COGNITIVE AND SOCIOEMOTIONAL FUNCTIONING AT 4½ YEARS IN CHILDREN BORN TO MOTHERS WHO HAVE RECEIVED TREATMENT FOR SUBSTANCE‐ABUSE PROBLEMS WHILE PREGNANT

Cognitive and socioemotional functioning at 4½ years of age were examined in children born to mothers with substance‐abuse problems (n = 22) recruited from residential treatment institutions while pregnant, and then compared to children born to mothers with mental health problems (n = 18) and children from a low‐risk group (n = 26). No significant group differences in cognitive functioning were found, but the children born to mothers with substance‐abuse problems showed more caregiver‐reported socioemotional problems than did the low‐risk children, like the children born to mothers with mental health problems. Birth weight had an effect on internalizing problems at 4½ years and mediated the relation between group and socioemotional problems, although not when controlling for caregiver education, single parenthood, and anxiety and depression. At 4½ years, 7 children born to mothers with substance‐abuse problems were placed in foster care. These children had lower birth weight and higher caregiver‐rated internalizing problems. In addition to emphasizing the importance of the quality of the prenatal environment, this study suggests that families with previous substance abuse are in need of long‐term follow‐up to address socioemotional problems and enhance further positive child cognitive development. The foster‐placed children may be in particular need of long‐term follow‐up.     

Recent critiques of the UCLA Young Autism Project

Lovaas and his associates at UCLA reported substantially better treatment outcomes for children with autism than had been reported previously. Many authors have closely scrutinized the UCLA research, and some have published major criticisms. Recently two critical reviews have appeared. Howlin ( 1997 ) evaluated the most common treatment approaches for children with autism, including the UCLA model. Additionally, the UK Department for Education and Employment commissioned a review of treatment research on autism written by Jordan, Jones, and Murray ( 1998 ). Although both reports contain useful information, they also contain inaccurate statements about the published results of the UCLA project. An aim of this paper is to illustrate the errors of fact and interpretation contained in the two papers and to clarify the existing data. A second aim is to identify points of agreement, which is also important when attempting to facilitate critical and accurate assessments of available scientific evidence. It is argued that Lovaas and colleagues made a convincing case for the efficacy of one model of early intensive behavioral treatment by presenting outcome data showing clinically meaningful, long‐term gains in a population historically characterized by a severe and chronic disability, and an unfortunate history of treatment failures. Copyright © 2001 John Wiley & Sons, Ltd.     

Similarity in depressive symptoms in adolescents' friendship dyads: selection or socialization?

This study examined friendship selection and socialization as mechanisms explaining similarity in depressive symptoms in adolescent same-gender best friend dyads. The sample consisted of 1,752 adolescents (51% male) ages 12-16 years (M = 13.77, SD = 0.73) forming 487 friend dyads and 389 nonfriend dyads (the nonfriend dyads served as a comparison group). To test our hypothesis, we applied a multigroup actor-partner interdependence model to 3 friendship types that started and ended at different time points during the 2 waves of data collection. Results showed that adolescents reported levels of depressive symptoms at follow-up that were similar to those of their best friends. Socialization processes explained the increase in similarity exclusively in female dyads, whereas no evidence for friendship selection emerged for either male or female dyads. Additional analyses revealed that similarity between friends was particularly evident in the actual best friend dyads (i.e., true best friends), in which evidence for socialization processes emerged for both female and male friend dyads. Findings highlight the importance of examining friendship relations as a potential context for the development of depressive symptoms.     

Predicting Latent Class Scores for Subsequent Analysis

Latent class regression models relate covariates and latent constructs such as psychiatric disorders. Though full maximum likelihood estimation is available, estimation is often in three steps: (i) a latent class model is fitted without covariates; (ii) latent class scores are predicted; and (iii) the scores are regressed on covariates. We propose a new method for predicting class scores that, in contrast to posterior probability-based methods, yields consistent estimators of the parameters in the third step. Additionally, in simulation studies the new methodology exhibited only a minor loss of efficiency. Finally, the new and the posterior probability-based methods are compared in an analysis of mobility/exercise.     

