Evaluation of a Disease-Specific Self-Efficacy Instrument in Adolescents with Sickle Cell Disease and its Relationship to Adjustment

The psychometric properties of a disease-specific instrument used to assess self-efficacy in adolescents with sickle cell disease, the Sickle Cell Self-Efficacy Scale, were evaluated in a sample of 131 adolescents ranging from 11 to 19 years of age. This nine-item instrument was associated with a one-item, general self-efficacy question and an item of self-control. After controlling for age, gender, highest grade of education completed, and the number of individuals in the household, high levels of self-efficacy were related to fewer physical, psychological, and total symptoms. Using the stress process framework to examine the relationship between self-efficacy and self-reported symptoms in adolescents may lead to the initiation of effective intervention programs capable of increasing levels of self-efficacy in adolescents. These interventions could lead to better outcomes for adolescents with sickle cell disease. Additional longitudinal investigations are needed to evaluate the ability of self-efficacy to predict adolescent adjustment over time.     

The Impact of Parental Abduction on the Couple

SUMMARY

The abduction of a parent's child by the other parent can be an extremely heart-wrenching experience. Not only are the child's whereabouts and safety placed in doubt, the searching parent's life is thrown into turmoil. This case example describes the impact that the long-term abduction of a mother's son had on the mother's ability to maintain a relationship as a member of a new couple.     

Childhood Sexual Abuse and Adulthood Parenting: The Mediating Role of Intimate Partner Violence

This study examined the role of intimate partner victimization in mediating the relationship between childhood sexual abuse and adulthood parenting in a community sample of mothers reliant on public assistance (N = 483). Baron and Kenny's (1986 Baron, R. M. and Kenny, D. A. 1986. The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51: 1173–1182. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) method for establishing mediation was used to address this question. A recent history of intimate partner violence mediated the relationship between childhood sexual abuse and psychological aggression; however, a lifetime history of intimate partner violence did not. Depressive symptomatology was found to mediate the relationship between childhood sexual abuse and parental warmth. The impact of childhood sexual abuse on corporal punishment was indirect through its association with childhood physical abuse and witnessing domestic violence. Implications for research, theory development, and practice are provided.     

Fear in Adolescent Dating Relationships

The aims of this study were to assess fearful and aversive aspects of dating relationships among teens and to examine those experiences by gender. We examined both survey data and cognitive interviews with teens to understand how teens experience their dating relationships and how they interpret the meaning of the items in a fear measure modified for use with teens. We found that fearful and aversive dating situations are common in adolescent dating relationships. As teens move along the continuum from friendships to romantic involvement, both boys and girls experience the aggressive and coercive behaviors that sometimes accompany these new emotional and interpersonal situations.     

Trustworthiness Processing and Psychobiological Responses to Natural Disaster-Induced Distress in Adolescents

In this study, we examine the role of trust perceptions on psychological well-being and salivary cortisol levels of adolescents who were exposed to pervasive, noninterpersonal trauma, displacement, and relocation caused by Hurricane Katrina. Compared to demographically matched controls, affected adolescents reported higher perceptions of other people's trustworthiness, decreased externalizing behaviors, increased internalizing behaviors, greater desire for consolation from others, and lower cortisol activity. Follow-up analyses suggested that the relation between hurricane exposure and lower self-esteem might be mediated partly by increased trustworthiness perceptions. These results suggest that adolescents might respond to different types of stressors with varying patterns of distress and the manner in which the stressors alter trust processing might predict the development of internalizing or externalizing behaviors.     

Childhood Cruelty to Animals: Psychiatric and Demographic Correlates

This retrospective study compared frequencies of aggressive behaviors and abuse histories noted during a psychiatric intake assessment for children where animal cruelty was endorsed and a control sample of youth for whom animal cruelty was not endorsed to determine if rates of concerning behaviors differed significantly. Relative to the control group, the cruelty group was significantly more likely to have had problems with peers, perpetrated bullying, experienced sexual abuse, and have a history of sexually acting out. Recommendations for childhood animal cruelty screening in mental health settings are discussed.     

