Setting Generalization during Self-Reinforcement with Educationally Handicapped Children

Eight educationally handicapped boys ranging in age form 10 to 11 years old and described as the worst behavior problems in their class participated in a series of single-subject studies carried out in their self-contained classrooms. Three served as target subjects, using self-reinforcement procedures to increase their sustained on-task behavior in a treatment setting; five served as generalization subjects. Data were collected in three settings within the self-contained classroom; an early morning treatment setting, a late morning generalization setting, and an afternoon generalization setting. The three target subjects averaged a 51% increase over their baseline median levels of sustained on-task behavior in the treatment setting. They averaged 84% and 96% generalization to the late morning and afternoon generalization settings, respectively. These results demonstrate that self-reinforcement can produce setting generalization of treatment effects in the absence of prior externally determined reinforcement. Evidence for subject and subject-setting generalization was also obtained.     

Self-Management Training With Families of Insulin-Dependent Diabetic Children:

In a control group design with a multiple baseline across behaviors component, insulin dependent diabetic children and their parents were trained in self-managment. Parents and children conducted behavior change projects related to diabetes health care and a metabolic measure of diabetes control was obtained. When compared with control subjects, self-managment subjects reported a large decline in diabetes related family conflict and an increase in compliance with the medical regimen. These changes were maintained at six month follow-up. Both experimental and control subjects exhibited signficant improvements on the metabolic measure of diabetes control. Implications of these findings are discussed.     

Prevalence and associated factors of poly‐victimization in Chinese adolescents

Multiple types of victimization or poly‐victimization (PV) can occur simultaneously during childhood, resulting in outcomes that are detrimental and difficult to reverse. Very few studies have focused on PV in Chinese adolescents. The present study is based on information collected from a stratified cluster sample of 1,561 females and 1,594 males aged 12–18 years living in Shandong Province, China. A self‐administered questionnaire was used to assess background information, the Juvenile Victimization Questionnaire was used to measure the extent of victimization and PV, the Screen for Child Anxiety Related Emotional Disorders was used to measure anxiety levels, and a Depression Self‐rating Scale for Children was used to ascertain depression. A majority of the study sample (66.2%) had experienced at least one form of victimization over the past year. Prevalence of PV was 16.9%, and was significantly higher among males (21.1%) than females (12.5%). Younger ages, one‐child families, and lower socioeconomic status were positively associated with PV. Logistic regression analysis indicated that smoking, alcohol consumption, exposure to pornography, and anxiety‐ and depression‐like symptoms were risk factors of PV. Results of this study highlight the need for further exploration of factors related to the PV of Chinese adolescents.     

Entertainment–Education? A Fotonovela? A New Strategy to Improve Depression Literacy and Help‐Seeking Behaviors in At‐Risk Immigrant Latinas

Research shows high risk for depression among immigrant Latinas known to increase during the acculturation process. Several barriers such as stigma and low health literacy result in an under-utilization of needed treatment among these women. In response, this study replicated the effectiveness of a Spanish language fotonovela, a form of Entertainment–Education (E–E), designed to increase depression literacy, decrease stigma, and increase help-seeking knowledge and behavior in Latinos. Specifically, this study evaluated a fotonovela delivered in a multifaceted approach to health education used by promotoras. A pretest–posttest randomized control group experimental design with 142 immigrant Latinas at risk for depression was employed. Results indicate significant posttest improvements in depression knowledge, self-efficacy to identify the need for treatment, and decreased stigma in experimental as compared to control group participants. Findings support the application of E–E health literacy tools such as fotonovelas, delivered in multifaceted approaches to health education used by promotoras, to Latinas at risk for mental health concerns.     

The devil and the deep blue sea: dyadic narcissism and the problem of individuation 1

This paper addresses issues of infantile gender identity as they are demonstrated through group processes amongst the carers of disturbed adolescents. It uses this and other clinical material to explore gender narcissism – both male and female. It examines how such narcissism is linked to sado-masochism, and how it can impede a healthy development towards bisexual and triadic functioning.     

The effects of counsellor gender and problem type on help-seeking attitudes among Turkish high school students

The present study explores gender differences in help-seeking attitudes and the effects of counsellor gender and problem type on those attitudes among Turkish high school students. The Attitudes towards Seeking Help Scale and a survey instrument concerning related factors were administered to 342 adolescents. ANOVAs show that male and female students displayed different help-seeking attitudes. Females held much more positive help-seeking attitudes than did males. For females, neither counsellor gender, problem type nor their interaction affected help-seeking attitudes. By contrast, among males, the interaction of counsellor gender and problem type influenced total help-seeking attitudes as well as two of the subscales – psychological distress and confidence in mental health professionals. Limitations, suggestions for further research and implications are discussed.     

