Searched for: Department/Unit:Child and Adolescent Psychiatry
Disarming racial microaggressions: Microintervention strategies for targets, White allies, and bystanders
Sue, Derald Wing; Alsaidi, Sarah; Awad, Michael N; Glaeser, Elizabeth; Calle, Cassandra Z; Mendez, Narolyn
Given the immense harm inflicted on individuals and groups of color via prejudice and discrimination, it becomes imperative for our nation to begin the process of disrupting, dismantling, and disarming the constant onslaught of micro- and macroaggressions. For too long, acceptance, silence, passivity, and inaction have been the predominant, albeit ineffective, strategies for coping with microaggressions. Inaction does nothing but support and proliferate biased perpetrator behaviors which occur at individual, institutional and societal levels. This article introduces a new strategic framework developed for addressing microaggressions that moves beyond coping and survival to concrete action steps and dialogues that targets, allies, and bystanders can perform (microinterventions). A review of responses to racist acts, suggest that microaggression reactions/interventions may be primarily to (a) remain passive, retreat, or give up; (b) strike back or hurt the aggressor; (c) stop, diminish, deflect, or put an end to the harmful act; (d) educate the perpetrator; (e) validate and support the targets; (f) act as an ally; (g) seek social support; (h) enlist outside authority or institutional intervention; or (h) achieve any combination of these objectives. We organize these responses into four major strategic goals of microinterventions: (a) make the invisible visible, (b) disarm the microaggression, (c) educate the perpetrator, and (d) seek external reinforcement or support. The objectives and rationale for each goal are discussed, along with specific microintervention tactics to employ and examples of how they are executed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
PMID: 30652905
ISSN: 1935-990x
CID: 4903712
Focused Classroom Coaching and Widespread Racial Equity in School Discipline
Gregory, Anne; Ruzek, Erik A; DeCoster, Jamie; Mikami, Amori Yee; Allen, Joseph P
We examined the effects of a teacher coaching program on discipline referrals using records from 7,794 secondary U.S. classrooms. Some classroom teachers took part in a trial: They were randomized to receive intensive coaching in a focal classroom or to form a business-as-usual control group. The remaining teachers taught in the same schools. Previous research suggested that the coaching program was associated with increasing equity in discipline referrals in focal coached classrooms (Gregory et al., 2016). The current study addressed the generalizability of effects from teachers' focal coached classrooms to diverse classrooms in their course load. Results suggested that the coaching program had no generalized effects on reducing referrals with African American students or racial referral gaps in classrooms with coached teachers, relative to the control teachers and the other teachers in the schools. We offer implications for coaching programs and directions for equity-oriented efforts to reduce racial discipline gaps.
PMCID:8186456
PMID: 34109259
ISSN: 2332-8584
CID: 4900132
Letter to the Editor
Tarpey, Thaddeus; Petkova, Eva
Hutson and Vexler (2018) demonstrate an example of aliasing with the beta and normal distribution. This letter presents another illustration of aliasing using the beta and normal distributions via an infinite mixture model, inspired by the problem of modeling placebo response.
PMCID:7986476
PMID: 33762775
ISSN: 0003-1305
CID: 4822762
Effects of a rat model of gestational hypothyroidism on forebrain dopaminergic, GABAergic, and serotonergic systems and related behaviors
Menezes, Edênia Cunha; Santos, PatrÃcia Rabelo; Goes, Tiago Costa; Carvalho, Vanessa Cibelle Barboza; Teixeira-Silva, Flávia; Stevens, Hanna E; Badauê-Passos, Daniel Jr
We investigated the effects of maternal hypothyroidism on forebrain dopaminergic, GABAergic, and serotonergic systems and related behavior in adult rat offspring. Experimental gestational hypothyroidism (EGH) was induced by administering 0.02% methimazole (MMI) to pregnant rats from gestational day 9 to delivery. Neurotransmitter-related protein and gene expression were evaluated in offspring forebrain at postnatal day (P) 120. Exploratory behavior, contextual fear conditioning, locomotion, and 30-day reserpine Parkinson induction were assessed from P75-P120. Protein and gene expression assessments of medial prefrontal cortex showed group differences in dopaminergic, GABAergic, and serotonergic receptors, catabolic enzymes, and transporters. Striatum of MMI offspring showed an isolated decrease in the dopaminergic enzyme, tyrosine hydroxylase. MMI exposure increased GABA and dopamine receptor expression in amygdala. MMI offspring also had decreased state anxiety and poor contextual fear conditioning. We found that baseline locomotion was not changed, but reserpine treatment significantly reduced locomotion only in MMI offspring. Our results indicated that restriction of maternal thyroid hormones reduced dopaminergic, GABAergic, and serotoninergic forebrain components in offspring. Tyrosine hydroxylase deficiency in the striatum may underlie enhanced reserpine induction of Parkinson-like movement in these same offspring. Deficits across different neurotransmitter systems in medial prefrontal cortex and amygdala may underlie decreased state anxiety-like behavior and reduced fear conditioning in offspring, but no changes in trait anxiety-like behavior occurred with maternal MMI exposure. These findings strongly support the hypothesis that adequate delivery of maternal thyroid hormones to the fetus is crucial to the development of the central nervous system critical for emotion and motor regulation.
