On boredom: A close encounter with encapsulated parts of the psyche

The psychoanalytical literature has numerous scattered references to the analyst's experience of boredom, especially amongst writers working with primitive mental states. In the present paper, the author tries to gather some of these references in an attempt to integrate the various facets of this widespread phenomenon, and reflect on some clinical issues and dilemmas it raises. It is suggested that the experience of boredom in analysis may be a reaction to an encounter with a hidden, encapsulated part of the psyche, a bidimensional area of experience in which mental activity has been suspended, and experience remains meaningless. This is a barren area of lack, an encounter with the autistic core of the psyche. However, boredom may also be an experiential expression of despair, a re-living of primitive object relations with an emotionally non-existent primary object. Through bringing the emptiness and desolation into analysis, the individual makes room for the empty, blunt, dead inner object which resides within him, and that needs to be integrated into the psyche. This inner object is a vital part of the patient's inner world, part of his history, and can neither be erased nor filled in order to eradicate the emptiness. This is illustrated by clinical material from patients along the spectrum of autism, autistic reaction following trauma and autistic barriers in neurotic patients.     

Environmental influences on reading‐related outcomes: an adoption study

Evidence from intervention studies, quantitative genetic and molecular genetic studies suggests that genetic, and to a lesser extent, shared environmental influences are important to the development of reading and related cognitive skills. The Northeast‐Northwest Collaborative Adoption Projects (N2CAP) is a sample of 241 adoptive families, containing 354 children and their adoptive parents. Negative parent outcome × child age interactions significantly predicted child outcomes, suggesting that shared environmental influences related to parent–offspring resemblance, although modest, are most salient in younger children. Additional analyses suggested that identified measures of the family environment largely accounted for these parent–offspring correlations. Copyright © 2007 John Wiley & Sons, Ltd.     

Situational consistency in behavioral patterns of aggressive boys: Methodological considerations on observational measures

The issue of situational consistency is of great interest for early intervention with aggressive boys, but efforts to show behavior stability across settings have been unsuccessful to date, due principally to methodological problems. It is argued here that a more appropriate matching of response form, interaction partner, and situations should increase the situation consistency of observed behavior. The results support this proposition in that, more crosssetting behavior consistency was found in the pairing of situations where aggressive boys (age 6–7 years) were interacting with an adult female (mother/child versus baby-sitter/child) than in the pairing of situations where the boys were interacting with an adult male (mother/child versus father/child) or with the teacher in a nondyadic situation (classroom). The implications of using an extreme group are also discussed.This research program was funded by Le Conseil Québécois de la Recherche Sociale, the Quebec Government's FCAR research program, the Social Sciences and Humanities Research Council of Canada, the Canadian Ministry of Employment and Immigration, and the University of Montreal FDR program.     

Direct assessment of quality of care in a geriatric nursing home

Direct observation was used to examine multiple aspects of care provided in a proprietary nursing home. The samples were taken at random intervals, 7 days per week for 5 weeks, across several categories of environmental and resident conditions as well as staff and resident activity. Results showed a high degee of compliance with predefined standards (based on current federal regulations) for environmental and resident conditions. Overall distributions of resident and staff activity showed results similar to those found in previous studies, with residents spending most of their time engaged in nonsocial activity and staff spending the majority of their time engaged in nonresident work. When data were analyzed across areas of the facility, times of day, and weekdays versus weekends, some differences were noted. Weekend versus weekday comparisons showed higher resident:staff ratios on weekends and more resident inactivity, but no significant differences in environmental or resident conditions. In addition, more frequent resident care, resident interaction, and resident activity were observed in Medicare units than in non-Medicare units. Results are discussed in terms of federal requirements for monitoring the quality of care in nursing homes and the potential use of time sampling expressly for this purpose.     

SOME STRUCTURAL ASPECTS OF DEVIANT CHILD BEHAVIOR1

Covariation within behavior repertoires of problem children were examined. Two boys, referred for psychological help, were observed both at school and at home for about 3 yr. A coded observation system permitted scoring of 19 child-behavior categories and six social-environment categories. After a two-month baseline, behavior categories were intercorrelated, demonstrating that each child showed a group of behaviors that covaried. These groupings were specific to the home and school settings. Contingency management procedures were then applied to each child's problem behaviors in one setting. Next, a reversal phase was instituted, followed by resumption of the initial contingency management phase. These three phases lasted seven months, until the end of the children's public school terms. Results showed that the baseline group of covarying behaviors continued to covary over the three experimental phases. The children then entered a remedial education setting for three summer months, and then returned to schools and were observed in follow-up for 2 yr. The baseline group of behaviors continued to covary during both phases. The behavior covariations could not be accounted for on the basis of temporal relationships between the behaviors and social environment categories. Although no behavior covariations extended across either child's home and school settings, contingency management procedures produced across-setting effects.     

MEASURING REFLECTIVE SUPERVISION WITHIN HOME VISITING: CHANGES IN SUPERVISORS’ SELF‐PERCEPTION OVER TIME

Despite widespread belief in the early childhood field of the benefits of reflective supervision, there has been limited empirical evidence to support the effectiveness of reflective supervision for home visitors and the children and families they serve. The present study examined the psychometric properties of four adapted self‐report measures assessing supervisors’ reflective supervision capacities; the study also investigated whether these measures captured change in reflective capacity over time as supervisors participated in professional development activities focused on reflective supervision. Results from 33 participants (home visiting supervisors and program managers) suggested that three of the four measures demonstrated acceptable internal consistency, and these three measures were correlated with each other. Two of these measures also captured significant change over time. Finally, there was some evidence that those with less education demonstrated more substantial improvement in their reflective supervision capacities than did those with an advanced degree. Findings provide initial evidence for reliable, efficient, and cost‐effective supervisor self‐report measures that could be used in research and program evaluation to assess change in supervisor reflective capacity over time.     

Capturing environmental affordances: Low‐income families identify positive characteristics of a hotel housing solution

This qualitative study describes the positive characteristics of an extended‐stay hotel as identified by low‐income families that resided there. Interviews were conducted with ten hotel residents using a semi‐structured interview guide and participant photographs to elicit a deeper understanding of experiencing home at a hotel. Framed in the theoretical perspective of environmental affordances, findings suggest that despite discomforts of the hotel environment, residents were still able to enjoy family independence, social engagement, a sense of safety and connection to a community context. The findings of this study may help practitioners gain a balanced perspective of non‐ideal housing conditions for planning interventions. Even in these conditions, positive characteristics can be identified to reinforce family functioning and well‐being. Copyright © 2010 John Wiley & Sons, Ltd.     

A longitudinal assessment of the home literacy environment and early language

This longitudinal assessment concentrated on the relation between the home literacy environment (HLE) and early language acquisition during infancy and toddlerhood. In study 1, after controlling for socio‐economic status, a broadly defined HLE predicted language comprehension in 50 infants. In study 2, 27 children returned for further analyses. Findings revealed that the HLE measured in infancy predicted language production in toddlerhood and maternal redirecting behaviours measured in toddlerhood were negatively associated with expressive language. Results across both studies indicate the importance of a broadly defined HLE (including joint attention and parent–child conversation) for language development. Taken together, these findings highlight the importance of the HLE in supporting both receptive and expressive vocabulary growth in the second and third years of life. Copyright © 2011 John Wiley & Sons, Ltd.