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How does multilingualism affect thinking and behavior? Recent findings demonstrate that multilingualism influences executive functioning, as well as personality traits and dimensions. Concordant outcomes show that multilingual individuals are more likely to be successful at inhibiting certain types of conduct (e.g., impulsivity) than monolinguals. Multilingualism also impacts other components of executive functions, like monitoring and attention control. As for personality, multilinguals are more open to other cultures, and in relation to monolinguals they are less ethnocentric. There may be a connection between multilingualism and psychopathy, probably because of more expressed communicative sensitivity among multilinguals. The systematic review we conducted on these associations reveals a lack of research that would link such results with the global decline in linguistic and cultural diversity, which is related to changes in linguistic proficiency in different languages. To fill this gap, this article aims to identify the role of these effects regarding the decrease in linguistic and cultural diversity. This permanent drop, caused by globalization -- especially among multilingual minorities living in diasporas (their numbers continue to fall, which holds partly true for multilingual majorities as well) -- has prompted the psychological effects of multilingualism to shift in terms of range and intensity, thereby influencing people's psychological functions in heterogeneous regions. This article discusses some aspects of this relationship from a scholastic angle by centering on educational psychology, pluralistic and anti-pluralistic concepts, and some unresolved issues regarding the philosophical status of inclusion in the educational context. By ensuring that languages and cultures in ethnically heterogeneous environments are not ranked, and by guaranteeing that the shift in languages and cultures does not serve as the main path to becoming part of the dominant group(s), we could mitigate language loss, thus preserving the number of multilingual speakers and their cultures. It is recommended, that in future research on the psychological effects of multilingualism the decrease of linguistic and cultural diversity should be treated as a separate variable.

This article presents the structures and functions of three large scale brain networks (LSBN) in cognition and suggests parallels with functioning of the Cognitive and Symbolic components of the Expressive Therapies Continuum (ETC). Comparisons explored include connectivity in adaptive functioning, disconnection in psychopathology, and compensation among functional components. The purpose of this article is to illustrate the functional similarities between the Cognitive/Symbolic level of the ETC and three LSBN in cognition and thus enhance the understanding of the process of and promote research in art therapy. A case study illustrates the application of the ETC with reference to LSBN.

Threat detection is an important skill for police officers, but few studies have examined the impact of processing strategies on this ability. The first aim of our study was to compare the visual detection of threatening and neutral targets in 38 police trainees and 53 police officers. The other aims were to examine the effect of emotional or semantic strategies on this process and the effect of psychopathological symptoms. In a visual search task, participants had to detect a threatening or neutral target among neutral distractors. Participants answered a question used to induce a more emotional or semantic processing strategy. Results revealed that threatening targets were detected faster than neutral ones. This effect was enhanced with an emotional processing strategy but unaffected by symptoms. Processing strategy also had led to faster reaction time overall. This study shows that inducing processing strategies can influence threat detection in police trainees and officers.

The current study examined the impacts of parent psychopathology and family socioeconomic status on symptom reduction for children participating in Bounce Back, a school-based intervention for elementary students exposed to trauma. Participants in this study were 52 first through fourth graders (M[subscript age]= 7.76; 65% male) who were predominately Latinx (82%). Schools were randomly assigned to immediate treatment or waitlist control. Children whose parents reported higher socioeconomic status showed steeper declines in symptoms compared to lower socioeconomic status. Further, children of parents who endorsed high PTSD symptoms reported attenuated treatment effects, whereas children of parents who endorsed high hostility reported enhanced treatment effects. Although Bounce Back is an effective intervention for reducing PTSD symptoms and improving coping skills among children exposed to trauma and other ongoing stressors, treatment gains are attenuated for children from families with low socioeconomic status, and parent psychopathology also impacts treatment effects. The effectiveness of Bounce Back may vary based on socioeconomic status and parent psychopathology. Future research should examine methods of tailoring Bounce Back for children coping with economic stress and parent psychopathology.

The influence of adverse childhood experiences (ACEs) on the developing child across several domains of functioning has much theoretical and empirical support. Yet, surprisingly, the impact of ACEs on the development of language skills specifically remains somewhat understudied. The present report provides a brief review of research on ACEs and associated impacts on brain functioning and on language skills development specifically. Trauma-informed practices are discussed, with a specific focus on school-based trauma-informed programs. Next steps to explore in future research are then provided.

Some sociopathic personality traits in managers can derail business organisations even though the leaders have been carefully selected and considered "high flyers". Three of those traits are narcissism, psychopathy and Machiavellianism. These traits are "socially-aversive" because the sociopaths have an ingrained disregard for relationships. We will "very likely" come into hurtful contact with a sociopath. This study addresses the problem: Could a leader of a university unit with strong levels of the dark triad traits derail their unit? After considering the literature about the dark triad and university leadership, this study argues that a sociopathic leader could degrade the collaborative nature of much of academics' work with other staff, students and society enough to produce mediocrity in their part of a university, but not enough to derail it. Implications for universities selecting non-sociopathic leaders and for individuals being led by sociopaths are suggested.

