Expanding Possibilities: Flexibility and Solidarity with Under-resourced Immigrant Families During the COVID-19 Pandemic

The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID-19 crisis to the lessons we have learned over time as mental health professionals working with families in no-cost, student-managed community comprehensive health clinics in academic-community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID-19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi-Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.     

Entrevista Con H. F. Kanfer

RESUMEN

Esta entrevista comienza con el repaso de las diferencias entre el modelo original de autorregulación y el que presenta F. H. Kanfer en sus trabajos más recientes considerando, entre otras, las aportaciones de la teoría motivacional de Klinger a este último. Seguidamente el autor se centra en la dificultad de manejar el concepto de personalidad, expresando su poca confianza en que se descubra un pequeño número de variables de personalidad que permitan hacer predicciones amplias sobre conductas individuales. En la entrevista se tratan, además, cuestiones tales como la contribución de Cronbach (1975) respecto a los efectos temporales y contextuales, las relaciones entre la investigación sobre procesos cognitivos y su aplicación en la práctica clínica o los problemas de generalización en la terapia. También se explican las ventajas de los modelos mediacionales como el de autorregulación respecto a otros que no lo son, la utilidad del concepto de autorrefuerzo o la valoración de los estudios analógicos del autocontrol. En la última parte de la entrevista se clarifican las relaciones entre psicología comunitaria y psicología clínica, finalizando con algunas reflexiones en torno a los objetivos y contenidos de esta última.     

Entrevista con Heiner Ellgring

RESUMEN

En esta entrevista con el psicólogo Heiner Ellgring, investigador del Instituto Max Planck de Munich, se habla, entre otros temas, de las investigaciones del profesor Ellging dentro de la psicología social y la psicología clínica desde el punto de vista de la aplicación de conceptos de la etología, la psicología cognitiva y la psicología social en el estudio de las emociones y el análisis conductual no-verbal. La interpretación de este “lenguaje silencioso” de gestos, miradas y posturas, como fuente de conocimiento para la aplicación de las investigaciones de la Psicología básica en la interpretación y práctica clínica.     

Psicología del «efecto placebo» y fundamentos para su uso clínico intencionado

Resumen

Este es un trabajo de discusión teórica que indaga sobre la psicología del «efecto placebo» (EP) y las posibilidades de su recuperación clínica. Tiene cuatro partes.

En la primera, se exponen los resultados básicos, conforme a las pautas estándar e inversa en la ocurrencia del EP. En la segunda se revisan críticamente las explicaciones en términos de sugestión y de expectativas-atribución. En la tercera, se desarrolla una teoría interconductual, con particular referencia al condicionamiento, a la farmacología conductual y a los sistemas endorfino e inmunitario.

Finalmente, en la parte cuarta se indican diversas posibilidades teóricas y empíricas para el uso clínico intencionado del EP, tanto en medicina como en psicología clínica.     

Sorrow: A Therapist's Reflection on the Inevitable and the Unknowable

People who live with a painful gap between who they have been and who they are now, of who they dreamt themselves to be and who they still long to be, are living with chronic sorrow. Chronic sorrow is a normal, nonpathological state of pervasive, continuing, periodic, and resurgent sadness related to the ongoing losses associated with illness and disability, in this case not loss of an other, but loss of self (Roos, 2002). Focusing on the lives of four women, one of whom committed suicide, I explore the macroprocesses that invade the experience of even so personal an experience as self‐loss. The role of the therapist is made transparent through anecdotes and by discussing implications for clinical practice.     

DEVELOPMENT OF THE PARENT‐CHILD PLAY SCALE FOR USE IN CHILDREN WITH FEEDING DISORDERS

The Parent‐Child Play Scale was developed as a scale that complements the Parent‐Child Feeding Scale, created by I. Chatoor et al. (1997), to evaluate mother–infant/toddler interactions in two different caregiving contexts of a young child's everyday life, specifically play and feeding. This Play Scale can be used with infants and toddlers ranging in age from 1 month to 3 years and provides reliable global ratings of mother–child interactions during 10 min of videotaped free‐play in a laboratory setting. The scale consists of 32 mother and infant/toddler interactive behaviors which are rated by trained observers from videotaped observations. Four subscales are derived: Dyadic Reciprocity, Maternal Unresponsiveness to Infant's/Toddler's Cues, Dyadic Conflict, and Maternal Intrusiveness. Construct validity and interrater and test‐retest reliability of the Play Scale have been demonstrated. This Play Scale discriminates between children with and without feeding disorders as well as between children with different subtypes of feeding disorders as defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0–3R) (Feeding Disorder of State Regulation, Feeding Disorder of Caregiver‐Infant Reciprocity, and Infantile Anorexia). It can be used for research or clinical practice in the diagnosis and treatment of early feeding problems, to assess the pervasiveness of mother–infant/toddler difficulties and to monitor changes following therapy.     

Longitudinal Model Predicting Self‐Concept in Pediatric Chronic Illness

Although self‐concept has been identified as salient to the psychosocial adjustment of adolescents dealing with a chronic illness (CI), little research has focused on its predictors it. Given that depression and parent–child attachment have been linked to self‐concept in the population at large, the goal of this study was to evaluate these relationships longitudinally in a sample of adolescents with CI. Using participant data from the Mastering Each New Direction (MEND) program, a 3‐month psychosocial, family based intensive outpatient program for adolescents with CI, we employed multilevel modeling to test longitudinal changes in self‐concept, as predicted by depressive symptoms and parent–child attachment, in a sample of 50 youths (M_age = 14.56, SD_age = 1.82) participating in MEND. Both “time spent in the program” and decreases in depressive symptoms were associated with increases in self‐concept over time. Higher baseline levels of avoidant attachment to both mother and father were also associated with greater initial levels of self‐concept. Targeting depressive symptoms and supporting adaptive changes in attachment may be key to promoting a healthy self‐concept in pediatric CI populations. The association between avoidant attachment and higher baseline self‐concept scores may reflect differences in participants’ autonomy, self‐confidence, or depression. Limitations of the study include variability in the amount of time spent in the program, attrition in final time point measures, and the inability to fully examine and model all potential covariates due to a small sample size (e.g. power).