Predictors of treatment outcome in a child and adolescent psychiatry clinic: A naturalistic exploration

We present data on predictors of treatment outcome for 3200 consecutive referrals to a child and adolescent psychiatry clinic. Using Reliable Change Index (RCI) methodology, we divided children into those who, between intake and discharge, improved, stayed the same, or got worse according to clinician-rated impairment. Most predictors of improvement were related to parent variables (marital status, maternal anxiety, and ethnicity), while those associated with deterioration were tied to child status (extent of psychiatric comorbidity, history of placement in a self-contained classroom, and a prior trial of psychotropic medications). The implications of these findings for data-driven program development, clinic management, treatment planning, and systems of care are discussed.     

Conducting Large‐Scale Surveys in Secondary Schools: The Case of the Youth On Religion (YOR) Project

There are few published articles on conducting large‐scale surveys in secondary schools, and this paper seeks to fill this gap. Drawing on the experiences of the Youth On Religion project, it discusses the politics of gaining access to these schools and the considerations leading to the adoption and administration of an online survey. It is concluded that successful research in schools has to be planned carefully in collaboration with key members of staff, and justified as an educational activity. Providing speedy feedback was helpful to ensure schools benefited from the research and to keep them engaged with the project. © 2011 The Author(s). Children & Society © 2011 National Children’s Bureau and Blackwell Publishing Limited     

Assessing the Reliability of the Gambling Functional Assessment: Revised

Dixon and Johnson (Anal Gambl Behav 1: 44–49, 2007) proposed the Gambling Functional Assessment as a tool to identify the consequences maintaining the respondent’s gambling behavior, but subsequent studies on its psychometric properties suggested that it could use improvement. The present study investigated the internal consistency of the Gambling Functional Assessment—Revised using the responses of 1,060 undergraduate students. Temporal reliability was assessed by a second administration of the measure four (n = 87) or twelve (n = 98) weeks after the first administration. Temporal reliability was also compared to the South Oaks Gambling Screen (Lesieur and Blume in Am J Psychiatry 144: 1184–1188, 1987), which was also administered at both time points. Internal consistency measures were good to excellent, even when potential non-gamblers were excluded from the analyses. Temporal stability was also very good, with the possible exception of the consequence of “escape” at 12 weeks. The Gambling Functional Assessment—Revised represents a potentially useful tool for researchers and therapists interested in why respondents are gambling.     

Paradox in Public Relations: Why Managing Relating Makes More Sense Than Managing Relationships

This article applies research on paradox, semantics, and theories of groups and logical types to public relations, particularly the concept of relationship management. Paradoxes create tension and are often produced by semantic disturbances resulting from errors in logical typing. Communication is inherently paradoxical. The article contends that progress in public relations practice and scholarship has been inhibited by a failure to recognize or reconcile paradoxes associated with popular concepts, such as relationship management, mutually beneficial relationships, and symmetrical communication. Such concepts breach levels of communication to create logical fallacies and place practitioners into a double bind of promising more than they can deliver without resorting to coercion and manipulation. The article introduces Group Theory and the Theory of Logical Types, and suggests that public relations reframe relationship management with relating management, a practices more consistent with Kant's humanity imperative.     

How Ego Depletion Affects Sexual Self-Regulation: Is It More Than Resource Depletion?

Rational thinking and decision making are impacted when in a state of sexual arousal. The inability to self-regulate arousal can be linked to numerous problems, like sexual risk taking, infidelity, and sexual coercion. Studies have shown that most men are able to exert voluntary control over their sexual excitation with various levels of success. Both situational and dispositional factors can influence self-regulation achievement. The goal of this research was to investigate how ego depletion, a state of low self-control capacity, interacts with personality traits—propensities for sexual excitation and inhibition—and cognitive absorption, to cause sexual self-regulation failure. The sexual responses of 36 heterosexual males were assessed using penile plethysmography. They were asked to control their sexual arousal in two conditions, with and without ego depletion. Results suggest that ego depletion has opposite effects based on the trait sexual inhibition, as individuals moderately inhibited showed an increase in performance while highly inhibited ones showed a decrease. These results challenge the limited resource model of self-regulation and point to the importance of considering how people adapt to acute and high challenging conditions.