Child therapy outcome in a community mental health center

Studies by the Davis Child Therapy Effectiveness Project reveal that brief therapy is the norm. A retrospective outcome study in one mental health center shows a large proportion of adjustment reactions. Outcome ratings from therapists, parents and patients show fairly high levels of outcome and significant improvement in rated impairment. The children who were more impaired at intake were found to have the most visits and numbers of visits were unrelated to success in treatment. Examples are provided illustrating the use of parent responses to modify center practices.     

Childhood sexual abuse, teenage pregnancy, and partnering with adult men: exploring the relationship

Although the mechanism by which early victimization, specifically sexual abuse, increases the risk of adolescent pregnancy is unclear, a relationship between previous victimization and adolescent pregnancy has been demonstrated. While partnering with an older man may initially offer the means necessary to escape a neglectful or violent family of origin, this protection be accompanied by an imbalance of power and control. Both adolescent mothers partnered with adult men and adolescent mothers partnered with male peers reported sexual abuse perpetrated by family members, family friends, strangers, and peers. Policies developed to protect young people from victimization, including mandatory reporting and statutory rape laws, should be evaluated for their consistent application to all children, regardless of age, race, gender, or pregnancy status.     

Female-perpetrated intimate partner violence and romantic attachment style in a college student sample

The frequency, severity, and reciprocity of female-perpetrated intimate partner violence and its consequences (i.e., injuries) were investigated in a college sample of women (N = 457). Participants were classified into one of the following four groups on the basis of self-reported physical assault perpetration and victimization against their relationship partners: nonviolent, perpetrator-only, victim-only, and bidirectionally violent. Results showed that females in the bidirectionally violent group had a reportedly higher occurrence (although not always statistically significant) of perpetration and victimization than those in the perpetrator-only and victim-only groups. Additionally, a similar degree of reciprocity was indicated by females in bidirectionally violent relationships in terms of violence severity and the occurrence of injury. Adult romantic attachment style was also examined among a subset of females (N = 328), and bidirectionally violent females were found to have the highest reported levels of attachment anxiety. Further, females high in attachment anxiety and low in attachment avoidance were more likely to report perpetrating violence than females high in both styles. Implications for prevention are discussed.     

The Relationship between Styles of Creativity and Managerial Skills Assessment

This study examined the relationships between creativity style, as measured by the Kirton Adaption Innovation Inventory (KAI) and the self and other ratings on a 360- degree feedback instrument, the Management Skills Profile (MSP) among US managers. Results indicated that self-reports of the use of managerial skills were related to the individual manager's creativity style, but the ratings by others were not. Adaptive managers, as defined by the KAI, were more likely to underrate themselves, while self-ratings of innovative managers tended to concur with the ratings of others. Implications for helping managers understand discrepancies in self and others' ratings as a function of creativity style in a developmental context and directions for future research are discussed.     

In the Eye of the Storm: Civil Servants and Managers in the UK Department of Health

In the wake of the 2008 financial crisis, the UK government faces some tough choices over public expenditure, and these choices will have important implications for both the future of health policy and the way in which health services are managed. In this article, we examine the organization and leadership of the UK Department of Health and weigh its suitability to meet such challenges. We find an organization that is culturally split between public servants and managers, highly reliant on the ability of its key personnel to bridge these divides, and extremely responsive to the political goals of government ministers. We explore the modern DH using three types of evidence. First, the history of the department shows clear political efforts to reduce civil service discretion and focus the DH on the management of the English NHS. Second, the recent organizational structures of the DH show a bifurcation between policy direction and NHS management tasks. Third, an analysis of the top ranks of the department since 2005 shows the implementation of political preferences that are consistent with managerialism but inconsistent with the perceived characteristics of traditional civil servants. The result is a department which has changed just as frequently as the health service it oversees – a department which has been moulded by successive ministers into one for the management of the NHS. Our findings raise important questions about the value and purpose of long‐term organizational knowledge in policy formulation.     

Susceptibility to Peer Influence,Self‐Control,and Delinquency

The significance of peers during adolescence is well established in the social science literature. However, relatively few studies have devoted attention to susceptibility to peer influence with regard to both its causes and consequences. The current study aims to add to this literature in two ways. First, it investigates the role of self‐control in the etiology of susceptibility to peer influence. Second, it examines the independent and interactive effects of these two constructs on self‐reported delinquency. Results indicate that individuals who are higher in self‐control are less likely to be susceptible to peer influence, that susceptibility is a stronger predictor of delinquency than self‐control, and that the influence of susceptibility on delinquency is moderated by one's level of self‐control. In particular, the effect of susceptibility to peer influence on delinquency is stronger for individuals with higher levels of self‐control. The implications of the findings for theory and future research are discussed.     

Assessing grief and bereavement: observations from the field

The purpose of this article is to describe the evaluations involved in the Yale Bereavement Study (YBS), a three-year NIMH and NCI-funded longitudinal study conducted from January 2000 through May 2003. The quantitative and qualitative questions included in the YBS gave the respondents an opportunity to describe their most recent loss, rate and review their past losses, and assess all aspects of their current life situations. In this article, the first author describes, in a qualitative manner, the ways in which this assessment, per se, appeared helpful and not harmful to the respondents. Also, developed here is the implication for potential application of a modified version of the YBS which could be used in both research and clinical practice.     

NATIVITY DIFFERENCES IN PHYSICAL HEALTH: THE ROLES OF EMOTIONAL SUPPORT,FAMILY, AND SOCIAL INTEGRATION

U.S. immigrants are a physically healthy population, but we do not understand the explanatory factors responsible for their physical health status, particularly those related to social network support. Using data from the 2001 wave of the National Health Interview Survey, we examine multiple measures of immigrant adaptation, investigating their influence on measures of physical health. In particular, we examine how well indicators of social support and integration explain the immigrant health advantage. Results show clear evidence of an immigrant paradox in physical health, but that measures of support and integration explain almost none of the immigration effect on physical health.     

Pregnancy Prevention from the Teen Perspective

One hundred and five teens from primary and secondary pregnancy prevention programs attended focus group interviews. This article reports teens' perceptions of the factors that contribute to adolescent pregnancy and the steps that can be taken to prevent early childbearing. Lack of knowledge and accessibility to contraceptives as well as unfulfilled emotional needs were considered crucial factors. Suggestions for service delivery from findings are explored.