Latinx LGBQ Young Adults’ Coming-Out Experiences

Abstract

Marriage and family therapists (MFTs) must be culturally competent and sensitive to serve the growing Latinx population in the United States (US). To understand the sexual orientation disclosure experiences of Latinx LGBQ individuals, we interviewed 10 individuals. Using Moustakas’ (1994) phenomenology, we identified six themes: disclosure impacts family closeness, family members experience disbelief, control over the disclosure influences young adults’ perception of their coming-out experience, the coming-out experience is influenced by religion, the coming-out experience is influenced by traditional gender roles, and disclosure of sexual identity is a continuous process. We discuss clinical implications and areas for future research.     

Disentangling the effects of cognitive development and linguistic expertise: a longitudinal study of the acquisition of English in internationally-adopted children

Early language development is characterized by predictable changes in the words children produce and the complexity of their utterances. In infants, these changes could reflect increasing linguistic expertise or cognitive maturation and development. To disentangle these factors, we compared the acquisition of English in internationally-adopted preschoolers and internationally-adopted infants. Parental reports and speech samples were collected for 1 year. Both groups showed the qualitative shifts that characterize first-language acquisition. Initially, they produced single-word utterances consisting mostly of nouns and social words. The appearance of verbs, adjectives and multiword utterances was predicted by vocabulary size in both groups. Preschoolers did learn some words at an earlier stage than infants, specifically words referring to the past or future and adjectives describing behavior and internal states. These findings suggest that cognitive development plays little role in the shift from referential terms to predicates but may constrain children's ability to learn some abstract words.     

Is the centralization of potentially traumatic events always negative? An expansion of the Centrality of Events Scale

The autobiographical memory model of posttraumatic stress disorder (PTSD) argues that centralizing a traumatic event into one's life story is a maladaptive process associated with increased PTSD symptoms. Current measures of event centralization make no reference to whether individuals centralize the event in a positive or negative way. This study examined 400 undergraduate participants using a modified version of the Centrality of Events Scale composed of 2 factors measuring both positive and negative event centralization. Exploratory factor analysis confirmed the 2‐factor structure. Negative event centralization was associated with PTSD symptoms to a greater degree than was positive event centralization, and negative event centralization mediated the relationship between neuroticism and PTSD symptoms. Combined, these results suggest that the effect of event centralization is dependent on the valence with which the individual centralizes the event. The relationship shown between negative event centralization and PTSD symptoms supports the autobiographical memory model of PTSD.     

In conflict with ourselves? An investigation of heuristic and analytic processes in decision making

Many theorists propose two types of processing: heuristic and analytic. In conflict tasks, in which these processing types lead to opposing responses, giving the analytic response may require bothdetection andresolution of the conflict. The ratio bias task, in which people tend to treat larger numbered ratios (e.g., 20/100) as indicating a higher likelihood of winning than do equivalent smaller numbered ratios (e.g., 2/10), is considered to induce such a conflict. Experiment 1 showed response time differences associated with conflict detection, resolution, and the amount of conflict induced. The conflict detection and resolution effects were replicated in Experiment 2 and were not affected by decreasing the influence of the heuristic response or decreasing the capacity to make the analytic response. The results are consistent with dual-process accounts, but a single-process account in which quantitative, rather than qualitative, differences in processing are assumed fares equally well in explaining the data.     

Contemporary MFT Models’ Alignment with Relational Common Factors

Common factors theorists believe that therapy is effective, not only because of model specific elements, but also, because of common factors that cut across various treatment models. Common factors include extra-therapeutic factors such as treatment setting, therapeutic alliance, therapist variables and client variables. Common factors researchers have proposed a set of relational common factors that are unique to the practice of marriage and family therapy, including the ability to conceptualize difficulties relationally and the ability to disrupt dysfunctional relationship patterns. In this paper, I analyze and compare relational common factors in three contemporary models: narrative therapy, solution-focused therapy and cognitive-behavioral therapy. Finally, I discuss significant implications for theorizing, training and supervision.     

The role of therapy productiveness on MFT clients’ intentions to persist in therapy

Many clients drop out of therapy before reaching their goals (Bohart &; Wade, 2013 Bohart, A. C., &; Wade, A. M. (2013). The client variables in psychotherapy. In M. Lambert (Ed.) Bergin &; Garfield’s Handbook of psychotherapy and behavior change. (p. 219–257). New York: Wiley. [Google Scholar]), though being in therapy produces more change than not being in therapy (Lambert, 1992 Lambert, M. J. (1992). Implications of outcome research for psychotherapy integration. In J. C. Norcross &; M. R. Goldfried (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York: Basic Books. [Google Scholar]). To investigate the factors that affect clients’ decisions to persist in therapy, we surveyed a convenience sample of 72 clients of MFTs in individual, couple or family therapy currently in treatment in a community-based therapy center. We tested moderation using regression analysis to determine the extent to which productiveness moderates the relationship between therapeutic alliance and intended persistence. Results showed that productiveness moderated the relationship between therapeutic alliance and intended persistence. Specifically, higher levels of therapy productiveness strengthened the relationship between therapeutic alliance and therapy persistence. Implications for future research and practice are presented and discussed.     

