method: Included studies were systematically assessed for methodological quality (Logan et al., 2008; Smith et al., 2007) and intervention effects. Data examining participant characteristics, study methodology, outcomes, and analysis were systematically extracted. Results: Eleven SSRD parent-training intervention studies examining 44 participants with ASD were included. Overall, the studies were of moderate quality and reported increases in parent skills and child language and communication outcomes. Interpretation: The results supported by improvement rate difference (IRD) analysis indicated several interventions demonstrated positive effects for both parent and child outcomes. However, limited generalization and follow-up data suggested only one intervention demonstrated parents' accurate and ongoing intervention implementation beyond training.     

Does Children's Colour Use Reflect the Emotional Content of their Drawings?

When children draw in clinical contexts, clinicians sometimes rely on children's colour use to make inferences about their emotional reaction to the subject of the drawing. Here, we examined whether children use colour to portray emotion in their drawings. In Experiment 1, children indicated their colour preferences and then coloured in outlines of figures characterized as nasty or nice. Children also drew complex, multi‐coloured pictures about their own happy or sad experiences. In Experiment 2, hospitalized children drew about being worried or scared in hospital and about their positive experiences. In both experiments, we examined the relation between children's colour use and their colour preferences. Three‐ to 10‐year‐old children used more preferred colours to colour in the nice outline. Although they were more likely to use non‐preferred colours to colour in the nasty outline, they tended to used a mix of preferred and non‐preferred colours. When both normal and hospitalized children produced drawings about positive and negative events, there was no relation between children's colour choices and their colour preferences; children primarily used preferred colours. These data suggest that clinicians should exercise extreme caution when interpreting the meaning of colour in children's drawings. Copyright © 2011 John Wiley & Sons, Ltd.     

Interval, blocking, and marking effects during the development of schedule-induced drinking in rats

Schedule-induced drinking (SID) can occur when food-deprived rats are given access to water while receiving pellets on an intermittent reinforcement schedule. These conditions can increase water intake excessively. The possible role of adventitious reinforcement of postpellet drinking was assessed by testing whether response-reinforcer contiguity, the relative predictiveness of a response, and whether it is marked are important in the development of SID. Rats exposed to a short interpellet interval acquired SID most rapidly, with this acquired drinking response maintained when animals were transferred to a longer interpellet interval, thus indicating an easy-to-hard effect (Experiment 1). Further experiments demonstrated that a stimulus (a brief-flashing house light) occurring prior to pellet delivery could block the acquisition of SID (Experiment 2), while a lick-contingent tone, intended to increase the associability of this response, produced more rapid acquisition of SID (Experiment 3). Analysis of lick distributions revealed that licking became concentrated in the first half of an interpellet interval only after several sessions. Overall, the results indicated that similar factors affect the acquisition of both SID and instrumental conditioning with delayed reinforcement, as is consistent with a superstitious conditioning account of SID development.     

Reliability of upper extremity kinematics while performing different tasks in individuals with stroke

Assessments of upper extremity performance typically include qualitative rather than quantitative measures of functional ability. Kinematic analysis is an objective, discriminative measure that quantifies movement biomechanics; however, the use within the poststroke impaired upper extremity is not well established. The purpose of this study was to examine the reliability of upper extremity kinematics in 18 individuals with stroke and 9 healthy controls. Participants performed reaching and grasping tasks over 2 separate days and metrics included movement time, peak velocity, index of curvature, trunk displacement, maximum aperture, and percentage of the movement cycle where maximum aperture occurred. The results showed moderate to high intraclass correlation and low standard error of measurement values for most variables, demonstrating that kinematic analysis may be a feasible and useful tool to quantify upper extremity movement after stroke.     

The Holy Trinity: Between Mystery and Analysis

Two significant strands of trinitarian theology, the analytic and the apophatic, emphasize considerations of logical consistency and divine incomprehensibility respectively. This article seeks to mediate between these two seemingly opposed lines of thought by arguing for a fuller awareness of the particular mystery associated with the trinitarian notion of ‘person’. By specifying more closely this mystery of divine personhood, I qualify an overzealous apophaticism and also open up some scope for analytic approaches. I then highlight an implication of the mystery of divine personhood that any proposition linking together person‐language and nature‐language (e.g. ‘the Son is God’) necessarily contains its own mystery and cannot be understood in analytic terms.     

Empowerment,Leadership, and Sustainability in a Faith-Based Partnership to Improve Health

Community-based participatory research is a noted approach for improving community health and reducing health disparities. Community partnerships can serve as a catalyst for change in public health efforts. This article will apply empowerment theory and sustainability principles to an existing faith-based partnership. BRANCH Out is a partnership among 13 African American churches, the City of Milwaukee Health Department—Community Nutrition, and the Medical College of Wisconsin. The partnership goal was to change inaccurate perceptions, knowledge and negative attitudes, and behaviors about chronic disease and promote healthy youth leadership. Faith-based empowerment can occur at the individual, organizational, and community level. BRANCH Out demonstrates how partnerships can be sustained in multiple ways. The partnership also highlights the unique contributions of churches to community health outcomes.     

Toward a comprehensive model of antisocial development: a dynamic systems approach

The purpose of this article is to develop a preliminary comprehensive model of antisocial development based on dynamic systems principles. The model is built on the foundations of behavioral research on coercion theory. First, the authors focus on the principles of multistability, feedback, and nonlinear causality to reconceptualize real-time parent-child and peer processes. Second, they model the mechanisms by which these real-time processes give rise to negative developmental outcomes, which in turn feed back to determine real-time interactions. Third, they examine mechanisms of change and stability in early- and late-onset antisocial trajectories. Finally, novel clinical designs and predictions are introduced. The authors highlight new predictions and present studies that have tested aspects of the model     

Preschoolers with Asthma: Narratives of Family Functioning Predict Behavior Problems

This study tested a model predicting behavior symptoms in preschoolers with asthma. Specifically, it examined the role that asthma severity and children's representations of family functioning may play in the development of child behavior problems in a sample of 53 low-income preschoolers. The study included parent report of asthma severity and a narrative story-stem method to assess children's representations of both general and disease-specific family processes. A regression model tested the inclusion of both types of family processes in predicting child internalizing and externalizing behavior. Disease severity and children's family narratives independently predicted children's behavior over and above the combined effects of demographic variables including child age, socioeconomic status, and family structure. Although children's narratives about general family functioning predicted children's behavior, narratives about family response to asthma symptoms did not. Findings support that both disease severity and family functioning are important considerations in understanding children's behavior problems in the context of asthma. Clinical applications of findings may include: (1) Informing family based-assessments to incorporate children's narratives, and (2) A focus on reducing asthma symptoms and strengthening family functioning to prevent or address child behavior problems.     

Capturing Children's Response to Parental Conflict and Making Use of It

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ).
The aim of our study is to examine the interface between children's physiological changes and the specificities of parental conflict, and to develop a procedure in which such information can be shared with the family for therapeutic change. Children from 20 families were exposed to parental conflict discussion (CD) while their arousals were measured through skin conductance and heart rate sensors. It was found that regardless of the subject of the argument, 80% of the time they were complaining about each other. Likewise, 80% of the time the children were responding to the parents' own interpersonal tension, including moments of silence. The protocol established for the study, consisting of CD and debriefing, was found to be a powerful tool in moving parents toward conflict resolution.