Youth Functioning and Experiences in Inner-City After-School Programs Among Age, Gender, and Race Groups

Many dangers and challenges face inner-city minority children during their after-school hours. Youth development programs provide an alternative to spending this time unsupervised. We examined the relationship between children's experiences in selected urban Boys and Girls Clubs and child functioning. Because the sample (N = 296) consisted of African American and Hispanic boys and girls, aged 10–18, we were able to compare these relationships across race, gender, and age groups. There was no relationship between simple participation levels and child functioning, but significant linkages were identified between specific elements of the club experience and functioning. Relationships with club staff members and participation in club activities were associated with better functioning for older boys, a subgroup that is at considerable risk for delinquency. In addition, enjoyment of the club and not feeling badly treated there were associated with better functioning for all groups of children.     

A Practitioner's Guide to Successful Coalitions

The highly complex practice of building successful community coalitions is explored. Key dimensions related to coalition success are identified and best practices are delineated. Nine dimensions are explored that are critical to coalition success: coalition readiness, intentionality, structure and organizational capacity, taking action, membership, leadership, dollars and resources, relationships, and technical assistance. Two coalition case studies follow the discussion of dimensions and illustrate the journey traveled to create successful community coalitions.     

Coping with Severe Mental Illness: Relations of the Brief COPE with Symptoms, Functioning, and Well-Being

The way patients cope with the experience of having an episode and being hospitalized for psychiatric disorder may relate to symptom severity, social functioning, and psychological well-being. Coping was assessed among 70 psychiatric inpatients diagnosed primarily with schizophrenia, major depressive disorder, and schizoaffective disorder. The Brief COPE—a questionnaire developed in health psychology (C. S. Carver, 1997)—was administered in interviewer-assisted format during patients' stay on the ward. Thirty patients were re-interviewed an average of 6 weeks after discharge. Among patients with schizophrenia, schizophrenia symptom severity correlated inversely with adaptive coping (e.g., acceptance, planning, seeking support) but did not correlate with maladaptive coping (e.g., self-blame, denial). Among those with schizophrenia, deficits in adaptive coping also predicted relative increases in schizophrenia symptoms over time, controlling for intake symptom severity. Among patients without schizophrenia, maladaptive coping correlated concurrently with depressive symptoms. Several hypothesized associations between concurrent coping, functioning, and well-being were also documented.     

社区卫生服务在医疗体制改革中的作用和地位—英国的经验与教训

社区卫生服务通过六位一体的服务可以合理疏导医疗服务需求,解决医疗服务的公平性和合理控制医疗费用增长过快,在医疗体制改革中扮演着制约医院服务的重要角色。没有社区卫生服务组织和全科医生的积极参与和强有力的制约,医疗市场很难形成有效的竞争,医疗体制改革的初衷就很难实现。英国在该方面的经验与教训,足以引起起我们的关注与警惕,结合中国国情来借鉴,渴望我国在该方面的发展更趋稳定和合理。     

“It's the Day-to-Day Living That Matters”: The Meaning and Process of Community in the Lives of a Couple with Significant Psychiatric Disabilities

This study attempts to define and describe the experience and process of community and community participation using a qualitative case study of a couple labeled with significant psychiatric disabilities. Findings indicate that important influences on perceptions and the process of community belonging include (a) the opportunity to personally define the meaning, limitations, and level of care associated with receiving a psychiatric label; (b) a reciprocal, central relationship; and (c) recognized opportunities for intentional participation in and access to meaningful relationships with other community members, including in the role of coworker or colleague.     

Artificial Intelligence, Religion, and Community Concern

Future developments in artificial intelligence (AI) will likely allow for a greater degree of human-machine convergence, with machines becoming more humanlike and intelligent machinery becoming more integrated into human brain function. This will pose many ethical challenges, and the necessity for a moral framework for evaluating these challenges will grow. This paper argues that community concern constitutes a central factor in both the evolution of religion and the human brain, and as such it should be used as the organizing principle for moral evaluations of AI technologies.     

社区老年人心理健康评价模式研究

在已有研究证据和理论框架基础上,本文对社区老年人心理健康状况(PWB)的理论构念及其多指标评价模型进行实证研究。验证性因素分析表明,从正性情感、负性情感摆脱、愿望与实际所得的符合程度以及自尊感四个核心领域对PWB进行综合评价的模型与社区老年人(N=220)测评数据的拟合度良好。研究结果也表明,根据该模型而建立的量表具有符合心理测量学要求的信度和效度,能够对社区老年人的心理健康状况进行有效评价,并可用于老年心理疾患的筛查。     

Maternal positive parenting style is associated with better functioning in hyperactive/inattentive preschool children

Many preschoolers are highly inattentive, impulsive, and hyperactive; but only some are impaired in their functioning. Yet factors leading to functional impairment, above and beyond the severity of inattentive and hyperactive symptoms, have not been systematically examined. This study examined a model suggesting that after controlling for attention‐deficit/hyperactivity disorder (ADHD) symptom severity, child temperament is uniquely associated with parenting stress; that parenting stress affects parenting style, above and beyond child characteristics; that parenting style is related to the level of child impairment, above and beyond the effects of child symptoms, temperament, and parenting stress; and finally that parenting style moderates the relationship between ADHD symptom severity and child functioning. Child measures included parent‐ and teacher‐rated ADHD symptom severity, teacher‐rated temperament, and clinician‐rated functioning in a sample of 138 inattentive/hyperactive preschoolers. Maternal self‐ratings of parenting style and parenting stress were obtained. Analyses indicated that, after controlling for symptom severity, child temperament was related to maternal parenting stress, which was additionally related to both maternal parenting style and child functioning. Maternal positive parenting style moderated the relationship between ADHD symptom severity and child impairment, indicating that a positive parenting style plays a protective role in the functioning of hyperactive/inattentive preschoolers. Copyright © 2010 John Wiley & Sons, Ltd.     

Sustained attention and age predict inhibitory control during early childhood

Executive functioning skills develop rapidly during early childhood. Recent research has focused on specifying this development, particularly predictors of executive functioning skills. Here we focus on sustained attention as a predictor of inhibitory control, one key executive functioning component. Although sustained attention and inhibitory control have been linked in older children and adults, these links have not been well specified during early childhood. The current study examined both parent-rated and laboratory measures of sustained attention as predictors of both parent-rated and laboratory measures of inhibitory control among 3- to 6-year-olds. As expected, children with higher sustained attention abilities exhibited greater inhibitory control. Moreover, inhibitory control increased across age. These findings reveal important details about the development of sustained attention and inhibitory control during early childhood.     

Revisiting confidentiality: observations from family therapy practice

Confidentiality has long been recognized as a critical legal and ethical principle for the committed, value‐based practitioner. Vital principles (such as confidentiality) become manifest in material practices and in the language of professional and societal narratives. This articulation into specific practices and performances requires a pragmatic process that transforms the abstract into real‐world activities. This imperfect process has the potential of including the derived practices that in certain ways may extend the principle in unintended or unwanted directions. In the case of confidentiality, the actual practices of confidentiality may be both emancipating and inhibiting – they may protect as well as isolate. Our purpose is to revisit the idea of confidentiality and to deconstruct the way it functions in both positive and negative manners in clinical work.