Common Factors Come Alive: Practical Strategies for Implementing Common Factors in MFT Training

Presently, MFT training programs teach MFT models in a way that emphasizes differences over similarities (Karam et al. in J Marital Fam Ther, 2015. doi: 10.1111/jmft.12096; Sprenkle and Blow in J Marital Fam Ther 30:113–129, 2004a. doi: 10.1111/j.1752-0606.2004.tb01228.x, in J Marital Fam Ther 30:151–157, b. doi: 10.1111/j.1752-0606.2004.tb01230.x; Sprenkle et al. in Common factors in couple and family therapy: the overlooked foundation for effective practice. Guilford Press, New York, 2009). Although teaching a variety of models and their distinctiveness is vital, doing so may create a competitive rather than integrative relationship between models (Karam et al. 2015). While Karam et al. 2015 encourage the inclusion of common factors in MFT training, we expand their justification for the importance of doing so We also explain conceptual and practical ways to include common factors in MFT training. Common factors instruction can fulfill multiple purposes: (a) create a sense of cohesiveness for programs which need to teach breadth of topics that can seem unrelated, (b) help prepare practitioners who need to learn many models well but will likely adopt an integrative approach, (c) align with basic skills training, (d) align with process research, and (e) enhance the richness of individual models. For each of these purposes, we provide an example of a classroom activity. We conclude with a unifying example of how one student may learn the common-factors perspective and weave it into her reflective practices as an MFT student.     

The Influences of Event Centrality in Memory Models of PTSD

The consequences of events for well‐being are influenced by individual and situational factors that are often studied in isolation. In the research reported here, a large (N = 489) nonclinical sample of college students reported their most traumatic event, posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, personality traits, and characteristics of their event memory. This study achieved three major goals. First, we identified the highest types of stress event types in this population as disruptions of interpersonal relationships, homicides/assaults on others, and assaults/accidents involving themselves. Second, we established that the effects of memory characteristics such as vividness, belief, and impact on PTSD symptoms are mediated by the centrality of the event to identity. Third, we affirmed the hypothesis that a structural model of the influence of personality factors on PTSD symptoms has a higher level of concurrent validity if event centrality is included as a mediator of those influences. Copyright © 2015 John Wiley & Sons, Ltd.     

Assessment and treatment of object mouthing in a public school classroom

Little research has been conducted to evaluate the most effective treatments for object mouthing in school or classroom settings. The current case example illustrates the process for conducting a functional assessment and implementing treatment for object mouthing in a public school special education classroom. Teacher and parent interview, direct observations, and functional analysis were used to determine that the object mouthing of a 4‐year‐old girl with severe developmental disabilities was maintained by automatic reinforcement. Free operant preference assessments determined physical parameters of objects that were highly mouthed. Paired choice preference assessments determined which competing items to use in a treatment evaluation. Initial treatment consisted of fixed‐time delivery of a competing food item that reduced object mouthing to very low levels. To completely eliminate the mouthing, physical response blocking was added. Data are presented demonstrating the success of the treatment for up to 15 weeks of follow‐up after the initial treatment evaluation. Copyright © 2006 John Wiley & Sons, Ltd.     

Tap,swipe, and build: Parental spatial input during iPad® and toy play

Despite the increase in the use of interactive technological devices, little is known about the impact that play context has on the production of spatial language by parents. To investigate whether there is differential parental spatial input afforded by play contexts with their preschoolers, 34 children (20 girls, 14 boys) and their primary caregivers engaged in 30‐min 3‐dimensional (3D) spatial play using blocks and puzzles and virtual 2‐dimensional (2D) spatial play using an iPad^® in 2 separate home visits. There were no significant differences in the average amount of spatial talk and the number of spatial categories used by parents in both 3D and 2D play contexts. However, the amount of parental spatial talk decreased significantly with older preschoolers using the iPad^®. In the 3D play contexts, parents produced more words related to spatial dimensions, location and directions, and continuous amount than in the 2D play contexts. However, in the 2D play contexts, they produced more words associated with orientations and transformations as well as deictics than in the 3D play contexts. Our findings suggest that technology can be effectively introduced into play contexts to elicit enriched parental spatial input by supporting parents and caregivers with best practices.

Highlights

• The present study examines the differences in parental spatial talk when using traditional versus technology‐based learning tools with their preschoolers.
• Two 30‐min home observations of parent–child dyads playing blocks and puzzles versus spatial apps on an iPad^®. No significant differences in the amount of parental spatial talk and the number of spatial categories in both play contexts were found.
• Our findings suggest that technology can be effectively introduced into play contexts to elicit enriched parental spatial input.