The Disability Paradox Revisited: Quality of Life and Family Caregiving in Pediatric Cerebral Palsy

Parents who have children with cerebral palsy (CP) have been reported to have a more impaired QL and higher levels of burden than parents of typically developing children; however, little is known about the positive dimensions of their caregiving experience. In this study, WHOQOL-Bref and The Revised Burden Measure were administered to a sample of 105 parents of children/adolescents with CP (clinical group) and 117 parents of children/adolescents with no disabilities (control group). Despite the fact that parents of children with CP reported more Subjective Burden and less caregiving Uplifts, there were more similarities than differences in the variables compared between clinical and control groups. For parents of children with CP, the associations between Burden dimensions and QL, and between caregiving Uplifts and QL, were respectively moderate and weak. Caregiving Uplifts were found to moderate the links between Objective Burden and Psychological QL, and between Relationship Burden and Social QL. In addition, differential main effects of Burden dimensions and caregiving Uplifts were verified for Physical, Psychological and Social QL domains. These results highlight the adaptation variability of parents who have children with CP, as well as the importance of acknowledging caregiving uplifts as a resource that may attenuate the impact of burden on their QL.     

Friendship and loneliness among bullies and victims: Data from seven countries

Research suggests that the relationship between school bullying and its various risk factors should be clearer among girls than boys, and should become stronger with age, as roles within the peer group stabilise. This paper tests this theory by comparing sex, school type, and bully/victim status differences in friendships and playground social interactions, using data from nine surveys in seven countries: China, England, Ireland, Italy, Japan, Portugal, and Spain. A total of approximately 48,000 children completed various translations of the Olweus Bullying Questionnaire. Small but generally consistent main effects were found for sex and school type (boys and primary pupils enjoyed playtimes more and had more friends, but were also more likely to spend playtimes alone). Larger effects were consistently found for bully/victim status (victims were significantly worse off on all the measures in all the samples where a difference was found, while bullies and neutrals did not differ consistently), but the interactions between these factors varied widely between samples and there were few consistent patterns. It is concluded that bullying is a universal phenomenon with many negative correlates for victims and few (if any) for bullies, but that there are cultural variations in the way that bullying is related to sex, age, and social support. Aggr. Behav. 30:71–83, 2004. © 2004 Wiley‐Liss, Inc.     

Parents’ Positive Interpersonal Coping After a Child’s Death

Despite the challenging context of grieving for the death of a child, evidence shows that it is possible for parents to manage and preserve their relationship. The aim of this study was to examine parents’ perceptions of positive interpersonal coping processes that helped their relationship after the death of their child. Individual semi-structured interviews with 17 bereaved maritally committed parents were conducted. The interview guide included questions covering themes such as parents’ coping together, relationship strengths and mutual support. Data were analyzed through constructivist grounded theory methods. Three main themes were identified: search for meaning (reframing of partners’ different coping processes and the changes/difficulties in the relationship, and development of shared beliefs); communication with the partner (direct and indirect feedback, and mutual learning); and care-in-relation (caring for the partner and the relationship). Dyad-level interventions should aim at promoting mutual empathy, development of shared appraisals, and the identification and consideration of each other’s boundaries.     

Not your mother's view: the dynamics of toddler visual experience

Human toddlers learn about objects through second-by-second, minute-by-minute sensory-motor interactions. In an effort to understand how toddlers' bodily actions structure the visual learning environment, mini-video cameras were placed low on the foreheads of toddlers, and for comparison also on the foreheads of their parents, as they jointly played with toys. Analyses of the head camera views indicate visual experiences with profoundly different dynamic structures. The toddler view often consists of a single dominating object that is close to the sensors and thus that blocks the view of other objects such that individual objects go in and out of view. The adult view, in contrast, is broad and stable, with all potential targets continually in view. These differences may arise for several developmentally relevant reasons, including the small visuo-motor workspace of the toddler (short arms) and the engagement of the whole body when actively handling objects.     