Many undergraduate psychology students eventually choose a career providing clinical mental health services. A background in abnormal psychology (psychopathology) is helpful and requisite in these graduate academic and future professional venues. The creativity needed to adequately teach the complex material covered in most abnormal psychology courses may be best conjured from the theory of pedagogical constructivism. Using constructivist theory, the present pilot study evaluates the efficacy of using comic books to supplement undergraduate abnormal psychology course material. Students who completed a diagnostic evaluation of a comic book character (N = 29) performed significantly better on an abnormal psychology 'pop quiz' than students who received lecture-style instruction exclusively (N = 15). These preliminary results add to the existing and expansive library of constructivist-inspired activities used in the instruction of abnormal psychology.

Misconceptions about psychological phenomena are prevalent among students completing college-level psychology courses. Although these myths are often difficult to eliminate, efforts incorporating a refutational focus have demonstrated some initial promise in dispelling these beliefs. In the current quasi-experimental study, four sections of an online undergraduate Abnormal Psychology course (n = 113 total students) were randomly assigned to receive either a myth-debunking poster assignment or class as usual. Students in the myth-debunking sections were assigned one of five mental health-focused myths and corresponding refutational readings to guide their development of posters aimed at informing their classmates about the misconception, disputing the misconception, and citing relevant evidence as support. Beliefs about common misconceptions (five directly addressed in the assignment and five filler myths) were measured at the beginning and end of the semester. Results indicated that students in the myth-debunking condition were significantly (p < 0.001, d = 1.09) more likely to know the truth, at the conclusion of the course, compared to the control group. Overall, the myth-debunking intervention appears to have been effective at reducing students' misconceptions about popular psychological myths, perhaps even some non-targeted psychological misconceptions.

An emerging literature suggests that females are more likely than males to take and post selfies and that such selfies tend to both conform to and legitimize the sexualization of femininity. It has been found that key predictors of selfie behaviors are narcissistic personality traits and that taking a higher number of selfies may, in turn, put young people at risk of engaging in negative social interactions online. No studies to date have investigated the mediating effects of selfies and, moreover, selfies that are taken with the intention of to appear physically attractive (i.e., sexualized selfies), on the relationship between narcissism and cyber behaviors. The following study examined selfie taking among a group of 262 adolescent girls (aged 13-16). Results of a path model found a serial mediation effect, indicating that exploitativeness was associated with increased selfie taking, which increased sexualized selfie taking and in turn increased cyber aggression and victimization. In contrast, contingent self-esteem was associated with taking sexualized selfies (with indirect positive effects on cyber behaviors). Results of this model also show that the effect of taking selfies on cyber behaviors is fully mediated by taking sexualized selfies. These findings are discussed in relation to the characteristics of the online environment and the risks of young women's sexualized online self-presentations.

Supportive school services are a primary service modality for youth with autism spectrum disorder. Autism spectrum disorder, as well as co-occurring psychiatric symptoms and low intellectual abilities, interfere with academic achievement and therefore influence decisions about school services. Therefore, we examined the association of parent, teacher, and clinician ratings of autism spectrum disorder and co-occurring psychiatric symptom severity and intellectual functioning with school services. In total, 283 youth with autism spectrum disorder were assessed with clinical evaluation via the Autism Diagnostic Observation Schedule and parent and teacher versions of the CASI-4R ("Child and Adolescent Symptom Inventory"). Full Scale Intelligence Quotient scores were obtained from case records. Clinical and teacher evaluations of autism spectrum disorder severity predicted services and were more strongly associated with school services than parent ratings. Teacher ratings were only associated with common school services (e.g. speech/language therapy, occupational therapy, and/or social skills training) frequency at medium and high levels of clinician-rated autism spectrum disorder severity. Higher IQ and parent-rated externalizing symptoms predicted lower likelihood of receiving school services, whereas internalizing symptoms were not predictive of school services. Autism spectrum disorder symptoms may overshadow externalizing and internalizing symptoms when considering school service supports. Results highlight the importance of evaluating autism spectrum disorder severity via multiple sources, especially in cases of unclear symptom presentation, when examining correlates of school services for youth with autism spectrum disorder.

