Family sessions as part of child psychological assessment: goals, techniques, clinical utility, and therapeutic value

Including a family session in a child assessment can significantly advance the assessor's and parents' understanding of the child's problems and enhance the likelihood that parents will follow through on recommendations after the assessment. A family session allows the assessor to observe the child in the family context, test systemic hypotheses, better understand the meaning of individual test results, and try out possible interventions. A family session may also help parents see systemic aspects of their child's problems, help the child feel less blamed, foster positive experiences among family members, and offer the family a glimpse of family therapy. We describe methods and techniques for structuring family sessions and offer guidance on preparing for and conducting such sessions depending on one's case conceptualization. Detailed case examples illustrate each technique and demonstrate the immediate and subsequent impact of family sessions as well as their therapeutic value. We also address common clinical and pragmatic issues.     

Constrained versus unconstrained estimation in structural equation modeling

Recently, R. D. Stoel, F. G. Garre, C. Dolan, and G. van den Wittenboer (2006) reviewed approaches for obtaining reference mixture distributions for difference tests when a parameter is on the boundary. The authors of the present study argue that this methodology is incomplete without a discussion of when the mixtures are needed and show that they only become relevant when constrained difference tests are conducted. Because constrained difference tests can hide important model misspecification, a reliable way to assess global model fit under constrained estimation would be needed. Examination of the options for assessing model fit under constrained estimation reveals that no perfect solutions exist, although the conditional approach of releasing a degree of freedom for each active constraint appears to be the most methodologically sound one. The authors discuss pros and cons of constrained and unconstrained estimation and their implementation in 5 popular structural equation modeling packages and argue that unconstrained estimation is a simpler method that is also more informative about sources of misfit. In practice, researchers will have trouble conducting constrained difference tests appropriately, as this requires a commitment to ignore Heywood cases. Consequently, mixture distributions for difference tests are rarely appropriate.     

Psychobiology of mindfulness

There is controversy about whether mindfulness-based approaches to psychotherapy represent a new wave of cognitive-behavioral therapy or a core process in all psychotherapies. One way of conceptualizing mindfulness is in terms of emotion regulation; mindfulness is a strategy aimed at opposing suppression and avoidance. Dispositional mindfulness has been associated with greater activation in prefrontal cortex and greater deactivation of amygdala during affect labeling. A number of rigorous studies of mindfulness-based cognitive therapy for depression have been positive. However, much remains to be discovered about the underlying mechanisms of and clinical indications for mindfulness-based approaches.     

Cognitive performance and morning levels of salivary cortisol and alpha-amylase in children reporting high vs. low daily stress perception

The aim of the present study was to assess the effects of daily stress perception on cognitive performance and morning basal salivary cortisol and alpha-amylase levels in healthy children aged 9-12. Participants were classified by whether they had low daily perceived stress (LPS, n = 27) or a high daily perceived stress (HPS, n = 26) using the Children Daily Stress Inventory (CDSI). Salivary cortisol and alpha-amylase were measured at awakening and 30 minutes later. Cognitive performance was assessed using the Cognitive Drug Research assessment system. The HPS group exhibited significantly poorer scores on speed of memory (p < .05) and continuity of attention (p < .05) relative to the LPS group. The HPS group also showed significantly lower morning cortisol levels at awakening and at +30 minutes measures in comparison with the LPS group (p < .05), and mean morning cortisol levels were negatively correlated with speed of memory (p < .05) in the 53 participants. No significant differences were observed between both groups in alpha-amylase levels. These findings suggest that daily perceived stress in children may impoverish cognitive performance via its modulating effects on the HPA axis activity.     

