First-Line Treatment for Pediatric Obsessive–Compulsive Disorder

Pediatric obsessive–compulsive disorder (OCD) is a common psychiatric disorder that impairs children’s functioning in home, school, and community settings. Once thought to be an untreatable or treatment refractory disorder, evidence-based treatments now exist for pediatric OCD. Various psychological treatment approaches for pediatric OCD have been investigated and research supports the use of cognitive-behavioral therapy (CBT) with exposure and response prevention (E/RP) and combined CBT/E/RP with serotonin reuptake inhibitor pharmacotherapy. This paper reviews these approaches and highlights the prominent role of CBT/E/RP as a first-line treatment for pediatric OCD.     

Effects of sleep on positive,negative and neutral valenced story and image memory

During sleep, emotional memories are preferentially strengthened. However, most studies on sleep and emotional memory focus on comparing negative valence with neutral valence stimuli. This study compared the sleep-dependent memory effects for stories and images, each comprising negative, neutral, and positive stimuli. It was hypothesized that a sleep effect would be seen for negatively and positively valenced stimuli. A novel story memory task (comprising three stories), and photographs from the Nencki Affective Picture database were presented for learning to 61 healthy adults (ages 18–25). They were tested for memory on the two tasks immediately, and then again after either a 2-hr nap (n = 31; 17 women, 14 men) or 2-hr wake period (n = 30; 13 women, 17 men). At second testing, the sleep condition had significantly better recall compared to the wake condition on both tasks. There was a relationship with valence only for the story task, with better performance for the sleep condition on the negatively and positively valenced texts, but not on the neutral text. There were no significant relationships between memory measures and sleep-stage duration and EEG power variables. The story memory findings support the hypothesis that memory consolidation prioritizes emotional memory, whether positively or negatively valenced.     

Cognitive Complexity and the Perception of Subtle Racism

The present research demonstrated that cognitive complexity is related to the perception of contemporary, subtle racism. Results indicated that the perception of subtle racism was related to attributional complexity. Further, greater attributional complexity was also related to greater racial complexity, defined as the ability of individuals to overcome the normative assumption that racism is no longer a major social problem in the United States and the extent that individuals think about racism. The relationship between attributional complexity and racial complexity held even when accounting for need for cognition, perspective taking, empathy, and political ideology. Finally, we found that racial complexity mediated the effect of attributional complexity on the perception of subtle racism. Taken together, the results of these three studies contribute a general cognitive mechanism related to the perception of subtle racism; an extension of cognitive and attributional complexity; and a new construct, racial complexity, related to the perception of contemporary, subtle racism.     

Integration of five health behaviour models: Common strengths and unique contributions to understanding condom use

The purpose of this research was to select from the health belief model (HBM), theories of reasoned action (TRA) and planned behaviour (TPB), information–motivation–behavioural skills model (IMB) and social cognitive theory (SCT) the strongest longitudinal predictors of women's condom use and to combine these constructs into a single integrated model of condom use. The integrated model was evaluated for prediction of condom use among young women who had steady versus casual partners. At Time 1, all constructs of the five models and condom use were assessed in an initial and a replication sample (n?=?193, n?=?161). Condom use reassessed 8 weeks later (Time 2) served as the main outcome. Information from IMB, perceived susceptibility, benefits, and barriers from HBM, self-efficacy and self-evaluative expectancies from SCT, and partner norm and attitudes from TPB served as indirect or direct predictors of condom use. All paths replicated across samples. Direct predictors of behaviour varied with relationship status: self-efficacy significantly predicted condom use for women with casual partners, while attitude and partner norm predicted for those with steady partners. Integrated psychosocial models, rich in constructs and relationships drawn from multiple theories of behaviour, may provide a more complete characterisation of health protective behaviour.     

A Rorschach Investigation of Narcissism and Hysteria in Antisocial Personality

We investigated Rorschach responses associated with narcissism and hysteria in a group of antisocial personality disordered offenders. The Rorschach protocols of 42 subjects who met the criteria from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) for antisocial personality disorder were analyzed using Exner's (1986) criteria for pairs, reflections, and personal responses, and Gacono's (1988) criteria for the impressionistic response. Severe, or primary psychopaths (n = 21), scoring ≥30 on the Hare (1980) Psychopathy Checklist (PCL), were compared to moderate, or secondary pscyhopaths (n = 21), scoring <30 on the PCL. The mean number of pair and impressionistic responses did not significantly differ for the two antisocial groups. The highly psychopathic group, however, did exhibit a significantly greater mean number of reflection and personal responses. We discuss pair and reflection responses and their relationship to narcissism in psychopathic disturbance. We recommend interpreting the personal response within the context of the psychopathic character and view personal responses as expressions of narcissism and omnipotence in highly psychopathic subjects. We also hypothesize that the impressionistic responses are indicative of primitive dissociative processes and hysteria in psychopathic subjects, and that their presence provides construct validity for the work of Guze (1976) and others who suggested an underlying histrionic dimension to psychopathy.     

The Sexual Double Standard and Gender Differences in Predictors of Perceptions of Adult-Teen Sexual Relationships

We study gender differences and the effects of adult’s gender, an authority gap, and an age gap on university students’ perceptions of adult-teen sexual relationships. We specifically examine: the adult’s criminality, damage to the teen’s reputation, and emotional damage to the teen. We use a sample of 2,871 students from a Southwestern university in the U.S. who judged vignettes describing an adult-teen encounter. OLS regression demonstrated that women judged the scenarios more negatively than men. Further analyses found relationships between the experimental variables and each dependent variable and interactions by respondent’s gender and among the experimental variables. Results demonstrate a sexual double standard and highlight respondent’s gender, the age gap, and the authority context for perceptions of adult-teen relationships.     

Risk Profiles of Children Entering Residential Care: A Cluster Analysis

Children in residential care are a heterogeneous population, presenting various combinations of risks. Existing studies on these children suggest high variability across multiple domains (e.g., academics, behavior). Given this heterogeneity, it is important to begin to identify the combinations and patterns of multiple risks, or risk profiles, these children present. The purpose of this study was to evaluate the academic and behavioral risk profiles of children entering residential care. Cluster analysis procedures using academic and behavior variables revealed three distinct profiles of children: Group 1: Average Janes, characterized by average academic skills, no behavior problems, and some demographic risks; Group 2: Academic Risks, characterized by low academics and increased rule-breaking behavior; and finally Group 3: Behavioral Risks, characterized by average academics and elevated behaviors. These preliminary finding are discussed along with limitations, directions for future research, and implications.