Developmental and sex-related differences in preschoolers' affective decision making

This study investigated developmental and sex-related differences in affective decision making, using a two-deck version of Children's Gambling Task administered to 3- and 4-year-old children. The main findings were that 4-year-old children displayed better decision-making performance than 3-year-olds. This effect was independent of developmental changes in inductive reasoning, language, and working memory. There were also sex differences in decision-making performance, which were apparent only in 3-year-old children and favored girls. Moreover, age predicted awareness of task and the correlation between the latter and decision-making performance was significant, but only in 4-year-old children. This study thus indicates that there is a remarkable developmental leap in affective decision making, whose effects are apparent around the age of 4, which according to our results, also marks the age when the correlation of declarative knowledge and decision-making performance becomes significant.     

Trigger warnings,covenants of presence,and more: Cultivating safe space for theological discussions about sexual trauma

Sexual assault is prevalent, but many educators find themselves ill‐prepared to address it in the classroom. This article conceptualizes a trauma sensitive pedagogy that engages the psychological, social, and theological implications of sexual assault for classroom conversations about sex and sexuality. First, the article examines the impact of the classic power disparity between student and teacher as a dynamic that can trigger recall of the abuse of power inherent in sexual violence. Next the article reframes understandings of trigger warnings to consider how they can be used to support educators in taking seriously the vulnerability of those who have experienced sexual assault. The article also presents perspectives on the role of “teacher self‐disclosure” in facilitating conversations that acknowledge sexual assault, followed by a teaching strategy that demonstrates pedagogical sensitivity to trauma. Suggestions on how to support students through and beyond conversations that can trigger traumatic stress conclude the article.     

A weight‐related growth mindset increases negative attitudes toward obese people

In implicit personality theory, people with entity views or a fixed mindset perceive characteristics (e.g., intelligence) as uncontrollable, whereas people with incremental views or a growth mindset perceive characteristics as controllable. In addition to other benefits, the literature sometimes suggests that having a growth mindset will protect against prejudice, which the current two studies examine in terms of negative attitudes toward obese people. Participants (total N = 501) were randomly assigned to complete a questionnaire assessing attitudes toward an obese or nonobese person and a self‐theory questionnaire also assessed ideas about body weight. People with a growth mindset, and not fixed mindset, were more likely to have negative attitudes toward obese individuals, pointing to a potential downside of growth mindset in the obesity domain.     

Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

Behavioral health integration within primary care has been evolving, but literature traditionally focuses on smaller scale efforts. We detail how behavioral health has been integrated across a large, urban pediatric hospital system’s six primary care clinics (serving over 35,000 children annually and insured predominately through Medicaid) and discuss strategies for success in sustaining and expanding efforts to achieve effective integration of behavioral health into primary care. In a time span of 3 years, the clinics have implemented routine, universal behavioral health screening at well child visits, participated in a 15-month behavioral health screening quality improvement learning collaborative, and integrated the work of psychologists and psychiatrists. Additional work remains to be done in improving family engagement, further expanding services, and ensuring sustainability.     

A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof‐of‐Concept in a Clinical Sample of Veterans

A “Hope Box” is a therapeutic tool employed by clinicians with patients who are having difficulty coping with negative thoughts and stress, including patients who may be at risk of suicide or nonsuicidal self‐harm. We conducted a proof‐of‐concept test of a “Virtual” Hope Box (VHB)—a smartphone app that delivers patient‐tailored coping tools. Compared with a conventional hope box integrated into VA behavioral health treatment, high‐risk patients and their clinicians used the VHB more regularly and found the VHB beneficial, useful, easy to set up, and said they were likely to use the VHB in the future and recommend the VHB to peers.