Given that youth mental health is associated with success in school and life more broadly, it is important that school-based psychological service providers embrace best-practice prevention and intervention strategies that target mental health when working with student populations. One line of study in this area has begun exploring the incorporation of a dual-factor model of mental health within universal screening systems in schools. The dual-factor model is differentiated from the traditional unidimensional mental health model, which focuses on the presence or absence of psychopathology, by conceptualizing mental health alternatively as consisting of both psychopathology and wellbeing dimensions. The present study involved the preliminary development and validation of the Student Wellbeing Teacher-Report Scale (SWTRS)--a brief behavior rating scale intended as a screening tool for measuring the wellbeing dimension of youths' mental health at school. Specifically, the study involved drafting pilot items for the SWTRS and explored their latent factor structure, concurrent validity with school-related outcomes (i.e., attendance, academic achievement, and time on-task), as well as concurrent and incremental validity in comparison with two psychopathology screeners. Results suggested that the SWTRS items may better represent three context-specific indicators of youth wellbeing behavior--(a) academic, (b) social, and (c) emotional wellbeing--rather than the hypothesized "feeling good" and "functioning well" dimensions. The SWTRS scores also demonstrated incremental validity and were uniformly stronger concurrent predictors of all school-related outcomes compared to the psychopathology scales. Implications for theory and future research are discussed.

Experiencing chronic stress early in life has been linked to anxiety symptoms and related outcomes. This study examined whether emotional self-regulatory processes, specifically children's awareness of emotion regulation strategies, would qualify the link between cumulative stress and anxiety symptoms in childhood. One hundred and twenty-nine 6- to 11-year-olds (M = 8.84; SD = 1.61; 47% girls) participated in the study. We derived an index of nine environmental stressors and quantified children's emotion regulation strategy awareness from an interview about their emotional experiences. Parents reported on children's anxiety symptoms. As expected, cumulative stress was positively associated with anxiety symptoms. Emotion regulation strategies moderated the effect of cumulative stress on anxiety symptoms, such that children with larger repertoires had fewer symptoms in the context of low stress, but more symptoms in the context of high stress. Results offer new insight in understanding anxiety symptoms in childhood and demonstrate the importance of children's emotion regulation strategy knowledge as a novel facet of regulatory skill that may characterize the specific emotion dysregulation implicated in the emergence of psychopathology.

Incontinence, psychological symptoms, parental stress and psychopathology were examined in 51 children (43 boys, mean age = 9.7 years) presented in an outpatient clinic for autism spectrum disorders (ASD) and in 53 matched controls (43 boys, mean age = 10.2 years). All children were clinically assessed for ASD, incontinence and psychopathology according to current guidelines. ASD was confirmed in 37 children and excluded in 14. Enuresis (16.2%) and daytime urinary incontinence (16.2%), but not fecal incontinence (8.2%) were more common in ASD than in controls. Children with ASD showed significantly more comorbid psychiatric disorders. Parents of children with ASD experience more stress. Parental stress was predicted by parental psychopathology, role restriction and group (patient/control), but not by incontinence.

Prenatal maternal depression affects both mother and fetus with long-term implications for offspring vulnerability to psychopathology through alterations to brain development, stress physiology, negative emotionality, and cognitive control. This article reviews evidence for the negative impact of prenatal maternal depression on offspring development and describes psychotherapeutic interventions that are used to mitigate prenatal maternal depression and thus, may positively impact infant and child development. The authors then describe an ongoing study to examine the effects on infant development of reducing prenatal maternal depression using a brief form of interpersonal psychotherapy adapted for use with pregnant women.

Children with neurogenetic syndromes (NGS) experience comorbid challenging behaviors and psychopathology. We examined challenging behaviors in 86 toddlers and preschoolers across three NGS [Angelman syndrome (AS), Prader--Willi syndrome (PWS), and Williams syndrome (WS)] and 43 low-risk controls (LRC), using the Child Behavior Checklist for Ages 1½-5. Challenging behavior profiles differed across NGS, with generally elevated behaviors in AS and WS, but not PWS, relative to LRC. Withdrawn and autism spectrum symptoms were particularly elevated in AS. Although several profiles were similar to those previously reported in older children and adults, we also observed inconsistencies that suggest non-linear developmental patterns of challenging behaviors. These findings underscore the importance of characterizing early challenging behaviors to inform atypical phenotypic development and targeted intervention.

The present study aimed to identify predictors of agreement and disagreement concerning emotional and behavioral problems reported by the mothers and teachers of preschool-aged children. Participants included 172 (89 boys) children, their mothers, and their preschool teachers. Mothers were asked to complete the Child Behavior Checklist for Ages 1½-5 (CBCL 1½-5), the Brief Symptom Inventory (BSI), and a sociodemographic questionnaire, and were observed engaging in an interactive task with their child. Preschool teachers completed the Caregiver Teacher Report Form for Ages 1½-5 (CTRF). The results show low cross-informant agreement. None of the studied variables predicted cross-informant agreement; however, maternal psychopathology and the presence of an assistant in the classroom were predictors of disagreement between mothers and teachers. Although these results highlight the influence of maternal and school context variables on the disagreement among informants' reports on the emotional and behavioral problems of preschool-aged children, additional research in this field is needed.

