Effectiveness of Child-Directed Interaction Training for Young Japanese Children With Autism Spectrum Disorders

Abstract

This study examined the efficacy of Child-Directed Interaction Training (CDIT), the first phase of Parent-Child Interaction Therapy (PCIT), for Japanese children with autism spectrum disorders. The participants were 21 mother-child dyads with children aged 4–7 years; participants were assigned to an Immediate Treatment (IT) group or to a Waitlist (WL) control group. Across eight training sessions, mothers learned positive attention skills that were adapted from traditional PCIT training. Results showed CDIT not only improved social cognition skills and decreased disruptive behavior in Japanese children, but also reduced stress/distress among their mothers, particularly in relation to their own parenting skills and their child’s problem behaviors.     

Efficacy of In-Home Parent-Child Interaction Therapy

ABSTRACT

In recent years, there has been much discussion of the efficacy of mental health interventions for children as well as the transportation of empirically-supported treatments (ESTs) to field settings. A logical initial step in this line of research is to examine whether the efficacy of ESTs can be demonstrated in community settings such as in the home environment. The purpose of the study was to examine the efficacy of an in-home Parent-Child Interaction Therapy (PCIT) program using a single-subject, A/B design across five subjects with staggered baselines. Decreases in caregiver use of negative behavior and caregiver-reported child behavior problems were observed for the three families that completed treatment. In addition, completers demonstrated increases in child compliance, caregiver use of positive behavior, and contingent praise. Data regarding caregivers' reported parenting stress and caregiver proportion of direct commands were less convincing. All three dyads completing treatment reported satisfaction with the intervention. Clinical implications regarding the possible benefits of PCIT for improving the effectiveness of home visiting programs are discussed as well as directions for future research.     

The Contribution of the Dyadic Parent-Child Interaction Coding System (DPICS) Warm-Up Segments in Assessing Parent-Child Interactions

This study evaluated the inclusion of uncoded segments in the Dyadic Parent-Child Interaction Coding System, an analogue observation of parent-child interactions. The relationships between warm-up and coded segments were assessed, as well as the segments’ associations with parent ratings of parent and child behaviors. Sixty-nine non-referred parent-child dyads engaged in the observation. Parents completed measures about their parenting and children's behaviors. Significant differences were observed between the first situation's warm-up and coded segments, whereas minimal differences were found for the second situation. Findings suggest that the second warm-up segment may not be necessary for optimal assessment of parent-child interactions.     

Treatment Outcome for Low Socioeconomic Status African American Families in Parent-Child Interaction Therapy: A Pilot Study

The course and efficacy of parent-child interaction therapy (PCIT) were examined in 18 socioeconomically disadvantaged African American families of preschoolers with disruptive behavior disorders. Mothers reported significant improvements in child disruptive behavior but not in maternal depressive symptoms or parenting stress. Attrition was 56%, most often occurring after pre-treatment assessment but before treatment began. Results suggest that PCIT may lead to positive behavior changes for disadvantaged young African American children when families complete treatment. Recruitment, engagement, and retention remain significant problems requiring further study. Reduction of parenting stress also requires study in this population.     

Extended network learning error: A new way of conceptualising chronic fatigue syndrome

Abstract

The cause of chronic fatigue syndrome (CFS) is controversial: psychological, hypothalamic and immune mechanisms have been proposed as well as the possibility of some form of interaction between these mechanisms. Patients' own conceptual models vary and sometimes adversely affect self-management. This paper suggests an interactional way of conceptualising CFS using developments in complexity theory (networks, parallel processing or connectionism). I propose that the neurological, immune and endocrine systems are pan of a single, self-regulatory, extended brain-body network. Furthermore, that CFS is caused by self-organisational change in this extended network created by normally adaptive error-sensitive learning rules that malfunction when physiological and psychological challenges coincide. This psychoneuroimniunoendocrinological model shows how previously proposed mechanisms could interact to cause CFS. explains the heterogeneity of the presentation of the disease, and provides a conceptual model that may be acceptable to patients but is also consistent with effective self-management.     