Couple-Focused Interventions for HIV-Serodiscordant Couples During Transition to Motherhood

When HIV is transmitted between spouses or partners it is a major life trauma for both members of the couple. In Portugal, most women become aware of infection during routine prenatal examinations. A significant proportion of these women simultaneously face pregnancy, a deadly disease, and HIV-serodiscordance. In the context of maternity, there is a growing consensus that psychological intervention should address the couple as a unit. Couple-focused HIV interventions reinforce the importance of addressing relational dynamics within dyads, including communication, problem-solving skills, disclosure, and relationship quality issues. Immediate reproductive decisions, the possibility of mother-to-child transmission, and future perspectives impose additional challenges. Two case examples illustrate the application of couple-focused interventions. Also addressed are the specific problems and potentialities of this type of intervention.     

L’alliance thérapeutique triadique dans une psychothérapie avec un interprète : un concept en quête de validation

The relevance of the use of an interpreter when receiving an allophone patient seems to be more and more accepted among clinicians. However, the influence of this third person on the therapeutic process, and particularly on the establishment of the therapeutic alliance, has received scarce attention so far. The presence of an interpreter inevitably modifies the therapeutic process and makes it more complex. It requires some adjustments of the physical and material setting. It also influences practical arrangements and the very nature of interactions, as well as their content. General concepts about the intercultural approach will first be presented. Subsequently, the issue of the establishment of a triadic therapeutic alliance during a couple and family therapy or mother infant consultations will be discussed from an interactionnist and systemic perspective. The application of these models to a better understanding of patient-therapist-interpreter alliance and its specific components and dimensions will be discussed. Finally, research directions and some clinical considerations to optimize the conduct of a consultation or a psychotherapy with an interpreter will be stressed.     

Hybrid Probabilistic Logic Programs as Residuated Logic Programs

In this paper we show the embedding of Hybrid Probabilistic Logic Programs into the rather general framework of Residuated Logic Programs, where the main results of (definite) logic programming are validly extrapolated, namely the extension of the immediate consequences operator of van Emden and Kowalski. The importance of this result is that for the first time a framework encompassing several quite distinct logic programming semantics is described, namely Generalized Annotated Logic Programs, Fuzzy Logic Programming, Hybrid Probabilistic Logic Programs, and Possibilistic Logic Programming. Moreover, the embedding provides a more general semantical structure paving the way for defining paraconsistent probabilistic reasoning with a logic programming semantics.     

Bad but bold: Ambivalent attitudes toward men predict gender inequality in 16 nations

A 16-nation study involving 8,360 participants revealed that hostile and benevolent attitudes toward men, assessed by the Ambivalence Toward Men Inventory (P. Click & S.T. Fiske, 1999), were (a) reliably measured across cultures, (b) positively correlated (for men and women, within samples and across nations) with each other and with hostile and benevolent sexism toward women (Ambivalent Sexism Inventory, P. Click & S.T. Fiske, 1996), and (c) negatively correlated with gender equality in cross-national comparisons. Stereotype measures indicated that men were viewed as having less positively valenced but more powerful traits than women. The authors argue that hostile as well as benevolent attitudes toward men reflect and support gender inequality by characterizing men as being designed for dominance.     

Seismic preparedness of families with children: Measures and dynamics

Earthquakes are unpredictable events, thus seismic preparedness of households should be fostered, considering the specific needs of each family. Children, for example, are particularly vulnerable to disasters and to the effects of their consequences, but can also act as promoters of preparedness within families. Being part of a wider research, this qualitative study intends to better understand seismic preparedness within families with children in S. Miguel, the largest and most populated island of the volcanic archipelago of the Azores. Two semi-structured interviews were conducted. The first interview was conducted with 125 family representatives, addressing their current preparedness measures. From these representatives, 105 families that had non-existent or insufficient preparedness were selected for a second interview. In the time between the two interviews, the families were instructed to develop seismic preparedness measures. The process of development of these measures was also assessed. Data were analysed using content analysis and frequency analysis. Results point to low levels of preparedness, both at the time of the initial interview and developed subsequently, and families adopted few preparedness measures specifically targeting their children's needs. The results highlight, therefore, that household seismic preparedness should be promoted, with clear indications regarding preparedness specifically for families with children.