Parent as Saboteur in the Therapeutic Treatment of Children

Children present some unique challenges to the therapist regarding treatment. Unlike adult patients, they are obviously still dependent upon the parent for transportation, the payment of fees, and the success or failure of treatment. Thus the parents make the ultimate decision to continue or terminate treatment. But sometimes a parent's characterological problems are activated by their child's treatment. These diagnostic problems can be classified as envy, jealousy, competition, and narcissism. When any or all of these unresolved parental issues are touched by the treatment of their child, some parents become determined to sabotage therapy, despite the necessity of the treatment for their child. The author's intent is to identify the parental characterological issues for sabotaging therapy through both a theoretical analysis and a discussion of the particular methods parents employ to achieve this end. Identification of the various strategies for handling hostile parents and elaboration of various methods that the therapist may employ are discussed when parental sabotaging of treatment becomes a problem. Recommendations for particular interventions are suggested to illuminate the challenges the therapist faces with those parents whose intent is to sabotage treatment.     

Determinants of Children's Primary Health Care Use

We review factors that influence children's use of primary health care services. Predictors of pediatric health care use include child health status, child mental health, parent and family functioning, demographic characteristics, and access to health care services. Health services research is marked by inconsistencies due to varying approaches to measurement, population sampling, and analysis, and models that do not incorporate situational factors. We present recommendations for practicing clinicians and discuss suggestions for future research to help identify additional factors that may influence a parent's decision to seek help from pediatric physicians. Health care use is determined by multiple factors, and complex models will lead to improved strategies for maximizing health status and establishing optimal pediatric care.     

儿童合作策略水平发展的实验研究

本实验将合作策略分为四个水平,随机选取幼儿园中班、大班及小学一、二、三年级的被试300名,在鼓励合作的条件下,通过游戏的方式,研究儿童合作行为发展的趋势.实验结果表明随着儿童年龄的增长,合作行为越来越多,且合作水平越来越高,而竞争行为逐渐减少;性别因素对合作行为影响不大,但对竞争行为却有显著的影响.这可能与我国的家庭教育、学校教育有一定的关系.     

论道家学派的音乐审美意识

道家学派理论面对忧患强调“天人合一”和解脱,因而具有浓郁的审美意识倾向。道家学派对“道”的体认也体现在对音乐本质的理解上。审美主体伴随着质态不尽相同的音乐过程,依次连缀形成“有声之乐”、“无怠之声”和“天乐”这三个层面的心理过程流时,这样的音乐才是老子所谓的“大音”,才是道家学派理想中的音乐。     

音乐训练对4~5岁幼儿普通话声调范畴感知能力的影响

已有研究表明, 音乐训练能提高成人对普通话声调范畴感知的能力, 此种训练能否增强幼儿对声调范畴感知的能力?训练效果是否受到训练时间长短的影响?本研究对幼儿园4~5岁幼儿进行音乐训练, 共40人, 分成音乐组和控制组, 每组各20人, 追踪考察音乐训练和训练时间长短对幼儿声调范畴感知能力提升的影响。实验采用前测-中测-后测设计, 对音乐组开展每周3次, 每次30分钟, 以小钟琴演奏为主的音乐训练; 控制组不进行任何有组织的训练活动。结果发现, 12个月音乐训练提升了幼儿对声调范畴感知的程度, 表现为音乐组幼儿范畴边界宽度显著小于控制组, 而训练6个月时, 该优势并不显著。此外, 12个月音乐训练还加强了幼儿区分范畴内刺激声学差异的敏感性, 而对范畴间刺激的区分能力无显著提高。本研究结果支持了音乐学习的歌剧理论(OPERA), 音乐训练具有跨域迁移作用, 可提升4~5岁幼儿对普通话声调范畴感知的能力, 但只有长期持续的训练才可能真正提高幼儿的音高精细化加工水平。     

