A Glimpse into Co-Occupations: Parent/Caregiver's Support of Young Children's Playfulness Scale

Cooperative play between parents/caregivers and children is a positive and significant contributor to the development of children’s emotional, social, and cognitive skills and may set the stage for the formation of co-occupations. This article discusses the rationale for the development of Parent/Caregiver’s Support of Young Children’s Playfulness (PSYCP), an assessment that is based on children’s play and playfulness, adult’s playfulness, and parent–child interaction. The use of the PSYCP to assess co-occupations will allow therapists to identify the specific behaviors that either hinder or support playfulness and mutual play.     

Aspects of Activity Participation as Risk Factors for Conduct Problems in Children and Adolescents: A Literature Review Using Ecological Systems Theory

This article reviews a wide range of risk factors associated with the development of conduct problems in children, with a particular focus on the influence of time spent engaged in different types of activities. The review reveals the behavioral benefits to children and adolescents of participation in activities with physical, social, and restful properties and those that can be described as structured. Further highlighted is the need for parents and occupational therapists to be aware of children's time use and daily activity participation, and the potential for these activities to be harnessed to facilitate positive behavioral outcomes for children.     

Teacher–child relationship,child withdrawal and aggression in the development of peer victimization

The study examined pre-kindergarten teacher–child relationship as a predictor of peer victimization up to first grade, assessed whether this role moderated risks from children's social withdrawal and/or aggression. Participants were 377 Australian children from 12 schools. Parent ratings of victimization in pre-kindergarten, kindergarten and first grade were used, as well as prekindergarten self-ratings of parenting. Teacher-ratings of conflict and closeness, child aggression and social withdrawal were collected in pre-kindergarten. Two-part growth curve analyses conjointly modeled the likelihood of being victimized and severity of victimization. Teacher–child conflict in prekindergarten predicted the likelihood of concurrent and first grade victimization; closeness in prekindergarten was protective of more severe victimization over time. Conflict also moderated the relationship between social withdrawal and growth in severity of victimization. Discussion focuses on elucidating the ‘invisible hand’ of the teacher in peer dynamics, and on interventions for reducing conflict and promoting closeness in the classroom.     

Understanding how children's engagement and teachers' interactions combine to predict school readiness

This study examined the quality of preschool classroom experiences through the combination of children's individual patterns of engagement and teachers' classroom-level interactions in predicting children's gains in school readiness. A sample of 605 children and 309 teachers participated. The quality of children's engagement and teacher interactions was directly observed in the classroom, and direct assessments of children's school readiness skills were obtained in the fall and again in the spring. Latent profile analysis was used to examine children's patterns of engagement with teachers, peers, and tasks. Children's engagement and the quality of teacher interactions were associated with gains in school readiness skills. The effect of children's individual classroom engagement on their expressive vocabulary was moderated by classroom-level teacher interactions. The results suggest that when teachers engage in highly responsive interactions across the children in their classrooms, children may develop more equitable school readiness skills regardless of their individual engagement patterns.     

Internet pornography and paedophilia

Various indices of use of Internet pornography have drawn attention to the extent of adult sexual interest in children; clinical experience and now research evidence are accumulating to suggest that the Internet is not simply drawing attention to those with existing paedophilic interests, but is contributing to the crystallisation of those interests in people with no explicit prior sexual interest in children. Drawing on clinical experience in a specialist NHS outpatient psychotherapy service, the author argues that a dichotomous notion of paedophilia is no longer tenable, and any model of paedophilia needs to take account of eruptions of a sexual interest in children in those who appear not to be consistently paedophilic and who have had adult-to-adult sexual relationships. This phenomenon is analysed in two ways: first, by considering how it is that the adult sexual adaptation might ‘unravel’ under the influence of Internet sex to reveal underlying paedophilic currents and second, by revisiting general and psychoanalytic theories of paedophilia and by considering how predisposing factors to paedophilia might be amplified through access to Internet pornography.     

Psychotherapy with an adolescent boy who refused medical treatment

In this paper we describe psychotherapeutic work carried out in a paediatric hospital to illustrate the important contribution of a psychoanalytically-oriented approach in a hospital context. The work concerns an adolescent boy who had undergone several surgical operations with the result that some of his natural orifices were obstructed and artificial ones had to be created. He was referred to us because he refused pharmacological and rehabilitative treatment necessary prior to further surgery and his eventual recovery. The boy's experience of loss of control of his life and the more primitive anxieties of not feeling safely contained in his physical and psychic skin emerged and were worked through in the psychotherapeutic relationship. The parallel work with medical staff reduced the risk of splitting and acting out by the patient and professionals. The approach adopted enabled this boy to resume his medical treatment and his developmental process.     

Effects of a Peer Engagement Program on Socially Withdrawn Children with a History of Maltreatment

Children with a history of child maltreatment often have limited social interactions with other children and adults. This study examined the effects of a Peer Engagement Program, consisting of peer mentoring and social skills training with positive reinforcement, in three children with low levels of oral and social interaction. A multiple baseline, single-subject research design was used to test whether introduction of the intervention was associated with increased, directly observed oral interaction and engagement in social activities with peers and adults. The Child Behavior Checklist (CBCL) and the Social Skills Rating Scale (SSRS) were administered before and after intervention. All children showed increased levels of oral and social interaction and improved scores on the SSRS and the CBCL.     

Maternal ADHD: Parent-Child Interactions and Relations With Child Disruptive Behavior

This study examined how ADHD symptoms in mothers of children with ADHD relate to their behavior during parent-child interactions and to their children's disruptive behavior. Findings indicated that mothers’ retrospective self-ratings of ADHD symptoms were related to their present negativity during parent-led play. Mothers’ self-ratings of current inattentive symptoms were related to their impatience during child-led play. Maternal ADHD symptoms were also related to their ratings of their children's ADHD and oppositional-defiant behaviors. Identifying relations between maternal psychopathology, such as ADHD symptomatology, and behaviors during parent-child interactions may yield clues to additional parent behavioral changes that would enhance treatment outcomes for young children with ADHD.     

Mentoring Youth with Psychiatric Disorders: The Impact on Child and Parent Functioning

ABSTRACT

This study examined the effectiveness of a behavioral mentoring program aimed at serving youth with psychiatric disorders. Participants included 30 youth (8–12 years old) receiving services in a mentoring program for a mental health population and 30 wait-listed youth and their maternal caregivers. Participating in mentoring services was related to higher family functioning across a number of domains including child behavior, parenting stress, perceived parent social support, and perceived parent-child relationship quality. As predicted, parenting stress mediated the relationship between mentoring and children's externalizing behavior problems. Results suggest that mentoring services may be a useful adjunct service for highly stressed families with children with emotional and behavioral disorders.