The Interim Service Preferences of Parents Waiting for Children’s Mental Health Treatment: A Discrete Choice Conjoint Experiment

Parents seeking help for children with mental health problems are often assigned to a waiting list. We used a discrete choice conjoint experiment to model preferences for interim services that might be used while waiting for the formal assessment and treatment process to begin. A sample of 1,059 parents (92 % mothers) seeking mental health services for 4 to 16 year olds chose between hypothetical interim services composed by experimentally varying combinations of the levels of 13 interim service attributes. Latent Class analysis yielded a four–segment solution. All segments preferred interim options helping them understand how agencies work, enhancing their parenting knowledge and skill, and providing an opportunity to understand or begin dealing with their own difficulties. The Group Contact segment (35.1 %) preferred interim services in meetings with other parents, supported by phone contacts, frequent checkup calls, and wait–time updates. Virtual Contact parents (29.2 %) preferred to meet other parents in small internet chat groups supported by e–mail contact. Membership in this segment was linked to higher education and computer skills. Frequent Contact parents (24.4 %) preferred face–to–face interim services supported by weekly progress checks and wait time updates. Limited Contact parents (11.3 %) were less intent on using interim services. They preferred to pursue interim services alone, with contacts by phone, supported by fewer check–up calls and less frequent wait time updates. All segments were more likely to enroll in interim services involving their child.     

Die Bindungstheorie als Basis psychotherapeutischer Interventionen in der Terminalphase

Recent attachment research has shown that every person develops, already in early childhood, special attachment strategies activated in cases whenever the person cannot cope on his own with dangers. These strategies are classified into four categories: “secure”, “insecure-avoidant”, “insecure-ambivalent/enmasked” and “disoriented/disorganized” attachment patterns. The death of a next person represents a situation of a unique and final separation causing psychical disturbances for the patient himself and his relatives. It is, therefore, an especially effective trigger for the activation of the attachment system. This article aims on relating attachment theory to an attachment-oriented therapy, that would open, particularly in the field of palliative medicine, possibilities of application which have been neglected. Case studies illustrate how these insights may be applied during the psychotheraputic care for patients and their relatives. As dying patients generally are brought by their family to the clinic, physicians have a particularly favourable situation to observe the attachment patterns in the family and integrate these informations into their treatment strategy: for example in case of “avoidant” attachment patterns, to bring cautiously the denied emotions into the communication and to support hopes for the fulfilment of needs for affection and protection; or in case of so-called “ambivalent/entangled” attachment patterns to help to disentangle too close relationships; or in case of “disorganized” attachment patterns to support emotional regulation and help to clear the relationships. It is obvious that this approach based on attachment theory and offering alleviations during the process of dying, is not only on a palliative board relevant, but may be applied with success in the medical care of dying patients and their relatives.     

Comparing memory skill maintenance across the life span: preservation in adults, increase in children

The authors examined life-span differences in the maintenance of skilled episodic memory performance by assessing 100 individuals (10 -11, 12-13, 21-26, and 66-79 years old) 11 months after termination of an intensive multisession mnemonic training program (Y. Brehmer, S.-C. Li, V. Müller, T. von Oertzen, & U. Lindenberger, 2007). Skill maintenance was tested in 2 follow-up sessions, the first without and the second with mnemonic reinstruction. Younger and older adults' average performance levels were stable across time. In contrast, both younger and older children's memory performance improved beyond originally attained levels. Older adults' performance improved from the first to the second follow-up session, presumably profiting from instruction-induced skill reactivation. Results suggest that (a) skill maintenance is largely intact in healthy older adults, (b) older adults need environmental support to fully reactivate their former skill levels (cf. F. I. M. Craik, 1983), and (c) children adapt a skill learned 11 months ago to their increasing cognitive capabilities.     

Support and self-care: professional reflections of six New Zealand high school counsellors

In many Western societies there is increasing demand for counselling; in turn, heightened levels of support needs have been identified for counsellors themselves. Despite calls for practitioners to adopt a more proactive approach to self-care, research suggests many still pay insufficient attention to alleviating on-the-job stress or achieving ‘work–life balance’. These issues were examined within the context of inviting six high school counsellors in New Zealand to talk generally about their professional lives. The authors suggest findings support calls for counsellor education programmes to offer structured opportunities for trainees to reflect upon the task of discursively constructing professional roles.     

