Development and Preliminary Evaluation of a 1-Week Summer Treatment Program for Separation Anxiety Disorder

Numerous clinical trials have demonstrated the efficacy of cognitive behavior therapy (CBT) for the treatment of childhood Separation Anxiety Disorder (SAD) and other anxiety disorders yet additional research may still be needed to better access and engage anxious youth. In this study, we investigated the acceptability and preliminary utility of a group cognitive-behavioral intervention for school-aged girls with SAD provided within an intensive, 1-week setting. The development of the proposed treatment strategy, a 1-week summer treatment program, was predicated on evidence supporting the need for childhood treatments that are developmentally sensitive, allow for creative application of intervention components, incorporate a child's social context, and ultimately establish new pathways for dissemination to the community. The summer treatment program for SAD was pilot-tested using a case-series design with 5 female children, aged 8 to 11, each with a principal diagnosis of SAD. For 4 of the 5 participants, treatment gains were evidenced by changes in diagnostic status, significant reductions in measures of avoidance, and improvements on self- and parent-report measures of anxiety symptomology. Specifically, severity of SAD symptoms decreased substantially at posttreatment for each participant and, 2 months following treatment, none of the participants met diagnostic criteria for the disorder. A fifth participant experienced substantive improvement in diagnostic status prior to the onset of treatment and, though she evidenced continued improvements following treatment, the role of the intervention in such improvements is less clear.     

The Impact of Cumulative Minority Stress on Cognitive Behavioral Treatment With Gender Minority Individuals: Case Study and Clinical Recommendations

For sexual minority individuals (i.e., lesbian, gay, and bisexual [LGB] persons), minority stress includes experiences of discrimination, expectations of rejection, internalized negativity, and concealment of identity. Sexual minority stress has been linked to various negative mental health outcomes (e.g., depression, anxiety), and levels of psychiatric comorbidity are high among LGB people. However, little is known about the extension of minority stress models to gender minority individuals (i.e., transgender and gender nonconforming persons) and its impact on mental health in this particular group. Further, the influence of gender minority stress on the delivery and outcome of traditional cognitive behavioral therapy (CBT) approaches is unclear. A case study of CBT for chronic depression with a young, transgender individual is presented. This case study highlights potential barriers that may arise with gender minority clients when implementing evidence-based clinical interventions in the context of an individual’s minority stress history. Implications for cognitive-behavioral treatments with gender minority individuals and recommendations for clinicians and researchers are discussed.     

Summer Camp Program for Children With Obsessive–Compulsive Disorder: Description and Preliminary Observations

Summer camp programming has a rich history of promoting childhood development. In the care of children with specific childhood psychiatric disorders, the incorporation of targeted cognitive-behavioral principles provides an opportunity to marry targeted evidence-based practices with broader development, in particular social, emotional, and fine- and gross-motor development. This union is synergistic, providing the practitioner with an opportunity to employ cognitive-behavioral practices in an environment that may overcome common barriers to effective interventions outside the scope of the targeted illness. In this paper, the authors describe the preliminary findings concerning a weeklong, 25-hour summer camp program targeting childhood obsessive–compulsive disorder (OCD). Nine children ages 9–12 years participated in this pilot program. Child and parent feedback alike suggested strong treatment acceptability and efficacy in targeting both core symptoms of OCD as well as associated developmental deficits. The camp’s implementation of exposure and response prevention enables an opportunity to report on the capability of employing these strategies in a summer camp setting. In conjunction with an evidence-based treatment program for childhood OCD, a summer camp program specifically targeted for children with OCD presents a valuable tool for improving child welfare and reducing functional impairments.     

Physical Correlates of Torture Exposure in Karen Refugees

We explored associations between torture history and physical health symptoms of 111 Karen refugees newly arrived to the United States. We conducted a retrospective cross-sectional analysis of electronic health data collected at the initial refugee health-screening exam. Unique to this analysis was the exploration of relationships between torture exposure, war trauma, and presenting physical and psychological health issues. We identified no unique effects of torture on physical health above and beyond trauma exposure. Overall, in our sample we found a high prevalence of underlying infectious conditions, pain, and hypercholesterolemia, regardless of torture exposure. We discuss effects of war trauma and torture experiences on physical exam findings and implications for future research.     

The (Anti)Social Network: Egocentric Friendship Networks of Incarcerated Youth

The present study uses egocentric networks collected from youth (aged 14–24) incarcerated with California’s Division of Juvenile Justice to examine the composition and structure of youth’s friendship networks during periods of incarceration and to test the relationship between friendship and institutional misconduct. Tests of network homophily reveal that youth networks report more diversity across both racial/ethnic categories and gang membership than expected from non-network research about inmate organization. Regression results indicate that youth who stated they had no close friendships within the facility had a lower rate of institutional misconduct post-interview compared to those who nominated peer friendships. The current study demonstrates that incarcerated youth are capable of building close friendships and highlights the potential of these friendships to affect a youth’s level of institutional misconduct.     

