CBT for Anxiety and Associated Somatic Complaints in Pediatric Medical Settings: An Open Pilot Study

Objective To examine the initial feasibility and potential efficacy of a cognitive-behavioral intervention for youth with anxiety disorders and non-medical somatic symptoms. Background Based on a strong relationship between somatic complaints and anxiety disorders, screening youngsters seeking medical care due to physical symptoms with no organic basis may enhance the recognition of anxiety disorders and facilitate access to appropriate services. Method Seven boys and girls, ages 8 through 15, with medically unexplained gastrointestinal complaints and anxiety disorders received a 12-session cognitive-behavioral intervention targeting anxiety and physical symptoms. Assessments were conducted at baseline and following treatment. Results All participants were classified as treatment responders. Three of the seven participants no longer met diagnostic criteria for their principal anxiety disorder. Children’s physical discomfort decreased from a moderate to minimal level based on self- and parent-reports. Conclusions Our modified cognitive-behavioral approach has promise for reducing anxiety and somatic symptoms in children seeking medical care.     

Whither “Confucian Management”?

This article asks whether “Confucian Management” may be seen as the dominant influence in contemporary China. The philosophical legacy of Confucius on modern management theory and practice has received a good deal of attention in recent times, and here I attempt to assess its possible continuity. In order to carry out this task, I apply a bibliometric analysis called the “Culturomics” approach, looking at the literature on “Chinese Management” published in Mandarin in the last century, from 1900 onwards. After the presentation of the empirical data, the discussion section is set out, followed by the article’s conclusions.     

CAREGIVER–CHILD INTERACTION,CAREGIVER TRANSITIONS,AND GROUP SIZE AS MEDIATORS BETWEEN INTERVENTION CONDITION AND ATTACHMENT AND PHYSICAL GROWTH OUTCOMES IN INSTITUTIONALIZED CHILDREN

This report describes a secondary analysis of data from a comprehensive intervention project which included training and structural changes in three Baby Homes in St. Petersburg, Russian Federation. Multiple mediator models were tested according to the R.M. Baron and D.A. Kenny ( 1986 ) causal‐steps approach to examine whether caregiver–child interaction quality, number of caregiver transitions, and group size mediated the effects of the intervention on children's attachment behaviors and physical growth. The study utilized a subsample of 163 children from the original Russian Baby Home project, who were between 11 and 19 months at the time of assessment. Results from comparisons of the training and structural changes versus no intervention conditions are presented. Caregiver–child interaction quality and number of caregiver transitions fully mediated the association between intervention condition and attachment behavior. No other mediation was found. Results suggest that the quality of interaction between caregivers and children in institutional care is of primary importance to children's development, but relationship context may play a less direct mediational role, supporting caregiver–child interactions.     

Toward accurate inferences of response class membership

In their review of synthesis within the functional analysis (FA) literature, Slaton and Hanley (2018) reported that most synthesized contingency analyses have included multiple topographies of problem behavior in the reinforcement contingency class. This leaves the question of whether one, some, or all forms of problem behavior are sensitive to the synthesized reinforcement contingencies in published analyses. To address this ambiguity, all topographies of problem behavior that were reported by caregivers to co-occur with the most concerning problem behavior were analyzed for 10 participants. We implemented extinction across one or more forms of problem behavior to determine whether all forms reported to co-occur were sensitive to the same synthesized reinforcement contingency. For nine of 10 participants, the most concerning topographies were sensitive to the same synthesized reinforcement contingencies as the less concerning topographies (results were inconclusive for one). Implications for inferring response class membership from single analyses are discussed.     

The Intersections of Sexuality, Gender, and Race: Identity Research at the Crossroads

Psychology’s engagement with an intersectional perspective on social identities continues to grow. This special issue is significant in its use of intersectionality to complicate thinking about sexual orientation as a singular, homogenous category. Furthermore, it spotlights how intersectional positions within the range of sexual minority identities articulate with multiple other dimensions of identity, including gender, racial ethnicity, socioeconomic status, and age. In addition to recognizing the important contributions of this issue’s authors, in this commentary we relate their efforts to current trends in intersectionality research, including the contrasting ways intersectionality is applied in psychology. We observe that the authors portray intersectionality as either primarily concerned with multiple marginalized identities or as a more generalized theory of identity, and the authors use intersectionality as a framework, a theory, and an approach to social justice. We then address critiques of intersectionality theory that appear in the field of feminist/gender studies, showing how articles in this special issue both exemplify and challenge those critiques. Last, we focus on next steps in intersectionality research, focusing especially on the question of how intersectionality can best inform theory and methods in psychology.     

Trajectories and predictors of developmental skills in healthy twins up to 24 months of age

Background

Low birth weight and low 5-min Apgar scores have been associated with developmental delay, while older maternal age is a protective factor. Little is known about trajectories and predictors of developmental skills in infant twins, who are generally born with lower birth weights, lower Apgar scores and to older mothers.

Methods

Developmental skills were assessed at 3, 6, 9, 12, 18 and 24 months using the Ages and Stages Questionnaires in 152 twins from the Birmingham Registry for Twin and Heritability Studies. Multilevel spline and linear regression models (adjusted for gestational age, gender, maternal age) were used to estimate developmental trajectories and the associations between birth weight, maternal age and Apgar scores on developmental skills.

Results

Twins performed worse than singletons on communication, gross motor, fine motor, problem solving and personal-social skills (p < 0.001). Twins caught up around 6 months (score within −1 standard deviation of norm), except on gross motor skills, which did not catch up until after the age of 12 months. A one-year increase in maternal age was significantly associated with decreases in gross motor and personal–social z-scores of up to −0.09, whereas one unit increases in Apgar score increased z-scores up to 0.90 (p < 0.01).

Conclusions

Healthy twins should be considered at a higher risk for developmental delay. Whether these results are comparable to preterm singletons, or whether there are twin-specific issues involved, should be further investigated in a study that uses a matched singleton control group.     

The Image of Mary

Abstract

This article explores the significance of the shifting styles of image by which Mary has been presented in the history of Christian devotion. It begins with an account of how power became attached to static forms of her iconography and their association with a miraculous character as not made by human hand. In Western devotion the impact of artistic imagination on this convention opened the way for exploration of more creative modes of interpretation that offer other expressions of ambiguity, but that are also capable of manipulation. The ambiguity revealed by artistic imagination and manipulated in the Counter-Reformation is explored as a subversion of social and ecclesiastical structures of power in nineteenth-century Europe. Finally, images of human identity that belong to the nature of what is assumed from Mary in the incarnation are considered in questions about how her image might function disturbingly today as a source of power.     

The erosion of a friendship

Abstract

The following story is about my childhood friend Amber and the loss of a close relationship. The story traces the relationship from grade school through adolescence. As we grew, we faced different obstacles, at first together and then apart. I follow in the footsteps of Ellis (1995) and Uematsu (1996) in discussing the advantages of writing about loss.     

The Seattle Longitudinal Study: Relationship Between Personality and Cognition

This article reviews the history, measures and principal findings of the Seattle Longitudinal Study. This study began in 1956 focusing upon age differences and age changes in cognitive abilities. Its sampling frame is a large HMO in the Pacific Northwest. The study has been expanded to investigate various influences on cognitive aging including, cognitive styles, personality traits, life styles, and family environment. Current interest is also in the early detection of risk for dementia. In addition, this article reports original analyses of the relation of personality dimensions to cognitive abilities (both concurrent and longitudinal). While personality remains relatively stable over the adult life span, modest proportions of variance are shared between various personality traits and the cognitive abilities.