Mother-child patterns of coping with anticipatory medical stress

Maternal influences on children's fear and coping behaviors during a medical examination were studied in a pediatric outpatient clinic using the Dyadic Prestressor Interaction Scale (DPIS) to measure anticipatory reactions just prior to contact with the physician. Analysis of 50 mother-child dyads, including children from 4 to 10 years of age, revealed that the behaviors emitted by mother and child are likely to influence the child's ability to tolerate the medical experience. Maternal use of distraction and low rates of ignoring were associated with lower child distress and increased prosocial behaviors. Children's active exploration of the situation was more likely to occur when mothers provided their children with information, and was less likely when mothers reassured their children. Maternal reassurance of children and overt maternal agitation were associated with more maladaptive child responses. Age trends were also found in interactive patterns. Younger children were more likely to receive reassurance from mothers when they showed attachment. There was a stronger association between mother's information giving and child's exploring for children under 5 years, 9 months of age. Results supported the usefulness of the DPIS for investigation of child management techniques in this situation. Theoretical extension to attachment and stranger-approach situations was made. Suggestions for future studies to clarify the reciprocity of interactions or to determine causal direction between mother and child behaviors, as well as to evaluate the specificity or generality of these findings, were provided.     

Bruxism in children: Etiology and treatment

Bruxism is the nonfunctional clenching or grinding of the teeth. These behaviors are relatively common in children and adolescents. The psychologist and pediatrician need help in deciding whether or not this dysfunctional behavior is in need of treatment. The disorder can be defined as a multifaceted problem in which understanding the nature of the symptom (duration, intensity, damage) and the likely theoretical cause may determine the need for treatment. Many theories have not been well supported by comparative research. Hypothesized etiological factors for these behaviors include deviations from ideal occlusion, psychological stress, and various systemic or neurophysiological conditions. Interocclusal appliances, noctural alarms, and various psychological approaches appear to be efficacious in treating the disorder; however, decision making has been haphazard, often based on the clinician's theortical approach or the availability of devices rather than on a functional analyses of the individual's predisposing factors. Most effects of treatment, therefore, are short lived. Suggestions for future research are made to remedy these shortcomings and provide clinicians with assistance in treatment decisions.     

Occupational specialty congruence: New data and future directions

The present research examined the relationship between within-occupational congruence and satisfaction, and attempted to integrate hypotheses and findings of prior studies with the conceptual implications of occupational specialty congruence. Correspondence between vocational interests within occupations and specialty choice has shown higher correlations with satisfaction than with congruence (Assouline & Meir, 1987). Occupational specialty congruence was derived by comparing preferred functions with the actual functions characterizing a given occupational specialty. In the present study, involving 120 computer software professionals, occupational specialty congruence correlated approximately .45 with satisfaction, using core job function dimensions. Specialty change within occupation, rather than occupational change, may help in cases of poor occupational choice, burnout, or a change in health. Further research should explore the generalizability of the function dimensions employed herein. Identifying core dimensions can aid in designing both career tracks and certification exams.     

Policy impact on information technology programming in the social services

Policy is the product of a group struggle between contending factions who constantly strive to weight policy creation and decision making in their favor. Within social service settings, resource policies promoted by management compete with service policies of social workers. Management familiarity with information technology (IT) rewards operational advantage in resource application at the expense of social work personnel. Within the Israeli Ministry of Labour and Social Affairs this has enhanced the position of the manager. Social workers failed to incorporate IT within the natural systems approach resulting in a state of disempowerment vis à vis IT itself. The social worker will be able to avail himself of IT only consequent to redefinition of social services organization policy based on social work concepts such as social change, involvement, informal organization and empowerment. His current interest is the knowledge base of social work. He has written widely on social work and the personal social services, with particular reference to dependency, empowerment and new technology.     

Is separation anxiety in adolescents and parents related to parental differentiation of self?

The current study examined the relationship between separation anxiety in adolescents after their transition to middle school, on the one hand, and differentiation of self and separation anxiety in their parents, on the other hand. The sample included 88 adolescents from northern Israel, together with their biological parents. Adolescents' separation anxiety was found to be negatively associated with maternal I-position (IP). In terms of gender differences, mothers' levels of emotional reactivity and fusion with others were higher than fathers', while fathers' levels of IP and emotional cut-off were higher than mothers'. Furthermore, parents' levels of differentiation of self were negatively correlated with their own levels of separation anxiety. The study found an absence of gender differences in separation anxiety, both for parents and adolescents. Also, parents' separation anxiety was not related to adolescents' separation anxiety. The results indicate that differentiation of self among mothers is a significant characteristic in understanding adolescents' separation anxiety. On a practical level, this study has the potential to increase the awareness of teachers, school counsellors and psychologists of those familial sources that promote and increase adolescents' separation anxiety.