In this article, I illuminate ongoing debates about the normative status of indoctrination via close examination of recent work in the philosophy of psychiatry and, more particularly, delusion. Here it has been argued, contrary to the established view that delusional states of mind are epistemically problematic, that delusions can (at least under certain circumstances) exhibit a quality called 'epistemic innocence'. That is, they may '[deliver] a significant epistemic benefit, that could not be obtained otherwise'. This might lead us to wonder whether indoctrinated beliefs -- which appear to share key features with delusional beliefs -- might also be capable of such epistemic innocence and, if so, what the educational consequences of such a conclusion would be. By drawing meaningful distinctions between delusion and normal cognition, as well as expanding our notions of what is conducive to epistemic achievement, philosophers of psychiatry and psychopathology provide us with novel, empirically informed theoretical resources which are particularly well placed to facilitate better understanding of belief formation and malformation. As such, this work is of direct relevance to philosophers of education concerned with questions pertaining to the legitimate transmission of beliefs. I begin by briefly outlining my own outcome-based account of indoctrination before discussing some of the relevant similarities and differences between indoctrination and delusion. This is followed by a discussion of how the aforementioned shared features might motivate the conclusion that indoctrination is morally problematic. In the second half of the article, I shift my focus to the possible epistemic benefits of delusional beliefs, before going on to explain why none of the candidates for epistemically innocent forms of belief transmission can be properly described as indoctrination.

Background: To help people with intellectual disabilities lead a more independent life, it is important to promote their self-management. This study evaluated the effectiveness of a self-management training for people with intellectual disabilities directed at independent functioning in daily life. Method: In the training, 17 people with intellectual disabilities worked on personal self-management goals covering a wide range of everyday affairs. Primary outcome measures focused on goal attainment, independence and support needs. Moreover, outcomes regarding psychopathological behaviour and quality of life were explored. Data were collected before and at the start of the training, and 3, 6, 9 and 12 months later. Results: The training contributed to the attainment of self-management goals and to the reduction in support needs (p < 0.01). There were no changes in independence, psychopathological behaviour and quality of life. Conclusions: Results indicate that the training supports people with intellectual disabilities to self-manage their daily affairs.

Given the high risk of psychopathology among recently immigrated Central American adolescents, the aim of this study was to examine several putative protective factors: parental attachment, peer attachment, and school engagement. Based on prior research with other immigrant groups, parental and peer attachment were expected to correlate with reduced mental health problems, increased prosocial behavior, and increased resilience. However, the current study sought to add to existing data regarding putative protective factors by testing the incremental contribution of school engagement over and above existing support from parents and peers. The present study included 78 recently immigrated adolescents from Central America who were enrolled at a public high school for recent immigrants. Findings revealed that school engagement made a significant, positive contribution to mental health and resilience for youth above and beyond the effects of parental and peer attachment. Specifically, school engagement (i.e., subscales Behavioral Engagement, Emotional Disaffection, and Active Behavioral Disaffection) uniquely contributed to models predicting externalizing psychopathology, prosocial behavior, and resilience. In sum, the findings of this study preliminarily suggest that fostering school engagement may have protective effects for recently immigrated youth above and beyond traditional (i.e., peer, family) supports. Impact and Implications: The present study included recently immigrated adolescents from Central America, and results suggested that for this highly vulnerable group, school engagement was related to reduced externalizing mental health problems and higher prosocial behavior and resilience above and beyond other forms of social support (e.g., parent, peer attachment). Findings suggest that school engagement may be an important avenue for future research and intervention given high risk for mental health problems in this immigrant group and the loss of other forms of social support that often accompany migration.

Background: Adolescents face major developmental tasks such as increasing individuation and establishing autonomy. These developmental tasks increase demands on adolescent self-control, hereby putting youth with poor effortful control at risk for psychopathology. Specific parenting behaviors might be warranted to buffer against this risk. Objective: This study was designed to examine parenting-related risk and protective factors in the associations between effortful control and adolescent psychopathology. We hypothesized that youth with poor effortful control require more parental involvement (i.e., lower autonomy granting) to help complete these developmental tasks and subsequently avoid psychopathology. Methods: Via adolescent self-reports (N = 809), associations between effortful control, perceived parenting (i.e., psychological control and autonomy support), and externalizing (i.e., interpersonal aggression and rule-breaking) and internalizing problems (i.e., depressive and anxiety problems) were examined. Results:Regression analyses supported our hypothesis in boys: higher levels of autonomy support exacerbated the negative association between effortful control and rule-breaking. In contrast, in girls this was the case for lower levels of autonomy support. For both genders, low autonomy support and psychological control exacerbated negative associations between effortful control and internalizing problems. No buffering effects of parenting were found. Conclusions: Low effortful control is associated with psychopathology in adolescents, but parenting can affect this association in several ways, depending on the type of psychopathology and the adolescent's gender. Future research should focus on finding 'optimal' levels of parental control that can help avoid psychopathological problems in youth with poor effortful control.

