Striving for a culturally responsive process in training health professionals on Asian American and Pacific Islander youth violence prevention

The quality of youth violence prevention practice is dependent on the quality of education and training of professionals who will care for disadvantaged and/or underserved youth. The authors propose that culturally responsive youth violence prevention curricula, focused on Asian Americans and Pacific Islanders, should: 1) target institutions that train health professionals likely to serve Asian Americans and Pacific Islanders; 2) promote the professional development of Asian American and Pacific Islander students and enhance all students' comfort in addressing behavioral, social, and cultural concerns; 3) cover specific issues relevant to Asian Americans and Pacific Islanders, including the role of acculturative stress, socioeconomic hardship, and other risk factors that may account for mental health disparities; and 4) continuously engage researchers, educators, and community stakeholders in cooperatively and creatively applying new knowledge to clinical challenges. The authors summarize resources for youth violence prevention education that have been used for training healthcare professionals in a multicultural context.     

Risk and dynamics of violence in Asperger's syndrome: A systematic review of the literature

The main purpose of this article is to delineate findings from a review of the literature on the empirical basis for the existence of a relationship between Asperger's syndrome (AS) and violence risk. A second aim is to examine whether certain characteristics of the disorder may have a higher violence-triggering potential. Results of this review show that there are very few empirical studies that confirm a stable link between AS and violence. Only 11 studies involving 22 patients and 29 violent incidents met the criteria for inclusion in the review after the search of the literature. However, a qualitative analysis of the studies yielded some indications of possible patterns of dynamics of violence that may prove to be typical of persons with AS. A tentative comparison of AS and psychopathy indicated that there may be qualitative differences in the characteristics of violent behavior between the disorders. Suggestions for further research are presented.     

Can a Laboratory Measure of Emotional Processing Enhance the Statistical Prediction of Aggression and Delinquency in Detained Adolescents with Callous-unemotional Traits?

In this cross-sectional study, we investigated whether the combination of the presence of callous-unemotional (CU) traits and emotional deficits to distressing stimuli, assessed by a computerized dot-probe task, enhanced the statistical prediction of aggression and delinquency in a sample of 88 detained and predominantly African-American (68%) adolescents (M age = 15.57; SD = 1.28). Overall, self-reported CU traits were associated with self-report measures of aggression and delinquency, but not with official records of arrests. However, there was an interaction between CU traits and emotional deficits for predicting self-reported aggression, self-reported violent delinquency, and a record of violent arrests. Youth high on CU traits and who showed a deficit in their responses to visual depictions of distress showed the highest levels of aggression and violent delinquency.     

Parents as moderators of psychological and physiological correlates of inner-city children's exposure to violence

This paper discusses the psychological and physiological correlates of inner-city violence on children, and the potential mediating and moderating roles of parents. Data are based on interviews regarding exposure to community violence (ECV), parenting practices, child distress, posttraumatic symptomology, and competence. Cardiovascular activation was also measured. Community violence exposure related to distress, posttraumatic symptomology, and incompetence. Harsh parenting related to aggression, distress, incompetence, and higher heart rates. Parenting moderated but did not mediate the effects of violence on measures of competence. High violence plus harsh parenting predicted lower levels of systolic (SBP) and diastolic blood pressure (DBP). Results are discussed within an ecological framework of parent–child relations and as they relate to the conclusion that children undergoing dual levels of stress may experience a dissociative response.     

The treatment of youthful sexual offenders

Approximately 20% of all rapes and between 30% and 50% of child molestations are perpetrated by adolescent males. These statistics underscore the need for improved understanding of youthful sexual offending so that effective prevention measures may be utilized for those adolescents at risk of offending and effective treatments may be utilized with those adolescents who have already committed sexual offenses. In this article we review the current knowledge of the characteristics of youthful offenders, proposed etiologies of youthful offending, proposed typologies of, assessment protocols, and treatments for youthful offenders. Finally we discuss the need for further research in the area of youthful sex offending.     

Are Developmental Pathways in Disruptive Behaviors the Same for Girls and Boys?

