Reduced Contact Cognitive-Behavioral Interventions for Adult Depression: A Review

Depression is a highly prevalent and debilitating mental health condition. Evidence suggests that there is a widening gap between the demand for and availability of effective treatments. As such, there is a vast need for the development and dissemination of accessible and affordable treatments for depression. In the past decade, there has been a proliferation of reduced client-therapist contact protocols for depression. In this article, the authors review and compare the efficacy of reduced contact cognitive-behavioral interventions for adult depression across two degrees of therapist-client contact (i.e., no therapist-client contact versus minimal therapist-client contact interventions). The authors also discuss the methodological and theoretical limitations of this research base. The present review suggests that a) reduced contact interventions for depression can be effective in remediating the symptoms of depression; b) the effect sizes of some reduced contact protocols may approximate those reported in traditional protocols involving significantly greater client-therapist contact; and c) protocols which employ some form of client-therapist contact, on average, generate higher effect sizes than those that are purely self-help in nature. A discussion of the theoretical and applied implications of such findings, as well as areas in need of further research, is provided.     

Verbal Thinking and Inner Speech Use in Autism Spectrum Disorder

The extent to which cognition is verbally mediated in neurotypical individuals is the subject of debate in cognitive neuropsychology, as well as philosophy and psychology. Studying “verbal thinking” in developmental/neuropsychological disorders provides a valuable opportunity to inform theory building, as well as clinical practice. In this paper, we provide a comprehensive, critical review of such studies among individuals with autism spectrum disorder (ASD). ASD involves severe social-communication deficits and limitations in cognitive/behavioural flexibility. The prevailing view in the field is that neither cognition nor behaviour is mediated verbally in ASD, and that this contributes to diagnostic features. However, our review suggests that, on the contrary, most studies to date actually find that among people with ASD cognitive task performance is either a) mediated verbally in a typical fashion, or b) not mediated verbally, but at no obvious cost to overall task performance. Overall though, these studies have methodological limitations and thus clear-cut conclusions are not possible at this stage. The aim of the review is to take stock of existing empirical findings, as well as to help develop the directions for future research that will resolve the many outstanding issues in this field.     

“Can We Say the N-word?”: Exploring Psychological Safety During Race Talk

Classroom interactions that engender psychologically safe climates have rich developmental potential; these interactions often facilitate engagement in academic risk-taking and exploration (Cooper, 2013). On the contrary, classroom interactions that are threatening to adolescents’ identities send messages of devaluation and can negatively impact feelings of belonging and academic achievement, particularly for youth of color (Sherman et al., 2013). In efforts to help explicate the interrelations between racial-identity linked risks and threats and psychological safety in classroom learning contexts, this exploratory case study examined two 9th grade English Language Arts teachers’ negotiation of attunement, authenticity, and power sharing during race talk. Our in-depth analysis of these classrooms suggested the following teacher moves may be particularly important for psychological safety during race talk: teacher moves that (a) support or inhibit power sharing, (b) indicate high or low levels of teacher attunement, and (c) demonstrate or mask the teacher’s authenticity. These results have implications for understanding the co-construction of psychological safety in classrooms during identity-salient and racialized interactions.     

Introduction to the Special Theme Issue on Health Disparities,Trauma, Disruptive and Criminal Behaviors and the Adolescent Brain: Conference Collaborators,Major Developments in Conference Planning,and Overview of the Articles

ABSTRACT

The November 21, 2015, conference Health Disparities, Trauma, Disruptive and Criminal Behaviors and the Adolescent Brain, examined the national problem of youth incarceration by exploring research on the adolescent brain, trauma, poverty, racism, health disparities and mental health treatment. This special theme issue of the Journal of Infant, Child and Adolescent Psychotherapy provides an opportunity for selected authors to contribute original articles that capture their contributions to the conference event. The purpose of this article is to provide an introduction to this special theme issue. This article provides an overview of the following: the roots of the conference, including the role of numerous collaborators; specific major developments that contributed to the evolution of the conference focus; and a brief overview of the actual articles that have been selected for inclusion in the theme issue.     

Measures of expressions of love

This study developed scales for Chapman's five expressions of love: quality time, receiving gifts, words of affirmation, physical touch, and acts of service (two dimensions). A total of 338 student respondents were surveyed resulting in 321 usable surveys (95%). Of this total, 177 were women and 144 men, with a median age of 24 yr.     

The effects of blocking mouthing of leisure items on their effectiveness as reinforcers

Leisure items are commonly used as reinforcers in behavior-analytic applications. However, a defining feature of autism is the occurrence of stereotypy, and individuals with autism often engage leisure items in a stereotyped manner. The opportunity for stereotyped interaction may be the only aspect of a contingent stimulus that makes it a reinforcer for appropriate behavior. Therefore, this study investigated the effects of blocking stereotyped reinforcer interaction on reinforcer efficacy for 2 children with autism. Results showed that blocking stereotypic reinforcer interaction did not influence reinforcer efficacy.     

Ethnic Differences in Children’s Entry into Public Mental Health Care via Emergency Mental Health Services

For children and youth making a mental health crisis visit, we investigated ethnic disparities in whether the children and youth were currently in treatment or whether this crisis visit was an entry or reentry point into mental health treatment. We gathered Medicaid claims for mental health services provided to 20,110 public-sector clients ages 17 and younger and divided them into foster care and non-foster care subsamples. We then employed logistic regression to analyze our data with sociodemographic and clinical controls. Among children and youth who were not placed in foster care, African Americans, Latinos, and Asian Americans were significantly less likely than Caucasians to have received mental health care during the three months preceding a crisis visit. Disparities among children and youth in foster care were not statistically significant. Ethnic minority children and youth were more likely than Caucasians to use emergency care as an entry or reentry point into the mental health treatment, thereby exhibiting a crisis-oriented pattern of care.     

Transfer of Responsibility in Parent–Child Play During the Second Year

The purpose of the present study was to examine changes in parental support for play during the toddler's second year. Thirty toddlers and their parents were observed when the toddlers were 13,14,20 and 21 months of age. Parents' production of facilitating behaviours and exploratory play increased over time, whereas their production of combinatorial, symbolic and sequential play decreased. Correlational and sequential analyses indicated that, at the early visits, parents responded to their toddlers' combinatorial and symbolic play with similar types of play, whereas at the later visits, only symbolic play was followed by comparable actions. Sensitive parents ‘transfer responsibility’ for play actions as they believe their toddlers become more competent. © 1996 John Wiley & Sons, Ltd.     

Development of prospective memory: tasks based on the prefrontal-lobe model.

This study investigated the development of prospective memory using tasks based on the prefrontal-lobe model. Three groups each of 30 children, adolescents, and young adults were compared on prospective-memory performance using ongoing tasks with two levels of cognitive demand (low and high), and two levels of importance (unstressed and stressed) of remembering prospective cues. The Self-Ordered Pointing Task (SOPT), Stroop Color Word Interference Test, and Tower of London were also used to assess relationships between prospective memory and prefrontal-lobe functions. The children remembered fewer prospective cues than either the adolescents or adults, but the adolescents and adults remembered equally well. This trend increased significantly as the cognitive demand of the ongoing tasks increased. However, stressing or not stressing the importance of remembering made no difference to prospective-memory performance. Performance on the SOPT and Stroop Colour Word Interference predicted performance on the high- but not on the low-demand condition. These findings implicate the maturation of the brain's prefrontal region in the development of prospective memory.