T-PALS framework to assess children who stutter with coexisting disorders: A tutorial

The purpose of this paper is to present a tutorial on a diagnostic framework developed to assess children who stutter and exhibit co-existing disorders. While we have guidelines for treating these children, there are no specific guidelines for assessing them. We provide a rationale for the development of T-PALS with support from the literature. The T-PALS framework assesses 5 foundational key elements for the child: Temperament (T), Pragmatics (P), Articulation/phonology (A), Language (L), and Stuttering (S). Both qualitative and quantitative measures are used within each dimension. This framework is discussed with reference to using two clinical case examples. T-PALS observation data are presented as well as treatment suggestions for each case. We conclude that T-PALS may be a useful framework for both clinicians and researchers, working with children who present with stuttering and comorbid conditions. Clinicians are encouraged to reach beyond the traditional focus on solely assessing the stuttering behavior, even when that is the main concern for referral, and to consider a broader view of the child. It is hoped that this more integrative approach to assessment may yield a more holistic diagnostic picture of a dual diagnosis child from which treatment goals can be derived.     

Adolescent Adjustment to Perceived Marital Conflict

The cognitive-contextual framework of Grych and Fincham (1990) and the emotional-security framework of Davies and Cummings (1994) were used to explore both the direct and indirect pathways between marital conflict and adolescent adjustment. Two hundred and three non-clinic adolescents (114 females and 89 males) from intact families completed self-report questionnaires concerning their adjustment behavior, perceptions of parental conflict, and attachment to parents and peers. Marital conflict was found to have a direct effect upon adolescent adjustment, with adolescents from high-conflict homes displaying greater adjustment difficulties. Indirect effects of conflict were evident through both the adolescents' cognitive appraisals of conflict, and the adolescents' perceptions of the parent-child relationship. Differential gender effects were obtained, highlighting the importance of adolescent gender as a mediating variable. These findings were used to propose that an integrated, cognitive-emotional framework might be necessary to fully understand the conflict/adjustment relationship.     

语言的隐喻视角下人类认知框架建构

随着以计算机隐喻为核心的第一代认知科学的弊端日益凸显,强调感知体验为认知构建核心作为主流思想的第二代认知科学在近几年获得了迅速发展。语言作为人类联结自身体验和外界事物的桥梁,在个体认知框架建构中意义重大。而人类语言的隐喻认知能力是构成认知系统的核心要素,也是人类思维活动反映抽象概念的重要方式。文章通过对语言的隐喻认知视角下人类认知框架建构机制的探讨,在指出当前研究中存在的缺陷和不足的基础上为将来研究提供相关思路。     

New Directions in Capacity Building: Incorporating Cultural Competence into the Interactive Systems Framework

The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Framework (ISF) and incorporates a collaborative process involving trainer cultural competence, along with a comprehensive assessment of organizational needs, culture, and climate that culminates in tailored training and ongoing collaboration. This article provides: (1) an overview of the CCC's expanded ISF for the effective dissemination of two EBPs—motivational interviewing and the stages of change perspective; (2) an examination of the role of trainer cultural competence within the ISF framework, particularly attending to organizational culture and climate; and (3) case examples to demonstrate this approach for both general and innovation‐specific capacity building in two community based organizations. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

The Interactive Systems Framework Applied to the Strategic Prevention Framework: The Rhode Island Experience

The Interactive Systems Framework for Dissemination and Implementation (ISF) was introduced as a heuristic systems level model to help bridge the gap between research and practice (Wandersman et al., in Am J Commun Psychol 41:171–181, 2008). This model describes three interacting systems with distinct functions that (1) distill knowledge to develop innovations; (2) provide supportive training and technical assistance for dissemination to; (3) a prevention delivery system responsible for implementation in the field. The Strategic Prevention Framework (SPF) is a major prevention innovation launched by the Center for Substance Abuse Prevention (CSAP) of the Substance Abuse and Mental Health Services Administration (SAMHSA). The SPF offers a structured, sequential, data‐driven approach that explicitly targets environmental conditions in the community and aims for change in substance use and problems at the population level. This paper describes how the ISF was applied to the challenges of implementing the SPF in 14 Rhode Island communities, with a focus on the development of a new Training and Technical Assistance Resources Center to support SPF efforts. More specifically, we (1) describe each of the three ISF interacting systems as they evolved in Rhode Island; (2) articulate the lines of communication between the three systems; and (3) examine selected evaluation data to understand relationships between training and technical assistance and SPF implementation and outcomes. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Towards a relational framework for pathological gambling (Part I): Five circuits

Relationship patterns before and after pathological gambling were investigated qualitatively using eight in‐depth clinical case studies in which one partner met Diagnostic and Statistical Manual of Mental Disorders‐IV pathological gambling criteria. Five circuits of couple interactions are described: (i) fault‐lines; (ii) pressure points; (iii) escalation; (iv) relapse and (v) congruence. The exploration of these circuits is developed in two complementary articles. This first article delineates the first four circuits as recursive self‐perpetuating cycles of couple distress in systemic interaction with pathological gambling development and relapse. The second article delineates how a couple can be helped to extricate themselves from these recursive circuits through ‘congruence’. Implications of this relational formulation of pathological gambling for conceptualization, assessment and treatment are discussed.     

The end of mental illness thinking?

Mental health theory and practice are in a state of significant flux. This theoretical article places the position taken by the British Psychological Society Division of Clinical Psychology (DCP) in the context of current practice and seeks to critically examine some of the key factors that are driving these transformations. The impetus for a complete overhaul of existing thinking comes from the manifestly poor performance of mental health services in which those with serious mental health problems have reduced life expectancy. It advocates using the advances in our understanding of the psychological, social and physical mechanisms that underpin psychological wellbeing and mental distress, and rejecting the disease model of mental distress as part of an outdated paradigm. Innovative research in genetics, neuroscience, psychological and social theory provide the platform for changing the way we conceptualise, formulate and respond to psychological distress at both community and individual levels.     

HIV Testing and Pregnancy: A Case of Cultural Moral Equivocation

The concept of “moral equivocation” may be defined in the context of an ethical framework for moral judgment. This framework comprises two universal principles of right: the Dependency Principle, found (but not endorsed) in Plato's Republic, and the Democracy Principle. Moral equivocation is evident in a violation of either of these two principles. At the cultural level, coping with moral equivocation often requires moral compromise, as is evident in applying the Dependency-Democracy Principles Ethical Framework to the issue of HIV testing for pregnant women.     

Attribution of movement: Potential links between subjective reports of agency and output monitoring

According to agency memory theory, individuals decide whether “I did it” based on a memory trace of “I am doing it”. The purpose of this study was to validate the agency memory theory. To this end, several hand actions were individually presented as samples, and participants were asked to perform the sample action, observe the performance of that action by another person, or imagine performing the action. Online feedback received by the participants during the action was manipulated among the different conditions, and output monitoring, in which participants were asked whether they had performed each hand action, was conducted. The rate at which respondents thought that they themselves had performed the action was higher when visual feedback was unaltered than when it was altered (Experiment 1A), and this tendency was observed across all types of altered feedback (Experiment 1B). The observation of an action performed by the hand of another person did not increase the rate at which respondents thought that they themselves had performed the action unless the participants actually did perform the action (Experiments 2A and 2B). In Experiment 3, a relationship was observed between the subjective feeling that “I am the one who is causing an action” and the memory that “I did perform the action”. These experiments support the hypothesis that qualitative information and sense of “self” are tagged in a memory trace and that such tags can be used as cues for judgements when the memory is related to the “self”.