The purpose of this study was to tes a mediational model of associations between parental overprotectiveness (OP), behavioral autonomy. and psychosocial adjustment in 68 families with 8- and 9-year-old preadolescents with spipa bifida and a demographically matched sample of 68 families with able-bodied children. Measures included questionnaire and observational assessments of parental OP; parent and child reports of behavioral autonomy; and parent, child, and teacher reports of preadolescent adjustment. On the basis of both questionnaire and observational measures of OP, mothers and fathers of children with spina bifida were significantly more overprotective than their counterparts in the able-bodied sample, although this group difference was partially mediated by children's cognitive ability. Across samples, mothers were more likely to be overprotective than fathers. Both questionnaire and observational measures of parental OP were associated with lower levels of preadolescent decision-making autonomy as well as with parents being less willing to grant autonomy to their offspring in the future. For the questionnaire measure of OP, and only for the spina bifida sample. the mediational model was supported such that parental OP was associated with less behavioral autonomy, which was, in turn, associated with more externalizing problems. Findings are discussed in relation to the literature on parenting, autonomy development, and pediatric psychology.

This study compared subgroups of juvenile sex offenders (JSOs) who victimized children (child offenders), peers (peer offenders), or both children and peers (mixed offenders) on sexual and nonsexual offense history, treatment outcomes, and recidivism to determine if these are distinct and valid subgroups. Though the group of mixed offenders was small, results showed that they exhibited a more diverse and more physically intrusive sexual offense history than the other JSOs and were less likely to successfully complete treatment. Sexual and nonsexual recidivism rates of mixed offenders did not differ from the other subgroups despite subgroup differences in juvenile sexual and nonsexual criminal records. However, differences in sexual recidivism rates of child versus peer offenders were found when the mixed offenders were either excluded from the sample or combined with child offenders. The results highlight the need to include mixed offenders in future research examining the etiology of sexual offending, treatment, and recidivism of JSOs.

There has been an increase in recent years in the use of empirically supported treatments (ESTs) for a variety of mental disorders. This study was an investigation of the impact of standardized use of ESTs in an outpatient community clinic. Clients treated prior to and those treated after the implementation of this policy were compared. The results indicate significant group differences, with the improvement ratings of the group receiving ESTs surpassing those of the group receiving unsupported treatment. Support for the use of ESTs indicates that patients may be best served if therapists rely primarily on these treatments.

Classifications for severe juvenile offenders and ones that include mental health needs are lacking. Thus, in this study, adolescent male offenders (N = 652) committed to a residential facility were clustered on personality and clinical scales of the Millon Adolescent Clinical Inventory (Millon, 1993) into 5 groups (including 4 found in other typologies). As expected, the impulsive/reactive and psychopathy groups had more severe criminal histories and the impulsive/reactive and anxious/inhibited groups had increased suicidal behaviors and poor psychosocial functioning. The impulsive/reactive group showed expected verbal deficits. The unremarkable group lacked discernable personality/clinical problems and was unremarkable on dependent variables. A conforming group emerged that may be unique to severe juvenile offender populations. Future studies should examine institutional adjustment and outcomes among the identified groups.

This study compared subgroups of juvenile sex offenders (JSOs) who victimized children (child offenders), peers (peer offenders), or both children and peers (mixed offenders) on sexual and nonsexual offense history, treatment outcomes, and recidivism to determine if these are distinct and valid subgroups. Though the group of mixed offenders was small, results showed that they exhibited a more diverse and more physically intrusive sexual offense history than the other JSOs and were less likely to successfully complete treatment. Sexual and nonsexual recidivism rates of mixed offenders did not differ from the other subgroups despite subgroup differences in juvenile sexual and nonsexual criminal records. However, differences in sexual recidivism rates of child versus peer offenders were found when the mixed offenders were either excluded from the sample or combined with child offenders. The results highlight the need to include mixed offenders in future research examining the etiology of sexual offending, treatment, and recidivism of JSOs.