Comparison of several shortened versions of the EMBU: exploratory and confirmatory factor analyses

The aim of the present study was to analyze the psychometric properties of different versions of the EMBU (Egna Minnen av Barndoms Uppfostran – My memories of upbringing) in a non-clinical sample of adolescents. The factor structure of the questionnaire was studied by means of more adequate exploratory and confirmatory factor procedures in order to ascertain which version achieves a better fit to data. The 64-item version of the EMBU was administered to a non-clinical sample of 832 adolescents. Exploratory and Confirmatory factor analyses were carried out for successive versions of 64, 37, 24 and 23 items. The theoretical four-factor structure of the 64-item version is not replicated in a factor analysis through principal axis extraction with direct oblimin rotation. The "Favoring Subject" factor was not found. 37 items present loadings equal to or larger than 0.30 for the "Rejection", "Emotional Warmth" and "Overprotection" factors. A re-analysis of these items shows a clear three-factor structure. When Arrindell et al .'s (1999 ) 23-item version was analysed, the three expected factors were also found. Confirmatory factor analyses allow us to reduce the 36-item version to a shorter one of 24 items. This last version achieves the best fit to data, including the 23-item version. The new 24-item version improves the construct validity of the EMBU and presents similar reliability coefficients.     

Do parents and adolescents differ in their perceptions of rearing styles? Analysis of the EMBU versions for parents and adolescents

In the present study, memories of rearing styles between parents, mother and father, and their son/daughters were explored through the EMBU versions for parents (EMBU-P) and adolescents (EMBU-A). Results show that parents differ in three of the four scales of the EMBU: Emotional Warmth, Control Attempts, and Favoring Subject. Also, mothers score higher on Emotional Warmth, and Control Attempts, but less on Favoring Subject. When parents and adolescents were compared in the common items to both versions, no substantial differences were found, except for the Favoring Subject scale. The sex of the adolescent seems not to play a relevant role in the observed differences. A revision of specialized literature suggested that differences in the fathers' and mothers' perceptions of their rearing styles could be related to differences in personality and marital satisfaction. These hypothetical relationships should be investigated in a parallel study.     

Perceived Control Mediates the Relation Between Parental Rejection and Youth Depression

Previous research suggests that both perceived parental control and rejection may be linked to youth depression. However, research has not definitively determined which dimension matters more, nor examined mediation within a clinical sample. We used a sample of clinically referred youth (aged 7-17) to determine (a) which parenting dimension is more closely associated with youth depression, and (b) whether youngsters' perceptions of control mediated the association. Perceived parental rejection was strongly linked to depressive symptoms (perceived parental control was not); youth perceived control did in fact mediate the association, and robustly so across gender and age groups. The findings suggest a developmental process in depression, plus potential foci for prevention and treatment programs.     

Teaching the Candidate in Case Seminar

There has been insufficient focus on the impact and usefulness of the case seminar for teaching in psychoanalytic institutes. In order to better understand case seminar, questionnaires were submitted to candidates, graduates, and faculty in two psychoanalytic teaching institutes. The responses indicate that the case seminar format should be standardized; level of experience of candidates should be similar; professors should examine suitability of the case beforehand; and candidates need to be prepared for the group process. Findings are useful in improving the teaching of psychoanalysis and encouraging the creative use of the candidate's self in psychoanalytic training.     

Relational factors and family treatment engagement among low-income,HIV-positive African American mothers

Clinically derived hypotheses regarding treatment engagement of families of low-income, HIV-positive, African American mothers are tested using univariate and multivariate logistic regression models. Predictors are baseline family relational factors (family support, mother's desire for involvement with family, and family hassles) and mother's history of substance dependence. The study examines a subsample of 49 mothers enrolled in a clinical trial testing the efficacy of Structural Ecosystems Therapy (SET). SET is a family-based intervention intended to relieve and prevent psychosocial distress associated with HIV/AIDS. Participants in the subsample were randomly assigned to SET and attended at least two therapy sessions. Findings reveal that family relational factors predicted family treatment engagement (family support, p < .004; mother's desire for involvement with family, p < .008; family hassles, p < .027). Family support predicted family treatment engagement beyond the prediction provided by the other relational factors and the mother's own treatment engagement (p < .016). History of substance dependence was neither associated with family treatment engagement nor family support. Post hoc analyses revealed that family hassles (p < .003) and mother's desire for involvement with family (p < .018) were differentially related to family treatment engagement in low- versus high-support families. Implications for clinical practice and future research are discussed.     

Possible selves of individuals with Alzheimer's disease

This study is one of the first to examine self-goals and their relationship to affect among individuals with Alzheimer's disease (AD). Using the construct of possible selves, the authors collected data from 50 participants with mild to moderate AD and 50 demographically similar cognitively intact older adults. Findings suggest a resourcefulness and flexibility of the self-system in response to the presence of dementia-related concerns. Positive affect was associated with family-related self-goals of AD participants, indicating particular importance of this domain. Some of these responses may represent goal modifications that result in a more satisfactory adjustment to the illness; further inquiry may lead to a better understanding of resiliency and quality of life in persons with AD.     

Jousting with straw men: comment on Westen, Novotny, and Thompson-Brenner (2004)

Empirically supported treatments (ESTs) do not cure every patient, and the randomized trial is not a flawless methodology. Upon these often-noted and widely accepted points, D. Westen, C. M. Novotny, and H. Thompson-Brenner (2004a; see record 2004-15935-005) built a critique of ESTs and EST research. However, important work developing effective, clinically relevant treatments for serious problems was omitted from the Westen et al. (2004a) review. Little documentation was offered for the purported "assumptions" of EST methodology that Westen et al. (2004a) criticized; and different review standards were applied to studies supporting versus those disagreeing with Westen et al.'s (2004a) views. Finally, the correlational research designs proposed as a remedy by Westen et al. (2004a) have far more serious weaknesses than randomized trials, thoughtfully applied to real-world clinical care.     

Severe stuttering associated with right hemisphere lesion

Following a right hemisphere stroke, a right-handed, 50-year-old male experienced a permanent dysfluency characterized by phoneme and syllable reiterations and, to a lesser extent, word and phrase reiterations. The reiterations occurred in initial, medial, and final positions and for all sentence elements (e.g., subject nouns, object nouns, verbs, modifiers). There was a notable loss of verbal automatisms (poems, songs, etc.). The patient's symptoms conform to the acquired stuttering syndrome described by A. Helm, R. Butler, and D.F. Benson (1978, Neurology, 28, 1159-1165).