Feasibility of Conducting Long-Term Follow-Up of Children and Infants Treated for CNS Tumors on the Same Cooperative Group Clinical Trial Protocol

Given the barriers to conducting long-term assessment of neurocognitive and psychosocial functioning of those treated in infancy for central nervous system (CNS) tumors, a multi-site feasibility study was conducted. The primary objective was to demonstrate that it is feasible to identify, locate and assess the functioning of children treated on the same protocol 10-years post-treatment. Six sites obtained institutional approval, identified and recruited subjects, and obtained comprehensive neurocognitive and psychosocial data. All feasibility objectives were met. Barriers to participation included length of time for Institutional Review Board submission and review, clinical demands, limited eligible participants at individual institutions, difficulty locating long-term subjects and stipend/reimbursement concerns. Results indicate that long-term studies are feasible and essential given the need to address long-term issues of children treated at a young age for CNS tumors, especially as they relate to later academic and vocational planning, but require significant coordination and commitment of cooperative group and institutional resources.     

The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention

A growing literature has examined the association between therapeutic alliance and treatment outcomes in child therapy. Few studies, however, have specifically investigated the role of therapeutic alliance within evidence-based parenting programs for children with externalizing behavioural difficulties. The current study prospectively collected measures of therapeutic alliance for 117 families completing a Triple P parenting program in a community children’s mental health center. Higher levels of mother and father rated therapeutic alliance were associated with greater gains in parenting skills and parental sense of competence. Parental rated therapeutic alliance was also associated with greater improvements in child conduct problems for mothers, but not fathers. However, therapist ratings of therapeutic alliance had limited associations with treatment improvement. The implications of the findings for clinical practice are discussed.     

Establishing Therapeutic Dialogue with Refugee Families

The article describes an investigation into dialogues between native Swedish psychotherapists and refugee families. Dialogue is needed to establish the therapeutic alliance, which is ultimately important for healing, whether of individual sickness or family crisis. However the development of dialogue is hindered by cross-cultural and language barriers. We concentrate on one aspect of research originally presented in a Doctoral Thesis by the first author, asking how culture and power differences, together with their resettlement in a strange country, affected meetings with refugee families, and how these problems were overcome; language and the presence of an interpreter are not discussed. A multi-perspective methodology was used in the original research, combining text analysis, review of video-recordings by the participating therapists, and interviews with the families. All these forms of investigation are drawn on here, but particularly text analysis. Significant hindrances to dialogue turn out to be differences in cultural values between refugee and therapist, their different power positions, and the refugee’s weariness and distrust of meetings. Strategies to minimise power differences are an essential aspect of the Finnish open dialogue approach, which turns out to be particularly relevant to such refugee meetings.     

Much More Than PTSD: Mothers’ Narratives of the Impact of Trauma on Child Survivors and Their Families

This study examined the narratives of ten Caucasian mothers whose children had been impacted by ‘traumatic’ events and referred to a specialist trauma service in N. Ireland. The research question was whether the PTSD construct adequately represented the broad ‘lived’ experience of the impact of trauma on survivors’ wellbeing and their family relationships as articulated by mothers post trauma. Narrative Interviewing methodology was employed and the resulting data inductively organised into an evolving thematic framework. A quantitative analysis of the prevalence of particular themes is presented supplemented by qualitative quotations to illustrate the complexity of reported impact. The major components of the mothers’ narratives included family and relational distress (35.7%), non-pathological individual distress (24.4%), resilience (16.7%) and a prior history of adversity (16.6%). Prior history of adversity was resent in 8 out the 10 cases including a high level of suicide. PTSD symptomatology constituted a small proportion of the narratives (6.6%) and this suggests that the PTSD construct does not adequately represent the broad ‘lived’ experience of the impact of trauma. Although a small and heterogeneous study sample, the findings are sufficiently robust to suggest further investigation is required to understand the phenomenological experience of trauma of child victims/survivors and their families.     

