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Transcript of NYU Applied Psychology OPUS Spring 2010
DEPARTMENT OF APPLIED PSYCHOLOGY
online publication of undergraduate studies
SPRING 2010
OPUS was initiated by undergraduate students in NYU Steinhardt’s Department of Applied Psychology. The ideas and opinions contained in this publication solely reflect those of the authors and not New York University. All work is licensed under the Creative Commons Attribution-Noncommercial-No Derivative Works License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0
EDITOR-IN-CHIEF
Vanessa Victoria Volpe
EDITORS
Jackson J. Taylor
Sibyl Hayley Holland
STAFF WRITERS
Alyssa Deitchman
Javanna N. Obregon
Justina Passarelli
FACULTY MENTOR
Dr. Gigliana Melzi
CONTRIBUTORS
Maurice Anderson
Don Asher Cohen
Priya Gopalan
Robby D. Harris
Ryann McNeil
Silvia Niño
Neha Sahu
Cristina Tamayo
Jessica Winterstern
GRAPHIC DESIGN & LAYOUT
Jackson J. Taylor
SPECIAL THANKS
NYUSteinhardt
Department of Applied Psychology
Dain Goding
Davel Hamue
Justine M. Kelly-Fierro
E. James Ford
Dalal Katsiaficas
Adina Schick
Arthur Taylor
Dean Lindsey Wright
COVER PHOTO: Sasha Arutyunova (NYU TSOA ‘11)
A LETTER FROM THE EDITOR As psychology students at a large research university in the heart of New York City, we
recognize that psychology does not exist in a vacuum. We are acutely aware of how
context and culture permeate all aspects of our experience, and strive to bring these
considerations back into the psychological equation. We often ask, “Why is this
important? Who are we benefiting? How can we make an impact?” Encouraging us to
consider the application of a psychology saturated with subjectivity is the message of
both NYU’s Applied Psychology program and NYU Applied Psychology OPUS.
Undergraduate researchers rarely have a voice in the larger psychological community,
but this voice is crucial. OPUS was created to encourage and showcase the exemplary
work of NYU undergraduate students in psychology. As an online publication, OPUS is
designed to allow students to reach a wider audience with their work, simultaneously
creating the potential for dialogue both within and beyond NYU. OPUS strives to build a
community of excellence for undergraduates who are not only studying psychology from
a textbook, but becoming actively engaged by asking questions and applying this
knowledge to their world.
Whether you’re interested in language acquisition, the development of treatment
options for psychological disorders, or the portrayal of mental illness in modern cinema,
this publication pushes for a broader, functional definition of psychology. Our inaugural
issue features academic work in all forms, from empirical investigations to review
articles, op-ed pieces, and creative works. These articles present only a few of the
impressive undertakings of undergraduate NYU psychology students and we look
forward to showcasing many, many more.
So welcome to the Spring 2010 issue of NYU Applied Psychology OPUS!
As you read, ask yourself, what is psychology to you?
We hope this issue will get you talking.
Vanessa Victoria Volpe
Editor-in-Chief
contents PREFACE
Dr. Gigliana Melzi | 2
STAFF ARTICLES
Autism and Asperger’s Syndrome: Two Disorders, One Diagnosis | Alyssa Deitchman | 5
Drinking From the Lethe: Memory Erasing is No Longer a Myth | Javanna N. Obregon | 8
A One Way Ticket to Shutter Island | Justina Passarelli | 11
EMPIRICAL ARTICLES
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris | 15
SUBMISSIONS
In Between the Images: The Therapeutic Benefits of Unconscious Exposure | Don Asher Cohen | 31
A Call for the Proper Evaluation of Treatment for Co-Occurring BD and SUD | Priya Gopalan | 34
ABSTRACTS
Loneliness and Depression among Foster Children: The Role of Caregiver Ethnic Match | Maurice Anderson | 38
Father Involvement in Ethnically Diverse Populations | Ryann McNeil | 38
Book Reading Styles in Bilingual Head Start Classrooms | Silvia Niño | 39
Demographic and Relational Predictors of Social Self-Awareness in Urban Elementary Classrooms | Neha Sahu | 39
Language Attitudes of Puerto Ricans toward English and Bilingualism | Cristina Tamayo | 40
The Stories Friends Share: Structural and Thematic Analyses | Jessica Winterstern | 40
STAFF & CONTRIBUTOR BIOS
Staff Bios | 41
Contributor Bios | 32
PREFACE
Welcome to the inaugural issue of the NYU Applied Psychology OPUS!
This student-initiated and student-led online publication represents
the Applied Psychology Undergraduate Program’s commitment to
encourage students to bridge psychological theory with practice in
our ever growing multicultural world. The diverse content covered in
this inaugural issue reflects the breadth of interests our students
have, as well as the strong research skills and hands-on experience
they gain through their coursework and field site placements.
I am often amazed by our students’ devotion and commitment to the
field of psychology despite their youth. Their dedication and
contributions are encapsulated in this first issue. I truly hope you
enjoy reading it!
Gigliana Melzi, Ph.D,
Associate Professor of Applied Psychology
Director of Undergraduate Studies in Applied Psychology
New York University
2
staff
articles
4
Autism and Asperger’s Syndrome:
Two Disorders, One Diagnosis Alyssa Deitchman
Joseph is fascinated with the pull of his
skin and insists it looks like rubber. His palm
faces the ceiling as he stretches his fingers
down toward the floor. I notice that this
repetitive compulsion is interfering with his
focus on the teacher. I try to stop him, but to
no avail. All he can say is “rubber,” while
showing me this motion over and over again.
