Psychodynamic assessment of changes in children with autism under psychoanalytic treatment

In this article the authors report insights into autism developed through their extensive experience of psychoanalytic therapy with children with autism. The fi rst stages of body psychic development are seriously disrupted by this pathology, resulting in primitive anxieties of falling and of being liquefi ed. These anxieties are connected to the fragile development of body ego and of its related spatiotemporal organisation. The changes in children observed by the authors during the therapeutic process lead them to offer a psychodynamic assessment tool, which revolves principally around the development of body ego. After the initial state of 'severe autism', the authors describe three stages: the stage of 'recovery of the skin' (Bick); the established 'symbiotic phase', subdivided into 'vertical then horizontal splitting of the body ego'; and fi nally the stage of 'individuation'. First, the authors describe the principal psychoanalytic approaches to autism and refl ect on the links possible with nonpsychoanalytic work.     

Major world events and discrimination

It is known that a major world event caused by one group can influence perceptions of other social groups. The impact of the events of September 11, 2001 on religious and ethnic discrimination in the UK was assessed. Of seven ethnic groups, Pakistanis and Bangladeshis, who were primarily Muslim, reported the greatest increase between pre- and postevent discrimination. So, the attacks on the USA by al-Qaeda, a radical Islamic organization, activated discrimination against people of Islamic faith in the UK. These results highlight links between world events and intergroup relations, and may serve to remind norm violators that the harm they do to people of other groups can impact people of groups perceived to share their values, even in geographically distant places.     

Risk and Protective Factors for Children of Adolescents: Maternal Depression and Parental Sense of Competence

We investigated the relationship between depression and parental sense of competence to child cognitive outcomes for a sample of 49 adolescent mothers and their young children (Mean age=9 1/2 months) enrolled in a student parenting program. Cognitive development of the infants and toddlers was assessed using the Bayley Scales of Infant Development. Maternal depression was assessed with the CES-D and parental competence measured with the Parental Sense of Competence Scale. Results indicated that maternal depression and parental sense of competence alone did not predict children’s cognitive scores; the interaction of the variables significantly predicted children’s outcomes. Mothers reporting high levels of depression, who self-reported high levels of parental competence, had children who scored higher on the Bayley. Children of mothers with high levels of depression, and low reported levels of competence scored lower on the Bayley. The relationship was not significant for mothers reporting low levels of depression. Our findings suggest additional research needs to focus on the buffering effect of parental sense of competence for adolescent mothers experiencing depression.     

Influence of African American elders’ age stereotypes on their cardiovascular response to stress

Abstract

Although it has been shown that White elders are vulnerable to the influence of age stereotypes, it was not known whether this effect applied to African American elders. In the present study, African American elders were randomly assigned to negative or positive implicit-age-stereotype groups. Compared to participants in the positive age-stereotype group, those in the negative age-stereotype group demonstrated significantly more elevated cardiovascular response to stress, as measured by blood pressure and heart rate following mental challenges. These results suggest that negative age stereotypes generate a susceptibility to stress among African American elders, whereas positive age may provide them with a defense against this stress.     

The efficacy of conjoint behavioral consultation on parents and children in the home setting: Results of a randomized controlled trial

The present study is a large-scale randomized trial testing the effects of a family–school partnership model (i.e., Conjoint Behavioral Consultation, CBC) for promoting behavioral competence and decreasing problem behaviors of children identified by their teachers as disruptive. CBC is a structured approach to problem-solving that involves consultants, parents, and teachers. The effects of CBC on family variables that are commonly associated with important outcomes among school-aged children (i.e., family involvement and parent competence in problem solving), as well as child outcomes at home, were evaluated. Participants were 207 children with disruptive behaviors from 91 classrooms in 21 schools in kindergarten through grade 3 and their parents and teachers. Results indicated that there were significantly different increases in home–school communication and parent competence in problem solving for participants in the CBC relative to control group. Likewise, compared to children in the control group, children in the CBC group showed significantly greater decreases in arguing, defiance, noncompliance, and tantrums. The degree of family risk moderated parents' competence in problem solving and children's total problem behaviors, teasing, and tantrums.     