How Status Conflict Undermines Athletes' Willingness to Help New Teammates

Drawing from theory on social hierarchy and intragroup behaviors, the current study examined whether status conflicts attenuate willingness to help newcomers. Using experimental vignettes with high-level team sport athletes (N = 112), the results demonstrated that athletes were less willing to help high-status newcomers who played the same position than newcomers who played (a) a different position and (b) the same position but were described to be lower status. Our findings show that when positional competition creates a salient status threat, this can curtail an athlete's willingness to help in the socialization processes of a teammate.     

Treating liquid expulsion in children with feeding disorders

In the current investigation, we compared and evaluated the effects of two intervention procedures, a modified chin prompt and reclined seating, on the liquid expulsion of 2 children with feeding disorders. For both participants, expulsion decreased to clinically meaningful levels when we added the modified chin prompt or reclined seating to a treatment package consisting of differential reinforcement of acceptance, nonremoval of the cup, and re‐presentation. We discuss possible mechanisms underlying the effects of the 2 interventions and areas for future research.     

Young infants encode lexical stress in newly encountered words

In this study, we examined the nature of infants’ representations of newly encountered word forms. Using a word–object association task, we taught 14-month-olds novel three-syllable words differing in segments and stress patterns. At test, we manipulated the stress pattern of the word or the position of the stressed syllable in the word. Our findings reveal that young infants store the stress information about the word, including the position in which the stressed syllable occurs, suggesting that infants form prosodically rich lexical representations of newly encountered words.     

Affective theory of mind inferences contextually influence the recognition of emotional facial expressions

The recognition of emotional facial expressions is often subject to contextual influence, particularly when the face and the context convey similar emotions. We investigated whether spontaneous, incidental affective theory of mind inferences made while reading vignettes describing social situations would produce context effects on the identification of same-valenced emotions (Experiment 1) as well as differently-valenced emotions (Experiment 2) conveyed by subsequently presented faces. Crucially, we found an effect of context on reaction times in both experiments while, in line with previous work, we found evidence for a context effect on accuracy only in Experiment 1. This demonstrates that affective theory of mind inferences made at the pragmatic level of a text can automatically, contextually influence the perceptual processing of emotional facial expressions in a separate task even when those emotions are of a distinctive valence. Thus, our novel findings suggest that language acts as a contextual influence to the recognition of emotional facial expressions for both same and different valences.     

The Goal of Biological Parenthood and Emotional Distress From Infertility: Linking Parenthood to Happiness

This study examined the relationship between construals of the parenthood goal and emotional reactions to fertility difficulties. Mcintosh and Martin's (1992) goal linkage model predicts that individuals experiencing fertility difficulties who strongly link biological parenthood to happiness (i.e., those who strongly believe that having a biological child is necessary for happiness and life satisfaction) will ruminate more about this unfulfilled goal than will individuals who engage in less linking. The model also predicts that greater rumination leads to greater emotional distress and that rumination will mediate the relationship between linking and emotional distress. To examine these hypotheses, 69 women experiencing difficulty conceiving completed questionnaires that assessed linking, rumination, and emotional distress. Results support the hypotheses from the goal linkage model: Linking predicted rumination, rumination predicted emotional distress, and rumination mediated the relationship between linking and distress.     

Relationships between personality, attitudes and dietary behaviour in a group of Scottish adolescents

Dietary behaviours, dietary attitudes, dietary knowledge and personality were surveyed in a group of 451 Scottish schoolchildren aged 11–15 years. A factor analysis of the behaviour items gave a three-factor structure with factors designated Healthy Eating, Unhealthy Eating and Health Habits. A general healthy vs. unhealthy eating factor was also extracted. A factor analysis of the attitude statements gave factors designated Pickiness, Neophobia and Food Interest. Dietary knowledge was found to be positively correlated with Healthy Eating score and negatively correlated with Unhealthy Eating score. The personality trait of Psychoticism was positively correlated with Unhealthy Eating score and negatively correlated with dietary knowledge, whilst Neuroticism was significantly negatively correlated with Healthy Eating and Health Habits and significantly positively correlated with Pickiness and Neophobia. Gender and socio-economic status differences in behaviour and attitude factor scores are also reported.