He keeps looking at me with a troubling,
detached and empty gaze. Joseph is a seven-
year-old child I taught at a summer camp for
mentally disabled children. Joseph is
diagnosed with Autism.
Andrew converses with me about my
day, though his eye contact is similar to that of
Joseph’s. He looks past me as he speaks but
is able to talk to me in a sequential, organized
manner. After a quick pause in conversation,
he resumes his drawing with a fervent
attention to detail. I ask my mentor for
Andrew’s diagnosis, and if I can see his
Individual Education Plan. He seems to be on a
different level than Joseph yet they are
grouped into the same program. Andrew is
diagnosed with Asperger’s syndrome.
In the past decade, professionals have
viewed Asperger’s as a high-functioning form
of Autism. Autism and Asperger’s syndrome
have often been considered synonymous in
the eyes of the general public, despite the
distinction set forth by the American
Psychiatric Association's (2000) Diagnostic
and Statistical Manual of Mental
Disorders (text revision; DSM-IV-TR). Though an
undergraduate student is hardly qualified to
diagnose mental illnesses, I found myself
wondering, If the rate at which a child
cognitively develops presents the only
differentiating factor between these two
disorders, why is Joseph so severely detached
and Andrew able to stay on task and talk with
me?
The disparity between the behaviors of
these boys begs many questions in regards to the
recent merge of Asperger’s syndrome under
Autism Spectrum disorders in the new version of
the DSM. According to the American Psychiatric
Association (APA), the differentiating factor
between Asperger’s syndrome and Autism is the
rate at which cognitive milestones are met. The
DSM-IV explains that Asperger’s is absent of
“clinically significant delays in language, cognitive
development, and adaptive functioning” (Lopez-
Duran, 2010). Besides this difference, the APA
maintains that these two disorders are clinically
identical in areas of social interaction and
restricted repetitive patterns of behavior. The APA
argues for the merge of these two similar clinical
profiles, which are currently diagnosed differently
on the sole basis of language and cognitive
development.
While this argument presents a valid
point, that social behavior does seem like a more
clinically significant diagnostic factor than
cognitive development, the distinctions between
the disorders make this merge seem faulty. But in
order to fully comprehend the differences
between the two disorders, we need to
understand the Autism Spectrum. Autism and
Asperger’s Syndrome are classified under a group
of disorders entitled Pervasive Developmental
Disorders (PDD) by the DSM-IV-TR (2000). PDDs
are characterized by impairments in
communication and social deficits, along with
repetitive interests and behaviors.
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As Rosenn (1997) illustrates, autism
disorders were once presented as a spectrum
(Figure 1). In this model, classic autism, also
known as Kanner’s Syndrome, is at the severe
end of the spectrum wherein patients are non-
verbal and severely cognitively disabled. In the
center, the Pervasive Developmental Disorders-
Not Otherwise Specified (PPD-NOS) are listed
under the “moderate” category, as the
presentation of autism takes a greater variety of
forms and may affect individuals in many
different ways, incorporating aspects of both High
Functioning Autism/Asperger’s Syndrome
(HFA/AS) and Kanner’s Syndrome as suggested
by the introduction of more shapes in the cone.
Lastly, the light and highly varied portion of the
spectrum represents HFA/AS, in which there are
only minor motor difficulties and no apparent
delays in emergent cognitive skills.
However, Shore (2003) represents
Asperger’s syndrome as an entirely separate
entity from Autism (Figure 2), though both are
considered to be Pervasive Developmental
Disorders. If Asperger’s disorder was always
simply a “high-functioning” autism, as the APA
suggests, then how can they be represented
separately? From my work at summer camp, I
observed first-hand just how disparate the
difference between these disorders could be.
Since Joseph and Andrew behaved so
differently, I had a hard time understanding why
they were viewed in the same academic, political,
social and clinical contexts. Catherine Lord,
director of the University of Michigan Autism and
Communication Disorders Center, justifies the
merge of these disorders with well-intentioned
explanation, “The intent is to try to make the
diagnosis of autism clearer and to better reflect
the science” (Hamilton, 2010). Despite such
intent, with every redefinition we seem to make
the classifications of autism increasingly unclear.
Michael John Carley, author of Asperger’s From
the Inside Out angrily exclaims, “I personally am
probably going to have a very hard time calling
myself autistic” (Hamilton, 2010).
How can anyone, from clinicians to
summer camp staff, recognize and appropriately
“treat” autism if the opposite ends of the
spectrum are so different? As the APA keeps
broadening the definition, the public is being
further distanced from a concrete understanding
of what Autism and Asperger’s Syndrome are,
and what they are not.
References
American Psychiatric Association. (2000). Diagnostic and statistical
manual of mental disorders (4th ed.). Washington, DC: APA.
Hamilton, Jon. (2010, February 10). Asperger's officially places inside
autistic spectrum. Retrieved from http://www.npr.org/
templates/story/story.php?storyId=123527833
Lopez-Duran, Nestor. (2010, February 15). Autism and asperger's in
the DSM-V: Cognitive utility. Retrieved from http://www.
child-psych. org/2010/02/autism-and-aspergers.html
Rosenn, D. (1997). Autism Spectrum Severity Wedge from Aspergers:
What we have learned in the '90s conference in Westboro, MA.
Shore, S. (2003). Beyond the wall: Personal experiences with Autism
and Aspergers syndrome.(2nd ed.). Shawnee Mission, KS:
Autism Asperger Publishing Company.
Figure 1. The Autism Spectrum.
Figure 2. Pervasive Developmental Disorders.
