New approaches to the ‘crucial’ test of the causation and selection hypotheses in a Northern Irish sample

This paper examines the relationship between minority/majority status and psychological adjustment, as measured by the GHQ‐12. Rather than using religious labels in Northern Ireland to define minority/majority status, the authors hypothesized that such status is more contingent upon the local area context. Using a purer operationalization of minority/majority status, the authors found no evidence of an ‘ethnic density effect’. Implications for the questionable validity of the ‘crucial test’ of the selection and causation hypotheses are discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

Reducing child witnesses' false reports of misinformation from parents.

This study explored whether a source-monitoring training (SMT) procedure, in which children distinguished between events they recently witnessed versus events they only heard described, would help 3- to 8-year-olds to report only experienced events during a target interview. Children (N = 132) who witnessed science demonstrations and subsequently heard their parents describe nonexperienced events received SMT before or after a forensic-style interview. SMT reduced the number of false reports that 7- and 8-year-old children reported in response to direct questions but had no impact on the performance of younger children. Combined with earlier results, these data suggest a transition between 3 and 8 years of age in the strategic use of source-monitoring information to support verbal reports, such that only 7- and 8-year-olds generalize training to a difficult memory task that does not include mention of specific alternative sources.     

Children's eyewitness reports after exposure to misinformation from parents

This study examined how misleading suggestions from parents influenced children's eyewitness reports. Children (3 to 8 years old) participated in science demonstrations, listened to their parents read a story that described experienced and nonexperienced events, and subsequently discussed the science experience in two follow-up interviews. Many children described fictitious events in response to open-ended prompts, and there were no age differences in suggestibility during this phase of the interview. Accuracy declined markedly in response to direct questions, especially for the younger children. Although the older children retracted many of their false reports after receiving source-monitoring instructions, the younger children did not. Path analyses indicated that acquiescence, free recall, and source monitoring all contribute to mediating patterns of suggestibility across age. Results indicate that judgments about the accuracy of children's testimony must consider the possibility of exposure to misinformation prior to formal interviews.     

Individual differences in working memory capacity and visual search: The roles of top-down and bottom-up processing

Individual differences in working memory capacity (WMC) have been implicated in a variety of top-down, attention-control tasks: Higher WMC subjects better ignore irrelevant distractions and withhold habitual responses than do lower WMC subjects. Kane, Poole, Tuholski, and Engle (2006) recently attempted to extend these findings to visual search, but found no relation between WMC and search efficiency, even in difficult tasks yielding steep search slopes. Here we used a visual search task that isolated the contributions of top-down versus bottom-up mechanisms, and induced a habitual response via expectation. Searches that relied primarily on bottom-up mechanisms did not vary with WMC, but searches that relied primarily on top-down mechanisms showed an advantage for higher over lower WMC subjects.     

The Significance of Strategic Community Engagement in Recruiting African American Youth & Families for Clinical Research

We present baseline data and describe the utility of a community engaged, culturally relevant approach to recruiting African American youth and families for phase I of The AAKOMA Project. The AAKOMA Project is a two phase treatment development study to improve mental health service use among depressed African American youth. We completed capacity building activities using a community engaged framework and Community Based Participatory Research (CBPR) methods. Replicating the (Alvarez et al. in West J Nurs Res 28:541–560, 2006) model of systematic community outreach enhanced our ability to effectively recruit partners and evaluate outreach efforts as demonstrated by our Recruitment Success Factor (RSF—i.e. ‘an adjusted ratio of eligible participant yield to contacts made’). Using the chi-square goodness-of-fit statistic; we compared the RSFs of the various modes of participant study entry to determine which was most effective. Our target enrollment was 56 persons. We recruited 130 and enrolled 57. Our baseline data is drawn from a gender balanced and socioeconomically diverse sample who participated in youth focus groups and individual interviews and adult focus groups. We identified 3 study participant referral modes (self-referral, provider referral and participant-to-participant referral) with multiple sources per mode and an overall RSF of 0.41. Study findings support the effectiveness of assiduous and systematic community interaction, reflective review of recruitment efforts and the importance of disseminating information on strategic recruitment processes for engaging diverse populations in clinical research.     

A Multi‐Family Group Intervention for Adolescent Depression: The BEST MOOD Program

Depression is the most common mental disorder for young people, and it is associated with educational underachievement, self‐harm, and suicidality. Current psychological therapies for adolescent depression are usually focused only on individual‐level change and often neglect family or contextual influences. The efficacy of interventions may be enhanced with a broader therapeutic focus on family factors such as communication, conflict, support, and cohesion. This article describes a structured multi‐family group approach to the treatment of adolescent depression: Behaviour Exchange Systems Therapy for adolescent depression (BEST MOOD). BEST MOOD is a manualized intervention that is designed to address both individual and family factors in the treatment of adolescent depression. BEST MOOD adopts a family systems approach that also incorporates psychoeducation and elements of attachment theories. The program consists of eight multifamily group therapy sessions delivered over 2 hours per week, where parents attend the first four sessions and young people and siblings join from week 5. The program design is specifically aimed to engage youth who are initially resistant to treatment and to optimize youth and family mental health outcomes. This article presents an overview of the theoretical model, session content, and evaluations to date, and provides a case study to illustrate the approach.     

Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

Reflections on Parenting: A Multigenerational Perspective

This paper presents some of the underlying patterns of parenting that have emerged from six years of ethnographic field research into the role of the family in children's acquisition and use of reading and writing skills. The research has provided some insights into the many complex and interrelated ways that children's literate activities are mediated and affected by multigenerational family patterns and by their personal experience of everyday life both within and outside the family. Two central themes are discussed: the spirit of change, which breaks the patterns of the past and brings new interpretations into the present, and the spirit of conservation, which maintains the continuation of family patterns from one generation to the next. Also described are the important parental attitudes of social flexibility and resiliency that are frequently evident in these processes of conservation and change of multigenerational patterns. One specific family story provides the background for the theoretical issues that are explored.     

A clinical contribution to the etiology of lesbianism

Lesbianism may be viewed as an attempt to rectify malfunctioning in the original mother/daughter dyad. This paper discusses how failure of the girl child to establish female identification is preceded by failure to individuate, causing regression to an earlier symbiotic stage, resulting in feelings and desire for merging. It is this failure in development, regression to the symbiotic stage and wish to merge which may be a crucial component in the lesbian personality. The course of treatment of a young woman, who was not sure whether she was lesbian or not, is described with focus on her request for a hypnotic session, which was done by another therapist.