Heterogeneity in Maltreated and Non‐maltreated Preschool Children's Inhibitory Control: The Interplay Between Parenting Quality and Child Temperament

This study examined the contribution of child temperament, parenting, and their interaction on inhibitory control development in a sample of maltreated and non‐maltreated preschool children. One hundred and eighteen mother–child dyads were drawn from predominantly low‐income, rural communities. Dyads participated in a laboratory session in which maternal warm autonomy support, warm guidance, and strict/hostile control were observationally coded during a joint teaching task. Independent assessments of children's inhibitory control were obtained, and observers rated children's temperament. After relevant covariates, including income, maternal education, and child age and IQ were controlled for, there were no differences between the maltreatment and non‐maltreatment groups in either children's inhibitory control or mothers' behaviours in the laboratory session. Even after much of the variance in children's inhibitory control was accounted for from the covariates, children's temperamental negativity moderated the effects of warm autonomy support on inhibitory control in both maltreatment and non‐maltreatment groups. Temperamentally negative children whose mothers displayed more warm autonomy support showed greater inhibitory control, at levels on par with low‐negative children. Findings suggest that heterogeneity in children's self‐regulation may be due in part to individual differences in sensitivity to caregiver support for children's independence, even among those exposed to maltreatment. Copyright © 2013 John Wiley & Sons, Ltd.     

The Changing Role of Fatherhood: The Father as a Provider of Selfobject Functions

Fatherhood is evolving. The way that men carry out their paternal role is reflective of the historical time era in which they live, social and cultural forces, both the mother and the father's expectations for fathering behaviors, as well as the father's own innate capabilities, wishes, and desires. Fatherhood is also greatly influenced by men's relationships with their own fathers, the quality of that relationship, and the extent to which the father was emotionally available. The ever-changing role of fathers has been a challenge for the psychoanalytic literature. There is no comprehensive theoretical body of knowledge about fatherhood that takes into account the changing nature of fathering, especially considering men's desires to be emotionally responsive and nurturing parents. This article examines the changing role of the father and suggests a model of paternal involvement that expands the nurturing and available father role to include the father as a selfobject. It discusses the importance of understanding men's relationships with their fathers, a central dynamic in shaping fathers’ involvement with their children. The residual impact of paternal deprivation is explored, followed by two clinical vignettes that symbolize the search for missing selfobject functions. This article concludes by outlining clinical implications and questions to pose to assess the selfobject relationship with one's father.     

Well Children Living with Diabetic Siblings

Abstract

This article examines the psychological adjustment of well children who live with diabetic siblings. A sample of 28 well siblings between the ages of 8 and 12 were studied, utilizing standard tests and a semi-structured interview. Standard tests demonstrated that well siblings had adjustment difficulties manifested by internal stressors that originated from anxiety and low self-concept. This report emphasized the qualitative results of well siblings living with diabetic siblings. The findings conclude that well siblings have difficulties negotiating emotions, communications, and activities with their diabetic siblings. The report interprets sibling issues from a psychodynamic orientation, suggesting that many of the healthy psychological functions performed by the sibling relationship are interrupted by the introduction of a chronic illness. Recommendations based on the findings are offered to professionals who work with diabetic children and their families.     

Conversations with My Father

ABSTRACT

This article provides a brief review of the literature describing successful aging life tasks, such as reminiscence, meaning-making, and forming substantive connections. Using Relational-Cultural Theory as a base, the article addresses the need for connection and ways that connections can be developed and sustained in later life. Through a personal account, the authors also illustrate how grown children can use music to connect with their parents. Finally, the authors adapt A Musical Chronology and the Emerging Life Song, an intervention that uses music and memories, for use with older adults.     

Somatic Complaints in Girls: A Longitudinal Perspective

This report presents results from a study of the dimensionality and longitudinal stability of some common self-reported somatic complaints in teenage girls. Data were supplied by the Swedish longitudinal research program “Individual Development and Adaptation”. At four age levels (age 10, 13, 15, and 16 years) a representative sample of approximately 500 girls filled out questionnaires on various adjustment problems, including some typical somatic complaints. A separate dimension of somatic complaints was identified at each age level through factor analysis of the questionnaire data. Correlational stability of somatic complaints was not high until middle adolescence. At this age fairly stable patterns of somatic complaints were also found at the individual level; different somatic complaints were not found to be interchangeable. The results support the interpretation of girls' somatic complaints as a single, meaningful dimension in late childhood and adolescence. This dimension may be hypothesized to constitute a psychological process, somatization, manifesting itself in fairly stable patterns at the individual level in middle adolescence.     