Austism and Asperger’s Syndrome: Two Disorders, One Diagnosis | Alyssa Deitchman 6
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Looking like Lethe, see! the lake A conscious slumber seems to take,
And would not, for the world, awake. –The Sleeper, Edgar Allen Poe
I l lust rat ion © Davel Hamue 2010
Javanna N. Obregon
Drinking from the Lethe: Memory Erasing is No Longer a Myth
At the beginning of the 20th century,
neurologist Sigmund Freud (1989) developed the
concept of the unconscious, a deeply buried nook
in the brain where memories are stored.
According to Freud (1989), these memories
cannot always be recalled, but can still affect
personality, behavior, and decision-making at a
subconscious level. In fact, psychologists agree
that the repression of negative memories can
lead to the development of neurosis (Weiten,
2007). Freud (1989) believed that by bringing
unconscious memories to the surface, personal
growth and self-actualization could be achieved.
But what if there was a simpler process? What if
these negative memories could be erased? Could
those troubled by painful memories receive a
second chance at happiness, or would a
quintessential aspect of personality be lost?
Recently, a group of scientists from
Brooklyn’s SUNY Downstate Medical Center may
have made the mythical process of memory
erasing a reality (Carey, 2009). According to the
New York Times, a team of researchers, led by Dr.
Todd Sacktor, discovered the function of enzyme
PKMzeta in memory storage against an
antagonist drug called ZIP (Carey, 2009). Joining
forces with Dr. Andre A. Fenton of SUNY
Downstate’s Spatial Memory Department, Dr.
Sacktor’s team found that when they injected lab
rats with ZIP, the drug interfered with memory
recall and consolidation (Carey, 2009; “Erasing
Your Memories”, 2009). Once injected, the rats
could no longer recall memories of learned
behaviors, such as positions of shocking devices
in a maze that they had remembered consistently
throughout a four-month period (Carey, 2009).
Spurring great psychological debate, Dr. Sacktor’s
team believes that this same process can be
duplicated in humans (Carey, 2009).
From further experimentation with rats,
Dr. Sacktor and his team learned that ZIP almost
immediately erases specific memories without
interfering with either short- or long-term memory
construction (“Erasing Your Memories”, 2009).
As an enzyme, PKMzeta “catalyze[s] very specific
chemical reactions and can be rapidly inhibited”
(“Erasing Your Memories”, 2009). With ZIP
creating these very specific reactions of synaptic
proteins, Dr. Sacktor and his team believe they
are capable of using ZIP to inhibit PKMzeta,
thereby erasing precise memories without any
damage to the surrounding cortical areas
(“Erasing Your Memories”, 2009). Impressively,
ZIP also appears to permanently erase memories.
Three months after being injected, Dr. Sacktor’s
rats still cannot recall the correct path through
the maze, even if they are given hints and
reminders (“Erasing Your Memories”, 2009). Dr.
Sacktor suggests a three-month memory lapse in
rats is equivalent to approximately a decade in
human years (Carey, 2009b).
Once the exact process is perfected, Dr.
Sacktor and his team believe that memory
erasing holds many potential benefits for
psychological wellbeing (Dwyer, 2009). They
suggest that better control over memories could
lead to the treatment of addiction, Alzheimer’s
disease, and Post Traumatic Stress Disorder
(Carey, 2009) along with a series of other
neurological and mental health disorders
(“Erasing Your Memories,” 2009). This research
may be beneficial in treating addiction and
trauma, as well as improving the ways in which
people learn and remember (“Erasing Your
Memories,” 2009). Through Dr. Sacktor’s
8
research, those afflicted by painful memories can
have a fresh start with a simple injection,
followed by the doctor’s reassuring words: you
won’t feel a thing.
Advocates against memory erasing argue
just that—you won’t feel a thing. According to
Freud (1989), memories are the basis of
individual opinions and preferences, influencing
choices and personality. For instance, someone
who was bitten by a dog as a child might have a
different opinion about dogs than someone who
was rescued by one. Hence, memory erasing has
the potential to change a part of an individual’s
interpretation of the world. It is almost as if a
person is choosing to erase what makes him or
her unique. Researchers agree that people are
different because of the subjectivity of perception
(Weiten, 2007). Even sensory information, such
as color perception and touch sensation, differ
depending on both genetics and experience
(Weiten, 2007). In other words, no two people
experience the world in the same way, and
without the memory of specific life events, a
distinct perspective is lost. After years of
composing a unique identity, the advent of
memory erasing procedures has the potential to
eliminate the product of all those life events.
Furthermore, psychologists suggest that
the ways in which people shape and edit
memories contributes to their individuality. Many
in the scientific community have found that
memory is not as reliable as one may think.
Studies show that memory regularly edits itself in
order to make experiences fit into an individual’s
mental model of the world (Ash, 2009; Choi &
Choi, 2010). Memory is also subject to change as
a result of hindsight bias, the inclination to think
something will happen because it’s happened
before, and the influence of interpersonal
relationships in the form of suggestions from
others (Weiten, 2007). For instance, when a
witness to a car accident is asked to describe the
scene, they may report seeing broken glass
despite its absence. The witness is not
intentionally lying. Through the power of
suggestion and the mind’s editing process to fit
pre-existing models of what should have
happened, the witness believes he or she actually
experienced the event as he or she described.
Based on the subjectivity of memory,
many psychologists see no harm in erasing
memories considering their fallibility. But is it not
subjectivity that creates individuality? The way
people interpret and incorporate events shape
their outlook. Most importantly, it is from
memories, both good and bad, that we learn from
our mistakes and achievements. Freud never
wanted memories erased; he wanted them
brought to the surface, acknowledged, and
worked through, in order to better understand
one’s self and one’s behavior (Weiten, 2007).
