A Task Analysis of Client Re-engagement: Therapeutic De-escalation of High-Conflict Coparents

Parents who are engaged in protracted conflict following a divorce are often referred to coparenting therapy. Episodes of intense conflict are common during these therapy sessions and often result in coparents disengaging from the therapist while they engage in escalating conflict with each other, potentially disrupting their progress in therapy. The purpose of this study was to identify how therapists successfully re-engage clients in the session. To understand this process, 24 disengagement events (12 successful and 12 unsuccessful) from 13 cases were analyzed using a task analytic approach. The sample included coparent dyads referred by the judicial system to a high-conflict coparenting therapy program. Task analysis was used to create a model of how re-engagement unfolds in treatment. The empirical model that resulted has five phases: (1) disengagement from the therapeutic process, (2) disruption of the conflict, (3) de-escalating the most escalated coparent, (4) de-escalating the other coparent, and (5) therapist buffered re-engagement. Successful episodes of re-engagement tended to have therapists who remained active throughout the conflict episode, used structuring interventions aimed at disrupting and then regulating the most escalated partner, blocked attempts to re-engage in conflict, and then repeated this process with the less escalated partner. Additional interventions that promote therapeutic re-engagement are described for each phase, and implications for clinicians and researchers are discussed.     

Exploring Exceptions and Discovering Solutions: A Case Presentation of Autism and the Family

As the prevalence of autism spectrum disorder (ASD) continues to rise, there is a rapidly increasing need for treatment services among individuals diagnosed with ASD and families. Currently, the majority of the evidence-based treatments, such as Applied Behavior Analysis, overlook the notable systemic effects of ASD and maintain a problem-focused lens. There is a growing body of research calling for strength-based, relational interventions that build on existing resources to enhance coping, efficacy, and well-being among families affected by ASD. Solution-Focused Brief Therapy (SFBT) is a widely practiced clinical approach that is increasingly being used among clinicians to address the systemic effects of developmental disabilities in the family. However, particular modifications to specific interventions may better accommodate autism-associated deficits in executive functioning (e.g., goal development and impulsivity), perspective taking, or restricted interests when using an SFBT approach. This article offers recommendations for adapting a solution-focused approach by modifying commonly used SFBT interventions to address family-driven treatment goals using a collaborative stance with families of children with ASD. A case presentation is included to demonstrate SFBT as informed by the unique challenges and inherent resources of families affected by ASD that have been identified in the extant literature.     

Further analysis of modifications to the three-step guided compliance procedure to enhance compliance among children with autism

Three-step guided compliance (vocal prompt, vocal plus model prompt, vocal prompt plus physical guidance) is a commonly used procedure to increase compliance among children with intellectual disabilities. Previous research has suggested that under some conditions, slight modifications to the three-step procedure may enhance its effectiveness. These modifications include omitting the model prompt and decreasing the interprompt interval. In the current study, we evaluated another modification to the procedure: the delivery of a high-preference item contingent upon compliance with the first vocal prompt (i.e., differential reinforcement). For 2 participants with autism, compliance remained low when we implemented differential reinforcement and the guided compliance procedure in isolation. However, compliance improved when we combined differential reinforcement and the three-step guided procedure, suggesting that for at least some children, the combination of contingent access to a high-preference item and the guided compliance procedure is more effective than either intervention alone.     

An evaluation of synchronous reinforcement for increasing on-task behavior in preschool children

A synchronous-reinforcement schedule is a type of schedule of covariation in which the onset and offset of the reinforcer covaries with the onset and offset of behavior. This study was a proof-of-concept demonstration of the efficacy of synchronous reinforcement for on-task behavior (completing a preacademic skill) and an evaluation of preschoolers' preference for this schedule in comparison to a more traditional schedule of reinforcement. Specifically, we compared the effects of a synchronous-reinforcement schedule to one in which continuous access to stimuli was delivered at the end of the session and yoked to the duration of on-task behavior that occurred during the session (accumulated reinforcement). Results showed the synchronous-reinforcement schedule was more effective for increasing on-task behavior and preferred by most participants.     