Compensatory internet use among individuals higher in social anxiety and its implications for well-being

The social compensation hypothesis states that the internet primarily benefits individuals who feel uncomfortable communicating face-to-face. In the current research, we tested whether individuals higher in social anxiety use the internet as a compensatory social medium, and whether such use is associated with greater well-being. In Study 1, individuals higher in social anxiety reported greater feelings of comfort and self-disclosure when socializing online than less socially anxious individuals, but reported less self-disclosure when communicating face-to-face. However, in Study 2, social anxiety was associated with lower quality of life and higher depression most strongly for individuals who communicated frequently online. Our results suggest that, whereas social anxiety may be associated with using the internet as an alternative to face-to-face communication, such a strategy may result in poorer well-being.     

The Case for Mixed Emotions

How do people feel when they experience bittersweet events comprised of pleasant and unpleasant aspects (e.g., good news accompanied by bad)? Just as acids immediately neutralize bases, some have suggested that bittersweet events' pleasant aspects might neutralize their unpleasant aspects, thereby resulting in fairly neutral emotional reactions. Some contemporary theorists also contend that happiness and sadness are mutually exclusive. We review research on the alternative possibility that bittersweet events can elicit pairs of opposite‐valence, mixed emotions, with particularly close attention to the growing body of evidence that people can feel happy and sad at the same time while watching films, listening to music, and experiencing meaningful endings. We also review evidence that people sometimes experience other types of mixed emotions, including disgust accompanied by amusement and fear by enjoyment. Taken together, these data indicate that positive and negative affect are separable in experience.     

Couples’ Experiences of Hope When Participating in the Reflecting Team Process: A Case Study

Hope is believed to be influential to therapeutic change. However, no studies have explored couples’ experiences of hope during participation in a reflecting team process. This exploratory case study attends to this gap in the research literature. Three couples reported on their experiences of hope in relation to participating in the reflecting team process as part of their couple therapy. Themes related to hope were identified during three separate stages of the intervention: anticipating, participating in, and debriefing the reflecting team process. Reflecting team experiences related to hope included: seeking new perspectives, maintaining a positive momentum, identifying strengths, normalizing difficulties, presenting inspiring possibilities, providing support, highlighting growth, and strengthening resolve. These findings serve as a foundation for attending to clients’ hope as an active force during the reflecting team process.     

At the borders of medical reasoning: aetiological and ontological challenges of medically unexplained symptoms

Medically unexplained symptoms (MUS) remain recalcitrant to the medical profession, proving less suitable for homogenic treatment with respect to their aetiology, taxonomy and diagnosis. While the majority of existing medical research methods are designed for large scale population data and sufficiently homogenous groups, MUS are characterised by their heterogenic and complex nature. As a result, MUS seem to resist medical scrutiny in a way that other conditions do not. This paper approaches the problem of MUS from a philosophical point of view. The aim is to first consider the epistemological problem of MUS in a wider ontological and phenomenological context, particularly in relation to causation. Second, the paper links current medical practice to certain ontological assumptions. Finally, the outlines of an alternative ontology of causation are offered which place characteristic features of MUS, such as genuine complexity, context-sensitivity, holism and medical uniqueness at the centre of any causal set-up, and not only for MUS. This alternative ontology provides a framework in which to better understand complex medical conditions in relation to both their nature and their associated research activity.     

Serial position effects in implicit memory

Serial position effects in explicit and implicit memory were investigated in a noncolour word Stroop task. Participants were presented with a study list of four words printed in different colours and were tested for memory of the list position of the colour (explicit memory task); they were then asked to complete a word stem primed (or not primed) by one of the words in the study list (implicit memory task), a task presented as a distractor task. Serial position effects were observed in both explicit and implicit memory, for both response times and proportion of correct responses, with marked primacy effects, a drop in performance towards the third list position and a rise in memory performance at the fourth list position, the recency effect being most pronounced in implicit memory. It is concluded that explicit and implicit expressions of memory are governed by similar principles of temporal information processing.