Another significant disadvantage of
memory erasing is the possibility that it would
make personal growth more difficult to achieve.
In an interview with Dr. Sacktor, a man only
known as James W. argued just that when he
said, “I’m in general disciplined to promote any
kind of ignorance-even if that ignorance would
make a person happier. We learn from the past
right? Well, we’re suppose to and sometimes it is
learning from painful memories that we become
better people,” (“Erasing Your Memories,” 2009).
Although Dr. Sacktor responded to the statement
by assuring that the process is effective and safe,
he failed to directly address this concern
(“Erasing Your Memories,” 2009, p.2). Learning
and experience are certainly essential to personal
growth. Weiten (2007) claims, “The adaptation
process initiated by stress may lead to personal
changes that are changes for the better.
Confronting and conquering a stressful challenge
may lead to improvements in specific coping
abilities and to an enhanced self concept” (p.
388). Though research has asserted the positive
potential of memories, even negative ones, Dr.
Sacktor fails to acknowledge their importance.
Volume I | Spring 2010
Memory erasing has the potential to
alleviate many psychological disorders such as
trauma, phobias, and addiction. However, as a
society, by erasing memories we would lose that
which allows us to learn, progress, and define
ourselves. Most importantly, memories and
experiences create a basis for each individual’s
worldview interpretation. They shape us into the
people we are today and influence who we will be
in the future. Memory erasing does sound like a
quick fix for psychological issues, but at what
cost? As the saying goes, ignorance is bliss, but
regardless of how “blissful” we feel, that
happiness would be based on a lie. Worst of all,
that lie is one we would have told ourselves, so
can we really call it happiness?
References
Ash, I. K. (2009). Surprise, memory, and retrospective judgment
making: Testing cognitive reconstruction theories of the
hindsight bias effect. Journal of Experimental Psychology:
Learning, Memory, and Cognition, 35, 916-933.
Carey, B. (2009, April 5). Brain researchers open door to editing
memory. The New York Times. Retrieved from
http://www.nytimes.com/2009/04/06/health/research/06
brain.html?_r=1&scp=2&sq=memory%20erasing&st=cse
Choi, D. W., & Choi, I. (2010). A comparison of hindsight bias in groups
and individuals: The moderating role of plausibility. Journal
of Applied Social Psychology, 40(2), 325-343.
Dwyer, J. (2009, April 8). Memories: Good, bad and erasable. The New
York Times. Retrieved from http://www.nytimes.com/2009/
04/08/nyregion/08about.html?scp=4&sq=memory%20era
sing&st=cse
Erasing your memories. (2009, April 13). The New York Times.
Retrieved from http://consults.blogs.nytimes.com/2009/
04/13/memoryerasing/?scp=1&sq=memory%20erasing&s
t=cse
Freud, S., & Gay, P. (Eds.). (1989). The Freud reader. New York:
Norton.
Poe, E.A. (1985) Edgar Allen Poe: Selected works. New York:
Random House.
Weiten, W. (2007). Psychology: Themes and variations (7th ed.).
Belmont, CA: Thomson Wadsworth.
Drinking from the Lethe: Memory Erasing is No Longer a Myth | Javanna N. Obregon 10
A One Way Ticket to
Shutter Island
Psychology as a field is often
misrepresented in modern cinema and Martin
Scorsese’s latest film, Shutter Island, is one
that may leave a negative impression of
psychology on the viewer. In the story, U.S.
Marshall Teddy Daniels (Leonardo Dicaprio)
sets out to find an escaped patient from Ashcliffe
Insane Asylum on Shutter Island. However, in a
radical twist, we find that Teddy is himself a
patient at the asylum. He suffers from Delusional
Disorder, creating a false world to escape the
dark reality of his past. Shutter Island is one of
the many films that present the ethical
considerations of psychological treatment to a
mainstream audience. While it succeeds in
accurately presenting a severe case of mental
illness and the changing treatment options of
the time, it may ultimately fail to shed a much
needed, positive light on the modern field of
psychology.
Was Teddy Delusional or Are We?
Teddy displays features of both
Grandiose and Persecutory Delusional Disorder.
According to the American Psychiatric
Association's (2000) Diagnostic and Statistical
Manual of Mental Disorders (text revision; DSM-
IV-TR), this mixed type is characterized by
feelings of immense importance and feelings of
being watched or victimized. Teddy experiences
both; believing he is on the verge of a grand
discovery and simultaneously is being
conspired against by the doctors at the asylum.
For those with Delusional Disorder, full periods
of remission may be followed by subsequent
relapses, as is Teddy’s case.
Perhaps in response to his experiences
in war and the death of his wife and children,
Teddy creates an entirely different identity,
complete with a new name, profession, past
and present. To prevent the truth of his situation
from shattering his newly constructed sense of
self, Teddy believes any information provided by
his doctors is merely part of the conspiracy to
keep him in the institution. This altered sense of
reality serves as a defense mechanism, a means
by which he protects himself from the pain of his
past experiences. Despite several hints and
associations purposely expressed throughout the
intervention, Teddy’s delusions persist until the
final scene, leaving us with an eerie sense of just
how powerful and complex the mind can be in its
defense.
While the disorder is portrayed in a very
realistic light, it might be hard for a viewer with no
background in psychology to believe the extremity
of Teddy’s Delusional Disorder. This type of
disorder is even difficult for clinical psychologists
to fully understand, so the average viewer may
question Teddy’s delusions, or may even leave
feeling delusional themselves.
The War Between Archaic Methods and
Progressive Treatment
A psychological thriller portraying
psychological treatment in the 1950’s is likely to
leave viewers wary of the state of modern
psychology. As we experience Teddy’s flashbacks
of the war, we are confronted with another conflict
– a psychology in the midst of profound change.