Data from the first five waves of the National Youth Survey were used to test the applicability of the Developmental Pathways model to a nationally representative sample of girls. Overall, girls were less likely to be involved in all types of delinquent behavior, with the majority of girls reporting no delinquent involvement across the five waves of data collected. Using the Developmental Pathways model, similar developmental patterns of antisocial and delinquent involvement were found for girls as have been found for boys. Approximately 70% of involved girls followed most steps in each of the pathways. We also evaluated the relation of family and peer factors to specific pathways and found differences in those relations for boys and girls. For girls, only parental monitoring was related to involvement in one of the three pathways. For boys, specific relations were found between family and peer variables and each of the three developmental pathways. As with previous studies on girls involvement in disruptive behavior, these results suggest some general consistency in patterns with that of boys, although differences in frequency and predictors of risk.     

A cross-sectional evaluation of the factorial invariance of anxiety sensitivity in adolescents and young adults

This study examined the cross-sectional factorial invariance of anxiety sensitivity in an ethnically diverse sample of adolescents (n = 173; mean age 15.5 years) and young adults (n = 291; mean age 20.1 years). Research in adult and youth samples suggests that anxiety sensitivity is best understood as a hierarchical construct with several lower-order factors. Factor models based on previous research using both adult and youth samples were compared and a hierarchical model with three lower-order factors provided the best fit to the data. Results supported the hypothesis that the factor structure of the Anxiety Sensitivity Index was invariant across age and gender. The factor scores also demonstrated differential correlations with symptoms of anxiety and depression. Results are discussed with regard to construct validation and understanding the structure of anxiety sensitivity in youth.     

Dostoevsky’s enigmas: An analysis of violent men

For the calculating male adult criminal, violent acts would appear largely counterproductive. Scholarly disagreements about these behaviors are substantial, although recent ethnographic reports emphasize the subjective sense of the experience. These reports have an existential aspect, focusing on the meaning of violent, anarchic acts to the identities of perpetrators. The earliest and best known existentialist writer on criminality is Fyodor Dostoevsky whose violent characters Smerdiakov, Svidrigailov, and Stavrogin, are enigmas to their fictional counterparts, much as violent American contemporaries are to authorities and the general public. Dostoevsky’s three enigmatic characters are reckless publicity seekers; like aliens in their own land, they habitually deceive, intimidate, and exploit while still considering themselves to be decent individuals. These depictions are congruent with Yochelson and Samenow’s much more recent forensic observations and reinforce an antisocial prototype. Bogg (1994) offers a behavioral communality for this class of violent men: patterns of self-aggrandizing gaming developed in childhood. The game player derives extraordinary pleasure from victories, although this orientation effectively counters socialization. From Dostoevsky’s views an existential nihilistic construct can be derived. This construct depicts the persona of an inveterate violent game player and is consistent with Durkheimian theory and with ethnographic and forensic/clinical observations. The prevention of a gaming orientation is feasible but appears to require parental skills and community resources.     

Adolescent Gender and Age Differences in Responsiveness to Functional Family Therapy

The current study contributes to a sparse literature on moderators of Functional Family Therapy (FFT) by examining whether responsiveness to FFT, measured by a broad range of outcomes, varies by adolescent gender, age, and their interaction. This study was informed by 687 families (n, adolescents = 581; n, caregivers = 933) and utilized a pre–post comparison design. Fixed-effects regressions with gender, age, and their interaction included as explanatory variables were conducted to calculate the average change in youth mental health, callous–unemotional traits, academic outcomes, substance use, and family functioning. Moderation analyses revealed that according to parent report, girls had significantly greater improvements in peer problems and family functioning, and boys benefited more in increased liking of school. There were differential effects by age, such that older youth had less beneficial mental health outcomes and a smaller decrease in frequency of hash use. The gender by age interaction was significant for adolescents’ report of mental health and family functioning outcomes, which suggests that girls benefit from FFT less than boys during early adolescence, but benefit more than boys in late adolescence. This finding adds to literature which has evidenced that family functioning is particularly important for girls by suggesting that FFT is important for improving older girls’ mental health and family functioning in particular. The study’s results expand the examination of outcomes of FFT to include academic outcomes, and provide insight into key factors that should be considered in addressing adolescent behavioral problems and family functioning.