Unconscious Responses to Threatening Pictures: Interactive Effect of Trait Anxiety and Social Desirability on Skin Conductance Responses

The purpose of the present study was to examine the role of trait anxiety and social desirability on skin conductance responses (SCRs) following exposure to masked and unmasked pictures in a non‐clinical sample. The most prominent results were found with regard to masked pictures (i.e. subliminal). Higher levels of social desirability were associated with a decrease in SCRs to masked threat pictures (relative to neutral), whereas elevated levels of trait anxiety were associated with an increase in SCRs. This latter effect, however, was mainly seen among participants who simultaneously scored low on social desirability. These results were discussed in terms of trait anxiety (combined with lower social desirability scores) being associated with (i) enhanced autonomic responses to threatening information most evident at a pre‐attentive level, that (ii) may potentially be a vulnerability marker for anxiety disturbances.     

A Quantitative Estimate of Schema Abnormality in Socially Anxious and Non‐Anxious Individuals

Although cognitive theories of anxiety suggest that anxious individuals are characterized by abnormal threat‐relevant schemas, few empirical studies have estimated the nature of these cognitive structures using quantitative methods that lend themselves to inferential statistical analysis. In the present study, socially anxious (n = 55) and non‐anxious (n = 62) participants completed 3 Q‐Sort tasks to assess their knowledge of events that commonly occur in social or evaluative scenarios. Participants either sorted events according to how commonly they personally believe the events occur (i.e. “self” condition), or to how commonly they estimate that most people believe they occur (i.e. “other” condition). Participants' individual Q‐Sorts were correlated with mean sorts obtained from a normative sample to obtain an estimate of schema abnormality, with lower correlations representing greater levels of abnormality. Relative to non‐anxious participants, socially anxious participants' sorts were less strongly associated with sorts of the normative sample, particularly in the “self” condition, although secondary analyses suggest that some significant results might be explained, in part, by depression and experience with the scenarios. These results provide empirical support for the theoretical notion that threat‐relevant self‐schemas of anxious individuals are characterized by some degree of abnormality.     

Long‐term Self‐monitoring of Weight: A Case Study

The aim of this study was to examine the self‐monitoring of weight on a daily basis over a long period of time in order to understand the process of weight regain. An obese female client measured her weight every morning over a period of 10 years. The subject made a total of 2081 weight measurements. Thus, her weight was measured on 67% of all possible days. After the initial weight loss a pattern of gradual weight gain was observed. The subject gained weight during August and September, and at the end of December, in particular. Furthermore, her weight increased slightly at the weekends. This case study highlights the advantage of self‐monitoring of weight on a daily basis. Individual patterns of weight change possibly associated with season and weekly variation may be crucial when obese subjects try to maintain their weight after weight loss. However, it may take several months or even years to detect the weekly and yearly rhythms or other patterns in the data. Thus, self‐control of weight is problematic, since patterns in the weight regain process are difficult to detect. This may be one reason why self‐control of weight is so difficult.     

Influence of Co‐Morbid Generalized Anxiety Disorder,Panic Disorder and Personality Disorders on the Outcome of Cognitive Behavioural Treatment of Obsessive‐Compulsive Disorder

This study examined co‐morbid generalized anxiety disorder and/or panic disorder and personality disorders as predictors of treatment outcomes in adult outpatients with obsessive‐compulsive disorder. The patients received exposure with response prevention (ERP) treatment with the addition of either elements of cognitive therapy (ERP+CT) or relaxation training (ERP+REL). It was hypothesized that the addition of cognitive interventions would yield better treatment outcomes for patients with co‐morbid generalized anxiety disorder and/or panic disorder. It was also hypothesized that patients with any personality disorder would show less treatment gains in both conditions. Using intention‐to‐treat criteria, patients with generalized anxiety disorder and/or panic disorder co‐morbidity showed less treatment gains at post‐treatment across both treatment conditions. This group showed significantly more treatment gains in the ERP+CT condition at the post‐treatment and the 12‐month follow‐up assessments compared with patients in the ERP+REL condition. However, this was not significant when comparing treatment completers. Patients with a co‐morbid Cluster A or B personality disorder showed significantly less treatment gains in both treatment conditions at the 12‐month follow‐up assessment. Among treatment completers, patients with a Cluster C personality disorder showed significantly better outcomes at the post‐treatment assessment in the ERP+REL treatment condition. These results, clinical implications, and the importance of further investigations are discussed.