A further examination of the lexical-processing stages hypothesized by the E-Z Reader model

Participants’ eye movements were monitored while they read sentences in which high- and low-frequency target words were presented normally (i.e., the normal condition) or with either reduced stimulus quality (i.e., the faint condition) or alternating lower- and uppercase letters (i.e., the case-alternated condition). Both the stimulus quality and case alternation manipulations interacted with word frequency for the gaze duration measure, such that the magnitude of word frequency effects was increased relative to the normal condition. However, stimulus quality (but not case alternation) interacted with word frequency for the early fixation time measures (i.e., first fixation, single fixation), whereas case alternation (but not stimulus quality) interacted with word frequency for the later fixation time measures (i.e., total time, go-past time). We interpret this pattern of results as evidence that stimulus quality influences an earlier stage of lexical processing than does case alternation, and we discuss the implications of our results for models of eye movement control during reading.     

Secret Agent Society: A Randomized Controlled Trial of a Transdiagnostic Youth Social Skills Group Treatment

Group programs are key for targeting social skills (SS) for children with developmental disorders and/or mental illness. Despite promising evidence regarding efficacy of group treatments, there are several limitations to current research regarding generalizability and effectiveness across diagnoses. This randomized control trial assessed whether the Secret Agent Society (SAS) group program was superior to treatment as usual (TAU) in improving social-emotional functioning for children with Attention Deficit-Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), and/or anxiety. Eighty-nine youth (8–12) with ADHD, ASD, and/or an anxiety disorder receiving treatment at hospital-based outpatient clinics were randomized to receive SAS (n?=?47) or TAU (n?=?42) over a three-month period, at which point TAU participants were offered the SAS intervention. Parent report showed significant improvement in Emotion Regulation (ER) and Social Skills (SS) for youth in SAS vs. TAU (Fs?≥?6.79, ps?≤?01). Gains for the SAS condition were maintained at 6-months. Intent-to-treat analysis of teacher report indicated youth in SAS had positive gains in SS (F?=?0.41, p?=?0.475) and ER (F?=?0.99, p?=?0.322), though not significantly better than youth in TAU. Clinically reliable improvement rates were significantly higher for SAS participants than TAU for parent and teacher reported SS and ER. Improvements were significant for youth with single and comorbid diagnoses. Results suggest that SAS was superior to TAU in improving SS and ER for youth aged 8–12 with ADHD, ASD, and/or anxiety. Gains maintained in the medium-term. Trial registration number NCT02574273, registered 10/12/2015.

     

A randomized trial examining the effects of parent engagement on early language and literacy: the Getting Ready intervention

Language and literacy skills established during early childhood are critical for later school success. Parental engagement with children has been linked to a number of adaptive characteristics in preschoolers including language and literacy development, and family-school collaboration is an important contributor to school readiness. This study reports the results of a randomized trial of a parent engagement intervention designed to facilitate school readiness among disadvantaged preschool children, with a particular focus on language and literacy development. Participants included 217 children, 211 parents, and 29 Head Start teachers in 21 schools. Statistically significant differences in favor of the treatment group were observed between treatment and control participants in the rate of change over 2 academic years on teacher reports of children's language use (d = 1.11), reading (d = 1.25), and writing skills (d = 0.93). Significant intervention effects on children's direct measures of expressive language were identified for a subgroup of cases where there were concerns about a child's development upon entry into preschool. Additionally, other child and family moderators revealed specific variables that influenced the treatment's effects.     

Preventing Contagion With Avian Influenza: Disease Salience,Attitudes Toward Foreigners,and Avoidance Beliefs1

Building on an evolutionary approach to out‐group avoidance, this study showed relations between perceived disease salience and beliefs in the efficacy of avoiding foreigners as protective measures in the context of a real‐life pandemic risk; i.e., avian influenza. People for whom avian influenza was salient and who held unfavorable attitudes toward foreigners were more likely to believe that avoiding contact with foreigners protects against infection. This finding suggests that individual differences in social attitudes moderate evolved mechanisms relating threat of disease to out‐group avoidance.     

The time course of contextual influences during lexical ambiguity resolution: Evidence from distributional analyses of fixation durations

In the lexical ambiguity literature, it is well-established that readers experience processing difficulties when they encounter biased homographs in a subordinate-instantiating prior context (i.e., the subordinate bias effect). To investigate the time course of this effect, the present study examined distributional analyses of first-fixation durations on 60 biased homographs that were each read twice: once in a subordinate-instantiating context and once in a dominant-instantiating context. Ex-Gaussian fitting revealed that the subordinate context distribution was shifted to the right of the dominant context distribution, with no significant contextual differences in the degree of skew. In addition, a survival analysis technique showed a significant influence of the subordinate versus dominant contextual manipulation as early as 139?ms from the start of fixation. These results indicate that the contextual manipulation had a fast-acting influence on the majority of fixation durations, which is consistent with the reordered access model's assumption that prior context can affect the lexical access stage of reading.