Parental Opioid Abuse: A Review of Child Outcomes,Parenting, and Parenting Interventions

Opioid abuse is now considered an epidemic, and many of the adults using this substance are parents. The purpose of the current paper is twofold: (1) to review rigorously conducted studies (e.g., included a comparison group; utilized inferential statistics) examining the association of opioid abuse with parenting and child outcomes, and (2) to review parenting intervention programs with these caregivers. Findings indicate that there are very few rigorously conducted studies examining children and parenting when parents abuse opioids. Furthermore, only four intervention programs have been conducted using randomized control trials and inferential statistics. We conclude that there is limited research that can be labeled as a rigorous science currently addressing this aspect of the opioid epidemic. Recommendations for further research are delineated.     

Flexible emotional responsiveness in trait resilience

Field studies and laboratory experiments have documented that a key component of resilience is emotional flexibility--the ability to respond flexibly to changing emotional circumstances. In the present study we tested the hypotheses that resilient people exhibit emotional flexibility: (a) in response to frequently changing emotional stimuli and (b) across multiple modalities of emotional responding. As participants viewed a series of emotional pictures, we assessed their self-reported affect, facial muscle activity, and startle reflexes. Higher trait resilience predicted more divergent affective and facial responses (corrugator and zygomatic) to positive versus negative pictures. Thus, compared with their low-resilient counterparts, resilient people appear to be able to more flexibly match their emotional responses to the frequently changing emotional stimuli. Moreover, whereas high-trait-resilient participants exhibited divergent startle responses to positive versus negative pictures regardless of the valence of the preceding trial, low-trait-resilient participants did not exhibit divergent startle responses when the preceding picture was negative. High-trait-resilient individuals, therefore, appear to be better able than are their low-resilient counterparts to either switch or maintain their emotional responses depending on whether the emotional context changes. The present findings broaden our understanding of the mechanisms underlying resilience by demonstrating that resilient people are able to flexibly change their affective and physiological responses to match the demands of frequently changing environmental circumstances.     

Hippocampal c-fos is necessary for long-term memory of a socially transmitted food preference

The present article examined the requirement of hippocampal c-Fos for learning a socially transmitted food preference (STFP). We reported previously that expression of the c-Fos protein is increased in the dorsal and ventral hippocampus of rats trained on the STFP (Countryman, Orlowski, Brightwell, Oskowitz, & Colombo, 2005). Pretraining intrahippocampal antisense to the immediate early gene c-fos was administered to adult male Long-Evans rats to determine if c-fos expression is necessary for either short- or long-term memory for STFP. Guide cannulae were implanted bilaterally into the dorsal hippocampus. Antisense oligodeoxynucleotides (ODNs) were administered unilaterally either 6.5, 8.5, 10.5, or 12.5 h prior to STFP training while either sense ODNs or saline were infused into the opposite hemisphere. Immunocytochemistry was performed, and cells showing c-Fos immunoreactivity (ir) were counted from the antisense-treated hemisphere and compared to cell counts from the control hemisphere. The results indicated significant suppression of learning-induced c-Fos protein at the 8.5 and 10.5 infusion-train intervals. Additional rats were implanted with cannulae into the dorsal and ventral hippocampus, and antisense ODNs, sense ODNs, or saline were administered bilaterally 8.5h prior to training. Rats were tested immediately and 14 days after training. Rats in all groups showed a significant preference for the demonstrated food at the short-term memory test. At the long-term memory test, however, rats infused with c-fos antisense showed no preference for the demonstrated food whereas rats infused with either sense or saline maintained their preference. The present findings suggest that c-fos is necessary for consolidation of non-spatial hippocampal-dependent memory.     

Improving fairness in coverage decisions: performance expectations for quality improvement

Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.     

The team halo effect: why teams are not blamed for their failures

In this study, the existence of the team halo effect, the phenomenon that teams tend not to be blamed for their failures, is documented. With 2 studies using both real teams and controlled scenarios, the authors found evidence that the nature of the causal attribution processes used to diagnose failure scenarios leads to individuals being more likely to be identified as the cause of team failure than the team as a collective. Team schema development, as indexed by team experience, influences this effect, with individuals who have more team experience being less likely to show the team halo effect     

Power and Psychological Well-Being in Late Adolescent Romantic Relationships

Using Olsen and Cromwell's (1975) three facetsof interpersonal power (power in resources, process, andoutcomes), we examined the balance of power in lateadolescent romantic relationships and the associations between interpersonal power, adolescents'self-esteem, and depression. Participants were 61adolescent couples who were primarily European-American(90% of girls and 93% of boys), with the remainder being comprised of approximately 2-3% each of NativeAmerican, Asian, African American, and Hispanicindividuals. We assessed power in terms of access toemotional resources, control during video-tapedinteraction, and control over decision-making. Overall,couples were more likely to be described by themselvesand by independent observers as egalitarian, with themajority of couples equally contributing emotional resources, sharing power in interaction, andsharing decision-making responsibility. However,romantic relationships characterized by inequality inthe contribution of emotional resources and indecisionmaking were associated with greater psychologicalsymptomatology, especially for females.     

