Video Intervention for Child and Caregiver Distress Related to the Child Sexual Abuse Medical Examination: A Randomized Controlled Pilot Study

Children who disclose child sexual abuse are often referred for a comprehensive medical exam to ensure physical well-being and gather evidence. This study examined a brief, developmentally appropriate, psychoeducational video designed to instruct children and caregivers about the exam procedures and coping strategies to be used during the exam. Sixty-nine children ages 4–15 and their caregivers were randomly assigned to view the psychoeducational video (n = 35) or to receive standard practice (n = 34). Distress before, during, and after the exam was assessed in both children and caregiver, as were measures of satisfaction and knowledge about the investigation process and coping strategies. Consistent with hypotheses, results indicated that the video intervention was well-received by families, increased caregiver knowledge, and decreased stress during the examination. Caregiver and child distress decreased from pre to post examination across both conditions, and, unexpectedly, there were no significant differences in these decreases between groups. Overall results from this pilot study are promising in supporting a cost-effective and brief early intervention approach at the time of the medical examination for child sexual abuse for children and their caregivers.     

Retrieval practice improves learning in children with diverse visual word recognition skills

ABSTRACT

A large body of research shows that performing tests is more beneficial for the retention of studied materials than restudying those materials, a phenomenon termed “testing-effect”. A contemporary debate on the testing effect literature concerns whether the benefits of tests are equivalent for individuals with different cognitive skills, as the capacity to decode written words, for example. In the current study, we approached this issue in two experiments by examining whether testing is equally beneficial for children with diverse visual word decoding skills. To achieve this goal, we recruited sixth and fourth grade children (experiments 1 and 2, respectively) and administered a reading aloud task to assess their visual word recognition skills, and administered a memory task about an encyclopedic text to promote the testing effect. Memory for the restudied/tested contents of the encyclopedic text were probed after a seven-day interval, and although children from both experiments showed robust testing effects, such effects were not associated with their visual word decoding skills. These findings suggest that children with diverse word decoding skills can be benefited by retrieval practice.     

Reconsolidation of a context long-term memory in the terrestrial snail requires protein synthesis

We investigated the influence of the protein synthesis blocker anisomycin on contextual memory in the terrestrial snail Helix. Prior to the training session, the behavioral responses in two contexts were similar. Two days after a session of electric shocks (5 d) in one context only, the context conditioning was observed as the significant difference of behavioral response amplitudes in two contexts. On the day following testing of context learning, a session of "reminding" was performed, immediately after which the snails were injected with anisomycin or vehicle. Testing of long-term context memory has shown that only anisomycin injections impaired the context conditioning. In control series, the snails were injected after the training session with anisomycin/saline without reminding, and no impairment of the long-term context memory was observed, while injection of anisomycin during the training session completely abolished the long-term memory. No effects of anisomycin on the short-term memory were observed. Surprisingly, injection of anisomycin after the reminding combined with reinforcing stimuli elicited no effect on the context memory. Differences between single-trial and multisession learning are discussed.     

Reading and Writing: Psychoanalytical Treatment in a Case of Paranoia

Difficulties encountered in clinical work with psychoses require psychoanalytical approaches different from those used for treating neurosis. The authors use a clinical case of a paranoiac patient to highlight the role played by writing, drawing, and painting in the psychoanalytical treatment of psychosis. They also discuss the role of the reader-analyst in this patient’s transferential process, which led to the emergence of a new subjectivity.     

Sociopolitical development of female migrant domestic workers in Southern Spain: A qualitative study of a pathway against injustice

Domestic work is a sector characterized by various forms of injustice, prompting some women to embark on a pathway towards activism. Based on the Sociopolitical Development (SPD) framework, this study aims to explore female Latin American migrants' experiences of injustice in the domestic work sector in Spain and how they challenge them, particularly when they become involved in organized collective action. To this end, in-depth interviews were conducted with 11 women of Latin American origin who actively participate in the Association of Domestic Workers of Seville. The qualitative analysis found that being a domestic worker, having experiences of exploitation, discovering rights, receiving rights training, sharing stories of oppression, and engaging in sociopolitical actions are key experiences in guiding migrant women from the acritical and adaptive stages of SPD towards the pre-critical, critical, and liberation ones. Knowledge about these significant life-changing events may be useful for designing interventions aimed at fostering different ways in which oppressed groups can challenge injustice.     

General intelligence,temperament, and the Matching Familiar Figures Test

To investigate the relationship between general intelligence g and temperament, highly intelligent 10-year-old children (N = 151) were compared with classmates of the same gender and socio-economic status but of average intelligence (N = 134). The two ability groups were administered the Matching Familiar Figures Test (MFFT) during home visits. The parents and teachers rated the temperament of the children. The results showed a consistent pattern: highly intelligent children are more task-oriented, e.g. less distractible and more controlled than their average counterparts. In the MFFT, gifted children not only gave a higher percentage of correct answers, but also showed longer (!) reaction times.     

The Role of Families in Adolescent HIV Prevention: A Review

Recent research has highlighted the significant contribution families make in the prevention of HIV risk behaviors among adolescents. As the most proximal and fundamental social system influencing child development, families provide many of the factors that protect adolescents from engaging in sexual risk behaviors. Among these are positive family relations, effective communication about sexuality and safer sexual behaviors, enhancement and support of academic functioning, and monitoring of peer activities. HIV risk behaviors occur in a social context, and it is becoming clear that the earliest and most effective way to intervene is in the context where one initially learns about relationships and behavior—the family. Both the Centers for Disease Control and Prevention and the National Institute for Mental Health have taken steps to support and emphasize research that will further elucidate our understanding of the role of families in HIV prevention. This article uses Ecodevelopmental Theory to guide and organize the findings of this promising research area. Within this context, and with special attention to the comorbidity of adolescent problem behaviors, this article reviews empirical research on the role of families in HIV prevention, discusses current intervention efforts that involve families and ecosystems, and addresses prospects and implications for future research and interventions.     

Medical practitioners' competence and confidentiality decisions with a minor: An anorexia nervosa case study

Minors (i.e., those under 18 years of age) hold a tenuous legal position in medical settings. While recent legal authority in numerous jurisdictions affords competent minors the right to consent to medical treatment, the guidelines for assessing competence are often vague or non-existent. In addition, these changes have not adequately addressed the issue of confidentiality, and it is unclear whether general practitioners (GPs) owe a duty of confidentiality to competent minors. As medical practitioners are the first point of contact in medical settings, the present study explored GPs' competence and confidentiality determinations regarding a 16-year-old female patient who presented with symptoms of an eating disorder. Questionnaires and hypothetical scenarios were sent to a sample of 1000 GPs, of which 305 responded. Results indicated that 62% of respondents would have found the patient competent, while 82% would have maintained her confidentiality. However, analysis of the rationales provided for these decisions revealed a wide discrepancy in GPs' understanding and implementation of current legal principles. This research highlights the necessity of providing GPs with clear guidelines regarding competence and confidentiality determinations when dealing with minors.