PMID: 30898681
ISSN: 1872-7549
CID: 4821302
The Role of Redox Dysregulation in the Effects of Prenatal Stress on Embryonic Interneuron Migration
Bittle, Jada; Menezes, Edenia C; McCormick, Michael L; Spitz, Douglas R; Dailey, Michael; Stevens, Hanna E
Maternal stress during pregnancy is associated with increased risk of psychiatric disorders in offspring, but embryonic brain mechanisms disrupted by prenatal stress are not fully understood. Our lab has shown that prenatal stress delays inhibitory neural progenitor migration. Here, we investigated redox dysregulation as a mechanism for embryonic cortical interneuron migration delay, utilizing direct manipulation of pro- and antioxidants and a mouse model of maternal repetitive restraint stress starting on embryonic day 12. Time-lapse, live-imaging of migrating GAD67GFP+ interneurons showed that normal tangential migration of inhibitory progenitor cells was disrupted by the pro-oxidant, hydrogen peroxide. Interneuron migration was also delayed by in utero intracerebroventricular rotenone. Prenatal stress altered glutathione levels and induced changes in activity of antioxidant enzymes and expression of redox-related genes in the embryonic forebrain. Assessment of dihydroethidium (DHE) fluorescence after prenatal stress in ganglionic eminence (GE), the source of migrating interneurons, showed increased levels of DHE oxidation. Maternal antioxidants (N-acetylcysteine and astaxanthin) normalized DHE oxidation levels in GE and ameliorated the migration delay caused by prenatal stress. Through convergent redox manipula-tions, delayed interneuron migration after prenatal stress was found to critically involve redox dysregulation. Redox biology during prenatal periods may be a target for protecting brain development.
PMCID:7199998
PMID: 30877797
ISSN: 1460-2199
CID: 4821292
Diagnosis in young children: The use of the DC:0-5TM Diagnostic Classification of Mental Health and Developmental Disorders in Infancy and Early Childhood
Chapter by: Mulrooney, Kathleen; Egger, Helen; Wagner, Stephanie; Knickerbocker, Lauren
in: Clinical guide to psychiatric assessment of infants and young children by Frankel, Karen A [Ed]; Harrison, Joyce [Ed]; Njoroge, Wanjiku F
[S.l.] : Springer, 2019
pp. 253-283
ISBN: 978-3-030-10634-8
CID: 4781612
AN EXPLORATORY STUDY: TRAUMA ASSESSMENT AND THE FUTURE DIRECTION OF CHILD AND ADOLESCENT TRAUMA TRAINING CURRICULUM [Meeting Abstract]
Sterchele, Ashley; Pacheco, Nicole; Tatum, Jasmine; Arnovitz, Mitchell; Rice, Timothy
ISI:000518857302061
ISSN: 0890-8567
CID: 4737932
Translating research to support practitioners in addressing disparities in child and adolescent mental health and services in the United States
Valdez, Carmen R; Rodgers, Caryn R R; Gudiño, Omar G; Isaac, Patricia; Cort, Natalie A; Casas, Manuel; Butler, Ashley M
Despite increased recognition of disparities in youth mental health, racial/ethnic disparities in mental health burden and in mental health service use persist. This phenomenon suggests that research documenting disparities alone has not led to extensive action in practice settings in order to significantly reduce disparities. In this commentary, we present a framework to actively target this research-to-practice gap by describing the development of a resource titled, "Addressing the Mental Health Needs of Racial and Ethnic Minority Youth-A Guide for Practitioners." We begin by presenting social justice as the impetus for eliminating disparities and then reviewing current knowledge and efforts aimed at reducing disparities. Subsequently, we describe knowledge transfer frameworks and goals guiding our work. Finally, we detail the steps taken in our approach to translation and implications for subsequent dissemination of this guide. Translation focused on evidence-based information on (a) mechanisms that contribute to disparities, and (b) strategies for providers to address disparities in their work. We reflect on the framework guiding our translation to offer future directions for others interested in bridging research and action. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
PMID: 30714775
ISSN: 1099-9809
CID: 4726552
THE IOWA GAMBLING TASK IN VIOLENT AND NONVIOLENT INCARCERATED MALE ADOLESCENTS
Umbach, Rebecca; Leonard, Noelle R; Luciana, Monica; Ling, Shichun; Laitner, Christina
Previous studies have found impaired affective decision-making, as measured by the Iowa Gambling Task (IGT), in various antisocial populations. This is the first study to compare the IGT in violent and nonviolent incarcerated American youth. The IGT was administered to 185 incarcerated adolescent male offenders charged with either nonviolent (38.4%) or violent (61.6%) crimes. General linear mixed models and t tests were used to assess differences between the groups. The full sample performed worse than if they had selected from the decks at random. The violent offenders performed more poorly than the nonviolent offenders overall, primarily because they preferred "disadvantageous" Deck B to a greater degree; however, they did demonstrate some degree of learning by the final block of the task. Adolescent offenders demonstrate impaired affective decision-making. Behavior suggested preferential attention to frequency of loss and amount of gain and inattention to amount of loss.
PMCID:7518041
PMID: 32981980
ISSN: 0093-8548
CID: 4688972
DBT adaptations with pediatric patients
Chapter by: Lois, Becky H; Corcoran, Vincent P; Miller, Alec L
in: Handbook of cognitive behavioral therapy for pediatric medical conditions by Friedberg, Robert D [Ed]; Paternostro, Jennifer K [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2019
pp. 137-150
ISBN: 978-3-030-21682-5
CID: 4630422