Developmental Delays at Arrival,Early Intervention Enrollment,and Adopted Chinese Girls’ Academic Performance and Internalizing Problems in Adolescence

The author investigated the extent of developmental delays in girls adopted from China, their subsequent early intervention (EI) enrollment, and how the delays and EI were related to their academic performance and internalizing problems in adolescence. The sample included 180 adolescent girls (M = 13.4 years, SD = 2.0 years) who were adopted at 3–23.5 months (M = 11.5 months, SD = 3.7 months). Data on the adopted Chinese girls’ delays at arrival and EI enrollment in physical therapy (PT) and speech–language therapy (SLT) were collected from the adoptive mothers at the Baseline; data on the adopted Chinese girls’ present academic performance and internalizing problems were collected from the adoptive mothers and adopted girls at Wave 4 six years later. Data analyses revealed that 55% of the adoptees had moderate-to-severe delays when first arrived at the adoptive homes. Motor delays significantly increased the odds for PT (odds ratio [OR] = 3.98, 95% CI [2.18, 7.82], p <.001) and SLT (OR = 2.36, 95% CI [1.50–3.72, p <.001). Social-cognitive delays also significantly increased the odds for PT (OR = 1.90, 95% CI [1.36, 2.63], p <.001) and SLT (OR = 1.63, 95% CI [1.22, 2.17], p <.001). Motor delays were negatively associated with academic performance but positively associated with internalizing problems. General linear modeling showed that the adoptees who had developmental delays at arrival and subsequently enrolled in EI scored significantly lower on academic performance than their peers who had delays but did not enroll in EI, as well their peers who had no delays and did not enroll in EI. Implications of these findings are discussed.     

On the Theories and Problems of Adolescence

Temptation behavior was studied in four groups of elementary school children (control, please-experimenter, competition, please-experimenter/competition) in an attempt to assess the influence of intangible incentives upon resistance to temptation. The results indicated that the frequency of transgression in both young and old males was unrelated to the experimental manipulations. Female Ss, on the other hand, while unresponsive to “experimenter warmth,” exhibited a much higher incidence of cheating when given a competitive set. This was true of both young and old females. The implications of these findings for research using measures of resistance to temptation are discussed.     

Teacher–child relationship,child withdrawal and aggression in the development of peer victimization

The study examined pre-kindergarten teacher–child relationship as a predictor of peer victimization up to first grade, assessed whether this role moderated risks from children's social withdrawal and/or aggression. Participants were 377 Australian children from 12 schools. Parent ratings of victimization in pre-kindergarten, kindergarten and first grade were used, as well as prekindergarten self-ratings of parenting. Teacher-ratings of conflict and closeness, child aggression and social withdrawal were collected in pre-kindergarten. Two-part growth curve analyses conjointly modeled the likelihood of being victimized and severity of victimization. Teacher–child conflict in prekindergarten predicted the likelihood of concurrent and first grade victimization; closeness in prekindergarten was protective of more severe victimization over time. Conflict also moderated the relationship between social withdrawal and growth in severity of victimization. Discussion focuses on elucidating the ‘invisible hand’ of the teacher in peer dynamics, and on interventions for reducing conflict and promoting closeness in the classroom.     

Parenting Wisely: Parent Training via CD-ROM with an Australian Sample

The effectiveness of a parenting program was examined with an Australian sample regarding improved parent knowledge, parental sense of competence, and child behavior. One hundred and sixteen parents and their children were randomly assigned to three conditions: a two-session group based intervention, a two-session self-administered individual intervention, or to a waitlist control group. Across both treatment modalities results reveal a significant increase in parental satisfaction, efficacy, and a reduction in child problem behavior. Improvements were maintained at 3-months follow-up. Results indicate the individual self-administered format enhanced treatment gains relative to the group format.     

Cognitive Behavioral Principles Within Group Mentoring: A Randomized Pilot Study

This study evaluated the effectiveness of a group mentoring program that included components of empirically supported mentoring and cognitive behavioral techniques for children served at a community mental health center. Eighty-six 8- to 12-year-old children were randomly assigned to either group mentoring or a wait-list control group. Group mentoring significantly increased children's reported social problem-solving skills and decreased parent-reported child externalizing and internalizing behavior problems after controlling for other concurrent mental health services. Attrition from the group mentoring program was notably low (7%) for children. The integration of a cognitive behavioral group mentoring program into children's existing community mental health services may result in additional reductions in externalizing and internalizing behavior problems.     