Was it designed to do that? Children's focus on intended function in their conceptualization of artifacts

Do young children who seek the conceptual kind of an artifact weigh the plausibility that a current function constitutes the function intended by the object designer? Three- and four-year-olds were encouraged to question adults about novel artifacts. After inquiring about what an object was, some children were shown a function that plausibly accounted for the structural features of the object; others were shown a possible, but implausible function. Children given implausible functions were less satisfied with these responses than those given plausible functions, as shown by their more persistent attempts to ask follow-up questions about function. Accordingly, preschoolers appear to take into account matters of intentional design when assigning artifacts to conceptual kinds.     

Educating the Whole Child: Implications of Behaviorism as a Science of Meaning

New conceptions of what constitutes meaning for the organism have recently arisen within the behavioral tradition. These conceptions are a function of reformulations of traditional topics such as reinforcement and verbal behavior. This paper will review these reformulations and discuss their implications for education. It is argued that teachers are in need of a more comprehensive framework for understanding human behavior than the technique-based behaviorism to which they are frequently exposed. The present paper suggests that advances in our understanding of choice behavior and verbal behavior put us within reach of a comprehensive framework for making sense of the interconnectedness of social, self, and academic development.     

Zur Differenzierung zwischen unsicheren und aggressiven Teilnehmern beim Gruppentraining Sozialer Kompetenzen (GSK) im Straf- und Maßregelvollzug

The cognitive-behavioural group training for social competence “GSK” [16] has proven to also be effective in the penal system [28]. The present study examines if a targeted differentiating assessment prior to the intervention and a thereon based homogeneous group composition with regard to insecure and aggressive behaviour patterns can enhance the effectiveness of the “GSK” in the penal system and in a forensic hospital unit. Altogether 48 male delinquents across both settings were therefore divided into a “homogeneous insecure” group, a “homogeneous aggressive” group and a “heterogeneous” group. Pre-post-comparisons show that the intervention is effective for all three groups and also in both settings, the penal system and the forensic hospital unit. The “homogeneous aggressive” group revealed the strongest intervention effects.     

Facilitation effect of observed motor deviants in a cooperative motor task: Evidence for direct perception of social intention in action

Spatiotemporal parameters of voluntary motor action may help optimize human social interactions. Yet it is unknown whether individuals performing a cooperative task spontaneously perceive subtly informative social cues emerging through voluntary actions. In the present study, an auditory cue was provided through headphones to an actor and a partner who faced each other. Depending on the pitch of the auditory cue, either the actor or the partner were required to grasp and move a wooden dowel under time constraints from a central to a lateral position. Before this main action, the actor performed a preparatory action under no time constraint, consisting in placing the wooden dowel on the central location when receiving either a neutral (“prêt”–ready) or an informative auditory cue relative to who will be asked to perform the main action (the actor: “moi”–me, or the partner: “lui”–him). Although the task focused on the main action, analysis of motor performances revealed that actors performed the preparatory action with longer reaction times and higher trajectories when informed that the partner would be performing the main action. In this same condition, partners executed the main actions with shorter reaction times and lower velocities, despite having received no previous informative cues. These results demonstrate that the mere observation of socially driven motor actions spontaneously influences the low-level kinematics of voluntary motor actions performed by the observer during a cooperative motor task. These findings indicate that social intention can be anticipated from the mere observation of action patterns.     

Loss of negative priming following sleep deprivation

It has been argued that one night of sleep loss in young healthy adults produces changes similar to that associated with normal, healthy ageing—in particular, that young sleep-deprived adults perform similarly to 60-year-old sleep-satiated adults on some tasks of frontal lobe function. This proposition was examined using a protocol viewed by many to be a direct probe of nonvolitional attention mechanisms associated with frontal lobe function. A negative priming (NP) procedure was used to compare performance between non-sleep-deprived (NSD) and sleep-deprived (SD, 34 hr) young, healthy adults. This protocol allowed for exploration of two theories of the NP effect based on inhibitory or memorial processes. Under conditions believed to facilitate inhibitory processes a normal NP effect was found for NSD(16 ms) and SD (9 ms) participants. Under conditions believed to rely on memorial processes there was no NPeffect following SD, compared with a normal NP effect for NSD participants (11 ms). Distractor interference was also greater following SD. These findings do not suggest a similar pattern of change following sleep loss in healthy young adults to that of normal, healthy, non-sleep-deprived aged groups.