The experience of childhood family adversity may affect adolescent sexual behavior, yet the variation in the types of adversities is unknown. We analyzed data from the Taiwan Education Panel Survey. In 2007, 18,995 students aged 18 years retrospectively reported the age of first sexual activity and the experiences of childhood adversities. Multinomial logistic regression was used to examine the association of childhood adversities with the timing of first sexual occurrence. Parental psychopathology and parental death had significant associations with first sex to occur during periods before age 12, ages 12 to 15, and ages 15 to 18. The impact of some types of adversities on sexual behavior started as early as elementary school, but others influenced children's sexual behavior at a later stage. Parental separation/divorce showed a stronger association with early onset of sex activity for females, that is, sexual debut before age 12.

Pathological ("extreme") demand avoidance (PDA) involves obsessively avoiding routine demands and extreme emotional variability. It is clinically linked to autism spectrum disorder (ASD). The observer-rated EDA Questionnaire (EDA-Q) for children was adapted as an adult self-report (EDA-QA), and tested in relation to personality and the short-form Autism Screening Questionnaire (ASQ). Study 1 (n = 347) found the EDA-QA reliable, univariate, and correlated with negative affect, antagonism, disinhibition, psychoticism, and ASQ scores. Study 2 (n = 191) found low agreeableness, greater Emotional Instability, and higher scores on the full ASQ predicted EDA-QA. PDA can screened for using this tool, occurs in the general population, and is associated with extremes of personality. Future studies will examine if PDA occurs in other clinical populations.

Background: Shame has been found to relate to several psychopathologies, but the way the individual copes with experiences of shame may determine specific expressions of psychopathology, making it essential to rigorously address such coping styles. Objective: This study evaluated the psychometric properties of a Portuguese version of the Compass of Shame Scale using an adolescent sample, to investigate if its internal structure was valid for diverse adolescent subsamples, and to gather evidence on the construct validity of the instrument. Method: Adolescent community boys and girls (n = 1924; 52.3% boys) and adolescent boys with a history of behavior problems taken from foster care and juvenile detention facilities (n = 396) filled in self-report questionnaires on coping with shame and other relevant constructs. Results: A five-factor model was applicable to exploring the coping with shame of adolescent community boys and girls and adolescent boys with behavior problems. Girls, in comparison with boys, more frequently internalized shame or coped with it adaptively. Boys taken from foster care and juvenile detention facilities, compared with community boys, more often externalized shame by attacking others and less frequently attacked themselves, avoided shame experiences or coped with it adaptively. Construct validity in relation to self-criticism, external shame, and experiential avoidance was found. Conclusions: The measure demonstrated reliability and validity estimates consistent with expectations across diverse samples of adolescents. So, it may help advance knowledge on how diverse youth cope with shame and on the interchanges between experiencing shame, managing shame, and psychopathology.

Although the experience of time is of central relevance for psychopathology, qualitative approaches to study the inner experience of time have been largely neglected in autism research. We present results from qualitative data acquired from 26 adults with high functioning autism spectrum disorder (ASD). Employing inductive content analysis we identified a distinct pattern of interrupted time experience in ASD. Individuals with ASD seemed to implement structured and routine behavior by future planning to guarantee that the present passed uninterrupted. We reason that the success of corresponding compensatory mechanisms determines the development of distress and noticeable symptoms. Considering recent theories on Bayesian perceptual inference we relate the syndrome of interrupted time experience to the putative neuronal mechanisms underlying time experience.

Previous research has demonstrated links between anorexia nervosa and autism spectrum disorder however, few studies have examined the possible impact of symptoms of autism spectrum disorder on clinical outcomes in anorexia nervosa. The aim of this study was to examine the association between symptoms of autism spectrum disorder and eating disorders, and other psychopathology during the course of inpatient treatment in individuals with anorexia nervosa. Participants with anorexia nervosa (n = 171) completed questionnaires exploring eating disorder psychopathology, symptoms of depression and anxiety, and everyday functioning at both admission and discharge. Characteristics associated with autism spectrum disorder were assessed using the Autism Spectrum Quotient, short version. Autism spectrum disorder symptoms were significantly positively correlated with eating disorder psychopathology, work and social functioning, and symptoms of depression and anxiety, but not with body mass index. Autism Spectrum Quotient, short version scores remained relatively stable from admission to discharge but there was a small, significant reduction in scores. There was no interaction between time and Autism Spectrum Quotient, short version scores on clinical symptom change. In anorexia nervosa, autism spectrum disorder symptoms appear to be associated with a more severe clinical presentation on admission to inpatient care. Autism spectrum disorder symptoms as assessed by self-report measures may be exacerbated by other mental health psychopathology, which warrants further investigation.

