Playing with conflict: a longitudinal study of varieties of spontaneous verbal conflict during mother-child interaction at home

Although conflict is central to major developmental theories, relatively little is known about the ways in which young children and caregivers argue at home. The existing psychological research focuses narrowly on serious, ‘problem-solving’ conflicts. In contrast, this in-depth longitudinal study describes varieties of spontaneous conflict talk occurring at home between nine middle-class Caucasian American mothers and their 2- to 4-year-old children. All dyads produced conflicts with nonse-rious, imaginary and/or ritual markings for a mean of 31% (± 2.8%) of all mother-child conflicts. Overall, most mother-child marked conflicts were nonserious, but the percentage of marked conflicts that were imaginary increased with age. Mothers used marked conflicts to manage ongoing problematic interactions with their children, while children apparently introduced marked conflicts primarily during play. Available data on child-child conflicts showed that some of these conflicts also were marked and were introduced primarily during play. Implications for how varieties of conflict may contribute to social competence within the family and peer group are discussed.     

OptBand: optimization-based confidence bands for functions to characterize time-to-event distributions

Classical simultaneous confidence bands for survival functions (i.e., Hall–Wellner, equal precision, and empirical likelihood bands) are derived from transformations of the asymptotic Brownian nature of the Nelson–Aalen or Kaplan–Meier estimators. Due to the properties of Brownian motion, a theoretical derivation of the highest confidence density region cannot be obtained in closed form. Instead, we provide confidence bands derived from a related optimization problem with local time processes. These bands can be applied to the one-sample problem regarding both cumulative hazard and survival functions. In addition, we present a solution to the two-sample problem for testing differences in cumulative hazard functions. The finite sample performance of the proposed method is assessed by Monte Carlo simulation studies. The proposed bands are applied to clinical trial data to assess survival times for primary biliary cirrhosis patients treated with D-penicillamine.

     

THE UNRELENTING SIGNIFICANCE OF MINORITY STATUSES: GENDER,ETHNICITY, AND ECONOMIC ATTAINMENT SINCE AFFIRMATIVE ACTION

Using data from the National Longitudinal Survey of Youth and based on the split-class theory of racial and ethnic discrimination, this research examines the effects of gender, ethnicity, education, family characteristics, and geographic residence over time on economic attainment. While gender and family poverty status had greater impacts on overall economic attainment, results reveal that being an ethnic minority is significantly associated with lower wages. Moreover, results reveal that the disadvantage to racial and ethnic minorities has expanded over time or becomes more important at advanced ages. The results lend support to split-class theory and the arguments of Charles V. Willie that race/ethnicity has become a more important, rather than becoming less important indicator of poverty and income. Further, the results refute the notions that Affirmative Action has accomplished its goals or that it leads to reverse discrimination against White males.     

Caregiver–Youth Communication about Sex in South Africa: The Role of Maternal Child Sexual Abuse History

Much of the research on child sexual abuse focuses on negative outcomes. This brief report explores a potentially protective parenting behavior among black South African female caregivers with and without a child sexual abuse history. Using cross-sectional baseline data, we hypothesized that caregiver child sexual abuse history would be positively associated with caregiver–youth sex communication and this relationship would be strongest for girls. Youth whose caregiver experienced child sexual abuse were more likely to report communicating with their caregiver about sex than youth whose caregivers did not experience child sexual abuse; however, this relation did not hold for caregiver reported communication. Child sexual abuse survivors’ ability and decision to discuss sex with their youth has the potential to protect youth from sexual risk and demonstrates resilience among a group rarely acknowledged for positive parenting practices.     

Examining Depression,Anxiety, and Foster Care Placement as Predictors of Substance Use and Sexual Activity in Adolescents

ABSTRACT

This study investigated the impact of anxiety and depression on sexual activity and substance use behaviors in a sample of 56 community- (traditional living arrangements) and foster care-dwelling adolescents aged 12 to 17 years. It was hypothesized that higher levels of anxiety and depression would be related to higher rates of risky sexual activity and substance use. Regression analyses were used to examine impact of the internalizing predictors on the risky behaviors. Results of the sample were presented with group membership emerging as a robust predictor of both sexual activity and substance use. Results suggest that adolescents within out-of-home care are at increased risk for engaging in these behaviors when compared with community-dwelling peers, and they may benefit from specific interventions aimed at decreasing participation. Future research may focus on assessing the effectiveness of interventions for these youth.     

Home birth and the National Australian Maternity Services Review: too hot to handle?

Background

In February 2009 the Improving Maternity Services in Australia – The Report of the Maternity Services Review (MSR) was released, with the personal stories of women making up 407 of the more than 900 submissions received. A significant proportion (53%) of the women were said to have had personal experience with homebirth. Little information is provided on what was said about homebirth in these submissions and the decision by the MSR not to include homebirth in the funding and insurance reforms being proposed is at odds with the apparent demand for this option of care.

Method

Data for this study comprised 832 submissions to the MSR that are publicly available on the Commonwealth of Australia Department of Health and Aging website. All 832 submissions were downloaded, coded and then entered into NVivo. Content analysis was used to analyse the data that related to homebirth.

Findings

450 of the submissions were from consumers of maternity services (54%). Four hundred and seventy (60%) of the submissions mentioned homebirth. Overall there were 715 references to home birth in the submissions. The submissions mentioning homebirth most commonly discussed the ‘Benefits’ and ‘Barriers’ in accessing this option of care. Benefits to the baby, mother and family were described, along with the benefits obtained from having a midwife at the birth, receiving continuity of care and having a good birth experience. Barriers were described as not having access to a midwife, no funding, no insurance and lack of clinical privileging for midwives.

Conclusion

Many positive recommendations have come from the MSR, however the decision to exclude homebirth from these reforms is perplexing considering the large number of submissions describing the benefits of and barriers to homebirth in Australia. A concerning number of submissions discuss having had or having considered an unattended birth at home due to these barriers. Overall there is the belief that not enabling access to funded, insured homebirth in Australia is a violation of human rights. It appears that homebirth was considered by the MSR as ‘too hot to handle’ and by dismissing it as a minority issue the government sought to avoided dealing with homebirth as a ‘sensitive and controversial issue.’     

Development and Evaluation of a Web-Based Clinician Training Program for a Family-Focused Depression Preventive Intervention

This study evaluated the acceptability, feasibility, and satisfaction associated with a newly developed online clinician training program for the Family Talk preventive intervention, both alone and together with a redesigned, shortened, face-to-face component. Fifty-eight predominately in-home therapy clinicians participated in the study. Results indicated that clinician participants found the online training to be enjoyable and comprehensive, and they reported that the most beneficial training package involved the combination of web-based and in-person training. This combined training could efficiently cover necessary didactic material online while also delivering important clinical skill practice and in-person discussion. Exceptions, limitations, and important future research questions are discussed.