On one hand Shutter Island depicts the traditional
inhumane treatment of patients in an asylum,
evidenced in the harsh militancy of the warden
and his accordance with the archaic treatment of
lobotomy. On the other hand, Shutter Island
depicts advancements in psychoanalysis, as
evidenced by the more progressive standpoint of
Justina Passarelli
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Dr. Cawley, a proponent of a more compassionate
client-centered alternative.
While Shutter Island is a fictional depiction
of patient abuse, it is important to note that it is,
unfortunately, an accurate
one. In the 1950s, lobotomies
were widely practiced as a
way to “tame” or “calm” severely
violent or problematic patients.
However, lobotomies are
rarely practiced today
because a large number of
deaths resulted from the
procedure. Even so, when
necessary, the procedure is
much more advanced than it
was 50 years ago, when, as
the movie showed, doctors used an ice pick to
probe the brain through an individual’s eye. Now,
lobotomies are only an option in the most extreme
of circumstances and as a last resort, after
psychotherapy, medication and all other resources
have failed.
Shutter Island is in fact an accurate
depiction of the changing methodology in clinical
psychology and worthy of praise in that area. But
to those unfamiliar with the history and progression
of psychological treatment, the way this film
portrays psychology in the 1950s might leave
viewers uneasy about its modern practice.
One Flew East, One Flew West
Shutter Island isn’t the only film that skews
audience perceptions of psychological treatment.
Its famous predecessor, One Flew Over the
Cuckoo’s Nest, shares similar misrepresentations
of the field. By presenting lobotomies and
electroshock therapy as dangerous treatment
options, both films portray psychologists’
disregard for the well-being of their patients.
Furthermore, the ending of each film leaves us to
question just how “crazy” the main character was,
reminding us that abnormality is societally
determined and often misunderstood. It is
important to remember that both of these films
occur during the 1950’s, not presently, and while
they do raise necessary concerns about how we
understand the abnormality of mental illness, they
no longer reflect
the treatment
realities of the
modern field of
psychology, which
strives to
rehabilitate
individuals
without violating
their rights as
human beings.
Cinematic diagnosis:
Shutter Island evokes an array of
philosophical questions: What is insanity? How
can psychologists diagnose such an abstract
concept? Can it ever be cured? This film speaks
volumes to society’s conclusions on what is sane
and what is not. And to some effect, calls all
psychological diagnoses into question. Shutter
Island does a great job at depicting Teddy’s
particular case of Delusional Disorder accurately,
but unfortunately, without proper understanding of
the 1950s context, may end up doing more harm
than good to the representation of psychology in
modern film.
Keeping context in mind, Shutter Island
can be a wildly fascinating film, full of action,
mystery and suspense. If you are even remotely
interested in psychology, and especially if you are
in pursuit of a career in this field and you have yet
to see Shutter Island, well, you must be insane.
References American Psychiatric Association. (2000). Diagnostic and statistical
manual of mental disorders (4th ed.). Washington, DC: APA.
A One Way Ticket to Shutter Island | Justina Passarelli 12
empirical
articles
14
Volume I | Spring 2010
Traditionally, researchers have focused on the
role of mothers in child development, and the
influences that this relationship has on the family.
However, with about twenty percent of all new
marriages ending in divorce or separation within the
first five years of marriage, it is of great value to
examine the distinct influences that each parent has on
a child (National Center for Health Statistics, 2002).
When considering the individual influences that a
mother and a father have on a child, it is possible that
each parent offers very discrete influences that
somehow fit together (Amato, 1994; Black,
Dubowitz, & Starr, 1999; Marsiglio, Amato, Day, &
Lamb, 2000). However, it is also possible that each
parent is separately capable of transmitting the
necessary skills, behaviors, and values to his/her
child. Historically, United States culture has regarded
the mother as the primary caregiver and nurturer, and
the father as the enforcer of authority and provider of
sustenance (Campos, 2008). Yet with changing
family structures and so much ambiguity as to how
parents function in the 21st century, a new and
encompassing approach to understanding modern
parenting that truly fits the
contemporary needs of parents and children alike is
necessary. Thus, this study hopes to add to the
literature, which is already serving to break down such
stereotyped and possibly antiquated notions, and
inspire new pathways of thought that are culturally
relevant and based in understanding of our modern
family structures.
The importance of parent involvement in the
development of children has been studied extensively,
illustrating that high levels of parent involvement are
associated with high and positive levels of academic
achievement (e.g., Flouri & Buchanan, 2004) and
social-emotional competence (e.g., Overbeek et al.,
2007) throughout childhood and adolescence.
However, it is of great importance to consider who is
actually being studied in such work on parenting. Most
research that examines the role of parents or parent
involvement has included mostly mothers or mother
figures, rarely including fathers. Yet, these findings
are generalized and discussed in terms of broader
‚parent‛ involvement. In our times of rapidly
changing family structures, studying mothers alone is
no longer enough. It becomes imperative, now more
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development
New York University | Department of Applied Psychology | Class of 2009
Robby D. Harris
Research on fathers has been burgeoning for the past three decades. However, results from this literature show
conflicting findings and weaken any ability to draw generalizable conclusions on the unique contributions that
fathers provide to their children. Therefore, a meta-analysis was conducted with 13 articles published between
the years of 1998-2008 to better understand the relationship between father involvement and early childhood
social-emotional development. Tests for the moderating effects of SES, race/ethnicity, and father residential
status were also performed. Father involvement was positively associated with positive social-emotional abilities
and negatively associated with behavior problems. In addition none of the three moderating variables were able to
explain any of the variability in the relationship between father involvement and child outcomes.