Research over the past three decades has seen a revived interest in the way the human body--and the way in which it is perceived--interacts with aspects of our experience. Consequently, interoception (i.e. the perception of physiological feedback from the body) has recently been shown to be associated with a wide range of cognitive, emotional, and affective functions, making it broadly relevant to the study of autism spectrum disorder. Although limited qualitative accounts and empirical studies suggest that individuals with autism spectrum disorder encounter abnormalities when perceiving and integrating physiological feedback from their bodies, other studies have suggested that people with/without autism spectrum disorder do not differ in interoceptive ability after accounting for alexithymia. In this article, we discuss the newly recognized importance of interoception in autism spectrum disorder with a focus on how deficits in the perception of bodily feedback might relate to the core features and co-occuring psychopathology of autism spectrum disorder. Finally, a new integrated theory is advanced which posits that people with autism spectrum disorder may experience a reduced capacity to integrate interoceptive information that may result in a narrow attentional bodily focus and reduced motivational and behavioral drives.

Previous research on Western college samples has identified a number of personality traits associated with scholastic cheating. Based on these findings, we suggest a model integrating personality predictors of cheating. However, it remains unclear whether the proposed model can be generalised to the Chinese culture, which has different norms and societal values. We filled this gap by estimating the associations between scholastic cheating and key personality constructs (i.e. the Big Five and the Dark Triad) in a sample of Chinese university students (N = 634). Our results indicated that older and male students were more likely to engage in scholastic cheating than other students. After controlling for the constructs' overlap, only extraversion and psychopathy remained significant correlates. We discuss the implications of our findings for both research and practice.

Introduction: Studies regarding the use of support services for persons with a dual diagnosis of intellectual disability and psychopathology are scarce; even fewer have focused on children and young adults. The aim of the present study, conducted in Israel, was to compare the use of support services and their perceived effectiveness by families of children and young adults with intellectual disability (ID) and with dual diagnosis. Methods: Data were collected from 195 family (parental) caregivers of individuals with ID or dual diagnosis, aged 10-30. Using a structured questionnaire, family caregivers reported on the use of support services and on their perceived effectiveness. Results: Findings showed that in addition to the obvious mental health services, caregivers of individuals with ID and dual diagnosis report using a range of services and resources. Caregivers of persons diagnosed only with ID perceived some of the mental health services as being more effective than did caregivers of individuals with dual diagnosis. Conclusion: We advocate for enhanced training for professionals working with individuals with dual diagnosis within all services. Furthermore, parents need to be supported in their search for services for their child and in dealing with complex situations. In addition, more research is needed to identify why individuals with dual diagnosis may not benefit from current mental health services and, in line with this, develop more effective services. Finally, we advocate for the establishment of a one-stop shop that can provide for the comprehensive needs of these individuals within one center.

Objective: To conduct a pilot test of the validity of using empirically derived personality types to characterize eating disorder (ED) risk in college students and resolve discrepancies regarding the role of perfectionism and obsessive-compulsive disorder (OCD) symptoms. Participants: Man and woman undergraduate students (N = 169) at a small, private university. Data were collected from February to May 2016 and 2018. Methods: Participants completed self-report measures of personality (perfectionism, impulsivity, and effortful control) and psychopathology (EDs, OCD). Results: Our analyses replicated three validated personality types: overcontrolled, undercontrolled, and resilient. Analysis of variances demonstrated perfectionism, ED, and OCD symptoms were significantly elevated in the overcontrolled subtype. There was no interaction by sex. Conclusions: These findings suggest that personality types may be useful for classifying ED risk and OCD symptoms in college students across sexes. Further study and relevance to prevention and intervention efforts to reduce the burden of EDs on college campuses will be discussed.

Objective: This article aims at exploring distinctive hallmarks of autistic disorders compared to other groups presenting mimicking and/or overlapping conditions. Method: The exploratory study involved 196 children with autism, intellectual disability, language impairment and psycho-affective disorders previously referred to an autism diagnostic service. The autism discriminative tool (ADT), a behavioural checklist, was used to compile and analyse the children's profiles based on the clinical information gathered during diagnostic assessments. All samples were compared and analysed separately according to the checklist's four domains. Results: Children with autism showed greater frequency and severity of impairments on the ADT's social and communication categories. These children also differed from other groups in terms of specific rigid behaviours and high frequency of atypical sensory responses. Conclusions: Results illustrate the psychopathology of autism spectrum disorder suspected children referred to a specialized autism diagnostic service, doing so by providing us with specific clinical profiles.

