Safe haven in adolescence: Improving parental reflective functioning and youth attachment and mental health with the Connecting and Reflecting Experience

Attachment security provides a well-documented protective developmental function for children exposed to individual- and community-level trauma, yet the effectiveness of prevention and intervention efforts targeting attachment during adolescence has been relatively underexplored. The Connecting and Reflecting Experience (CARE) program is a transdiagnostic, bi-generational, group-based, mentalizing-focused parenting intervention developed to dismantle the intergenerational transmission of trauma and support secure attachment relationships across the developmental spectrum within an under-resourced community. This exploratory study evaluated outcomes among caregiver-adolescent dyads (N = 32) in the CARE condition of a nonrandomized clinical trial at an outpatient mental health clinic within a diverse, urban U.S. community with disproportionate trauma exposure exacerbated by COVID-19. Caregivers predominantly identified as Black/African/African American (47%), Hispanic/Latina (38%), and/or White (19%). At pre- and post-intervention, caregivers completed questionnaires regarding parental mentalizing and their adolescents’ psychosocial functioning. Adolescents completed scales regarding attachment and psychosocial functioning. Results showed a significant decrease in caregivers’ prementalizing on the Parental Reflective Functioning Questionnaire, improvement in adolescent psychosocial functioning on the Youth Outcomes Questionnaire, and an increase in adolescents’ reports of attachment security on the Security Scale. These preliminary findings suggest that mentalizing-focused parenting interventions may be effective in fostering improved attachment security and psychosocial functioning during adolescence.     

Children's decision strategies and their adaptation to task characteristics

Recent research has established decision making as an important type of strategic problem solving. From this perspective, the present paper examines strategic decision behavior in children and, in particular, the ability to adapt decision strategies to task characteristics. Twelve-year-olds' strategies were identified through analyses of information search patterns with different-sized matrices of information. Using a similar procedure, Payne (1976, Organizational Behavior and Human Performance, 16, 366–387) found that adults shifted to more efficient (but less “optimal”) strategies as task complexity increased. The present study indicates that, by 12 years of age, children understand many of the basic concepts of strategic decision making, such as compensation and elimination, and, like adults, they modify their strategies appropriately in response to complexity. However, their behavior differs from that reported for adults in that the distinctions among specific decision strategies are not clear cut, and there is frequent use of less demanding, cost-cutting strategies even with smaller decision tasks. Memory capacity and topic interest also affect decision strategy. The results support the feasibility of further developmental study of decision strategies. Analytical techniques developed here for use with children may profitably be applied in studies with adults as well.     

Rapid silent response to repeated target symbols by dyslexic and nondyslexic children

A previous study demonstrated that naming of repeated colors, objects, letters, and numbers (RAN test) was performed more slowly by dyslexic than by nondyslexic learning disabled children, whereas both groups were slower than controls. A test eliminating the vocal response and requiring “cancellation” of selected verbal targets distinguished the two learning disabled groups from each other only when the targets were triads of numbers or letters, the dyslexic group performing more slowly. Compared even with triad target selection, however, dyslexic children were relatively more impaired on rapid naming (RAN), suggesting a specific relationship of reading to speech or the greater mobilization of language functions which speech requires.     

A case of literal alexia: evidence for a disconnection syndrome

We describe a patient with literal alexia, agraphia, and only minimal aphasia, resulting from a left occipito-parietal ischemic infarction. Neither impaired visual processing nor impaired oral output could explain the patient's letter reading deficit, since he retained the ability to match letters of mixed case, and remained able to spell aloud and to pronounce and comprehend orally spelled words. His residual word reading was characterized by better performance for nouns and highly imageable words than for functors , poorly imageable words, and nonwords. We propose that this patient's letter reading deficit was due to a partial disconnection of his visual from his linguistic systems, with residual word reading accomplished by a semantically mediated compensatory mechanism. We suggest, further, that the dissociations between word and letter reading observed in some alexic individuals may be attributed, in part, to a difference in the relative contributions of dorsal and ventral occipital structures to the reading process.     

Alcoholics treated by individualized behavior therapy: One year treatment outcome

One-year treatment outcome results are reported for 70 male alcoholics who, while hospitalized at Patton State Hospital, served as subjects in an experiment evaluating ‘Individualized Behavior Therapy (IBT)’ techniques. Initially, subjects had been assigned to a controlled drinking or non-drinking (abstinence) treatment goal, and then were randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment. One year follow-up results demonstrated that IBT treated subjects had functioned significantly better than control subjects. Dependent variable measures included daily drinking disposition, general emotional adjustment, vocational satisfaction, occupational status, driving status and an index of residential status and stability. The results support the view that some ‘alcoholics’ can acquire and maintain controlled drinking behavior over at least a 1-yr follow-up interval. The difficulties of designing and applying sophisticated follow-up procedures and measures are discussed.