流动儿童歧视知觉与心理健康关系的元分析

本研究基于心理健康双因素模型,通过运用元分析技术探讨流动儿童歧视知觉与各项心理健康指标的关系,以及调节变量对二者关系的影响,以期为提升流动儿童心理健康提供有效借鉴。经过文献检索和筛选,共纳入原始文献3篇,含49个独立样本,被试总数达到40351名。根据同质性检验结果,选择随机效应模型分析发现,流动儿童歧视知觉与积极心理健康指标存在中等程度的负相关(r=-0.323,95%CI为[-0.378,-0.266]),与消极心理健康指标存在中等程度的正相关(r = 0.41, 95%CI为[0.36,0.458])。流动儿童歧视知觉测量工具、学龄段对流动儿童歧视知觉与积极心理健康的关系存在显著的调节效应,而对流动儿童歧视知觉与消极心理健康的关系不存在显著的调节效应。同时,元回归分析结果发现,性别对二者的关系不存在显著的调节效应。后续研究应该进一步探索流动儿童歧视知觉与心理健康间的调节变量,结合中国流动儿童心理发展特点, 探索提升流动儿童心理健康水平的新路径。     

Relations between maternal power-assertive parenting and adjustment in Chinese children: A longitudinal study

This 1-year longitudinal study examined relations between maternal power-assertive parenting and children's social, academic and psychological adjustment in China. Participants were 316 elementary school children (mean age = 11 years, 153 boys). Maternal power-assertive parenting was assessed using children's self-reports. Data on children's social and school adjustment were obtained from peer evaluations and teacher ratings. In addition, children completed measures of loneliness and depression. Cross-lagged analyses indicated that whereas maternal power-assertive parenting was only related to later academic adjustment, children's adjustment in socioemotional and academic domains contributed to the prediction of later maternal power-assertive parenting. The results were discussed in the Chinese context.     

Using telehealth to teach valued skills to adults with intellectual and developmental disabilities

Telehealth uses electronic information and telecommunication technologies to deliver long-distance clinical services. It has successfully been used by clinical professionals to teach family and staff members to provide evidence-based assessment and treatment procedures. There is no research to date, however, evaluating the use of telehealth to directly teach individuals with intellectual and developmental disabilities (IDD). Thus, we evaluated the efficacy of a telehealth intervention using total task chaining with least-to-most prompting delivered via videoconference to 2 adults with IDD. Both participants demonstrated low independent responding during baseline with enhanced written instructions present. During intervention, which included vocal and model prompting, both participants met the mastery criterion for each skill in fewer than 15 sessions, which maintained after 2 weeks. Finally, both participants expressed satisfaction with the goals, procedures, and effects of the intervention. We discuss the broader scope of the intervention for individuals with disabilities when face-to-face services may not be feasible.     

Reading comprehension with the Go/No-Go procedure with compound stimuli

The present study investigated whether the Go/No-Go procedure with compound stimuli produces emergent relations among dictated words (A), pictures (B), and printed words (C) and the emergence of textual behavior (CD) using a multiple probe design across word sets. Three preschool children were exposed to 4 phases: (1) pretests for BC, CB, and CD relations, (2) pretraining with known stimuli, (3) AB and AC training, and (4) posttests for BC, CB, and CD relations. During AB and AC training, responses to A1B1, A2B2, A1C1, and A2C2 compound stimuli, but not to A1B2, A2B1, A1C2, and A2C1, were reinforced. The results showed that all participants met the learning criterion and demonstrated emergence of BC and CB relations (i.e., relations between pictures and printed words), and CD relations (i.e., textual behavior) after training. These results suggest that the Go/No-Go procedure with compound stimuli is an effective alternative for establishing reading comprehension.     

Examining stimuli paired with alternative reinforcement to mitigate resurgence in children diagnosed with autism spectrum disorder and pigeons

In two laboratory experiments, we examined whether stimuli paired with alternative reinforcers could mitigate resurgence of a previously reinforced target response with pigeons (Experiment 1) and children diagnosed with Autism Spectrum Disorder (Experiment 2). In Phase 1, we arranged food reinforcement according to a variable-ratio schedule for engaging in a target response. In Phase 2, we arranged extinction for target responding and differentially reinforced alternative responding according to a fixed-ratio schedule, with every alternative-reinforcer delivery paired with a change in keylight color (Experiment 1) or automated verbal (praise) statement (Experiment 2). In Phase 3, we assessed resurgence during extinction of target and alternative responding in the presence versus absence of continued presentation of the paired stimulus. Despite variation across sessions, resurgence on average was lower when continuing to present the paired stimuli in all pigeons and children while maintenance of alternative responding did not differ between assessments. These findings indicate that stimuli paired with alternative reinforcement can modestly decrease resurgence, but further examination of their efficacy and a better understanding of the underlying processes are necessary before they can be recommended for clinical use in reducing resurgence of clinically relevant problem behavior.