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A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
than ever, to better understand the role of fathers in
child development and child outcomes. Generalizing the
effects of mother involvement as representative of the
effects of overall parent involvement threatens the
veracity of the conclusions that can be drawn from such
work. This tendency also disregards the growing body
of research that demonstrates that fathers uniquely
contribute to their children’s development as distinct
from the contributions of mothers.
Over the past three decades, research on
fathering has gained great momentum (Downer,
Campos, McWayne, & Gartner, 2008; Marsiglio et al.,
2000). Father involvement across the development of a
child has been linked to children’s psychological
adjustment (Flouri, 2008) fewer behavioral problems
(Carlson, 2006), higher educational attainment (Flouri
& Buchanan, 2004), and overall mental health (Boyce
et al., 2006; Dubowitz et al., 2001). The heightened
interest in, and great strides toward learning more about
fathers and father involvement are exemplified by the
creation of a peer-reviewed journal dedicated to the
exploration of this field called Fathering in 2003. Still,
most research on fathers and children’s outcomes has
been limited by its focus on the periods of adolescence,
middle childhood, and infancy. There is much less work
that highlights fathers in relation to children during the
early childhood period who are preschool aged (ages
3-6).
Early childhood is a critical period of
development when children experience a variety of
changes. One of the most significant changes is the
transitioning into the formal schooling environment
(i.e., kindergarten and first grade) from preschool
settings or in-home care. Studying this transition is
important because, traditionally, this is when
children begin to develop independence from their
parents as they spend significantly more time away
from their parents in school with their teachers and
peers (Entwisle & Alexander, 1998). Children
take on the new role of student and are faced with
assessment, comparison, and competition with their
peers on an everyday basis. These new roles are
paired with the rapid development of cognitive and
social abilities (Bates et al., 2006; Entwisle &
Alexander, 1998). Furthermore, children are no
longer able to receive as much one-on-one care,
contact, and encouragement as they might be used
to, and are forced to become more self-reliant in
this larger group setting. The concept of being
equipped or prepared to successfully navigate this
transition into formal schooling has been termed
‚school readiness.‛ Measuring school readiness
assists in our understanding of the necessary tools,
abilities, and skills that young children need to be
successful when they first enter school. School
readiness encompasses children’s development
across multiple domains, including: behavioral,
social, cognitive, language, and physical development.
According to the National Center for
Education Statistics (2000) many children in the
United States, especially those from a lower
socioeconomic status (SES) are entering
kindergarten and the first grade lacking the
‚requisite academic, social, emotional, and
language skills to make use of classroom resources
and successfully adjust to school‛ (Downer et al.,
2008, p. 68). It is clear that more work must be
completed in order to understand what children need
to thrive when they enter this new stage, and how
families, educators, and policy-makers can help
assist the transition. Although cognitive ability is
the area of school readiness that receives the most
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Volume I | Spring 2010
attention, it is equally important that the child’s
social-emotional development be taken into
consideration (Raver & Zigler, 1997). Social-
emotional development in early childhood is
described in terms of self-control, assertion, and
cooperation, social competence, self-concept, self-
esteem, empathy, and emotion and behavior
regulation. The proper acquisition and development
of these abilities plays a major role in a child’s
ability to thrive in kindergarten and the first grade
as an autonomous, social being. Children must learn
how to navigate themselves in this new environment
that is overwhelmed with many other children who
are all seeking the same attention and care. They
must learn how to interact and cooperate with their
peers, but also must learn how to care for and
sustain themselves when necessary. If children do
not gain these necessary skills in early childhood,
they will not be able to effectively communicate and
interact with others, and are likely to have a
difficult time functioning academically in this new
environment. It is clear that social-emotional
development in this period is necessary for children
to continue healthy development, and that this
development has a large influence on children’s
ability to effectively transition to formal schooling.
Research has shown that parent involvement
helps to facilitate social-emotional competence in this
age (e.g., Overbeek et al., 2007). However, with the
changing structure of families in the United States and
because mother involvement is commonly generalized to
represent overall parent involvement, it becomes
increasingly important to understand social-emotional
development of children in this age in relation to their
fathers. Research in the field has begun to investigate
the role that fathers play in children’s development, as
separate from the effects of mothering. Father
involvement has been associated with the same social-
emotional development of preschoolers that research had
previously associated with parent involvement. Fathers
help their children to develop positive self-concept,
self-esteem, social competence, empathetic abilities,
self-confidence, and emotion regulation (Amato,
1994; Biller, 1993; Culp, Schadle, Robinson, & Culp,
2000; Downer & Mendez, 2005; Fagan & Iglesias,
2000). Although minimal research finds results to the
contrary, there is still much work to be completed in
this area as studies note that the role of fathers in
children’s social-emotional development often varies
across specific groups and contexts. Specifically, the
influences of SES, race/ethnicity, and father residential
status have contributed to the contradictory results in
this emergent field. Thus, this study will examine the
moderating effects of these variables on the relationship
between father involvement and social-emotional
abilities in early childhood.
The rationale behind investigating these three
moderators in the meta-analysis was to work toward
establishing a context for the trends that were reported
in the literature. It is extremely important to understand
how each of these moderators influences the
relationship between father involvement and children’s
early social-emotional development so to draw more
accurate, directive, and consistent conclusions about
the state of the literature. The importance of including
these moderating factors is best explained by Coley
(2001) who notes the ‚significant need for further
clarification on the range of normative roles that low-
income, minority, and unmarried fathers fulfill, as well
as on the precursors and effects of their fathering
behaviors‛ (p.743). In this regard, this meta-analysis
hopes to add context to the outcomes that emerge
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
within each of these subpopulations, beyond the
overwhelming majority of research on fathers that has
studied white, middle-class, and married men (Coley,
2001).