Samson et al. ("Journal of Autism and Developmental Disorders" 41:475-483, 2011) conducted the first empirical investigation examining the fear of being laughed at (gelotophobia) and its prevalence in individuals with high-functioning autism spectrum disorder (hfASD). The present research examined gelotophobia in relation to social functioning, perceived social support, life satisfaction and quality of life (QoL) in individuals with hfASD, including past experiences of bullying and the presence of comorbid psychopathology. Participants were 103 adults with a clinical diagnosis of hfASD and 137 typically developing controls. Individuals with hfASD presented with higher rates of gelotophobia symptomatology in comparison to controls (87.4 vs. 22.6% respectively). It was also found that social functioning, past experiences of bullying, anxiety and life satisfaction were predictors of gelotophobia amongst individuals with hfASD.

This article explores conceptual and methodological similarities between Rational Emotive Behavior Therapy (REBT) and Tibetan Buddhism (TB). The authors examine some of the values and concepts they share. They compare the two systems on a number of issues: philosophical underpinnings, concepts of what causes human psychopathology, techniques to bring about change, outcome expectancies and goals. The purpose of this exploration is to increase awareness of the need for Western psychotherapists to develop a comprehensive science of the mind to help humans overcome difficulties and to live more fulfilling lives.

This essay reviews Vygotsky's work on defectology. First, Vygotsky's cultural heritage as a Jew during the transformation from Tsarist Russia to the Soviet Union is considered as a factor in his views on defectology and inclusion. The review then outlines his perspective on the "defect," including his definition of "defect," his view of the generative potential of overcoming the obstacles of biological difference, and his consideration of the secondary defect of low self-worth that follows from being treated as different and defective. Finally, the review considers his defectological writing as part of his broader effort to formulate a theory of situated, mediated human development. This section includes attention to how cultures provide developmental contours within which to promote both individual and collective development toward particular ends; how collective activity provides the socialization through which those developing outside the diagnostic norm may proceed toward such collective ends; and how Vygotsky conceived of education in order to address the developmental needs of evolutionarily different children. The paper concludes with the implications of Vygotsky's work for the education of children of difference. (Contains 7 footnotes.)

The literature examining body image disturbance and Body Dysmorphic Disorder (BDD) is fraught with competing theoretical constructions of the etiology and nosology of these problems. Recent studies on various forms of psychopathology suggest that intrapersonal processes, including experiential avoidance, and interpersonal processes such as difficulties identifying and expressing emotions with others, correlate with higher levels of psychopathology. The present study aimed to investigate the relationship of body image disturbance and diagnosable BDD to the contemporary behavioral variables of experiential avoidance and interpersonal expression of affect. A large sample of participants including those who are diagnosable with BDD were examined. Results indicate that both intrapersonal and interpersonal variables are significant predictors of both body image disturbance in a large population and of BDD as a subsample and that these variables may be important targets for treatment. This principle-based conceptualization has parsimony and potential utility for clinical interventions of these problems. Implications are discussed for the use of contemporary behavioral treatments such as Functional Analytic Psychotherapy and Acceptance and Commitment Therapy to address both body image disturbance and BDD. (Contains 5 tables.)

Recent empirical research on outdoor education programs describes adjustment symptoms that instructors suffer from after the programs have come to an end. Post-course effects are also documented for students, but those are normally scientifically coded in measured changes in "skills" or "learning effects." In this paper, the author compares the adjustment processes of staff and students, and offers a philosophically motivated explanation for these processes with reference to his own experience of Outward Bound wilderness expeditions.

Aim: The present study aimed to examine the quality of mother-infant interactions in emotionally disturbed (ED) mothers. Method: 20 mothers with or without ED and their infants (12-24 months) participated in the study, which involved the mothers interacting with their infants with a toy in a structured play situation. These interactions were video-recorded behaviours. Results: Significant differences were obtained on all the behaviour scales between both the groups. Mothers with ED and their infants displayed more negative or neutral interaction as compared to control mothers and their infants. The interactions of the mother-infant dyads were also less positive in mothers with ED than in control mothers. Conclusions: The study suggests that the presence of ED in mothers is associated with overall less optimal mother-infant interactions than is evident in demographically similar mothers without ED. This study helped confirm previous findings but also demonstrated impact of maternal emotional disturbance on mother-infant interactions not detailed in literature. (Contains 6 tables.)

While considerable research has examined how clients learn from psychotherapists, there is only sparse literature on what therapists learn from their therapy clients. In a qualitative, exploratory study, nine researchers interviewed 61 psychologists from across North America in order to see what psychotherapists may have learned and how they have been affected by their clients both personally and professionally. Participants responded to nine open-ended questions on learning about life-lessons, relationships, ethical decision-making, coping, courage, wisdom, psychopathology, personality, cultural differences, lifespan development and more. Participants' richly elaborated responses were coded thematically and narrative data illustrates the most frequent themes. Therapists reported learning a great deal across each of the questions, consistently expressing respect for their clients' resilience, courage and moral sensibilities.

