The present study examined gender and age differences in adjustment among children whose parents have separated. Measures designed specifically to assess family hnctioning during thc divorce process (the Divorce Adjustment Inventory-Revised, and Child Divorce Adjustment Inventory), along with a measure of self-esteem and interviews with children, provide an in-depth exploration of the experience of families during the transitional period of separation. Results indicate that (I) parents of girls reported higher resolution of the separation, (2) high self-esteem for girls was mediated by residential parents' high socioeconomic status, (3) older children exhibited higher adjustment than younger children, and (4) father-headcd families indicated higher adjustment before and after separation. Using a model of divorce as a process, results are discussed in relation to findings from studies of post-divorce and pre-separation families to provide a more complete picture of the divorce experience and child adjustment to that experience. [Article copies available for a fee f i m The Haworrh Document Deliveiy Service: 1-800-342-9678. E-mail add~vss: gerinfo@haworth.con1]
Reduced social competence following severe acquired brain injury (ABI) is welldocumented. This pilot study investigated a peer-led group intervention based on the claim that peer models may be a more effective mechanism for behaviour change than clinician-led approaches. Twelve participants with severe ABI were recruited from a post-acute neurorehabilitation setting, and randomly assigned to either a peer-led intervention or a staff-led activity group (usual care) (Clinicaltrials.gov: NCT02211339). The groups met twice a week for 8 weeks. A peer was trained separately to facilitate interaction in the intervention group. Training comprised 16 individual sessions over 4 weeks. Group behaviour was measured twice at baseline, after intervention and at maintenance (4 weeks), using the Adapted Measure of Participation in Conversation (MPC) and the Interactional Network Tool (INT), a newly devised measure of group conversational interaction.Outcome measures showed differential sensitivity. The groups did not differ in baseline behaviour. Findings showed a significant improvement in the treated group on the MPC transaction scale post-intervention (p=.02). The intervention group showed more balanced interaction post-intervention on the INT and at follow-up.Findings show preliminary evidence of advantage for peer-led groups. The INT shows promise as a method to detect change in group communication behaviour.
I thank Royce Simpson, Patrick Bamwine, and Clarence Rohrbaugh who provided statistical guidance and assistance. I also thank the students who served as participants in this study.
Background: Cognitive communication disorder (CCD) following traumatic brain injury (TBI) is well documented and these communication problems impede successful re-integration into community living. While there is growing evidence for intervention to both detect and treat the impact of these deficits across the rehabilitation continuum, there are barriers to accessing services. Cognitive communication impairments may be missed because the person can talk, and this may mask the subtle but debilitating impact of a CCD. Referral to a speech and language therapist (SLT) may be overlooked or not timely, which prevents the individual accessing evidence-based interventions. Inadequate treatment provision and an under-or overestimation of communication capability can potentially undermine the effectiveness of wider team assessment and intervention. Aims: To report stakeholder views on specialist SLT input for CCD within a multidisciplinary team intervention for a community-dwelling individual with severe TBI. The investigation explored perspectives on understanding of CCD, on practice and on outcomes, in order to inform professional groups on perceived impacts of the evidence-to-practice gap. Methods and Procedures: A semi-structured interview methodology was employed with 11 stakeholder participants involved in a single case. Data were evaluated using a thematic framework method. Themes were inductively derived from the stakeholder narratives. Outcomes: Stakeholders reported the following outcomes from specialist SLT input for CCD within a collaborative team approach: improved engagement with rehabilitation and support teams, improved health-related quality of life and well-being, and increased client participation in community activities of personalThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Using cognitive theory as a base, this article explores Elijah's experience of depression and God's response to Elijah. Beck's cognitive triad, which consists of a negative view of one's self and one's future, and a negative interpretation of one's experiences, provides the framework for understanding Elijah's sense of hopelessness. God's directive response to Elijah is discussed as being consistent with the therapeutic approach advocated by cognitive theory. The use of psychology in biblical studies is addressed as an emerging post-modern approach to interpreting scripture.
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