The use of auditory feedback and edible reinforcement to decrease toe walking among children with autism

We replicated and extended previous research on the use of auditory feedback to decrease toe walking exhibited by 3 children with autism. After pretreatment screening analyses suggested that toe walking occurred independent of social consequences, we attached squeakers to the heels of each participants' shoes. The squeakers provided auditory feedback when participants walked appropriately (i.e., with a heel-to-toe gait). For all participants, the auditory feedback itself produced increases in appropriate walking. For 1 participant, this feedback was sufficient to reduce toe walking to clinically acceptable levels; however, for 2 other participants, delivery of edible items paired with the auditory feedback was necessary. Intervention effects maintained when the schedule for edible delivery was thinned for all participants. In addition, for 2 participants, effects maintained when the intervention was implemented in a different setting and with a different person with no edibles or a thin schedule of edibles.     

Investigating the Relation between Gender Typicality and Pressure to Conform to Gender Norms

Sex Roles - Previous research suggested that gender typicality and pressure to conform to gender norms were unrelated; however, this may have been due to how gender typicality was assessed (i.e.,...     

“We Stand up for Each Other!” An Interpretative Phenomenological Analysis of Collective Action among U.S. College Women

Sex Roles - In 2018, more women than ever have run for and been elected to public office in the United States. Moreover, there has been an increase in women’s collective actions aimed at...     

Stereotypes as justifications for prior intergroup discrimination: Studies of Scottish national stereotyping

Two studies provide support for the group‐justification approach to stereotyping (Tajfel, 1981 ; Huici, 1984 ). This approach contends that stereotypes not only serve cognitive functions for individuals but also provide a means of justifying prior intergroup discrimination. Study 1 investigated whether the content of the Scottish ingroup stereotype changes due to the prior expression of intergroup discrimination. Scottish students were primed with either a ‘differentiation’ or a ‘fairness’ ingroup norm and completed two intergroup judgement tasks. Other Scottish students were primed only with a ‘differentiation’ ingroup norm, while a control group received no prime or judgement tasks. Only participants who experienced the ‘differentiation’ ingroup norm prime and the intergroup judgement tasks changed the content of their ingroup stereotype as an attempt to justify their discriminatory behaviour. Study 2 examined whether Scottish students would use both positive ingroup and negative outgroup stereotypes to rationalize intergroup discrimination. Students who experienced a ‘differentiation’ ingroup norm prime and intergroup judgement tasks showed the highest level of superior recall for positive ingroup and negative outgroup stereotype‐consistent words compared to stereotype‐neutral words. This finding suggests that the expression of intergroup discrimination activates the use of both positive ingroup and negative outgroup stereotypes. Together the findings of these two studies provide empirical support for the notion that stereotypes serve social as well as cognitive functions. Copyright © 2001 John Wiley & Sons, Ltd.     

General self-efficacy and control in relation to anxiety and cognitive performance

The present investigation employed a general measure of self-efficacy, a measure of perceived control, and items relating to expectation and evaluation (pre and post). The purpose was to determine whether general self-efficacy or perceived control best predicted the criterion variables of state anxiety and performance on a stressful cognitive task (solving anagrams) under conditions of high versus low control. These relationships were tested under the experimental conditions of high and low objective control (i.e., the actual control afforded by the situation). Results showed that general self-efficacy, relative to perceived control was a better predictor of state anxiety in the high and low control conditions but neither predicted actual performance. Participants’ expectations of task difficulty, their own performance, and their performance relative to the performance of others taken before the task were compared with their evaluations of difficulty and performance after completing the task. Participants indicated that the task was easier than anticipated, but rated their own performance more poorly after completion of the task. The study reported in this article was supported, in part, by Social Sciences and Humanities Research Council Grant No. 410-94-1473 to Norman S. Endler.