The influence of proximal risk on the early development of the autonomic nervous system

In this paper we review the evidence linking the early development of the autonomic nervous system in early childhood to four proximal risk factors: maternal stress during pregnancy, maternal substance use during pregnancy, poor-quality parent–child interactions, and specific disruptions in parenting behavior. A clear pattern of altered autonomic function emerges in children exposed to proximal risk, marked by reduced parasympathetic tone under conditions of both homeostasis and challenge, accompanied by increased sympathetic tone in some cases. This pattern of autonomic activity would support increased vigilance and active defense responses, which, in an environment of high proximal risk, may be adaptive in the short-term. However, in the long-term maintaining such a state may impose a high allostatic load. The current paper reviews and interprets the current literature and discusses future directions.     

A Family Systems Approach to Behavioral Training with Parents of Autistic Children

This paper reviews briefly the use of behavioral procedures and parent training techniques with parents of autistic children. Potential hazards that may arise when the clinician fails to be sensitive to the family context are examined. Behavioral clinicians are urged to undertake behavioral parent training from a family systems context and thereby enhance the likelihood of more enduring changes for the autistic child and the family as a whole. Case illustrations are provided.     

The Prevention of Children's Maladaptive Fears

The authors address the prophylactic value of behavioral techniques in relation to children's maladaptive fears. The major settings of interest from the viewpoint of preventing children's maladaptive fears are the home, school and health-care settings. Encouraging findings have been reported in the use of film-modeling with children about to undergo dental treatment, tonsillectomies, injections, etc. Several theoretical explanations (stimulus pre-exposure, reciprocal inhibition, reinforcement contingencies, self-efficacy) of the success of such interventions can be advanced to affect the outcome of maladaptive fear prevention programs.     

Intergenerational occupational transmission: Do offspring walk in the footsteps of mom or dad,or both?

The purpose of this research was to apply the Theory of Planned Behavior (TPB) in order to investigate intergenerational occupational transmission between parents and their children. A sample of 260 undergraduate students completed a questionnaire measuring TPB variables, and congruence was calculated between the parents' occupations and their offspring's chosen profession. Intention to work in the parents' occupations was predicted by attitude, subjective norm and perceived behavioral control. Congruence between parents' and their children's occupational choice was predicted by intention and perceived behavioral control. The findings provide support to the relational approach in career choice. Implications of the findings for career counselors and young people's career choices are discussed.     

Father Enrollment and Participation in a Parenting Intervention: Personal and Contextual Predictors

Fathers are an important, though often underrepresented, population in family interventions. Notably, the inclusion of ethnic minority fathers is particularly scarce. An understanding of factors that promote and hinder father participation may suggest strategies by which to increase fathers’ presence in studies designed to engage the family unit. The current research examined Mexican origin (MO) fathers’ involvement in a family‐focused intervention study. Participants included 495 fathers from eligible two‐parent MO families with an adolescent child. Individual, familial, and culturally relevant predictors based on father, mother, and/or child report data were collected through pretest interviews and included in two separate logistic regression analyses that predicted the following: (1) father enrollment in the study and (2) father participation in the intervention. Results indicated that higher levels of maternal education and lower levels of economic stress and interparental conflict were associated with increased father enrollment in the study. Rates of father participation in the intervention were higher among families characterized by lower levels of interparental conflict, economic stress, and Spanish language use. Results highlight the relevancy of the familial and environmental context to MO fathers’ research participation decisions. These findings as well as their implications for future research and practice are discussed.     

Implementation of Parent Management Training—Oregon Model (PMTOTM) in Iceland: Building Sustained Fidelity

Bringing empirically supported treatments (ESTs) into community settings is a challenge because of threats to therapy adherence. The nationwide implementation of Parent Management Training—the Oregon Model (PMTO) in Iceland was studied by comparing therapists' competent adherence to PMTO across three generations of therapists. To assess therapists' competence and adherence to the PMTO method, the Fidelity of Implementation Rating System (FIMP) was used as the measuring device. Of 16 therapists across three generations who entered training, 12 completed with certification. As expected, each of the three generations obtained adequate FIMP scores. Generations 1 and 3 showed equivalent levels of performance on FIMP scores at certification. A small drop in FIMP scores for Generation 2 was explained in terms of translating and culturally adjusting materials and strengthening training procedures. Results are parallel to earlier findings from the nationwide PMTO implementation in Norway and support the idea that PMTO can be implemented in community settings with high fidelity even when resources are scarce.     

Levels of change in parent–infant psychotherapy

This paper offers a way of thinking about the process of parent–infant psychotherapy. I start by outlining some ideas as to what can go awry in troubled parent–infant relationships, and then a way of working with parents with pre-verbal babies. I suggest a model for understanding three interlaced levels at which change might occur if a psychodynamic, systemically sensitive, therapeutic intervention is offered. I describe a particularly challenging clinical case in which a mother and I also worked with video material of her and her son.     

A community led approach to delivery of the Parents Plus Children's Programme for the parents of children aged 6–11

Childhood internalising and externalising disorders tend to persist when left untreated and place affected individuals at higher risk of compromised outcomes. The social costs include school dropout, unemployment, family breakdown and substance abuse. Effective preventive interventions require a public health approach. The aim of this experimental study was to evaluate the effectiveness of the Parents Plus Children's Programme (PPCP) delivered in community and school contexts by frontline professionals from diverse backgrounds. Participating parents with children aged 6 to 11 were randomly assigned to a Treatment Group (n = 44) or a no treatment Control Group (n = 31). The efficacy of training was assessed using self-report questionnaires completed by participants in both Treatment and Control groups. Significant post treatment improvements were recorded on measures of parenting-related stress, child problem behaviour and parent satisfaction with medium to large effect sizes. Treatment group results were maintained at six-month follow-up. These results support the efficacy of the PPCP as a community led intervention with potential to prevent and interrupt child behaviour problems through supported parenting practice, before problems become critical and entrenched.     

Parent–child resemblance and kin investment: Physical resemblance or personality similarity?

Resemblance between parents and children has been suggested as an indicator of kinship. Because men, unlike women, cannot be certain about parenthood, resemblance may influence men more than women when making investment decisions. In the present paper we examine the relation of physical resemblance and personality similarity with parental investment for 90 Dutch parents and their school-age children. For mothers investment was linked to personality similarity, whereas for fathers investment was linked to physical resemblance, suggesting that fathers are influenced by physical cues when making investment decisions, whereas mothers are influenced by psychological cues.