Therapist, Parent, and Youth Perspectives of Treatment Barriers to Family-Focused Community Outpatient Mental Health Services

This exploratory qualitative study describes treatment barriers to receiving family-focused child mental health services for youths with disruptive behavior problems from multiple perspectives. Data were collected during a series of focus groups and interviews, including: 4 therapist focus groups (n = 26), 3 parent focus groups (n = 14), and 10 youth (10–13 years) semi-structured interviews. Data analysis followed inductive, iterative processes typical of qualitative research using an editing style and thematic content analysis approach. Therapist, parent, and youth stakeholder participants discussed perceived barriers to effective treatment, the problems with current child outpatient therapy, and desired changes (i.e., policy, intervention, etc.) to improve mental health services. Results indicate similar themes around treatment barriers and dissatisfaction with services within and across multiple stakeholder groups, including inadequate service system support, lack of family involvement and feeling overwhelmed with the complexities of families’ needs; however, parents and therapists, in particular, identified different contributing factors to these barriers. Therapists highly endorse using family-focused therapy and desire parent participation; however, parents feel unsupported by their child’s therapist. Parents’ report feeling blamed and not heard by service providers which negatively impacts their attitude about service delivery, causing discomfort and resistance to participation in their youth’s treatment. Youth also discussed dissatisfaction with mental health services, specifically related to their direct experiences in therapy, and desired more active, directive family-focused approaches. Overall, stakeholders reported much frustration and dissatisfaction with current community-based outpatient child therapy services. Study findings can inform service provision, intervention development, and future research.     

Maternal Empathy and Changes in Mothers’ Permissiveness as Predictors of Toddlers’ Early Social Competence with Peers: A Parenting Intervention Study

The goal of the current study was to examine how changes in parenting due to a parenting intervention designed to decrease permissive parenting affected the quality of children’s peer interactions. Forty-nine mothers of toddlers aged 2–3 years participated in a 12-week intervention in which half got hands-on training and practice using positive guidance in a toddler classroom setting, while the other half learned positive guidance solely via a seminar format. To observe children’s peer interactions, toddlers were divided into 8 groups of 5–7 children mixed across condition. Observers coded mothers’ empathy, permissiveness, and positive guidance parenting strategies. Children’s peer interactions were coded for antisocial behaviors, verbal aggression, physical aggression, prosocial behaviors, positive social bids, and empathy. Prior analysis of this intervention indicated that mothers in both conditions showed reductions in permissiveness over the course of the intervention. Results from the present study indicated that reductions in permissiveness predicted decreases in toddlers’ verbal aggression. Maternal empathy was a moderator such that mothers low in empathy who got hands-on training in positive guidance had children who demonstrated the greatest reductions in antisocial behaviors.     

Identifying Mediators of the Influence of Family Factors on Risky Sexual Behavior

Participation in risky sexual behaviors has many deleterious consequences and is a source of concern for parents as well as practitioners, researchers, and public policy makers. Past research has examined the effect of family structure and supportive parenting on risky sexual behaviors among emerging adults. In the present study, we attempt to identify the mediators that explain this relationship. Using survey data from a sample of over 2,000 college students (1,297 females and 780 males) we use structural equation modeling to investigate the role of commitment to marriage, desired characteristics in an intimate partner, and sociosexuality in linking the influence of family structure and supportive parenting to risky sexual behaviors. Results indicate that respondents from continuously married families were more committed to marriage, and this commitment reduced the probability of risky sexual behavior both directly, as well as indirectly through its negative impact on unrestricted sociosexuality. On the other hand, respondents who reported having supportive parents rated sensitivity and similarity of values as more important in a mate than physical attractiveness and sexual compatibility. This approach to mate selection reduces unrestricted sociosexuality and, in turn, risky sexual behavior. Even after taking our mediators into account, there is still a direct effect of family factors on risky sexual behavior. Gender differences in the pattern of findings are discussed and directions for future research are identified.     

Development of the Juvenile Justice Anger Management Treatment for Girls

Female juvenile offenders exhibit high levels of anger, relational aggression, and physical aggression, but the population has long been ignored in research and practice. No anger management treatments have been developed specifically for this population, and no established anger management treatments are empirically supported for use with delinquent girls. Thus, to alleviate anger and reduce the frequency and severity of aggressive behaviors in this underserved population, we developed the gender-specific, Juvenile Justice Anger Management (JJAM) Treatment for Girls. This cognitive-behavioral intervention was adapted from the Coping Power Program (Lochman & Wells, 2002), a school-based anger management treatment for younger children that has established efficacy and effectiveness findings with its target populations. This paper describes how the content of JJAM was developed to meet the unique needs of adolescent girls in residential juvenile justice placements. It also traces the process of developing a manualized treatment and the steps taken to enhance efficacy and clinical utility. An overview of the treatment, a session-by-session outline, an example session activity, and an example homework assignment are provided. A randomized controlled trial is currently being conducted to evaluate the efficacy of the JJAM Treatment for Girls.     

