Emotion regulation and understanding: implications for child psychopathology and therapy.

This paper considers the role of emotion regulation (i.e., extrinsic and intrinsic monitoring and adjusting of emotion) and emotion understanding (i.e., comprehension of the signs of, causes of, and ways to regulate emotion) in childhood adjustment. Developmental and clinical research focused on emotion regulation and emotion understanding are reviewed with an emphasis on studies including psychopathological samples. The implications of emotion research for the study of child psychopathology and child therapy are examined.     

Social support and treatment outcome in behavioral family therapy for child conduct problems.

This study assessed the role of social support in the outcome of child management training (CMT) for single parents of conduct problem children and assessed the impact of adjunctive ally support training (AST) on treatment outcome. Single parents (N = 22) with a child diagnosed as oppositional or conduct-disordered received CMT or CMT plus AST. Each group received the same 6-week parent training program and the AST group received an extra social support intervention. Measures of parent behavior, child deviance, social support (SS), and parental depression were obtained at pre- and posttreatment and at 6-month follow-up. Both groups improved, and changes maintained at follow-up. AST produced no extra gains. Responders from either group were more likely than nonresponders to report high levels of SS from friends. Results emphasize the importance of SS and the difficulty of incorporating changes in SS into treatment programs.     

Cerebral phaeohyphomycosis in an immunodeficient child treated medically with combination antifungal therapy.

Cerebral phaeohyphomycosis is a rare fungal infection with a poor prognosis when using conventional antifungal therapy in the absence of neurosurgical intervention. We present a case of a pediatric patient with inoperable Cladophialophora bantiana cerebral abscesses. To our knowledge, this child's case is the first reported to be treated with the combination of the newer triazole voriconazole and the new echinocandin caspofungin. Although our patient subsequently died, the natural rapid progression of the disease seemed to be altered by the antifungal combination alone, in the absence of surgery. Despite the fatal outcome for our patient, we encourage other clinicians to try unique medical approaches for this historically life-threatening infection when adjunctive surgery is impossible.     

Child therapy training: closing gaps with research and practice.

Previous surveys have revealed troubling gaps between training and research and practice in psychotherapy. In this study, a selective review of research on child therapy and therapy training was conducted in order to address questions concerning who, what, how, and when to train child therapists. This review revealed substantial gaps in our current empirical knowledge about child therapy training, but some promising leads as well. A science-based approach to child therapy training is advocated.     

Empirical and clinical focus of child and adolescent psychotherapy research

The present study evaluated the characteristics of research on child and adolescent psychotherapy. Published studies (N = 223) of psychotherapy from 1970 to 1988 were codified to characterize research, clinical, and methodological characteristics. The major results indicate that (a) treatment research focuses almost exclusively on the impact of treatment techniques with scant attention to influences (child/adolescent, parent, family, therapist) that may moderate outcome and (b) several characteristics of the children/adolescents and methods of treatment delivery and approaches depart markedly from those evident in the practice of treatment. Priorities for treatment research to place clinical practice on firmer empirical footing are discussed.     

Between a rock and a soft place: developmental research and the child advocacy process.

Developmental researchers face a perilous path as they set out to perform research with child advocacy potential. We offer our observations regarding how researchers can navigate the path between science (the "rock") and advocacy (the "soft place"), based on our recent experience as directors of the MacArthur Juvenile Adjudicative Competence Study. Scientific research can be extraordinarily effective in the child advocacy process, but science and advocacy are very different endeavors. Scientific credibility demands impartiality, whereas advocacy is never impartial. For psychological scientists to be effective in conducting research relevant to child advocacy, it is important to maintain our identity as scientists and resist any efforts on the part of others to label this work as advocacy.     

Methylprednisolone pulse therapy for massive lymphadenopathy in a child with intravenous immunoglobulin-resistant Kawasaki disease.

Kawasaki disease (KD) is an acute febrile multi-system vasculitis of unknown etiology. The diagnosis is based on clinical features. We describe a case of intravenous immunoglobulins (IVIG)-resistant KD presenting with persistent fever and massive cervical lymphadenopathy associated with mild respiratory distress. The symptoms resolved after methylprednisolone pulse therapy. High-dose pulse steroid may be an alternative therapeutic option in KD which presents with possible life-threatening complications or failure to respond to high-dose IVIG infusion.     

基因治疗研究进展

基因治疗一种很有发展前途的高新技术。基因治疗有望成为治疗遗传病、肿瘤、心血管病、病毒感染及其它难治性疾病的有效手段,本文通过国内外相关文献的分析,从基因治疗（基因治疗的现状、肿瘤的基因治疗）、基因预防、基因治疗技术、基因治疗存在的问题和未来发展等进行综述。     

Using action research to facilitate change in child protection services

We have been involved over several years in the planning and development of services for child abuse investigation and therapy, including the development of multiagency (“child advocacy”) centers and education for Court programs. Our roles have been in research, program evaluation, group facilitation, advocacy, and planning. The approach taken was that of “action research.” This approach allows for the collaboration of researchers, service providers, and clients in the analysis of a social problem and/or related social services. It also allows for the multiple roles demanded of the researcher in facilitation of change. In contrast to action research, the more common approaches of scientific inquiry and program evaluation assume a one‐way influence of science on practice, which may partially account for the low rates of utilization of research knowledge and low participation in research by practitioners. Action research is described, and contrasted with other approaches. Advantages and problems in action research are illustrated by reference to the child protection projects we are currently involved in. © 2002 Wiley Periodicals, Inc.