Parent–Child Interaction Therapy with Toddlers in a community-based setting: Improvements in parenting behavior,emotional availability,child behavior,and attachment

Parent–Child Interaction Therapy with Toddlers (PCIT-T) is a new attachment-based parenting intervention designed to meet the needs of children aged 12–24 months presenting with challenging behaviors. This study examined outcomes of the first phase of PCIT-T, Child Directed Interaction–Toddler (CDI-T), 4-months post treatment. Participants were 56 toddlers (Child Mage = 19.13 months) referred to receive CDI-T over an 8-week period at an Australian community-based child behavior treatment clinic for treatment of difficult toddler behaviors. Participants completed questionnaires and observational measures at baseline (Time 1), post-treatment (Time 2), and 4-month follow-up (Time 3). At both Time 2 and Time 3, there were statistically significant increases in observed positive parenting skills and emotional availability and decreases in negative parenting behaviors and child noncompliance. There were also significant improvements in parent-reported child externalizing and internalizing behaviors, parental stress, and maternal depression. There was a pattern of a shift away from attachment insecurity and attachment disorganization. Results suggest that the CDI-T phase of PCIT-T is a promising intervention for toddlers presenting with behavioral issues. Future studies should be conducted to assess efficacy in other settings, using larger samples and utilizing randomized controlled designs.     

White Daughter of Empire

As a white British woman, drawing on a Pilgrim Team Visit to Bangladesh in 2019, I reflect on racism, Empire, and white privilege and on how my eyes have been opened to the history that has shaped me, the wider world, and the Christian faith I have inherited. Through personal memoir, critical reflection on experience, and academic reading, I confront how racism, as a combination of power and prejudice, provides the lens through which I see the world, as a white British woman, and how experience and faith must both challenge and redeem.     

The Influence of Trauma Symptoms on the Therapeutic Alliance Across Treatment

The authors examined the influence of early phase dissociation, interpersonal problems, and retraumatization on the therapeutic alliance at early, middle, and later treatment phases. Participants were 84 female survivors of child abuse (ages 18 to 60 years, 53.6% Caucasian) who were receiving counseling at a university training clinic. Master’s- and doctoral-level students provided counseling using integrated relationship and trauma-based cognitive behavior therapy. Treatment followed a 3-phase model. The authors used structural equation models to test the hypothesis. In the early and later phases, fewer interpersonal problems significantly predicted a stronger alliance. In the middle phase, fewer interpersonal problems, less dissociation, and more revictimization significantly predicted a stronger alliance. Tasks, goals, and bond contributed significantly to the alliance in each of the 3 phases. Interpersonal problems were consistently the strongest predictor across the 3 phases, whereas tasks consistently made the greatest contribution to the therapeutic alliance across all 3 phases.     

Transactional approach to prediction of child maltreatment

The transactional-developmental approach was applied to a prospective longitudinal study of child maltreatment. Maternal background, infant constitutional, mother-infant interactional and maternal perception of infant temperament measures were entered into a multiple linear regression equation to predict child maltreatment. The results provide support for the transactional perspective in understanding the multiple determinants of early child maltreatment.     

The perception of causality in infancy

Michotte proposed a rationalist theory of the origin of the human capacity to represent causal relations among events. He suggested that the input analyzer that underlies the causal perception in launching, entraining, and expulsion events is innate and is the ultimate source of all causal representations. We review the literature on infant causal representations, providing evidence that launching, entraining and expulsion events are interpreted causally by young infants. However, there is as of yet no good evidence that these representations are innate. Furthermore, there is considerable evidence that these representations are not the sole source of the human capacity for causal representation.     

Task concentration training versus applied relaxation, in combination with cognitive therapy, for social phobia patients with fear of blushing, trembling, and sweating

Social phobia patients with fear of blushing, trembling, sweating and/or freezing as main complaint (N = 65) were randomly assigned to either task concentration training (TCT) or applied relaxation (AR) both followed by cognitive therapy (CT). Measurements took place before and after wait-list, after TCT or AR (within-test), after CT (post-test), at 3-months and at 1-year follow-up. Effects were assessed on fear of showing bodily symptoms (the central outcome variable), social phobia, other psychopathology, social skills, self-consciousness, self-focused attention, and dysfunctional beliefs. No changes occurred during wait-list. Both treatments were highly effective. TCT was superior to AR in reducing fear of bodily symptoms and dysfunctional beliefs at within-test. This difference disappeared after CT, at post-test and at 3-months follow-up. However, at 1-year follow-up the combination TCT-CT was superior to AR-CT in reducing fear of bodily symptoms, and effect sizes for TCT-CT reached 3. Furthermore, at all assessment moments TCT or the combination TCT-CT was superior to AR-CT in reducing self-consciousness and self-focused attention. The superior long-term effect of TCT on fear of showing bodily symptoms is explained by lasting changes in attentional focus.     

Décalage in infants' knowledge about occlusion and containment events: converging evidence from action tasks

In the present research, 6-month-old infants consistently searched for a tall toy behind a tall as opposed to a short occluder. However, when the same toy was hidden inside a tall or a short container, only older, 7.5-month-old infants searched for the tall toy inside the tall container. These and control results (1) confirm previous violation-of-expectation (VOE) findings of a décalage in infants' reasoning about height information in occlusion and containment events; (2) cast doubt on the suggestion that VOE tasks overestimate infants' cognitive abilities; and (3) support recent proposals that infants use their physical knowledge to guide their actions when task demands do not overwhelm their limited processing resources.     

Profiles of externalizing behavior problems for boys and girls across preschool: the roles of emotion regulation and inattention

Although externalizing behavior typically peaks in toddlerhood and decreases by school entry, some children do not show this normative decline. A sample of 383 boys and girls was assessed at ages 2, 4, and 5 for externalizing behavior and at age 2 on measures of emotion regulation and inattention. A longitudinal latent profile analysis was performed and resulted in 4 longitudinal profiles of externalizing behavior for each gender. Poor emotion regulation and inattention were important predictors of membership in the chronic-clinical profile for girls, whereas socioeconomic status and inattention were important predictors of membership in the chronic-clinical profile for boys. Results are discussed with respect to the development of adaptive skills that lead to normative declines in externalizing behavior across childhood.