Measuring Social Peer Rejection during Childhood: Development and Validation

This article defines the construct of social peer rejection and describes the development of the Social Peer Rejection Measure. Social peer rejection entails being rejected, excluded, ostracized, or criticized by one's peers; lack of active sympathy and active dislike on the part of one's peers; ignoring; preventing access to friends, playtime activities, toys, or important information; verbal aggression; commands; and blaming the rejected child. Evidence for the validity and reliability of the scale is presented. Results indicated strong content validity, construct validity, and criterion-referenced validity. Differences were found between females and males in terms of insult, accusation, and reported levels of physical attack.     

Male and Female Observers’ Evaluations of a Bullying Case as a Function of Degree of Harm,Type of Bullying,and Academic Level

Acting as disciplinary committee members, participants listened to a school bullying case that varied in terms of type (relational or verbal), degree of harm (low or high), and academic level of the victim and defendant (high school or university). Participants’ judgments (e.g., verdict, recommended sentence, seriousness, perceptions of both students) generally favored the victim when he experienced more rather than less harm, regardless of bullying type, and when the incident took place in a high school rather than a university. Additionally, women’s judgments supported the victim more than men’s. We propose that previous results suggesting that observers downgrade relational bullying occurred because no harm was specified. Moreover, we contend that observers relied on a “bullying schema” that includes the component that bullying occurs in primary and secondary schools, which led them to make less punitive judgments in the university case.     

Dichotomous perception of animal categories in infancy

ABSTRACT

Although there is a wealth of knowledge on categorization early in life, there are still many unanswered questions about the nature of category representation in infancy. For example, it is unclear whether infants are sensitive to boundaries between complex categories, such as types of animals, or whether young infants exhibit such sensitivity without explicit experience in the lab. Using a morphing technique, we linearly altered the category composition of images and measured 6.5-month-olds’ attention to pairs of animal faces that either did or did not cross the categorical boundary, with the stimuli in each pair being equally dissimilar from one another across the two types of image pairs. Results indicated that infants dichotomize the continua between cats and dogs and between cows and otters, but only when the images are presented in their canonical, upright orientations. These findings demonstrate a propensity to dichotomize early in life that could have implications for social categorizations, such as race and gender.     

Reaching a verdict

Two experiments, using a mock legal case, confirmed the causal role of arguments in verdict decisions and explored the process involved. Experiment 1 showed that verdicts varied with the strength of counter-arguments and Experiment 2 showed that the use of background information that undermined such arguments determined the verdict reached. Such results confirm the causal role of arguments but do not speak to the representations constructed. In both experiments we analysed the reasons proposed for verdicts. Participants generally represented the state of affairs, and conjectured state of affairs, to which the arguments referred. Experiment 2 also asked participants about the number of causal possibilities they envisaged. Confidence in the verdict was moderated by the strength of counter-arguments but in different ways for those who envisaged a single causal account as opposed to two causal accounts. In the former case, confidence decreased with the rated strength of counter-arguments. In the latter case, confidence increased. We suggest that verdicts are abductive explanations of the events generated through a process of mental simulation.     

Is speech alignment to talkers or tasks?

Speech alignment, or the tendency of individuals to subtly imitate each other’s speaking styles, is often assessed by comparing a subject’s baseline and shadowed utterances to a model’s utterances, often through perceptual ratings. These types of comparisons provide information about the occurrence of a change in subject’s speech, but they do not indicate that this change is toward the specific shadowed model. In three experiments, we investigated whether alignment is specific to a shadowed model. Experiment 1 involved the classic baseline-to-shadowed comparison, to confirm that subjects did, in fact, sound more like their model when they shadowed, relative to any preexisting similarities between a subject and a model. Experiment 2 tested whether subjects’ utterances sounded more similar to the model whom they had shadowed or to another, unshadowed model. In Experiment 3, we examined whether subjects’ utterances sounded more similar to the model whom they had shadowed or to another subject who had shadowed a different model. The results of all experiments revealed that subjects sounded more similar to the model whom they had shadowed. This suggests that shadowing-based speech alignment is not just a change, but a change in the direction of the shadowed model, specifically.     

A comparison of adults’ and children's metacognition for yes/no recognition decisions

Basic metacognitive development research suggests that metacognitive abilities develop before adolescence. However, this research has not used tasks that require the discrimination of seen from unseen stimuli, an important element of real-world recognition tasks such as eyewitness identification. We tested the idea that children would be less able to monitor and control the accuracy of their memories in such a task. We used a word-pair recognition task to compare children's (109 8–12 year olds) and adult's (102 first-year psychology students) ability to adaptively make, monitor, and control the reporting of yes/no recognition decisions about familiar stimuli in a task with no demand effects. We found that adults were substantially better at discriminating old from new stimuli, but no evidence of an age difference in metacognitive ability. Although these results do not explain children's poor metacognition in eyewitness identification, they suggest potential steps to improve children's identification performance.