SEPARATION ANXIETY AND DE FACTO DENIAL OF VISITATION

The dynamics of separation anxiety and its potential impact upon restriction of legal visitation in preschool age children is discussed. The interplay between adult personality characteristics and the child's developmental level is inextricably intertwined to generate separation fears. This interplay is presented within a theoretical framework of interaction. Unfortunately, the child's reactions to separation are frequently misinterpreted by the parents as indications of some mistreatment by the former spouse. Although adjustment difficulties in preschool age children coping with divorce are likely, the pattern of disturbance associated with separation anxiety is predictable and occurs almost exclusively with temporary removal from the primary parent. Behavioral health and legal professionals are cautioned against allowing such behavioral disturbance to be utilized by combative parents to deny, restrict or abridge scheduled visitations with the nonresidential parent. Requests for private custody evaluations have increased dramatically in the past decade. Behavioral health professionals often find themselves being jointly stipulated to by disagreeing parties, or directly appointed by the court, to help formulate a residential plan to meet “the best interests of the children” affected. When assessing divorcing families with young children, varied adjustment patterns are observed. However, as Wallerstein and Kelly (1980) discovered, almost all children are adversely affected by the family rupture, at least on a short-term basis. Surprisingly less than 10 percent of the children experienced relief following the parental decision to divorce, despite the degree of explosiveness which may have characterized the dysfunctional marital relationship. Further, the particular response style exhibited by the children was primarily dependent upon the developmental and emotional level the child attained prior to the time of divorce. While positive adjustment has been correlated with an absence of feuding or animosity between the divorcing parents (McKinnon & Wallerstein, 1986), preschool children seem quite vulnerable to adjustment difficulties. Evidence has also begun to accumulate to suggest that divorce has a more serious impact upon boys than girls (Hetherington, 1979). Problems frequently surface during times of exchange, particularly when parents are actively engaged in battle. At its worst, these extreme maladjustments may resemble what appears to be a separation anxiety. Again, the Wallerstein and Kelly (1980) studies reported that preschool age youngsters displayed fright, exhibited regressions, confusion, increased aggression, maintained disruptive fantasies, and experienced guilt. While most of these symptoms remit within a year to a year and a half following divorce, continued bickering and conflict between the parents either prevents resolution, or may even exacerbate, these symptoms later. The purpose of this paper is to discuss the phenomenon of separation anxiety in greater detail, and to provide professionals aiding divorcing families with preschool age children sufficient information to recognize and understand these problems. Hopefully, this knowledge will facilitate those entrusted with making custodial-visitation recommendations, the confidence to follow through with agreed visitation plans despite what at first may appear to be discomfort to the child.     

Dirty diving. Sudden death of a SCUBA diver in a water treatment facility.

We report a case of a sudden death in a SCUBA diver working at a water treatment facility. The victim, an employee of the facility with a specialty in electronics, was a sport diver not qualified in commercial diving. While attempting to clean sludge from a blocked drain 25 ft under water, the diver was suddenly pinned against the drain valve when the sludge plug was broken up. We review the mechanics of the incident and the actual cause of death, asphyxia, as opposed to drowning. We believe this to be the first reported case of traumatic (pressure) asphyxia in a SCUBA diver.     

Mentoring programs to affect delinquency and associated outcomes of youth at risk: A comprehensive meta-analytic review

Objectives

To conduct a meta-analytic review of selective and indicated mentoring interventions for effects for youth at risk on delinquency and key associated outcomes (aggression, drug use, academic functioning). We also undertook the first systematic evaluation of intervention implementation features and organization and tested for effects of theorized key processes of mentor program effects.

Methods

Campbell Collaboration review inclusion criteria and procedures were used to search and evaluate the literature. Criteria included a sample defined as at risk for delinquency due to individual behavior such as aggression or conduct problems or environmental characteristics such as residence in a high-crime community. Studies were required to be random assignment or strong quasi-experimental design. Of 163 identified studies published from 1970–2011, 46 met criteria for inclusion.

Results

Mean effects sizes were significant and positive for each outcome category (ranging from d?=?0.11 for academic achievement to d?=?0.29 for aggression). Heterogeneity in effect sizes was noted for all four outcomes. Stronger effects resulted when mentor motivation was professional development but not by other implementation features. Significant improvements in effects were found when advocacy and emotional support mentoring processes were emphasized.

Conclusions

This popular approach has significant impact on delinquency and associated outcomes for youth at risk for delinquency. While evidencing some features may relate to effects, the body of literature is remarkably lacking in details about specific program features and procedures. This persistent state of limited reporting seriously impedes understanding about how mentoring is beneficial and ability to maximize its utility.     

Discrepant Parent-Adolescent Reports of Parenting Practices: Associations with Adolescent Internalizing and Externalizing Symptoms

Journal of Youth and Adolescence - Discrepancies in multi-informant reports of parenting practices represent a meaningful clinical construct that can be harnessed to predict adolescent mental...