The Diagnostic Utility of the Child Sexual Behavior Inventory for Sexual Abuse: A Systematic Review

Children with alleged child sexual abuse (CSA) need to be assessed systematically. The use of validated instruments during the assessment, like the Child Sexual Behavior Inventory (CSBI), could add diagnostic value. We aim to assess the diagnostic utility of the CSBI to differentiate between sexually abused and non-abused children. We conducted a systematic review. We searched the electronic databases MEDLINE and PsychInfo for studies comparing CSBI scores in sexually abused children and non-abused children (2–12 years old). Two independent reviewers extracted data and assessed the methodological quality. We included 7 (out of 1048) articles. The CSBI total scores were significantly higher in CSA-victims compared with non-abused children (in case–control settings). However, in children with suspected CSA, the results were ambiguous. One study reported significant differences. Another study reported weak diagnostic ability for the CSBI-3 in children with suspected CSA (a sensitivity and specificity of 0.50, with a positive predictive value of 0.28, and a negative predictive value of 0.72). Research on the diagnostic utility of the CSBI for suspected CSA is limited and shows disappointing results. Until more research is done, the CSBI should not be used on its own to differentiate between sexually abused and non-abused children.     

Early Sexual Initiation and Mental Health: A Fleeting Association or Enduring Change?

The present research examined how the within‐person association between sexual initiation and internalizing symptoms decays over time, using data with annual measurement occasions across adolescence (N = 1,789) and statistical models of within‐person change. Sexual initiation was associated with increased levels of internalizing symptoms for early‐initiating girls (ninth grade, approximately age 15), but not for on‐time‐initiating girls or for boys. The association between girls' early sexual initiation and internalizing symptoms declined precipitously over time. Indeed, 1 year after sexual debut, early‐initiating girls were similar to on‐time or noninitiating girls on internalizing symptoms, suggesting early sexual initiation does not produce lasting detriments to girls' mental health. Findings inform how researchers perceive sexual initiation, both as a developmental milestone and as a prevention target.     

Adolescent Internalizing Symptoms and the “Tightknittedness” of Friendship Groups

Adolescents with depression have lower peer status overall, but tend to befriend each other. We examined the “tightknittedness” of their friendship groups by testing whether adolescent friendship groups’ average levels of or variability in internalizing symptoms predict group cohesiveness. We used four waves (9th–12th grades) of survey and social network data on 3,013 friendship groups from the PROmoting School‐Community‐University Partnerships to Enhance Resilience study. Friendship groups with higher average depressive symptoms were less cohesive; groups with higher average anxiety symptoms had greater reciprocity. Groups with greater variability in depressive symptoms had greater density; variability in anxiety symptoms was not consistently associated with cohesion. The friendship groups of depressed adolescents appear less cohesive than the “typical” adolescent friendship group.     

Photographs of young generations on the Dutch labour market

In the light of the decline of “standard” employment relationships in many countries and its particular effect on young people, this article provides a detailed analysis of the labour market trajectories of early-career workers in the Netherlands between 1985 and 2014, adopting the approach of the sequence analysis of life-course events. Using two indicators for instability (entropy and turbulence), the authors find that cohorts that entered the labour market after 2000, and particularly in 2008, experience greater employment status instability despite the flexicurity policies applied. Transitions into stable employment are the exception rather than the rule.     

First Episode Psychosis: A Magical Realist Guide Through Liminal Terrain

This paper presents a narrative of a client, ‘Eva’, who experienced what is termed by psychiatry a first episode psychosis. As a family and relationship counsellor practicing narrative therapy with its backdrop of post‐structuralism and curiosity of exploring new entry points for narratives of identity, I tentatively sought new ways to engage with Eva's story. My endeavour in meeting with ‘First Episode Psychosis’ is described through adopting a listening position from a reading of magical realist literature. This extends Michael White's political exploration of ethnographer Arnold van Gennep's liminal spaces (in the rites of passage metaphor) to understand units of experience, units of meaning, and the fluidity of identity in psychosis, which is contextualised as a response to events in the client's story.     

Keeping open by re‐imagining laughter and fear

Speaking to the debate on the nature of critique, this article is about the struggle to produce an account when listening to and retelling stories. It begins with the disconcertment over listening to a coherent story that emerges in interviews about the development of performance indicators for Dutch hospital care. The indicators are presented as solutions to the problem of unruliness in the healthcare world. Drawing on Helen Verran's work on generative critique I slow down the ‘problem‐solution‐found’ plot. Instead of contrasting the apparently coherent stories with the complexities of an ‘underlying’ practice of healthcare, I hold on to my initial disconcertment so that ‘fleetingly subtle’ interruptions become entry points for generative critique. Taking Eduardo Viveiros de Castro's understanding of the relation that fear and laughter have to alterity, I show how fear and laughter permit generative critique within seemingly coherent stories. In the case of indicator development, the interviewees ‘laugh away’ what they consider alter from quality and safety in healthcare: having no control over what is going on, polyglotism instead of a common language, and inaction as opposed to taking one's time. Paying attention to disconcerting interruptions generates sensitivity and questions rather than yet another set of (critical) problem‐solution‐found answers. How can ridiculed (laughed away) subjectivity be acknowledged as important entry points for including alterity in supervision? And how to position the acknowledgement, not as an antidote, but as a way of rendering the fear of alterity generative? Nurturing sensitivities is crucial for keeping open, which means resisting both the sticky tendency of normalizing accounts and the fallacy of misplaced concreteness. I conclude that keeping open by re‐imagining critique resonates with the creativity of collective life in actual times and places. Thereby it offers a promising potential for doing worlds differently.     

Asymmetry models for square contingency tables: exact tests via algebraic statistics

Square contingency tables with the same row and column classification occur frequently in a wide range of statistical applications, e.g. whenever the members of a matched pair are classified on the same scale, which is usually ordinal. Such tables are analysed by choosing an appropriate loglinear model. We focus on the models of symmetry, triangular, diagonal and ordinal quasi symmetry. The fit of a specific model is tested by the chi-squared test or the likelihood-ratio test, where p-values are calculated from the asymptotic chi-square distribution of the test statistic or, if this seems unjustified, from the exact conditional distribution. Since the calculation of exact p-values is often not feasible, we propose alternatives based on algebraic statistics combined with MCMC methods.     

A century of population aging in Germany

The population of Germany is becoming progressively more elderly, and this article focuses on the causes and implications of that trend. We discuss the demographic processes that occurred in Germany in the second half of the 20th century and describe the developments that the population of Germany will undergo in the next 50 years, which promise to exert a profound influence on the economic and social future of the country.