The Drift Toward Problem Behavior During the Transition to Adolescence: The Contributions of Youth Disclosure,Parenting, and Older Siblings

Prospective associations of mothers’ parenting processes, youth disclosure, and youth problem behavior were examined in a longitudinal design following 244 adolescent sibling dyads over a 3‐year period. For both siblings, authoritative parenting was positively associated with youth disclosure and was negatively related to problem behavior, and coercive parenting was negatively associated with youth disclosure and was positively related to problem behavior. When the influence of older sibling problem behavior on younger sibling problem behavior was modeled, younger sibling disclosure accounted for the relationship of maternal parenting processes to problem behavior. Findings indicate the important role of sibling influence in the development of problem behavior, contextualizing the relative roles of maternal parenting and youth disclosure in the transmission of risk.     

End-of-Life Conversations and Hospice Placement: Association with Less Aggressive Care Desired in the Nursing Home

Education about end-of-life care and treatment options, communication between family and health care providers, and having advance directives and medical orders in place are important for older adults with chronic, progressive decline and end-stage disease who spend their last days in the nursing home. This study used retrospective data (6 months before death) of long-stay nursing home decedents (N?=?300) taken from electronic health records to capture the end-of-life experience. Findings showed for almost all decedents, Do Not Resuscitate and Do Not Intubate orders were in place, and just over one-half had Do Not Hospitalize and No Artificial Feeding orders in place. A small proportion had No Artificial Hydration or No Antibiotic orders in place. Overall, there was congruence between documented medical orders and treatment received. Findings showed that use of hospice and discussions about particular life-sustaining treatments each had significant associations with having less aggressive medical orders in place. These results can inform best practice development to promote high quality, person-directed, end-of-life care for nursing home residents.     

The School: The Crossroads for Collaboration

This essay argues that the time has come to restructure schools to allow the “whole” child to receive service at the school. The provision of time, place, and personnel to respond to the needs of today's children might facilitate their academic progress. If students and families can find support in one location, perhaps anxiety can be reduced and academics can be strengthened. The school can do little on its own to help children whose lives are in chaos due to poverty, hunger, abuse, ill health, family disintegration, neglect, fear, or hopelessness. Collateral collaboration needs to evolve in which professional development is a shared responsibility of all agencies that serve a community.     

Household Work Complexity,Intellectual Functioning,and Self‐Esteem in Men and Women

Using data from a U.S. longitudinal investigation of psychological effects of occupational conditions (a project of the National Institute of Mental Health’s unit on Socioenvironmental Studies), we examined the relationship between the complexity of household work and 2 psychological variables: intellectual flexibility and self‐esteem. Longitudinal reciprocal effects analyses revealed that for men (n = 351) and women (n = 355), more complex household work was associated with increased intellectual flexibility. For women, complex household work was also associated with increased self‐confidence and decreased self‐deprecation. For men, complex household work was associated with decreased self‐confidence. The results are discussed in terms of theories of the cognitive and neurological effects of environmental complexity and of theories of self‐esteem.