Comprehensive Counselling: One Pupil's Integration

A case-study is used to show how an eclectic approach towards counselling can be helpful in the integration of a child with special educational needs into a mainstream secondary school. The value of a problem-solving model which focuses on personal agency and self-help skills is demonstrated. In particular, the effectiveness of goal setting, feedback and modelling to change perceptions, increase self-responsibility and change behaviour is emphasised. Limitations of the school context, particularly the attitudes of some staff, on the effectiveness of the approach are outlined. It is concluded that comprehensive counselling, whilst taking the needs of the majority as a starting point, is equally a means of enabling those with 'special' needs to achieve true integration.     

Brief report: On becoming a group therapist

Clinicians have become group therapists via many routes, either voluntarily or not. Group psychotherapy itself has had a checkered history, in that it has often been seen as an ancillary or a second choice form of treatment. Indeed, we know that there is a growing number of well-respected clinicians who are not only not ambivalent about being seen as group clinicians, but embrace this reality as a primary clinical identity. It has occurred to us that no one has looked deeply at this developmental path or what facilitates or inhibits movement along this path. This article is a preliminary attempt to initiate this line of study.     

SIDE EFFECTS OF THERAPEUTIC PUNISHMENT ON ACADEMIC PERFORMANCE AND EYE CONTACT

The effects of therapeutic punishment delivered following inappropriate behavior on the academic responding and eye-to-face contact of 2 persons with developmental handicaps was examined using a counterbalanced alternating treatment design. Each subject was sequentially taught by two therapists each day. While one of the therapists taught the subject, the second therapist stood in close proximity directly behind the subject. During baseline, neither therapist delivered punishment following inappropriate behavior. During the treatment condition, one of the therapists delivered all punishment regardless of whether she was teaching or standing behind the subject. The therapist who delivered all punishment for 1 subject did not deliver any punishment for the other subject. During the last condition, the therapist delivering all punishment was reversed for 1 of the subjects. The results indicated that the task being taught was mastered by each subject only when the therapist delivering punishment was teaching. Data collected also indicated that each subject made more eye-to-face contact when the therapist delivering all punishment was teaching. Although neither therapist had to deliver punishers often, punishment had to be administered less often when the therapist teaching the subject was also the therapist delivering punishment.     

The Role of Mothers and Fathers

The development of personality characteristics appears to differ by sex of child and role of parent, with interpersonal concerns tending to characterize mothers and instrumental concerns describing fathers. Using a semi-structured interview protocol and paper-and-pencil questionnaires, we examined the effects of parenting, as reported by middle-class high school senior boys and girls, on the development of two aspects of personality. Ego development and self-esteem both have demonstrated sex differences, with girls displaying more advanced ego development and boys displaying higher self-esteem. We expected that mothers, because of their greater interpersonal orientation, would influence the development of ego development more than would fathers, and that, based on past findings, the opposite-sex parent would exert the primary influence on self-esteem. While ego development was found to relate to more encouraging, warmer mothering in boys, it related weakly to mothering in girls. Boys and girls who perceived their cross-sex parent to be warm and supportive were found to have higher self-esteem.     

Disordered eating and sex role characteristics in young women: Implications for sociocultural theories of disturbed eating

The sociocultural model of disordered eating proposed by Boskind-White and White (1986) predicts that women with disordered eating will be high in feminine characteristics, while that of Steiner-Adair (1986) predicts they will ascribe to high levels of masculine traits in their ideal woman and perceive a greater discrepancy between their actual and ideal masculine characteristics. To test these predictions 149 women completed questionnaire assessing sex role characteristics and eating attitudes. Positive correlations were found between measures of disordered eating and the extent to which women believed they possessed negative feminine characteristics. There was a greater discrepancy between self and ideal masculine positive scores in subjects with greater eating disturbances. Aspects of sociocultural models of disordered eating receive support from the data.     

Caregiver perspectives of risk and protective factors influencing early childhood development in low-income,urban settings: A social ecological perspective

This qualitative study explored caregivers' perceptions of factors influencing early childhood development in low-income, urban South African settings, from a social ecological perspective. Individual interviews were conducted with 15 caregivers of 3–5-year-old children; a reflexive thematic analysis approach was adopted. In the family and home context, caregivers spoke about their role in developing, nurturing, providing, protecting and disciplining their children. Risks included low socioeconomic status, dysfunctional relationships and caregiver mental health; resources related to early learning and social support. In the preschool/school context, caregivers discussed the value of early learning, and priorities for selecting early childhood care and education settings. Community risks included violence and crime; resources mentioned were social support, community programmes and infrastructure. The social ecological model provides a holistic and contextually relevant perspective for understanding multiple factors (risks and protective factors) influencing early childhood development in low-income South African settings.     

Does partisan media make a pawn of mistrust? Institutional trust and preventive COVID-19 health behaviors in a polarized pandemic

In a rapidly developing crisis such as the COVID-19 pandemic, people are often faced with contradictory or changing information and must determine what sources to trust. Across five time points (N = 5902) we examine how trust in various sources predicts COVID-19 health behaviors. Trust in experts and national news predicted more engagement with most health behaviors from April 2020 to March 2022 and trust in Fox news, which often positioned itself as counter to the mainstream on COVID-19, predicted less engagement. However, we also examined a particular public health behavior (masking) before and after the CDC announcement recommending masks on 3 April 2020 (which reversed earlier expert advice discouraging masks for the general public). Prior to the announcement, trust in experts predicted less mask-wearing while trust in Fox News predicted more. These relationships disappeared in the next 4 days following the announcement and reversed in the 2 years that follow, and emerged for vaccination in the later time points. We also examine how the media trusted by Democrats and Republicans predicts trust in experts and in turn health behaviors. Broadly we consider how the increasingly fragmented epistemic environment has implications for polarization on matters of public health.     

Hypertension differentially impacts cognition in men and women in early midlife

The current study aimed to understand how sex differences in the timing of hypertension onset contribute to early midlife risk for cognitive decline that may differ by sex and whether sex-dependent advantages in normotensive populations are influenced by the presence of hypertension. One hundred and ninety-five adults aged 45–55 from the New England Family Study underwent neuropsychological testing to assess attention, executive function, and memory. Physician-diagnosed hypertension status was self-reported via questionnaire. Mid-adulthood hypertension was associated with worse performance on measures of attention and memory, but the cognitive domains impacted varied by sex. Hypertension was associated with only attention in men, whereas in women it was associated with attention and associative and working memory. Sex differences in midlife cognitive performance found in normotensive adults were attenuated in those with hypertension. Our results underscore the importance of accounting for sex when assessing the impact of hypertension on midlife cognition that could be indicative of later decline and risk for cognitive impairment and dementia, given hypertension is an independent risk factor.     

Civic engagement and the possibility of the political

During the last half a century, civil rights movements have been led by people of faith even as they have marched in different directions. Some spoke out for the status quo while others demanded a different vision of justice, some for peace and others for war, for a violence-free life for women and against it. The issues and partisans shift, particularly as the relationship between state and church, faith and politics, has varied from one country to the next. Participation is dangerous, but even more so are inaction, withdrawal, obedience. This issue of Dialog takes another look at the history, philosophy, and practice of Christians.