Undermining the Undermining Effect of Reward on Sustained Interest1

Sometimes, without recourse to controlling rewards, it is difficult to secure desirable behaviors. Yet, much work has demonstrated the damaging effect that such rewards can have on subsequent independent interest in the reward-induced behavior. Therefore, one who feels required to use controlling rewards to increase desirable action in another faces a dilemma: Failing to employ the rewards means foregoing the desired conduct in the immediate situation, hut applying them risks undermining the other's long-term interest in the conduct. We tested a technique designed to avoid this dilemma by (a) providing a controlling reward to obtain the desired action, but (b) then attributing the action to an abiding trait of the actor. Using this technique, we were able to reverse the damaging impact of a controlling reward on children's motivation to write well.     

Object individuation in young infants: Further evidence with an event-monitoring paradigm

Recent results indicate that, when tested with an event-monitoring task, 7.5- and 9.5-month-olds give evidence that they can individuate objects in different-objects occlusion events – events in which two distinct objects appear successively on either side of an occluder (Wilcox and Baillargeon, in press). The present research sought to confirm and extend these findings. The experiments examined 7.5- and 4.5-month-olds’ ability to correctly interpret a different-objects (ball-box condition) and a same-object (ball-ball condition) occlusion event. The infants in the ball-box condition saw a test event in which a ball disappeared behind the left edge of a screen; after a pause, a box emerged from behind the screen's right edge. For half of the infants (wide-screen event), the screen was wide and could occlude the ball and box simultaneously; for the other infants (narrow-screen event), the screen was narrow and should not have been able to occlude the ball and box at the same time. The infants in the ball-ball condition saw identical wide- and narrow-screen events except that the ball appeared on both sides of the screen. The infants in the ball-box condition looked reliably longer at the narrow- than at the wide-screen event, whereas those in the ball-ball condition tended to look equally at the events. These results suggest that the ball-box infants (a) were led by the featural differences between the ball and box to view them as distinct objects; (b) judged that the ball and box could both be occluded by the wide but not the narrow screen; and (c) were surprised in the narrow-screen event when this judgment was violated. In contrast, the ball-ball infants (a) assumed, based on the featural similarities of the balls that appeared on either side of the screen, that they were one and the same ball, and (b) realized that the ball could be occluded by either the wide or the narrow screen. These results indicate that, by 4.5 months of age, infants are able to use featural information to correctly interpret different-objects and same-object occlusion events. These findings are discussed in the context of the newly-drawn distinction between event-monitoring and event-mapping paradigms (Wilcox and Baillargeon, in press).     

Affective communication differences between distressed and nondistressed mother-adolescent dyads

An assessment technique of having mothers and young adolescents describe in brief written form what they like and dislike about each other was evaluated. Distressed dyads (N=38) produced responses that were rated significantly more negative (Demanding, Personal Attack, Anger and Hostility, Complaining About Unfairness or Disrespect) and less positive (Good Relationship, Appreciation of Other, Complimentary, and Enjoyment) than nondistressed dyads (N=40). Evidence of reliability was reported. Ratings of the written responses correlated significantly with independently obtained codings of taperecorded interactions, thus offering support for validity of the method.The authors wish to thank Diane Follingstad and Peter Kilmann for their comments on an earlier draft.     

Cigarette Smoking in Popular Films: Does It Increase Viewers' Likelihood to Smoke?1

The effect of viewing smoking in popular films was investigated. Participants were instructed to rate main characters in scenes from popular films on 12 characteristics (e. g., attractive, sexy, sociable). One group watched 6 scenes from popular films in which the main character they rated was smoking. The other group watched scenes from the same 6 films in which they rated the same main characters who were not smoking. The participants rated the female characters shown smoking less favorably on all rated characteristics, but not the male characters. The male regular and occasional smokers had a higher current desire to smoke if the film characters they had viewed smoked. Both female and male participants who viewed the characters smoking were more likely to indicate a likelihood to smoke than were the participants who viewed the nonsmoking scenes.