In terms of SES, comparison studies find that
fathers of higher SES are more likely to have children
with higher academic competence (e.g., Bowey,
1995). Yet there has been limited research on the
implications of SES of fathers on social-emotional
development of children in this age, a critical
component of overall school success (Mitchell,
2008). With an increased focus on the importance of
development in this domain, it is crucial that more
work is completed so to better understand the unique
roles that fathers play in this process (Raver & Zigler,
1997). Previous research has found that family
income level is actually not a significant predictor of
variability in the behavioral-emotional scores of
children (Dooley & Stewart, 2007). However,
research has also shown that higher family income was
associated with greater father involvement with child
socialization (Ahmeduzzaman & Roopnarine, 1992),
and fewer child behavior problems (Black et al.,
1999; Jackson, 1999). Given these mixed findings,
there is a need for a systematic and empirical
investigation of the overall trends that are actually
occurring. Therefore, this review will explore if SES
influences the relationship between father involvement
and early childhood social-emotional development
across multiple studies. It was hypothesized that father
involvement from lower-income families would be
associated with less social-emotional competence
among preschoolers.
Similarly, there has been insufficient research
on the influences of race and ethnicity on father
involvement and social-emotional development in
early childhood. Although emergent literature has
focused on fathers of minority status, such as Latino
and African American fathers, this construct of
minority status is almost always conflated with being
of low SES (Downer et al., 2008). And in this
regard, it is impossible to parse out the different effects
that being a father of either minority status or low SES
may have on children’s social-emotional abilities. In
fact, it is questionable whether the limited research that
has attempted to focus on race/ethnicity as a separate
construct from SES was actually successful in doing
so. For example, Fagan (2000) found that Head Start
teachers rated Puerto Rican American children, whose
fathers were more involved in childcare, as lower in
social competence than children whose fathers were not
involved in childcare. Yet, this finding was not true for
the African American fathers. The current literature on
father involvement provides no indication that
increased father involvement would be associated with
lower social-emotional competence (e.g., Roopnarine,
Krishnakumar, Metindogan, & Evans, 2006).
Therefore, it is likely that the findings reported by
Fagan are confounded by outside variables that are not
accounted for in the measures of father involvement
that were employed. It is possible that these Puerto
Rican American fathers who were involved were
fathers of children who were in greater need, and
therefore were of lower social competence to begin
with (Dodge, Pettit, & Bates, 1994). In addition, it is
also possible that this lower child social competence
was an effect of limited resources that would be
associated with low SES and not necessarily with the
father’s race/ethnicity.
Nonetheless, research has found that more
father involvement was associated with higher levels of
children’s emotion regulation among African American
18
Volume I | Spring 2010
families (Downer & Mendez, 2005), just as we
would expect based upon the father involvement
literature as a whole (Downer et al., 2008). Clearly,
there is a demonstrated need to study the two
constructs separately to truly understand how each
relates to father involvement and child outcomes
(Downer et al.). Effective conclusions cannot be
drawn from these studies, as there is no way to
completely detangle the two constructs of
race/ethnicity and SES. That is, there are no means to
distinguish whether an effect size was indicative of low
SES, and not of race/ethnicity, or vice versa.
Therefore, this analysis explored if race/ethnicity
influenced the relationship between father involvement
and early childhood social-emotional development,
across the literature, net of SES characteristics of the
samples. It was hypothesized that race and ethnicity, as
distinct from income level, would have no moderating
effect on the relationship between father involvement
and early childhood social-emotional development.
Finally, research suggests differences in the
relationship between father involvement and early
childhood social-emotional development may exist
depending on the residential status of the father (e.g.,
Black et al., 1999). Typically, father residential status
is measured by whether the father lives at home with
the child or not. Most commonly, nonresidential father
involvement is considered in terms of monetary
support. However, this is only one dimension of father
involvement. Research has expressed a challenge in
measuring nonresidential father involvement in any
other terms, such as closeness, quality of interactions,
and emotional commitment (Coley, 2001). Yet,
researchers have argued that it is these other
dimensions of involvement that measure quality in
addition to quantity, that may be more influential for,
and predictive of, child outcomes (Campos, 2008).
Although involvement by nonresidential fathers has
been associated with higher levels of social and
emotional adjustment and fewer behavior problems
(Greene & Moore, 2000), there has been no research
which explicitly compares how children’s social-
emotional development in families with resident and
nonresident fathers differ.
Even though this area of research is limited, the
findings that do exist are mixed, making unclear
what, if any, effect father residential status has on the
relation between father involvement and social-
emotional development. Some research has shown that
children of nonresident fathers do not display any
differences in behavior outcomes from children whose
fathers did live in residence (Black et al., 1999).
Yet, other research demonstrates that children of
nonresident fathers were less sociable, and expressed
less interest in social relationships (Peretti & di
Vitorrio, 1993). Therefore, in including this
moderating variable, the influences of father
residential status on the relationship between father
involvement and early childhood social-emotional
development will be explored. It was hypothesized
that children of residential fathers will display higher
levels of social and emotional adjustment than those
of nonresidential fathers, across equitable levels of
involvement (Peretti & di Vitorrio, 1993).
It is clear that the literature on all three of these
potentially moderating variables is both limited and
inconclusive. A meta-analysis is ideal for addressing
these contradictory findings and clarifying the
relationships that may exist. The current analysis
hopes to elucidate the work that has been completed
on father involvement and early childhood social-
emotional development, and to also provide guidance
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
for the work that should be completed in the future.