The Effects of Parent Training and Ritalin on the Parent-Child Interactions of Hyperactive Boys

Using a multiple baseline across subjects design, the present study assessed the effects of parent training alone and combined with methylphenidate on the social interactions of three mothers with their hyperactive boys. Two mothers received instruction in child behavior management while their sons remained off medication. Subsequently, these boys returned to medication to evaluate whether the drug further enhanced the effects of parent training. The third child received the drug treatment first and then remained on medication while his mother underwent the same parent training program. Results indicated that both treatments alone decreased the amount of commands given by the mother as well as parent ratings of deviant child behavior in the home, but produced variable improvements in child compliance to commands. More reliable improvements in child compliance to commands. More reliable improvements from each treatment occurred in the duration of compliance per command. the combination of treatments failed to produce any further improvements in mother-child interactions than that achieved by either treatment alone. Contrary to earlier research, only parent training resulted in increases in the mothers' use of positive attention following child compliance.     

Adolescents’ movement towards cessation of smoking: Role and relative value of the processes of change and nicotine dependence

The present study addresses the applicability of the Transtheoretical Model's processes of change in explaining adolescents’ readiness to quit smoking. Furthermore, the association between nicotine dependence and readiness to quit was assessed both directly, as well as indirectly through the processes of change. A cross-sectional survey was conducted, identifying 1547 weekly smokers aged 14–18 years. Structural equation modelling showed that the processes of change were only marginally associated with readiness to quit. Adding nicotine dependence to the model showed a direct association between nicotine dependence and readiness to quit. Only one process of change, self-liberation (i.e. choice/commitment to change and belief in the ability to change), was found to mediate this association. Nicotine dependence appeared to be highly important in adolescents’ readiness to quit.     

Lay concepts of health and illness from a developmental perspective

Abstract

The concepts of children, adolescents and their mothers with regard to different aspects of health and illness in general and five specific diseases were explored in this study. An exploration with fully standardised questions and open answers was subjected to a content analysis. A reliable rating system was developed to score the sophistication of the answers. The study included 99 Ss of the age groups 5, 8, 12 and 16 years, as well as 48 mothers of the children. Many children and adolescents were able to define health positively (well-being) and not merely as the absence of illness. The definition of illness in general was frequently composed of somatic symptoms and disorders, feeling poorly and things one would like to accomplish but can't. The causality explanations of illness in general were dominated by contagion. The concepts of the older children and the mothers were richer, more elaborated, less concrete and less action-oriented than those of the younger children. However, abstract formulations and complex aspects of illness were very rarely expressed. In addition, concepts regarding the characteristics (definition, symptoms, causality, treatment and prevention) of five diseases (cold, measles, heart infarction, cancer and AIDS) were measured. The pattern of results was strongly influenced by age. By and large, the development of most disease concepts was linear with significant differences between age groups. Conversely, within a given age group, significant differences were found in the cognitive level of disease characteristics, either with respect to the same disease or between different diseases (“horizontal shifts”).     

Explaining adolescents’ cigarette smoking: A comparison of four modes of action control and test of the role of self-regulatory mode

The present study compared how well four modes of action control (intentional, habitual, reactive and stereotype activation) explain adolescents’ cigarette smoking, and examined whether individual differences in self-regulation (locomotion and assessment tendencies; Higgins, Kruglanski, & Pierro, 2003 Higgins, ET, Kruglanski, AW and Pierro, A. 2003. Regulatory mode: Locomotion and assessment as distinct orientations. Advances in Experimental Social Psychology, 25: 293–344.  [Google Scholar]) moderate the behavioural impact of the respective modes. Findings from a prospective questionnaire survey showed that (a) willingness, prototype perceptions and past behaviour–but not intention–predicted smoking behaviour, and explained 63% of the variance, and (b) the assessment mode of self-regulation moderated the past behaviour–future behaviour relation such that past behaviour had less impact on future smoking behaviour at high levels of assessment. These findings suggest that adolescents’ smoking is controlled by stereotype activation, habitual and reactive processes. Implications of the results for designing effective adolescent smoking cessation programmes are considered.