Older transgender women in Thailand: views of service providers

The social and cultural construction of aging and how it is experienced by transgender women in Thailand has been neglected within the academic literature. This qualitative study explored how Thai lesbian, gay, bisexual, transgender, and intersex (LGBTI) service providers construct aging transgender women. Fourteen semi-structured in-depth interviews and one focus group were conducted in Thailand between 2016 and 2017 with LGBTI staff members whose roles ranged from volunteer to senior management. This research was a part of a larger doctoral research project. In considering both gender identity and older age, a clearer understanding is established on how notions of “older” for transgender women are constructed by service providers. Thematic analysis was undertaken, which established that there is a lack of heterogeneity and shared understanding of the concepts of “age” and “older transgender women.” This key finding was compounded by the invisibility of older transgender women in the Thai landscape, which limited the extent to which older transgender women have been included in targeted service provision. Older transgender women lack agency and voice and have failed to be involved in the shaping of services that meet their needs.     

Maternal Into‐The‐Face Behavior,Shared Attention,and Infant Distress During Face‐to‐Face Play at 12 Months: Bi‐directional Contingencies

We describe a new maternal intrusion behavior, moving a toy or hand “into‐the‐face” of the infant, and we investigate its bi‐directional associations with infant‐initiated shared attention, infant distress, and infant gaze, during mother–infant face‐to‐face play at 12 months. The play was videotaped split‐screen, with infants seated in a high chair. Videotapes were coded on a 1‐sec time base for mother and infant gaze (at partner, toy, both, or gaze away); infant distress; and maternal intrusion behavior, “into‐the‐face.” We defined “infant‐initiated shared attention” as mother and infant looking in the same second at a toy that the infant‐initiated interest in. We documented that maternal into‐the‐face behavior decreased the likelihood of infant‐initiated shared attention, increased the likelihood of infant distress, and decreased the likelihood of infant gazing away. Reciprocally, infant distress and gazing away increased the likelihood of mother into‐the‐face. In moments when the dyad was engaged in infant‐initiated shared attention, mother into‐the‐face was less likely. This work documents bi‐directional contingencies in the regulation of maternal intrusion and infant behavior during face‐to‐face play at 12 months. We suggest that mother into‐the‐face behavior disturbs an aspect of the infant's experience of recognition.     

Fighting Fair: Adaptive Marital Conflict Strategies as Predictors of Future Adolescent Peer and Romantic Relationship Quality

This study examined the associations between reasoning during inter‐parental conflict and autonomous adolescent conflict negotiation with peers over time. Participants included 133 adolescents and their parents, peers, and romantic partners in a multi‐method, multiple reporter, longitudinal study. Inter‐parental reasoning at adolescent age of 13 predicted greater autonomy and relatedness in observed adolescent–peer conflict one year later and lower levels of autonomy undermining during observed romantic partner conflict five years later. Inter‐parental reasoning also predicted greater satisfaction and affection in adolescent romantic relationships seven years later. Findings suggest that autonomy‐promoting behaviors exhibited in the inter‐parental context may influence adolescents' own more autonomous approaches to subsequent peer and romantic conflict. Possible explanatory models are discussed, including social learning theory and attachment theory.     

Assessing adult attention deficit hyperactivity disorder (ADHD) in the university setting

Objective: To address the increasing demand for assessments of Adult Attention Deficit Hyperactivity Disorder (ADHD), the primary author developed a protocol for Counseling and Psychological Services (CAPS) at Stanford University's Vaden Student Health Center to improve the efficiency of such evaluations. Participants: As part of quality assurance, we reviewed the charts of Stanford students who sought assessment for ADHD before the protocol was implemented (September 2011–June 2013) and after the protocol was established (October 2013–August 2014). An IRB exemption was obtained. Methods: The protocol includes questionnaires that solicit detailed clinical information from a variety of sources prior to the student's initial visit. Results: A peer chart review of 35 randomly selected charts showed that students completing the protocol are receiving a more thorough assessment. Conclusion: The new Stanford ADHD protocol, designed to improve clinic efficiency, also increases the availability of relevant clinical information.     

Affective Social Competence in Adolescence: Current Findings and Future Directions

Affective Social Competence (ASC) is a conceptual framework describing complementary processes of sending, receiving, and experiencing emotions in dynamic interactions. This framework may be applied across the lifespan. To date, however, empirical studies addressing ASC have focused predominantly on childhood samples. In this review, we examine empirical evidence relevant to ASC in adolescence in comparison with childhood. We then discuss future directions that may promote understanding of Affective Social Competence among adolescent samples: the use of person‐oriented analyses to integrate all three components of ASC; consideration of understudied social contexts that may influence and be influenced by ASC; and use of microgenetic designs to examine growth across transitions during early, middle, and late adolescence.     

Weibull multi-state models with misclassification

It is often important to allow multi-state models (MSMs) to accommodate misclassification of states. We introduce Bayesian parametric MSMs with unknown misclassification of states and Weibull distributed waiting times between states. This allows transitions between states to depend on the time spent in the current state, a feature lacking in commonly used exponential waiting times model. To fit the proposed model, a MCMC algorithm was employed. An example on the progression of bipolar disorder is presented along with simulation results. There was evidence that Weibull waiting times are an improvement over exponential in the study of bipolar disorder.     

Hoarding cases involving older adults: the transition from a private matter to the public sector

Hoarding interventions with older adults require significant resources from multiple public agencies, yet recidivism occurs frequently. To improve services through better coordination, some communities have formed multiagency hoarding teams (MAHT), which include aging services. MAHTs requested this mixed methods study to understand the progression of cases through the public sector. Quantitative data collected on 52 cases involving adults ages 60+ identified steps in this process. Qualitative data collected from MAHT members were the basis for case studies illustrating the progression of cases through the public sector. Findings have implications for social workers involved in local service coordination, training, and policy.     

Parenting children with autism spectrum disorders: a crucible for couple relationships

As the incidence of autism spectrum disorders (ASDs) continues to rise, there is a growing need to understand how ASDs impact family life. This qualitative study explored the ways in which parenting a child with ASD impacts marriages. Using modified grounded theory, nine couples and one wife (n= 19) were interviewed. The dominant finding that emerged is that parenting a child with ASD acts as a crucible for couple relationships, exerting extraordinary pressure on partners that forces qualitative adaptations in their relationship. Two relationship phases emerged from the analysis: tag team and deeper intimacy and commitment. The resulting theoretical model can help clinicians tailor assessment and intervention for couples who are parenting a child with ASD.