Barriers and Facilitators to Implementing Attachment-based Family Therapy into a Child Welfare Setting: A Qualitative Process Evaluation

Child welfare systems (CWSs) worldwide show increased interest in adopting empirically informed clinical strategies to increase treatment effectiveness. Many empirically supported treatments (ESTs) exist, but little is known about EST implementation barriers and facilitators in CWS. This study explored CWS providers’ experiences of implementing attachment-based family therapy (ABFT) in home-based services of the Flemish CWS (in Belgium). Sixteen CWS providers (twelve counselors and four supervisors) involved in three home-based services were interviewed. The Consolidated Framework for Implementation Research (CFIR) was used to guide collection, coding, and analysis of interview data. Findings revealed that implementation success was related to ABFT's fit with the CWS's mission, philosophy, and existing practices. CWS providers’ belief in the compatibility between ABFT and CWS increased investment in implementation efforts and persistence to overcome challenges and setbacks. Some barriers pertained to the learning of ABFT and some barriers pertained to systems level challenges such as lack of leadership and support, poor coordination with referral sources and other youth care partners, and lack of policy support. For successful expansion of ESTs into CWS settings, various barriers at multiple systemic levels need to be addressed.     

Examining the Emotional Experience of Mothers Completing an Evidence-Based Parenting Intervention: A Grounded Theory Analysis

Parenting interventions are a well-established treatment for addressing child behavior problems that have also been shown to improve parent psychosocial health. Yet, little is known about how caregiver emotional experiences change over time during treatment. In response, the purpose of this study was to explore the emotional experiences of mothers following their participation in an evidence-based parenting intervention. Researchers conducted a secondary analysis of existing qualitative data. The study sample included semi-structured interview data from 17 mothers who previously completed the GenerationPMTO parenting intervention. Data analysis followed the grounded theory approach and included a sequential process of open, axial, and selective coding using the constant comparative method. Findings indicate mothers progressed through three distinct, yet interrelated stages of emotional experience: Before PMTO, their experiences were characterized by parenting through crisis (Stage 1); during PMTO, they transitioned to crisis stabilization (Stage 2); and following PMTO, they described experiences of emerging recovery and resilience (Stage 3). Maternal emotional experiences in each stage occurred across three contextual realms: (a) the individual (intrapersonal) level, (b) the parent–child relationship level, and the broader systemic level. Results highlight the dynamic and evolving nature of maternal emotional experience throughout various stages of the intervention process and suggest how these experiences may be associated with promoting effective parenting practices and positive child outcomes.     

Mediation of Childhood Adversity and Health by Relationship Quality in Diverse Couples

Individuals with economic disadvantage experience greater (a) adverse childhood experiences (ACE), (b) risk for low relationship quality and relationship dissolution, and (c) disparity in physical and mental health. Thus, a critical need exists to understand the connections between areas of disparity in family and relational health on physical and mental health for those most vulnerable to the deleterious effects. The researchers therefore tested a dyadic model for the mediation of ACE and health by relationship quality with data from 503 couples with economic disadvantage and a racial or ethnic minority background (76.9%). The data fit the proposed model and explained a majority of the variance in health, 82.3% of the variance in menʼs health and 56.5% in womenʼs health—both large effects. Moreover, the significant indirect pathway between ACE and health through relationship quality contributed 98.05% and 57.40% of the total effects for men and women, respectively. Overall, a significant relationship existed between ACE, relationship quality, and health for men and women at the actor-level and the dyadic influence between members of a couple contributed to the overall model fit. Results add to support for the role of relationship quality as a dyadic social determinant of health disparities with implications for prevention and intervention.     

Pour une approche contextuelle et clinique de la demande de recrutement : la transformation d’une demande initiale dans une entreprise familiale

Studies of psychology in the work place usually analyse job offers from an explicit and functional point of view, forgetting the more implicit and strategic dimensions associated with them. This activity of recruitment takes into account the understanding of the specific context of the job offer and of the structure of the organisation which is looking to recruit. The clinical case study described here takes into consideration these contextual elements of very small company and proposes recruitment methods which include a third party, emphasising the particular role of psychologists or consultancies as recruitment advisers.     

Adolescent–parent attachment characteristics and quality of youth sport friendship

ObjectivesTo examine the link between security of adolescent–parent attachment relationships and experiences of friendship quality in male team sport participants.Design and methodNinety six male adolescents involved in team sports completed self-report assessments of relationship security with a key parental attachment figure and of the nature of their friendship with a nominated sporting best friend. Teammates and coaches also provided ratings related to how easy they found it to get along with participants.ResultsResults provided evidence that the nature of the adolescent–parent attachment relationship was significantly related to sporting friendship experiences. More secure adolescent–parent attachment characteristics corresponded to more positive sporting friendships. Furthermore, sporting friendship dyads where both friends reported more secure attachment relations with parents were experienced more positively than dyads where both friends were less securely attached to parents or even where one friend was less securely attached.ConclusionThere is a suggestion that adolescent attachment relations with parents are indicative of underpinning working models of attachment that may subsequently influence the manner in which youngsters negotiate friendships in sporting contexts.     