Attachment Anxiety,Depressive Symptoms,and Adolescent Dating Violence Perpetration: A Longitudinal Mediation Analysis

Adolescent dating violence (ADV) is a prevalent public health issue that has been linked to many negative effects, including attachment anxiety and depressive symptoms. Previous literature suggests that the negative mental states characteristic of attachment anxiety could be associated with dating violence perpetration. Similarly, the negative mental states characteristic of depression have also been linked to perpetration, and might potentially increase an anxiously attached individual’s likelihood of engaging in dating violence perpetration. This study used a 10-month longitudinal design with a sample of 140 middle school and high school students from Southern California. Participants ranged in age from 13 to 18 years and were ethnically diverse. The study aimed at exploring depressive symptoms as a potential mediator for the relationship between attachment anxiety and ADV perpetration. Positive associations were found between attachment anxiety and perpetration (10 months after), attachment anxiety and depressive symptoms (10 months after), and between depressive symptoms and perpetration (both 10 months after). Furthermore, depressive symptoms partially mediated the relationship between attachment anxiety and ADV perpetration (10 months after). These findings have implications for the development of empirically driven school-based prevention and intervention programs.     

A Typology of Offenders Who Use Online Communications to Commit Sex Crimes Against Minors

This study aims to present a qualitative, empirically based typology of offenders who use online communications to commit sex crimes against minors, including offenders who met victims online and those who knew them in advance. Seventy-five reports made by law enforcement officers were analyzed using a qualitative software program, during which a typology defining 4 types of offenders was identified: the expert, the cynical, the affection-focused, and the sex-focused. Each type of offender was characterized by patterns of online communication, offline and online identity, relationship dynamics with the victim, and level of sex crime expertise. The typology reveals the heterogeneous nature of sex offenders who use online communications. This diversity must be addressed to provide satisfactory interventions for both victims and offenders.     

Is Mother Other?

Abstract

The discourse of maternality figures a contentious site for feminist theology. If figured in terms of a fecund womb, maternality risks reinscribing women in a masculine symbolic order of world-making that has long conflated women’s differences with motherhood, narrowly defined in terms of fecundity. After considering the ways identifying female sexual difference with motherhood reifies a masculine model of subjectivity, this paper turns to Lynne Huffer’s reading of feminist psychoanalyst Luce Irigaray to suggest that maternality has the potential to interrupt the self-same movement of masculine discourse and engender an ethical space of difference of and for the other. Examining Irigaray’s interweaving of maternality with pleasure to create space for women’s desires, this paper concludes that the ambiguity of desires through which maternality is constituted challenges the care-driven, natality-centered discourse of maternality itself. As a scene of unresolved desire between flesh and discourse, immanence and transcendence, self and other, maternality can be narrated to disrupt views of mother as origin that would otherwise return motherhood to a figure of sameness and to construct a possibility of desire for intersubjective becoming that is at once beyond narration and entirely concrete. Maternality thus presents desires unrecognizable within a prevailing symbolic framework in a way that bears witness to the disruptiveness of those desires and engenders radical alterity.     

The lived experiences of single mothers in Swaziland of their son's aggressive behaviour

The study explored and described the lived experiences of single mothers and described guidelines for psychiatric nurses to facilitate the mental health of single mothers subjected to aggression by their adolescent sons. Participants were a purposive sample of 8 (single mothers, aged between 40 and 50 years, 7 mothers were employed and 3 were professionally trained, 4 mothers were domestic workers and 1 earned living by selling vegetables). The mothers attended the outpatient department at the National Psychiatric Hospital in Swaziland because of being exposed to aggression by their adolescent sons and had adolescent sons living with them 6 months prior to as well as during the study. Data were collected using individual in-depth phenomenological interviews, direct observation and field notes. Analyses used thematic coding. Results reflected that single mothers experienced their adolescent sons as disrespectful and violent, they had negative experiences about their adolescent sons which resulted in anxiety related symptoms, they had negative experiences of self and experienced poor relationships with their neighbours. Guidelines concerning intra- and interpersonal challenges were formulated for the psychiatric nurse to facilitate the mental health of these mothers.