Children's night-time fears: an overview

Night-time fears are a normal developmental occurrence for most children. However, a small proportion of children may experience severe night-time fears of much greater intensity and duration, and typically meet diagnostic criteria for an anxiety or phobic disorder diagnosis. The content and developmental features of children's night-time fears are explored, highlighting the heterogeneous nature of nocturnal fears. Fears of this nature are probably due to an interaction of biological, environmental and cognitive-mediational factors, together with the involvement of family and operant learning processes. Clinical assessment procedures are briefly outlined, including the behavioural interview, the diagnostic interview, self-report inventories and home-monitoring on the part of parents. Family-based cognitive-behavioural treatment strategies are described. Although research findings are encouraging for the efficacy of these interventions, future studies need to utilize methodologies that allow for the identification of the specific mechanisms responsible for treatment, and improved diagnostic assessment of night fearful children.     

Culturally Competent Assessment: More Than Nonbiased Tests

The persistent and unresolved issue of minority disproportionality in special education provides a strong rationale for ensuring that assessment is culturally appropriate and sensitive. An extensive literature on test bias has failed to find evidence of bias sufficient to fully explain disproportional representation of minorities in special education. Yet minorities in this nation, most especially African Americans, have been exposed to a long history of unequal opportunity and oppression, and these inequities continue to be played out in educational settings. In the face of inadequate cultural and educational opportunity, unbiased tests provide an accurate estimate not only of individual capability, but also of the inhospitable conditions that depress that capability. A failure to take differential educational opportunity into account when considering minority test performance may lead to serious errors of test score interpretation. In the face of unequal educational opportunity, culturally competent assessment thus means more than manipulating the content of tests. Rather, it represents a comprehensive process that uses the results of assessment to identify and remedy educational conditions that systematically disadvantage students of color.     

Assessing the Readability of Mental Health Internet Brochures for Children and Adolescents

We investigated the readability of seven mental health brochures on mental, emotional, and behavioral disorders in children that were selected from a website developed by the Center for Mental Health Services at http://www.mentalhealth.org. The reading grade levels of the brochures ranged from 11.1 to 14.8 (mean 13.23), considerably higher than the 8th grade level recommended for educational material by the U. S. Department of Education (1986). On other readability variables, assessed using the Readability Assessment Instrument (RAIN; Singh, 1994), all brochures met criterion on most variables but failed on those for new words (audience appropriateness) and print size. This is a favorable result in comparison with other studies that have assessed readability of mental health information on the Internet using the RAIN, although less so with reading grade levels.     

Assessment Instruments Used by Addictions Counselors

The Association for Assessment in Counseling's Committee on Assessment and Training in Addictions Counseling conducted a survey of Master Addictions Counselors (MACs) certified by the National Board for Certified Counselors. The intent of the survey was to identify which standardized assessment instruments were most frequently used by MACs and perceived to be most important in their substance abuse practices. This article describes survey results and provides training and practice recommendations.     

Personality Disorder Attributes as Supplemental Goals for Change in Interpersonal Psychotherapy

Interpersonal Psychotherapy (IPT) is a manualized, short-term (usually 12–16 sessions) based on the assumption that psychological disorders often emerge secondary to social and interpersonal problems that require active intervention to achieve symptom remission. The time-limited nature of IPT compels therapists to establish the goal of diminishing, on a weekly basis, a small number of focused interpersonal problems with a decided emphasis on proximal rather than historic conflicts and associated patterns of behavior. This strategy discourages the adoption of diffuse therapy goals and directions that have more opportunity to emerge in long-term, unstructured treatment modalities. The role of traditional personality testing in short-term therapy, when it occurs, is to identify and quantify symptom clusters that warrant attention as dependent measures in the treatment process. The role of personality factors in the genesis or maintenance of psychological disturbance is rarely addressed. The present article explores theoretical and pragmatic objections to the use of personality testing in IPT. A method is proposed for the limited but systematic incorporation of personality testing in the IPT treatment process using the Millon Clinical Multiaxial Inventory (MCMI-III). While unreasonable to expect personality transformation through short-term therapy, the partial attenuation of maladaptive behavioral, attitudinal, and emotional reactions to stressors could prove exceedingly helpful to short-term treatments such as IPT.     

Resiliency,Self-Regulation,and Reemployment After Job Loss

This study investigated self-regulation and resiliency in one's search for reemployment. Although trait-based approaches are central to many resiliency conceptualizations, recent research has found that self-regulation (affective, behavioral, and cognitive) contributes to predicting resiliency-related outcomes. We hypothesized that self-regulation would incrementally predict reemployment process outcomes, specifically the job search outcomes of psychological well-being, job search self-efficacy, and job search clarity. Results indicated that, over and above resiliency traits, behavioral and cognitive self-regulation incrementally predicted well-being and job search clarity, and cognitive self-regulation incrementally predicted job search self-efficacy. Implications for theory and continued research on resiliency in reemployment are discussed.     

The problem of unconsciousness in qualitative research

Although reflexivity is critical to the practice of qualitative research, the problem of unconsciousness seems to stand in its way. If aspects of lived experience are unconscious to an engaged participant, then how can one become reflexive? This paradox, and the problems it poses for qualitative research, are discussed. Varying conceptualisations of unconsciousness are presented. Unconsciousness can be understood as revealed through language, as primarily non-verbal, or as ultimately irrelevant to human experience. In addition, the source of unconscious material can be conceptualised as internal and subjective, or as contextual and direcdy observable. From these assumptions follow diverse approaches to qualitative research. If unconsciousness is structured via language, then research must focus on the words through which participants describe their experience. If, however, unconsciousness is distinct from language, then qualitative methods must incorporate non-verbal data. The presumed locus of unconsciousness will also affect one's research methods. Internal explanations require querying the subject, and external explanations entail scrutinising context. Examples of qualitative methods and the diverse approaches from which they proceed are presented It is argued that reflexivity demands scrutiny and articulation of the verbal, non-verbal and contextual components that define a particular research project. The author details his own experiences in this regard, and outlines areas in need of further methodological development.