Deliberate self-harm in adolescence: a challenge for schools

Acts of deliberate self-harm (DSH) by adolescents are thought to be on the increase. Many of those who self-harm are of school age and it is to be expected that schools (and their teachers) will be aware of the problem and will respond appropriately as part of their pastoral-care provision. However, a recent survey of research in pastoral care and personal-social education undertaken by the author found virtually no reference to DSH. It appears that empirical evidence about schools' experience of, and responses to, DSH does not exist. This paper reports some of the findings of a Nuffield Foundation-funded study undertaken in England in 2003/2004. A variety of self-harming behaviours, from cutting to unnecessary risk-taking, were reported by the 34 teachers and other professionals interviewed in schools, pupil referral units and support agencies such as child and adolescent mental health services (CAMHS). The findings indicate that teachers' awareness of DSH is patchy and that their reactions are often those of shock, panic and anxiety. The implications of the findings for those in education are considered in the context of a discussion of the literature. The contested status of the concept of deliberate self-harm, the need for a cautious raising of awareness, and the importance of supervision for front-line workers in schools are amongst the issues considered.     

Response burden,reliability, and validity of the CAGE,Short MAST,and AUDIT alcohol screening measures

We administered the CAGE, the Short MAST, and the AUDIT to 832 clients at drinking driver treatment programs in Southern California. Correlations among the alcohol screening measures ranged from 0.62 (CAGE and AUDIT) to 0.70 (CAGE and Short MAST). As expected, response time for the CAGE was quicker than for the Short MAST and the AUDIT, but the internal consistency reliability of the CAGE was the lowest and the standard error of measurement largest. Moreover, greater support was found for the relative validity of the Short MAST and AUDIT than the CAGE. The CAGE provides a substantial amount of information quickly, but more reliable and valid information can be obtained with the short MAST or AUDIT measures, which require an additional 1-2 min to administer.     

Loneliness in the Daily Lives of Young Adults: Testing a Socio‐cognitive Model

A socio‐cognitive model of loneliness states that lonely people are characterized by two characteristics, hypersensitivity to social threat and hyposensitivity to social reward. However, these characteristics have not yet been examined in the daily lives of young adults. Therefore, the main aim of the present study was to examine these two characteristics in young adults and whether relationship status, living situation, and type of company moderated the relationship between sensitivity to threat and reward and feelings of loneliness. The Experience Sampling Method was used, and data were collected among 219 first‐year college students (M age = 19.60, 91% female). Participants filled out questionnaires on their smartphone at five random time points per day, on 11 consecutive days. Multilevel analyses showed support for hypersensitivity to social threat, in that students high in loneliness were more negatively affected by negative perceptions of company. Results for hyposensitivity to social reward were in the opposite direction; students high in loneliness were more positively affected by positive perceptions of company than students low in loneliness. These relations were not moderated by relationship status or living situation. Our findings may indicate that loneliness serves as a motivational state that increases susceptibility to the environment in order to restore social relationships. Copyright © 2015 European Association of Personality Psychology     

Multisystemic Therapy and Functional Family Therapy Compared on their Effectiveness Using the Propensity Score Method

Multisystemic Therapy (MST) and Functional Family Therapy (FFT) have overlapping target populations and treatment goals. In this study, these interventions were compared on their effectiveness using a quasi-experimental design. Between October, 2009 and June, 2014, outcome data were collected from 697 adolescents (mean age 15.3 (SD 1.48), 61.9% male) assigned to either MST or FFT (422 MST; 275 FFT). Data were gathered during Routine Outcome Monitoring. The primary outcome was externalizing problem behavior (Child Behavior Checklist and Youth Self Report). Secondary outcomes were the proportion of adolescents living at home, engaged in school or work, and who lacked police contact during treatment. Because of the non-random assignment, a propensity score method was used to control for observed pre-treatment differences. Because the risk-need-responsivity (RNR) model guided treatment assignment, effectiveness was also estimated in youth with and without a court order as an indicator of their risk level. Looking at the whole sample, no difference in effect was found with regard to externalizing problems. For adolescents without a court order, effects on externalizing problems were larger after MST. Because many more adolescents with a court order were assigned to MST compared to FFT, the propensity score method could not balance the treatment groups in this subsample. In conclusion, few differences between MST and FFT were found. In line with the RNR model, higher risk adolescents were assigned to the more intensive treatment, namely MST. In the group with lower risk adolescents, this more intensive treatment was more effective in reducing externalizing problems.     

Good to Bad or Bad to Bad? What is the relationship between valence and the trait content of the Big Two?

In this article we directly assessed the relationship between valence and relevant traits of the Big Two dimensions (i.e., communion and agency). Drawing on previous research, we expected that the relationship with valence would be less monotonous and more variable in direction across agency-related traits, compared to communion-related traits. In three repeated measures studies we assessed the perceived valence of each trait dimension on a continuum of seven points. Studies 1 and 2 defined each continuum verbally. In Study 3 each continuum was defined by facial features. Results across these studies show that valence is linearly and more consistently related with communion-related traits than with agency-related traits. Within agency, however, competence established a positive linear relationship with valence, whereas dominance showed a target-sensitive relationship with valence: quadratic in evaluation of trait concepts, and negative and linear in face evaluation. We discuss the implications of these data for Big Two-related research.     

A randomized clinical trial of three prompting systems to teach tact relations

Prompts are commonly used during discrete trial teaching for individuals diagnosed with autism spectrum disorder (ASD). Three commonly used prompting systems include constant time delay, most-to-least prompting, and flexible prompt fading. Most of the research demonstrating the effectiveness of these three prompting strategies have been completed through the use of single subject experimental designs. Some within the field of behaviorally based approaches to ASD interventions have called for more randomized clinical trials of these approaches. The purpose of the present study was to compare these 3 prompting systems to teach tact relations for 27 individuals diagnosed with ASD through a randomized clinical trial without a control group with respect to pre–post responding, generalization, sessions to mastery, and responding during teaching. Overall, minimal differences were observed across the 3 systems. The results are discussed with respect to future research and clinical application of the methods evaluated.     

Searching for Family Therapy in the Rockies: Family Therapists Meet A Paleontologist

Family therapists use concepts germane to other academic disciplines. We recount four notions--context, explanatory metaphors, language conventions, and persistently refining knowledge--that family therapists and paleontologists each utilize. Revisiting family therapy's foundational concepts through the lens of another discipline reminds us of our theoretical beginnings, highlights those professional adaptations that we have made over the years, and offers us an opportunity to reinvigorate and expand our central organizing principles.