Cognitive Links Between Fear Of Failure And Perfectionism

This study investigated links between three forms of perfectionism and beliefs associated with fear of failure (FF). College students (N = 372) enrolled in physical activity classes completed the Multidimensional Perfectionism Scale and Performance Failure Appraisal Inventory in a single session. After controlling for other forms of perfectionism, only socially prescribed perfectionism (SPP) was strongly associated with beliefs that failure led to aversive interpersonal consequences (i.e., important others losing interest, upsetting important others). Other-oriented perfectionism (OOP) exhibited a weak negative relation with beliefs that failure would lead to devaluation of one’s self-estimate; individuals who held the highest standards for others’ behavior had the weakest beliefs that failure would lead to them devaluing their self-estimate. Self-oriented perfectionism (SOP) was not associated with any beliefs that failure led to aversive consequences; however, when SOP and OOP were simultaneously elevated, they contributed positively to fears of experiencing shame and embarrassment (above and beyond main effects of SPP). Collectively these findings indicated that FF was not ubiquitous with all forms of perfectionism because the specific beliefs about the consequences of failure that underlie different forms of perfectionism varied tremendously. This research was supported in part by a grant from the College of Health & Human Development, The Pennsylvania State University.     

A discussion of Kretchmar’s elements of competition

Recently Kretchmar attempted to apply and to explore Husserl’s transcendental phenomenological method in relation to clarifying, in the context of sport particularly, the main features of competition. He concludes with the strong claim that competition is unintelligible unless understood in relation to the four elements of plurality, comparison, normativity, and disputation. Roughly, the idea is that competition needs to be understood as a context in which more than one competitor is involved; where competitors are compared; that comparisons are evaluations of their performance/entry in the competition; and that the expected result of the latter is a matter of dispute between or among contestants. In investigating these points some refinement of this basic outline is attempted against occasional reference to others who in the past made similar claims about the conditions of competition. I conclude that Kretchmar’s claims are mistaken.     

High-level Enactive and Embodied Cognition in Expert Sport Performance

Abstract

Mental representation has long been central to standard accounts of action and cognition generally, and in the context of sport. We argue for an enactive and embodied account that rejects the idea that representation is necessary for cognition, and posit instead that cognition arises, or is enacted, in certain types of interactions between organisms and their environment. More specifically, we argue that enactive theories explain some kinds of high-level cognition, those that underlie some of the best performances in sport and similar practices (dance, martial arts), better than representational accounts. Flow and mushin (mindfully fluid awareness) are explained enactively to this end. This results in a mutually beneficial analysis where enactivism offers theoretical and practical advantages as an explanation of high performance in sports, while the latter validates enactivism.     

On the Compatibility of Brain Enhancement and the Internal Values of Sport

Abstract

Elite athletes are characterized by their high level of performance in sport. Since the very beginnings of sport, it has been understood that physical and physiological abilities influence the performance of athletes. Advances in scientific knowledge, especially sport psychology and neuroscience, seem to confirm this intuition and consequently it is possible to characterize elite athletes as having an extraordinary combination of physical and mental abilities. Techniques and substances that contribute to enhancing physical characteristics of athletes have also been well known for ages. But it is now possible to make use of other techniques and substances that not only enhance physical abilities but also cognitive capabilities, which seem to require greater consideration given their direct impact on the athlete’s brain. In this article, we examine two such techniques, cognitive enhancers and transcranial stimulators, and highlight the potential advantages and drawbacks that applying each one may have on sport. Given the relative novelty of these enhancement techniques and substances and the absence of conclusive evidence regarding their short- and long-term effects, we deem that their use ought to be strictly governed by cautionary principles. But due to that same lack of evidence, we believe that the possibility of examining the feasibility of applying these techniques to sport should not be denied.     

An Implementation Study of Relationship Checkups as Home Visitations for Low‐Income At‐Risk Couples

Couples with the greatest need for relationship health maintenance and intervention are often least able to afford and access it; therefore, accessible, affordable, effective, and brief interventions are needed to improve relationship health for those who need it most. Consequently, this paper examined whether a brief relationship intervention could be effectively implemented with a low‐income, underserved population. All enrolled participants (N = 1,312) received the Relationship Checkup, which consists of an assessment and a feedback session delivered in their homes or at a local clinic at their request. Measures assessed relationship satisfaction, communication, psychological and physical aggression, and intimacy at baseline and 1‐month follow‐up, and program and relationship satisfaction at 6‐month follow‐up. All participants reported significant improvements on all outcomes with small effect sizes. However, moderation analyses suggested that distressed couples reported significantly larger effects across the board. Overall, participants reported that they were highly satisfied with the intervention both immediately after its delivery and 6 months later. Findings provide preliminary support for the effectiveness of this brief checkup and point to the utility of offering these kinds of low‐cost brief interventions in flexible formats for those who might have the most difficulty accessing them.