Towards a social model approach to counselling disabled clients

The social model of disability has emerged over the past 30 years in Britain to challenge the dominant individual, particularly medical and tragedy, models. This social model is borne from the experiences of disabled people and essentially defines disability as the discrimination faced by people with impairments. This paper explores the possible conflicts between some counselling approaches that can individualise and personalise problems and disability as a political issue. Drawing on research with counsellors and disabled clients, we illustrate the social construction of disability as an individualised problem within the counselling process. Considering the implications for counselling practice, we argue for an approach to counselling which recognises the social model of disability as the basis for social change.     

Severity of anxiety moderates the association between neural circuits and maternal behaviors in the postpartum period

Neuroimaging research has suggested that activity in the amygdala, center of the socioemotional network, and functional connectivity between the amygdala and cortical regions are associated with caregiving behaviors in postpartum mothers. Anxiety is common in the early postpartum period, with severity ranging from healthy maternal preoccupation to clinical disorder. However, little is known about the influence of anxiety on the neural correlates of early caregiving. We examined these relationships in a community cohort of 75 postpartum women (ages 18–22; predominantly low-SES, minority race) who listened to infant cry sounds while undergoing an fMRI assessment. Maternal self-reported symptoms of anxiety were mostly within the subclinical range. Positive and negative caregiving behaviors during filmed face-to-face mother–infant interactions were coded by independent observers. The results from whole-brain analyses showed that anxiety severity moderated the brain–maternal behavior relationships. Specifically, our results showed that the higher a mother’s anxiety, the stronger the association between positive caregiving (i.e., maternal warmth and involvement) and amygdala–right posterior superior temporal sulcus (amygdala–RpSTS) functional connectivity. These results remained significant when we controlled for symptoms of depression and contextual variables. These findings suggest that functional connectivity between the amygdala and a social perception region (RpSTS) plays a particularly important role for anxious mothers in facilitating their positive parenting. These findings extend our understanding of the specific neural circuits that support positive maternal caregiving in the context of maternal anxiety, and they may help inform the future design of personalized and effective interventions.     

The effects of delay on neonatal retention of habituated head-turning

Recovery of neonatal head orientation following auditory habituation was used to examine the effects of intertrial delay. One of two words served as stimuli with criterion orienting and habituation established before the delay. Fifty-six full-term neonates were assigned randomly to one of four delay groups: 10 (control), 55, 100, or 145 s. The percentage of head-turns toward the sound source (with one turn per trial) for blocks of three trials served as the principal dependent variable. Recovery of localized head-turning increased as length of delay increased, with the 100- and 145-s groups showing greater recovery than the 10- and 55-s groups. Infants presented with control trials systematically turned away from the sound source following habituation. Selective sensory adaptation, spontaneous recovery, and short-term memory interpretations of these data are considered.     

THE GOOD TOOTHBRUSHING GAME: A SCHOOL-BASED DENTAL HYGIENE PROGRAM FOR INCREASING THE TOOTHBRUSHING EFFECTIVENESS OF CHILDREN

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the “Good Toothbrushing Game.” Each day four children from each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design (Hersen & Barlow, 1976, pp. 228–229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. The treatment terminal level for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0, and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.     

Faculty Development: Responsibility and Accountability Within the Departments

If universities are to support faculty contributions across the full range of the mission of higher education (teaching, research, and service), several changes must occur. Teaching must become a community activity discussed openly and widely: presidents and provosts must hold departments as a whole responsible and accountable for contributions to mission: and learned societies must participate in supporting teaching and, when appropriate, reflective practice in addition to research and scholarship. These points are brought out in the articles contained in this issue and warrant further attention.     

Early Postpartum Parental Preoccupation and Positive Parenting Thoughts: Relationship with Parent–Infant Interaction

Parenting behaviors and parent–infant emotional bonding during the early postpartum months play a critical role in infant development. However, the nature and progression of parental thoughts and their relationship with interactive behaviors have received less research. The current study investigated the trajectory of parental thoughts and behaviors among primiparous mothers (n = 18) and fathers (n = 15) and multiparous mothers (n = 13) and fathers (n = 13), which were measured at the first and third postpartum month. At the third postpartum month, the relationship between parental thoughts and parental interactive behaviors also was tested. Mothers and fathers showed high levels of preoccupations and caregiving thoughts during the first postpartum month that significantly declined by the third postpartum month. In contrast, positive thoughts about parenting and the infant increased over the same time interval. Mothers presented higher levels of preoccupations and positive thoughts than did fathers, and first‐time parents reported more intense preoccupations than did experienced parents. Although maternal sensitivity was inversely related to maternal anxious thoughts, paternal sensitivity was predicted by higher levels of anxious as well as caregiving and positive thoughts.     

Similarity Index: A New Approach to Measuring Doctor–Patient Communication

This study was designed to measure quality of communication between doctors and patients taking a new bi-directional approach by applying similarity index. Further, this study verified the efficacy of such new measurement in distinguishing the established influence of quality of communication on clinical adherence. A sample of 300 patients with primary hypertension along with 30 doctors were administered the Health Communication Checklist-Parallel Form. Clinical adherence of these patients was rated by Hypertension Compliance Scale. Results found higher adherence in patients belonging to high quality of communication indicating the efficacy of similarity index method. This method requires the use of tailored checklist of parallel form to suit the context of the disease. It helps in evaluative research in the field of biopsychosocial approach to health and well-being.