Differences in perceptions on sexual and reproductive health between service providers and people living with HIV: a qualitative elicitation study

The sexual and reproductive health (SRH)-related needs of people living with HIV/AIDS (PLHA) have not been sufficiently recognised in research and clinical care. Fifteen study sites in 13 European countries participated in this qualitative study to assess differences in perceptions between service providers (SP) and PLHA on SRH-related problems and needs of PLHA. Factors influencing SRH were determined to collect evidence on how to improve service provision. Qualitative data were obtained using an interpretative ethnographical approach. Data were analysed inductively on country level; a cross country data matrix was developed to facilitate the contextual analysis. Thirty-seven FGD discussions were organised with a total of 254 participants. A short survey was distributed to assess demographic characteristics. Results revealed insufficient information and lack of behavioural skills regarding SRH issues among PLHA. Intra- and interpersonal, provider-related, and social factors were found to influence the SRH behaviours of PLHA. Although from patients' perception SRH is a prioritized issue, it rarely comes up during routine HIV clinical care. SP need adequate counseling training to tackle SRH-related issues. A better integration between HIV care programs and SRH care settings is needed to improve effective service provision.     

Do wild New Caledonian crows (<Emphasis Type="Italic">Corvus moneduloides</Emphasis>) attend to the functional properties of their tools?

New Caledonian crows are the most proficient non-hominin tool manufacturers but the cognition behind their remarkable skills remains largely unknown. Here we investigate if they attend to the functional properties of the tools that they routinely use in the wild. Pandanus tools have natural barbs along one edge that enable them to function as hooking implements when the barbs face backwards from the working tip. In experiment 1 we presented eight crows with either a non-functional (‘upside-down’) or a functional pandanus tool in a baited hole. Four of the crows never flipped the tools. The behaviour of the four flipping birds suggested that they had a strategy of flipping a tool when it was not working. Observations of two of the eight crows picking up pandanus tools at feeding tables in the wild supported the lack of attention to barb direction. In experiment 2 we gave six of the eight crows a choice of either a barbed or a barbless pandanus tool. Five of the crows chose tools at random, which further supported the findings in experiment 1 that the crows paid little or no attention to the barbs. In contrast, a third experiment found that seven out of eight crows flipped non-functional stick tools significantly more than functional ones. Our findings indicate that the crows do not consistently attend to the presence or orientation of barbs on pandanus tools. Successful pandanus tool use in the wild seems to rely on behavioural strategies formed through associative learning, including procedural knowledge about the sequence of operations required to make a successful pandanus tool. Electronic supplementary material The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Study on the relations between temperament,aggression, and anger in children

The present work analyzes the relationships between the dimensions of temperament and the exteriorized emotions of aggression and anger. Temperament was assessed by mothers using the Dimensions of Temperament Survey‐Revised, while aggression and anger were self‐reported by the children using the Scale of physical and Verbal Aggression and the State–Trait Anger Expression Inventory for Children. The sample studied was made up of 293 children (49.83% boys; 50.17% girls) with a mean age of 11.13 years. The results showed that temperamental difficulties give rise to exteriorized emotions, especially anger. Predictive values of temperament on aggression and anger ranged from 1% to 7% of explained variance. Aggr. Behav. 32:207–215, 2006. © 2006 Wiley‐Liss, Inc.     

Dimensionality of rosenberg’s self-esteem scale among normal-technical stream students in Singapore

Dimensionality of the widely used Rosenberg’s Self-Esteem Scale (RSES) was investigated in a sample of 153 seventh-grade Asian students from Singapore. Confirmatory factor analyses performed on the scores of the RSES revealed two factors (positive and negative self-esteem) as hypothesized. Both factors were empirically related to different external variables. Results from multiple regression analyses indicated that positive self-esteem significantly predicted students’ mastery goal orientation and academic self-efficacy scores while negative self-esteem significantly predicted students’ disruptive behavior. These findings provide some preliminary support that the two factors could possibly be measuring substantively distinct dimensions, thus calling into question the unidimensionalty of the RSES in an Asian school-based sample. This study was supported by a grant from Center for Research in Pedagogy and Practice, National Institute of Education (CRP 26/04 RA) to Rebecca P. Ang.