MEDIATING ROLE OF MATERNAL SENSITIVITY: ENHANCING LANGUAGE DEVELOPMENT IN AT‐RISK FAMILIES

Home‐visiting programs have gained increasing importance in family‐centered prevention and intervention. However, few studies have examined the mechanisms underlying early intervention treatment effects. The goal of this study is to analyze the mediating role of maternal sensitivity in enhancing language development with the home‐visiting program Parents as Teachers (PAT). Data were collected and analyzed within the ongoing, long‐term ZEPPELIN study, a randomized controlled trial with 251 participating at‐risk families. Via longitudinal mediation analysis, we examined whether effects of the PAT on receptive and expressive language outcomes at 24 and 36 months were mediated by maternal sensitivity at 12 months. Within a moderated mediation framework, we investigated whether the level of family psychosocial stress affects this mediation. Results showed that intervention effects on language outcomes are mediated by maternal sensitivity—weakly and through specific pathways. Moderation and moderated mediation analyses indicated that effects of the PAT and also specific mediation effects increase with the level of psychosocial stress. Implications of the results for practice are discussed.     

Limits of morality: A sociological approach to higher moral stages

Grounded in the wider framework of Kohlberg's (1984) stage theory of moral development and Habermas' (1981; Habermas &; Luhmann, 1971) theory of discourse, this article addresses the question: Is a moral stage 6 society possible? Toward answering this question, a sociological approach to moral stage 6 is employed that complements the usual psychological approach to moral development. The article posits that a moral stage 6 society is impossible. Therefore, lower-stage institutions cannot be abolished; they have to be controlled and supervised. This calls for a new and structurally different type of discourse, the metadiscourse. The article postulates that such metadiscourse has the property of moral stage 7 according to the general stage model (Commons &; Richards, 1984a, 1984b). Finally, several strategies for controlling lower-stage institutions are considered, with bureaucracy serving as example of a lower-stage institution.     

Residual ability to use grapheme-phoneme conversion rules in phonological dyslexia

A case of acquired phonological dyslexia is described (P.M.). The patient was encouraged to read nonwords by analogy with real words, i.e., by changing phonemes in real words to produce pronounceable nonwords. P.M. was able to perform this task suggesting that he retained some ability to use grapheme-phoneme conversion rules. On the basis of P.M.'s performance an additional connection in Morton's logogen model is postulated.     

Effect of thought-stopping on thoughts,mood and corrugator EMG in depressed patients

The immediate effects of thought-stopping applied to depressive thoughts were compared to those of a control procedure in a group of depressed psychiatric day-patients. Thought-stopping had only a weak effect on average in reducing the frequency of depressive thoughts, and no significant effects on depressed mood or corrugator EMG. A small significant effect on anxious mood appeared related to non-specific factors. The results raise the possibility that thought-stopping may have little specific effect in reducing the frequency of unwanted thoughts. Corrugator EMG was significantly related to the frequency of spontaneously occurring depressive thoughts both between and within subjects.     

Evaluating Outcome Domains Assessing Caregivers of Individuals with Mental Illness: A Review

In this article, we describe the properties and consider the outcome dimensions of a collection of self‐administered questionnaires that assess caregivers of offspring with mental illness. To this end, we searched the MEDLINE, Web of Science, and PsycINFO databases, as well as reference lists of studies published between 1980 and 2012. We reviewed 43 instruments, and found multiple outcome domains, associated with either objective burden or subjective burden, or both. A number of tools captured additional negative aspects of caregiving (e.g., strain, stress, and worrying) as well as positive aspects (e.g., personal growth, strength, support, rewards, and satisfaction), supplemented by measures assessing caregivers' perceptions and attitudes toward their offspring with SMI (e.g., insight, stigma, and efficacy). This current review of existing measures and their specific domains contributes to a more comprehensive understanding of the caregiving experience and allows both clinicians and researchers to select the most appropriate measurement tools for their purposes.     

The Effect of Communication Change on Long‐term Reductions in Child Exposure to Conflict: Impact of the Promoting Strong African American Families (ProSAAF) Program

African American couples (n = 331) with children, 89% of whom were married, were assigned to either (a) a culturally sensitive couple‐ and parenting‐enhancement program (ProSAAF) or (b) an information‐only control condition in which couples received self‐help materials. Husbands averaged 41 years of age and wives averaged 39 years. We found significant effects of program participation in the short term on couple communication, which was targeted by the intervention, as well as over the long term, on self‐reported arguing in front of children. Long‐term parenting outcomes were fully mediated by changes in communication for wives, but not for husbands. For husbands, positive change depended on amount of wife reported change. We conclude that wives' changes in communication from baseline to posttest may be more pivotal for the couples' long‐term experience of decreased arguing in front of children than are husbands' changes, with wives' changes leading to changes in both partners' reports of arguments in front of children.     

Looking for Solutions: Gender Differences in Relationship and Parenting Challenges Among Low‐Income,Young Parents

The need for parenting and relationship strengthening programs is important among low‐income minority parents where the burden of relational and parental stressors contributes to relationship dissolution. We examine these stressors among young parents. Data were collected from four focus groups (N = 35) with young parents. Data were audio‐recorded and transcribed. Inductive coding was used to generate themes and codes, and analysis was completed using NVivo. Relationship and parenting challenges, values, and areas of need were the three major themes that emerged. Women's relationship challenges were family interference and unbalanced parenting, and men reported feeling disrespected and having limited finances. Common relationship challenges for women and men were family interference and unbalanced parenting. Both genders valued trust, communication, and honesty in relationships. Areas of need for women and men included: improving communication and understanding the impact of negative relationships on current relationships. Parenting challenges for women were unbalanced parenting, child safety, and feeling unprepared to parent; men reported limited finances. Both genders valued quality time with child to instill family morals. Areas of need for women and men included learning child discipline techniques and increasing knowledge about child development. Finally, women and men have relationship and parenting similarities and differences. Young parents are interested in learning how to improve relationships and co‐parent to reduce relationship distress, which could reduce risk behaviors and improve child outcomes.