Utilizing Benchmarking to Study the Effectiveness of Parent–Child Interaction Therapy Implemented in a Community Setting

Benchmarking is a program evaluation approach that can be used to study whether the outcomes of parents/children who participate in an evidence-based program in the community approximate the outcomes found in randomized trials. This paper presents a case illustration using benchmarking methodology to examine a community implementation of Parent–Child Interaction Therapy (CI-PCIT) utilized as a child maltreatment prevention effort. Data were collected from 83 parent–child dyads. Change scores were compared to treatment and control effect sizes aggregated from the PCIT literature. Pre-post results indicated significant positive changes in child behavior for CI-PCIT completers. Benchmarking analyses revealed that parents who completed CI-PCIT reported significantly greater positive child outcomes than the aggregate control group benchmark, and significantly less than observed in the treatment benchmark. A summary of decision points and implications for utilizing this methodology in the child maltreatment field are postulated.     

Exploring the effect of therapists' treatment practices on client attendance in community-based care for children

Sustained treatment attendance has been reported to be poor in publicly funded community-based clinic settings serving children and families. Several child and family characteristics have been shown to predict attendance in community-based care, but virtually no research has been conducted to examine how experiences in care, including psychotherapists' within-session practices, influence client attendance. The goal of this exploratory study was to examine how observed practice within sessions, in particular the extent to which therapists delivered elements consistent with evidence-based practices, impacts total number of sessions attended, while accounting for an array of other potential predictors. Participants include 181 children ages 4-13 and their parents entering a new episode of care for disruptive behavior problems in publicly funded clinics. Data sources include administrative billing records on treatment attendance; coded videotaped treatment sessions; and self-reports from children, parents, and therapists. Results indicate that parent education, service funding source, parent alliance with therapist, and therapist experience predicted number of sessions attended; intensity of evidence-based treatment techniques delivered to children was marginally associated with attendance (p = .059). Implications for improving engagement in community-based care are discussed.     

Electrodermal Activity Moderates Sleep-Behavior Associations in Children with Autism Spectrum Disorder

Research on Child and Adolescent Psychopathology - Relative to children without autism spectrum disorder (ASD), children with ASD experience elevated sleep problems that can contribute to...     

Personality Pathology and Substance Misuse in Later Life: Perspectives from Interviewer-, Self-, and Informant-Reports

Research indicates a robust association between personality and substance use and misuse. The high prevalence and pervasive detrimental impacts of alcohol use disorder (AUD) and smoking of tobacco necessitate more studies designed to identify factors closely associated with these outcomes in specific populations. The analyses reported in the present paper concern the relative utilities of five measures of personality and personality pathology rated by three sources (self, informant, and interviewer) in predicting AUD and regular smoking in a representative sample of 987 older adults, an understudied and uniquely vulnerable population. All measures and sources contributed to the predictions, with notable parallels as well as some important differences identified across substances and sources of information. In particular, low agreeableness robustly predicted AUD and smoking across self- and informant-reports. High interviewer-rated borderline personality pathology also strongly predicted AUD. Model fit indices suggested that measures of personality and personality pathology have stronger utility in predicting AUD as compared to regular smoking. These findings have important implications for the assessment of older adults in research and clinical settings and for the understanding of enduring risk factors for substance misuse later in life. Multi-source personality information is valuable for generating a complete picture of the relationship between personality and substance misuse.

     

Perceived Parameters of Christian Pharmacy Students’ Faith-Sharing in Clinical Settings

Journal of Religion and Health - Our interdisciplinary team (which included professionals from nursing, pharmacy, allied health, and psychology) conducted in-depth, semi-structured interviews with...     

Situational antecedents of children's anger experiences and subsequent responses to adult versus peer provokers

The purpose of this study was to examine children's reported experiences of anger and their means of expressing anger in their interactions with high versus equal status individuals. Parents and teachers represented high status while siblings and peers represented equal status. Sixth grade children were asked to cite situations in which they experience anger in interaction with peers versus adults and to indicate their typical responses to these situations. We identified 13 categories of situations in which anger was experienced and 11 categories of response to these situations. Anger was experienced in interaction with both high and equal status provokers but of the situations that were identified as producing experiences of anger, nine were reported as occurring differentially in interaction with adults versus peers of the responses to the experience of anger, seven responses were cited differentially in interaction with peers versus adults. The typical responses to adult provoked anger were generally more passive than those to peer provoked anger. Girls more than boys indicated experiencing anger due to adult's task demands but tended to express less overt anger in their interactions with adults than did boys. These findings are consistent with the view that high status of the provoker servers only to inhibit the expression of anger but does not lessen the anger experience itself.     

Maternal involvement and children’s academic motivation and achievement: The roles of maternal autonomy support and children’s affect

Motivation and Emotion - Parents’ level of involvement in children’s schooling is related to children’s academic success; yet, few studies have considered factors that may play a...     

Personality Psychology: Research Trends for 1993–1995

Articles published in five prominent personality journals for the three-year period 1993–1995 were reviewed in order to identify recent trends in personality research. Each article was assessed in terms of research methodology and content area. Research methodology has changed very little, the exceptions being a shift away from laboratory settings and a greater use of nonuniversity participants. Results for content demonstrate that over time certain topics emerge and fade from popularity. Current popular topics include traits, emotion/motivation, and health psychology. The general lack of advancement in methodology is discussed, and the current "hot topics" in content area are compared with those of the past. In addition, some comparisons are made between current personality research in North America versus research in Europe.     

Therapeutic work with refugees living in exile: Observations on clinical practice

Asylum seekers and refugees fleeing to Britain or other host countries face a range of dilemmas, which are qualitatively different from those facing any other client group. Refugees find themselves in an entirely different country, having often fled at short notice without making preparations. They may have suffered multiple practical and psychological losses. Significant numbers of refugees will have been subject to organised violence in their country of origin. Responding clinically to the needs of some of those becoming refugees has many implications and challenges for existing models of therapeutic intervention. This paper draws upon the author's clinical work in Britain and abroad, it details some observations on therapeutic practice and highlights the challenges and rewards of working with this client group.     

‘We’ve shared a lifetime with one another’: using reflective visual/verbal journals to develop graduate student relationships

The success of graduate students relies on factors beyond mere cognitive ability, with fostering peer and professional relationships as definitive influences on achievement. Research shows that positive faculty/student relationships are a significant factor in the success of graduate students and that art-making is an effective way to encourage the reflective thinking needed to nurture these relationships. In this article, we examine the relationship between arts informed pedagogy, specifically the use of a visual/verbal journal, and the formation of graduate relationships. The majority of the students in this collaborative inquiry entered their doctoral program at the same time the research class began and all engaged in an artfully imagined introduction to qualitative research course.