Response to commentaries on discussion paper Gene–environment interdependence

There is a high measure of agreement on the key issues concerning gene–environment interdependence. Contrary to arguments on the need for direct exact replication of findings, it is suggested that “robust” replication using the same constructs is needed. RCTs have an important role for testing for environmental mediation but cannot be used for environmental risks in childhood that show G×E in relation to adult outcomes. Instead, greater use needs to be made of natural experiments. Experimental methods are needed to study biological mediating mechanisms and these should include both animal models and human brain imaging studies. In addition to further research on G×E, further studies of gene–environment correlations are required. Many challenges remain but the future for gene–environment interdependence is bright.     

Pubertal timing and self-esteem in adolescents: The mediating role of body-image and social relations

The aim of this study was to investigate the relationship between pubertal timing and self-esteem, and the mediating role of body-image, parent–adolescent interaction and peer support within this relationship. The sample comprised 526 adolescents, aged 10–13. Two measures of pubertal timing were used: perceived pubertal timing and pubertal timing based on Pubertal Development Scale (PDS). There were no differences in self-esteem between groups of adolescents with different pubertal timing based on PDS. Perceived early maturation was related to lower self-esteem in girls, and higher self-esteem in boys. We found evidence that the relationship between girls' perceived pubertal timing and self-esteem is mediated through the following variables: closeness to mother and father, and conflict with mother. In boys, mediators of the relationship between perceived pubertal timing and self-esteem are body-image and excessive control by mother. The results imply that interventions aiming to improve early maturing girls' self-esteem should focus on the interaction with their parents.     

Parental behaviour and children's creation of imaginary companions: A longitudinal study

This longitudinal study examined whether parenting quality, parental behaviours and children's temperament at 6 months of age predicted children's creations of imaginary companions (ICs) at 44 months of age. At six months, parenting quality and parental behaviours were measured using the Parent-Child Early Relational Assessment, and the frequency of mental-state references made during mother–infant interactions was recorded. Temperament was assessed using the Revised Infant Temperament Questionnaire. Parents then completed questionnaires assessing whether their children had ICs at 44 months of age. The results revealed that only the approach characteristic of temperament marginally predicted children's IC status. Results of the parental measures showed that parents of children with ICs were more likely to attribute mental states to their child and to refrain from intruding in their child's behaviours than parents of children without ICs. The results indicated that parental behaviours are important for children's creation of ICs.     

Explorations of silence in the religious rituals of Buddhists and Quakers

This paper is a participant-observation-based study of one Quaker and three Buddhist groups. Using a sociological framework, it explores silence as actively practiced in religious ritual. It demonstrates the usefulness of employing multiple continuums to analyze practices, including a speech–silence continuum, a body movement–body stillness continuum, and a thinking–not thinking continuum. Even when silence is seen as active, it may be construed as functioning to turn people inward and away from each other. Instead, this paper demonstrates how silence for these groups is not necessarily socially isolating. For instance, participants not only learned, practiced, and reflected on silence together, but drew connections between the practice of silence and changes in everyday social interactions, including bringing compassion into these. Some persons referred to realizing a sense of interconnectedness in the silence akin to a Meadian fusion.     

Memory,Quasi-memory,and Pseudo-quasi-memory

Bishop Butler objected to Locke's theory of personal identity on the grounds that memory presupposes personal identity. Most of those sympathetic with Locke's account have accepted Butler's criticism, and have sought to devise a theory of personal identity in the spirit of Locke's that avoids Butler's circularity objection. John McDowell has argued that even the more recent accounts of personal identity are vulnerable to the kind of objection Butler raised against Locke's own account. I criticize McDowell's stance, drawing on a distinction introduced by Annalisa Coliva between two types of immunity to error through misidentification.