Confidentiality in end-of-life and after-death situations

Confidentiality is one of the foundations on which psychotherapy is built. Limitations on confidentiality in the therapeutic process have been explained and explored by many authors and organizations. However, controversy and confusion continue to exist with regard to the limitations on confidentiality in situations where clients are considering their options at the end of life and after a client has died. This article review these 2 areas and provides some suggestions for future research.     

Relationship Maintenance Behavior and Adult Attachment: An Analysis of the Actor-Partner Interdependence Model

Associations between relationships maintenance behaviors (positivity, openness, assurances, and sharing tasks) and anxious and avoidant attachment were examined in 265 married couples. Using structural equation modeling to employ the actor-partner interdependence model, the use of positivity, assurances, and sharing tasks were found to be negatively associated with anxious and avoidant attachment for both husbands and wives. Being open and self-disclosing in marriage was not strongly associated with attachment. Results indicated that the use of maintenance behaviors in marriages could have the potential to foster increased security in partners. Research and clinical implications are discussed.     

Direct and interactive effects of parent,friend and schoolmate drinking on alcohol use trajectories

Objective: This study considered the unique and interactive roles of social norms from parents, friends and schools in predicting developmental trajectories of adolescent drinking and intoxication.

Design and outcome measures: Using data from the National Longitudinal Study of Adolescent Health, which followed adolescents (N = 18,921) for 13 years, we used discrete mixture modelling to identify unique developmental trajectories of drinking and of intoxication. Next, multilevel multinomial regression models examined the role of alcohol-related social norms from parents, friends and schoolmates in the prediction of youths’ trajectory group membership.

Results: Results demonstrated that social norms from parents, friends and schoolmates that were favourable towards alcohol use uniquely predicted drinking and intoxication trajectory group membership. Interactions between social norms revealed that schoolmate drinking played an important moderating role, frequently augmenting social norms from parents and friends. The current findings suggest that social norms from multiple sources (parents, friends and schools) work both independently and interactively to predict longitudinal trajectories of adolescent alcohol use.

Conclusions: Results highlight the need to identify and understand social messages from multiple developmental contexts in efforts to reduce adolescent alcohol consumption and alcohol-related risk-taking.     

Prospective memory in young and older adults: The effects of task importance and ongoing task load

Remembering to perform an action in the future, called prospective memory, often shows age-related differences in favor of young adults when tested in the laboratory. Recently Smith, Horn, and Bayen (2012; Aging, Neuropsychology, and Cognition, 19, 495) embedded a PM task in an ongoing color-matching task and manipulated the difficulty of the ongoing task by varying the number of colors on each trial of the task. Smith et al. found that age-related differences in PM performance (lower PM performance for older adults relative to young adults) persisted even when older adults could perform the ongoing task as well or better than the young adults. The current study investigates a possible explanation for the pattern of results reported by Smith et al. by including a manipulation of task emphasis: for half of the participants the prospective memory task was emphasize, while for the other half the ongoing color-matching task was emphasized. Older adults performed a 4-color version of the ongoing color-matching task, while young adults completed either the 4-color or a more difficult 6-color version of the ongoing task. Older adults failed to perform as well as the young adults on the prospective memory task regardless of task emphasis, even when older adults were performing as well or better than the young adults on the ongoing color-matching task. The current results indicate that the lack of an effect of ongoing task load on prospective memory task performance is not due to a perception that one or the other task is more important than the other.     

Toward an Understanding of Gender Differences in the Impact of Marital Conflict on Health

The present paper addresses the consistent finding that men derive more benefit from marriage in terms of both morbidity and mortality compared to women in U. S. society. Based on the evidence that spousal conflict adversely influences physiology and health, with greater negative impact on wives compared to husbands, we propose that the stronger impact of relationship negativity contributes to the decreased marriage benefit for women. Evidence bearing on two explanations for this differential impact of conflict is reviewed. The relational-interdependence view, proposed by Kiecolt-Glaser and Newton (2001), holds that women are more affected by marital conflict because of their more relationally interdependent self-representations. An alternative view, which we call the subordination-reactivity hypothesis, suggests that women experience greater physiological and psychological reactivity to marital discord because they typically occupy subordinate (lower status and less powerful) positions relative to their husbands. A review of the evidence on the physiological effects of social status is combined with that of the relationship between gender and status, both within society at large and interpersonal relationships specifically, to support the subordination-reactivity hypothesis. Specifically, there is evidence that low social status negatively impacts health and that women generally occupy subordinate status. The relational-interdependence view is re-evaluated and its intersection with the subordination-reactivity hypothesis is explored. Finally, implications and future directions are discussed.     