The Unique Effects of Fathers’ Warmth on Adolescents’ Positive Beliefs and Behaviors: Pathways to Resilience in Low-Income Families

The aim of the present study was to investigate the pathways through which fathers’ warmth influences adolescents’ grades. We investigated the positive beliefs of optimism and academic self-efficacy, and the motivational construct of determination, as possible mediators. Questionnaire data were collected from a sample of 183 sixth-graders (78 male, 105 female) from low-income families: 133 Mexican Americans, 36 African Americans, 11 European Americans, and 3 other ethnicity. Multigroup SEM path analysis was used to test two path models and investigate variations in these models by adolescents’ gender. Results revealed that, controlling for mothers’ warmth, fathers’ warmth predicts adolescents’ positive beliefs and that these relations vary by adolescents’ gender. For male adolescents, relations between fathers’ warmth and English language arts grades are mediated by academic self-efficacy and determination to persist on challenging schoolwork. For female adolescents, relations between fathers’ warmth and math grades are mediated by optimism and determination. These results demonstrate the unique contributions of fathers’ warmth to their sons’ and daughters’ emotional and academic development. Our study suggests that counselors and educators may positively influence adolescents’ well-being by encouraging fathers to communicate warmth and acceptance to their adolescents.     

What We Know and Where We Go from here: A Review of Lesbian,Gay, and Bisexual Youth Hookup Literature

In this paper, we acknowledge and critique the absence of lesbian, gay, and bisexual (LGB) experiences in the recent proliferation of scholarship on “hooking up” among youth (aged 16 to 24). Although previous research has documented that LGB youth hookup at high rates (up to three-quarters of LGB youth), and oftentimes more than heterosexuals, the most basic aspects of hookups (e.g., motivations, experiences, and outcomes) have not been comprehensively explored. This is pertinent because young adulthood, in particular, is a time when young people explore their sexuality. Most scholarship on hooking up has focused on White heterosexual college students, mostly due to sampling constraints and impediments, and so we are left with a critical gap in our knowledge about LGB youth—a population that is typically at higher risk for sexual, mental, and emotional health issues. We begin by reviewing the literature on hooking up among heterosexual young adults as organized by four themes: hookup definitions/frequencies, contexts, motivations, and outcomes. We do this to explicitly highlight and contrast what little is known about LGB youth hookups. We then provide a research agenda that projects how future researchers can advance this area of scholarship and begin to fill its gaps, while considering the hookup experiences of diverse LGB youth.     

Discriminative control of punished stereotyped behavior in humans

The purpose of this experiment was to establish discriminative control of responding by an antecedent stimulus using differential punishment because the results of past studies on this topic have been mixed. Three adults with mental retardation who exhibited stereotypy not maintained by social consequences (i.e., automatic reinforcement) participated. For each subject, stereotypy occurred frequently in the presence of a stimulus correlated with nonpunishment of stereotypy and rarely, if ever, in the presence of a stimulus correlated with punishment of stereotypy. Latency measures showed that the antecedent stimulus correlated with punishment served as the discriminative stimulus for the suppression of stereotypy. These results are important insofar as they show that discriminative control by an antecedent stimulus develops with punishment, and because it sometimes may be desirable to establish such control of socially inappropriate behavior.     

Qualitative differences between the joint effects of stimulus quality and word frequency in reading aloud and lexical decision: extensions to Yap and Balota (2007)

There have been multiple reports over the last 3 decades that stimulus quality and word frequency have additive effects on the time to make a lexical decision. However, it is surprising that there is only 1 published report to date that has investigated the joint effects of these two factors in the context of reading aloud, and the outcome of that study is ambiguous. The present study shows that these factors interact in the context of reading aloud and at the same time replicate the standard pattern reported for lexical decision. The main implication of these results is that lexical activation, at least as indexed by the effect of word frequency, does not unfold in a uniform way in the contexts reported here. The observed dissociation also implies, contrary to J. A. Fodor's (1983) view, that the mental lexicon is penetrable rather than encapsulated. The distinction between cascaded and thresholded processing offers one way to understand these and related results. A direction for further research is briefly noted.     

Creative Anticipatory Ethical Reasoning with Scenario Analysis and Design Fiction

Science and Engineering Ethics - This paper presents an experimental approach for engaging undergraduate STEM students in anticipatory ethical reasoning, or ethical reasoning applied to the...