Self-Management Training With Families of Insulin-Dependent Diabetic Children:

In a control group design with a multiple baseline across behaviors component, insulin dependent diabetic children and their parents were trained in self-managment. Parents and children conducted behavior change projects related to diabetes health care and a metabolic measure of diabetes control was obtained. When compared with control subjects, self-managment subjects reported a large decline in diabetes related family conflict and an increase in compliance with the medical regimen. These changes were maintained at six month follow-up. Both experimental and control subjects exhibited signficant improvements on the metabolic measure of diabetes control. Implications of these findings are discussed.     

A Review of: “Greenwald,R. (2009). Treating Problem Behaviors: A Trauma-Informed Approach.”

This single-case-design experiment examined an intervention to decrease bed-sharing in children, ages 2 through 6. Three sessions were conducted with each parent. At the first session, parents described bed-sharing history and began collecting baseline data. At the second session, parents were instructed to employ the intervention. At the third session, parents were interviewed and offered continued support, if needed. Participants included three children who slept with their parents 4 or more nights per week. The intervention resulted in a substantial decrease in bed-sharing behavior for all participants, and parents reported being satisfied with the intervention.     

Fostering Students’ Appraisals of the Relevance of History by Comparing Analogous Cases of an Enduring Human Issue: A Quasi-Experimental Study

To identify the challenges that students must meet to engage in effective self-directed inquiry, a class was followed for three years, from the fourth through the sixth grades, as they engaged in a sequence of progressively more demanding inquiry activities. Students made substantial progress in understanding the objectives of inquiry, identifying questions, attending to evidence, identifying patterns, making controlled comparisons, interpreting increasingly complex data, supporting claims, and drawing justified conclusions. Retaining awareness of inquiry objectives and integrating influences of multiple variables in predicting outcomes were two areas that remained challenging. A comparison group of seventh graders who had not been involved in the program displayed strikingly different approaches to an inquiry task, indicating that the skills identified here are not ones that develop in the absence of appropriate kinds of educational experiences.     

Determination of problems in patients with post‐laryngectomy

The purpose of this study is the determination of the physical and psychosocial problems of total and partial laryngectomies. A total of 25 patients, who were operated with the diagnosis of larynx carcinoma in 2010 at Gazi University Faculty of Medicine Otolaryngology Department, were included in the study. They were evaluated with the help of the Personal Information Form (PIF) and the Determination Form of Post Laryngectomy Problem (DFPLP) for the problems they encountered after the operation. Total laryngectomy (TL) was performed on 76% of patients. It was determined that patients undergoing total laryngectomy experienced some physical and psycho‐social problems such as problems in sleep (31.6%), smell (52.6%), taste (36.8%), and difficulty in swallowing solid foods (36.8%). Furthermore in patients with TL surgery whilst 47.4% of them think that their sexual lives were affected rather negatively, this rate was determined as 33.3% in patients with partial laryngectomy surgery (PL). The psychosocial score averages of the patients who had smell and taste disorders were significantly lower (p < 0.05). The patients, who underwent a laryngectomy operation, experienced many physical, social, and psychological problems. Thus, medical personnel also need to pay attention to these concomitant problems that occur during the treatment of the primary disease and the application of necessary supplementary treatments such as voice prosthesis, pre‐op and post‐op counseling, and anti‐depressants seems significant in terms of increasing the life quality of the patients.     

Avoiding unbearable pain

This presentation describes the way in which defence mechanisms and resistance manifested themselves in the analysis of a man with a narcissistic personality disorder. In the course of the analysis, there were changes in the forms taken by the defence and the resistance, signalling important genetic and dynamic conditions in his life. Both represented desperate attempts to avoid the unbearably painful feelings and affects which he had experienced in his childhood, and bore witness to early and primitive defence mechanisms such as denial, splitting and projective identification. The defence can also be seen as an expression of an unconscious fear of being re-traumatised. The idealisation of the analyst in the first years of the analysis can therefore be understood as a precondition for entering into this kind of process. It also represented a defence against aggressive and homosexual feelings in the transference which first became clear during the final phase of the analysis and could then be worked through. At this point, the analyst's reactions to his own unconscious countertransference were of help in understanding what was actually going on. This analysis may also suggest that defects and trauma in the earliest years may be conducive to alexithymia, deficient contact between feelings and words, linked to the risk of developing serious psychosomatic illnesses. This may be a consequence of the fact that the child's feelings and affects were neither accepted, understood nor affirmed in words, or they may even have been met with rejection or ridicule. A connection between narcissistic personality disorders and alexithymia can possibly be seen here.