Assessment as an intervention in the child and family forensic setting.

Before a Children's Court decision is reached, a clinical assessment may be ordered by the court. This assessment often occurs when tension is high for the family and when well-established defenses may falter, and it can provide a prime, critical opportunity to facilitate positive change. Comprehensive psychological assessment at the Children's Court Clinic in Melbourne, Australia, indicates the intervention value of a serious attempt to understand the complexity of the psychological issues facing a child and family. With the aid of illustrative case studies, this article discusses the therapeutic aspects and implications of such assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Welcoming them home: Supporting service members and their families in navigating the tasks of reintegration.

To date, more than 1.3 million service members have served in the Global War on Terrorism. These men and women and their families face a range of stressful situations and must navigate many important tasks after a deployment. This article outlines four of the tasks of reintegration: redefining roles, expectations, and division of labor; managing strong emotions; abandoning emotional constriction and creating intimacy in relationships; and creating shared meaning. For each task, potential challenges are discussed and suggestions for how psychologists can support families are described. In addition, potential red flags and indicators that more intensive services may be warranted are reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Course of Psychological Disorders in the 1st Year After Cancer Diagnosis.

This study investigated the relationship between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) and comorbid anxiety, depressive, and substance use disorders over the first 12-month period following a cancer diagnosis. Individuals recently diagnosed with 1st onset head and neck or lung malignancy were assessed for ASD within the initial month following their diagnosis and reassessed for PTSD and other psychological disorders at both 6 months and 12 months following their cancer diagnosis. The incidence for PTSD at 12 months (14%) was lower than the incidence for other anxiety (20%) and depressive (20%) disorders. This study points to the need for the development of valid therapeutic interventions to assist this population in the 1st year following their diagnosis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping with client death: Using a case study to discuss the effects of accidental, undetermined, and suicidal deaths on therapists.

Over one-quarter of psychologists and psychiatrists will lose a client to suicide, and the impact of suicide on therapists is profound. Therapists report both personal (e.g., emotional) and professional (e.g., fears of litigation, doubts about competency) reactions to client suicide, and these reactions are thought to be pronounced for therapists-in-training. However, little is known about the effect of nonsuicidal client deaths on therapists, especially how the experience of a client suicide might compare with other forms of unanticipated client death, such as accidental injuries (e.g., car accidents) or deaths of undetermined intent. The current article reviews family members' bereavement responses based on differential death classification, as well as therapist reactions to suicidal deaths. A case study of undetermined death will be described in light of the extant literature on therapists' coping responses to suicide, including reflections on emotional and professional implications to a nonsuicidal death. A recent social psychological model of adaptation to emotional experiences (Wilson & Gilbert, 2008) will be used as a theoretical framework to discuss how death by suicide may be construed in comparison to undifferentiated and/or accidental deaths, with a focus on informing sorely needed future research in this area. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A meta-analytic review of the influence of pediatric cancer on parent and family functioning.

This study used meta-analytic methods to compare the functioning of parents of children with cancer to parents of physically healthy children or normative samples. A meta-analysis using fixed effects, weighted least squares methods was conducted on 29 studies examining psychological distress and marital and family functioning among parents of children with cancer. Mothers and fathers of children newly diagnosed with cancer reported significantly greater distress than comparison samples. Mothers reported greater distress than fathers up to 12 months postdiagnosis. Mothers of children with cancer reported higher levels of family conflict than mothers of healthy children. Findings suggest that pediatric cancer impacts parents' perceptions of self- and family functioning, especially within the 1st year following diagnosis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessing differential effects: Applying regression mixture models to identify variations in the influence of family resources on academic achievement.

Developmental scientists frequently seek to understand effects of environmental contexts on development. Traditional analytic strategies assume similar environmental effects for all children, sometimes exploring possible moderating influences or exceptions (e.g., outliers) as a secondary step. These strategies are poorly matched to ecological models of human development that posit complex individual by environment interactions. An alternative conceptual framework is proposed that tests the hypothesis that the environment has differential (nonuniform) effects on children. A demonstration of the utility of this framework is provided by examining the effects of family resources on children’s academic outcomes in a multisite study (N = 6,305). Three distinctive groups of children were identified, including 1 group particularly resilient to influence of low levels of family resources. Predictors of group differences including parenting and child demographics are tested, the replicability of the results are examined, and findings are contrasted with those obtained with traditional regression interaction effects. This approach is proposed as a partial solution to advance theories of the environment, social ecological systems research, and behavioral genetics to create well-tailored environments for children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)