We compared the instructional efficacy of a narrative text (i.e., a story) and an expository text (i.e., a textbook excerpt). Students enrolled in Abnormal Psychology classes read about the disorder, "dissociative fugue" from a story, a textbook, or both. The story contained literary elements that increased transportation into the story world. We predicted that this would facilitate memory encoding and improve subsequent test performance. Students who read the story achieved higher quiz scores and evidenced greater free recall about the disorder than those who read the textbook. They also reported greater transportation into the discourse. The combined reading conditions were more efficacious than either alone. The advantage of having read the story was evident up to 3 weeks later when students were retested. Our results suggest that, across text genre, the experience of being transported into discourse accounts for greater test performance over time.

Over the past half century, in the United States and other developed nations, children's free play with other children has declined sharply. Over the same period, anxiety, depression, suicide, feelings of helplessness, and narcissism have increased sharply in children, adolescents, and young adults. This article documents these historical changes and contends that the decline in play has contributed to the rise in the psychopathology of young people. Play functions as the major means by which children (1) develop intrinsic interests and competencies; (2) learn how to make decisions, solve problems, exert self-control, and follow rules; (3) learn to regulate their emotions; (4) make friends and learn to get along with others as equals; and (5) experience joy. Through all of these effects, play promotes mental health. (Contains 48 notes and 1 figure.)

This study examined the relationships between university students' internet addiction and psychopathology in Turkey. The study was based on data drawn from a national survey of university students in Turkey. 174 university students completed the SCL-90-R scale and Addicted Internet Users Inventory. Results show that students who use internet six hours and more a day have psychiatric symptoms. Students whose addicted internet usage have psychiatric symptoms such as Somatization, Obsessive Compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism more than students whose nonaddictive internet usage. (Contains 2 tables.)

Stigmas toward those who have mental illnesses are wide-spread and detrimental to the health and well-being of those suffering from these debilitating conditions, and to society as a whole. Stigma-reducing programs are plentiful but many are only marginally effective. In this paper we describe and evaluate a course in Psychopathology that included service-learning and reflection activities as central course components. Compared to a control group, service-learners' attitudes toward the mentally ill were more uniformly positive and compassionate after they completed the course. We discuss these results from a broad service-learning perspective. (Contains 2 tables and 3 figures.)

The present study was to examine the effects of personal and university bounded factors in students mental health in north of Fars province, Iran. The effects of these factors on university students' psychopathology within a survey design were investigated among 300 participants--94 males and 206 females, who were selected through random sampling method and the degrees of their mental health, were measured by SCL-90-R checklist. Overall findings supported that gender, marital status, socioeconomic status as personal factors, and type of university as within university factor would influence students' mental health. So males, married, and students with moderate and high socioeconomic status had more significant better mental health situation than females, singles and those with low socioeconomic status. Finally, ethnicity, dormitory and non-dormitory residence, native or non-native being, discipline, school and faculty, and academic performance variables were not effective on students' mental health significantly. Here, it was suggested an explanatory triangle model for university students' mental health explanation with respect to gendered and socio-cultural contexts and their implications in clinical and educational settings. (Contains 4 tables.)

The purpose of the present study was to investigate the differences between students with LD and SLI on emotional psychopathology and cognitive variables. In particular, the study examined whether cognitive, emotional, and psychopathology variables are significant discriminatory variables of speech and language disordered groups versus those having specific learning disabilities. Participants were 137 students from which 44 had a diagnosis of F80 and 93 of F81 based on the ICD10. They were administered measures of cognition (WISC) and emotions/psychopathology. Results indicated that students with LD and SLI did not differ significantly on emotion and psychopathology variables, according to the perceptions of their parents as they rated with CBCL scale. There were, however, substantial differences on cognitive variables. These differences could not be predicted by the operational definitions of the disorders (which posited no such differences at the population level). (Contains 2 figures and 2 tables.)

Background: This study explored the role of demographic, psychosocial, stress and life event-related risk factors for psychopathology and challenging behaviour in a clinical sample of adults with Down syndrome. Method: A convenience sample of adults with Down syndrome seen through a specialised clinic was assessed through interviews and questionnaires specifically designed for use in people with intellectual disabilities. Results: Recent negative life events and stressors were significantly correlated with mental and behavioural health, and significantly predicted irritability, lethargy and depressed mood. Social avoidance was predicted by stress related to anticipation and social-environmental stressors, and negatively predicted by verbal ability. Ritual-related stress predicted obsessive-compulsive behaviour. Participants who did not have a job or vocational placement were significantly more depressed than participants who did. Conclusions: Adults with Down syndrome should be provided increased supports for coping with negative life events and stressors. Interventions should also emphasise community engagement, such as employment, and access to psychosocial supports that teach coping and self-regulation skills when faced with stressors and negative life events.