Unpacking Links between Fathers’ Antisocial Behaviors and Children’s Behavior Problems: Direct,Indirect, and Interactive Effects

Building upon previous evidence for the intergenerational transmission of antisocial behaviors, this research assessed and compared three models seeking to explain links between fathers’ antisocial behaviors and children’s behavior problems. A representative sample of children from low-income families (N?=?261) was followed from age 3 through age 9. Lagged OLS regression models assessed both short-term (1½?years) and longer-term (5½?years) prospective links between fathers’ antisocial behaviors and children’s behavior problems. Results supported a direct effects model: fathers’ antisocial behaviors predicted growth in children’s externalizing and internalizing behavior problems, with links stronger among resident-father families. Limited evidence of indirect effects emerged, with links between fathers’ antisocial behaviors and children’s behavior problems only slightly attenuated controlling for related risk factors and for parenting quality, showing limited evidence of mediation. A new interactive model was proposed and supported, with high levels of harsh discipline exacerbating negative links between fathers’ antisocial behaviors and children’s internalizing problems. Results suggest caution in policies and programs which seek to universally increase marriage or father involvement without attention to fathers’ behaviors.     

The impact of school connectedness on violent behavior, transport risk-taking behavior, and associated injuries in adolescence

Adolescents engage in many risk-taking behaviors that have the potential to lead to injury. The school environment has a significant role in shaping adolescent behavior, and this study aimed to provide additional information about the benefits associated with connectedness to school. Early adolescents aged 13 to 15 years (N = 509, 49% boys) were surveyed about school connectedness, engagement in transport and violence risk-taking, and injury experiences. Significant relations were found between school connectedness and reduced engagement in both transport and violence risk-taking, as well as fewer associated injuries. This study has implications for the area of risk-taking and injury prevention, as it suggests the potential for reducing adolescents' injury through school based interventions targeting school connectedness.     

The Multi-Trajectory Theory of Adult Firesetting (M-TTAF)

The assessment and treatment of adults who set fires deliberately are underdeveloped relative to other areas of forensic-clinical psychology. From a scientist–practitioner perspective, all clinical assessment and treatment should be guided by a theoretical and empirically based understanding of the presenting clinical phenomena. In this paper, we critically review current typologies, motives, and theories regarding the etiological features of deliberate adult firesetting. Then, using a theory knitting perspective, we synthesize the prime parts of this information into a comprehensive multifactorial framework of deliberate firesetting. The resulting Multi-Trajectory Theory of Adult Firesetting (M-TTAF) is an integration of current theory, typological, and research knowledge into a comprehensive etiological theory of firesetting along with its maintenance, and desistence. In addition to this overall theoretical framework, we summarize five associated prototypical firesetting trajectories (or patterns of characteristics leading to the firesetting behavior) that stem from our theoretical work. We examine this new theory according to key evaluative components associated with theory construction and conclude by highlighting the M-TTAF's potential application in future research and practice innovation with adult firesetters.     

Just a talking book? Word learning from watching baby videos

This study examined the relationship between viewing an infant DVD and expressive and receptive language outcomes. Children between 12 and 15 months were randomly assigned to view Baby Wordsworth, a DVD highlighting words around the house marketed for children beginning at 12 months of age. Viewings took place in home settings over 6 weeks. After every 2 weeks and five exposures to the DVD, children were assessed on expressive and receptive communication measures. Results indicated there was no increased growth on either outcome for children who had viewed the DVD as compared to children in the control group, even after multiple exposures. After controlling for age, gender, cognitive developmental level, income, and parent education, the most significant predictor of vocabulary comprehension and production scores was the amount of time children were read to.     

Women's Perceptions of the Prison Environment: When Prison is "the safest place i've ever been"

Incarcerated women's perceptions of the prison environment were explored with respect to relative level of safety from interpersonal abuse in prison as compared to before incarceration. Perceived levels of safety were analyzed based on reported past experiences of interpersonal violence. Participants were 65 women incarcerated in a medium security prison for women with mental and physical health problems. Women's perceptions of safety were evaluated using close–ended quantitative and open–ended qualitative self–report questions. The results suggest that, for some women, prison may be a relatively safe environment and that perceived level of safety may vary with the extent of previous experience of interpersonal violence in childhood and adulthood. Given that the structure of correctional institutions often incorporates abusive dynamics, the directionality of the findings is theoretically and socially important. The patterns apparent in these data are also consistent with other research and theory on the experiences of incarcerated women.