The results of this meta-analysis will help to clarify
previous findings and provide innovative and
meaningful directions. It was hypothesized that there
would be a positive association between father
involvement and early childhood social-emotional
outcomes. With the growing variability of what
families in the United States look like, it is
increasingly critical that research on the importance
and influences of fathers continues to strengthen and
grow. In addition, results from this analysis have
practical implications for policy development related
to promoting positive child outcomes by identifying
populations in need (those who display inadequate
social-emotional adjustment) and targeting the fathers
of these children as important contributors to this
development as it relates to school readiness.
Method
Data Collection Method
To collect the studies that were included in
this meta-analysis, a broad keyword search was
performed online, utilizing all of the major social
science databases, totaling 26 databases (e.g.,
PsycINFO, Sociological Abstracts, International
Bibliography of the Social Sciences, ERIC). The
keywords used in the search included: father,
father involvement, paternal involvement, and
male involvement. Furthermore, these keywords
were also searched in varying combinations with
the keywords: Head Start, Preschool, and Early
Childhood in order to collect articles pertaining to
the age range in investigation. 3,775 titles were
collected from this comprehensive search process
and were compiled into an online bibliographic
program. After eliminating all duplicate citations,
the remaining titles were sorted based upon
several primary inclusion criteria (see below). An
advanced doctoral student and an advanced
undergraduate student completed this sorting
procedure with the ultimate goal of retaining only
the articles that would hold the potential for
analysis.
Articles that were targeted for the current
review had to fulfill the following requirements:
(1) include a measure of father involvement and
school readiness, (2) utilize quantitative
measurement, (3) be published in a professional
journal between the years 1998-2008, and (4)
include data specific to children in early childhood
(ages 3-8). Books, book chapters, literature
reviews, meta-analyses, and strictly qualitative
works were not included in this study. However,
dissertation research was kept in order to include
the greatest breadth of work in the analyses,
which was especially important being that the
study of father involvement is still relatively
young (Downer, Campos, McWayne, & Gartner,
2008). After sorting the articles based upon the
inclusion criteria described above, 120 articles
were then passed along for additional sorting to
determine whether or not it was possible and/or
appropriate to code each article for analysis.
Two investigators further sorted the articles
based upon secondary inclusion criteria regarding
the specific data included in each article. Firstly,
the mean age of the children included in each
sample had to be between three and eight years
old at the time of the father involvement data
collection. For example, an article that collected
data on father involvement when a child was two
years old, but collected child outcome data at age
four did not meet the coding criteria. And
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Volume I | Spring 2010
secondly, the relevant father involvement and
child outcomes data had to expressed in terms of
correlations or regression analyses, the forms
utilized in these analyses. After sorting through
the articles based upon the system described
above, 30 articles were left to be included in the
larger meta-analysis that will evaluate the
association between father involvement and
school readiness of children entering the formal
school environment (i.e., first grade or
kindergarten) from preschool.
The current study examines the moderating
influences of father residential status, socio-economic
status, and race and ethnicity on the association
between father involvement and children’s social-
emotional development during the preschool period.
Social-emotional development is one construct of
school readiness that was measured by the larger
meta-analysis. Therefore, the 30 articles from the
larger meta-analysis were further sorted based upon
relevance to social-emotional development and child
outcomes leaving 13 articles to be included in this
smaller meta-analysis.
Coding Schemes
Two investigators created a coding manual that
was used as a tool to extract and organize all of the
pertinent information and data from each article.
Included in this coding manual was demographic
information about the children and fathers in the
study (including age, race/ethnicity information,
income level, location of study, residential status of
father, relationship of father to child), the sample
size, the measures of school readiness and father
involvement included in the work, study quality
indicators of reliability for each construct (e.g.,
Cronbach’s alpha, Cohen’s kappa coefficient,
Spearman’s rho), and the associations between each
set of constructs. The work of this coding process
was split between two researchers who established
inter-coder reliability on 20% of the articles at 90%
agreement or higher. Once each article was coded,
it was entered into an SPSS database for
organizational purposes.
Organizing Data
Data across measures of father involvement
were organized into two dimensions: active and
passive father involvement. These dimensions arose
from standards established by previous literature but
were ultimately based upon the author’s discretion.
Measures of father involvement that were defined as
‚active‛ included engagement or performing
activities with the child, communication patterns,
attachment styles, and caregiving roles that the
father employed. Measures of father involvement
that were deemed as ‚passive‛ included general
presence of the father in his child’s life, and
financial contributions to the child. Although there
was an inherent value judgment in placing these
labels on the measures of father involvement, this
was not the intention of the author, as any
involvement in a child’s life should be regarded as
valuable.
Data across measures of children’s social-
emotional abilities were also organized into two
dimensions: positive and negative outcomes. Again,
these dimensions arose from standards in the
literature, but each measure was categorized based
upon the author’s judgment. Positive social-
emotional outcomes were regarded as those including
social skills and emotion regulation. Negative social-
emotional outcomes were equated with behavior
problems (including measures of both internalizing
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
and externalizing behavior problems). Each measure
included in the 13 articles utilized in these analyses
was organized into one dimension of father
involvement and one dimension of child outcomes,
and effect sizes were calculated at this point.
Calculating Effect Sizes
Each of the 13 articles included in this work
reported data in terms of Pearson’s correlation
coefficient r except for one article (Keown &
Woodward, 2002) for which the data included were
transformed into Pearson’s correlation coefficients. To
avoid problems with overestimation and skewness that
using correlations often induces, the correlations were
converted into a standard unit of analysis, Fisher’s Z
scores, and were ‚weighted by the inverse of the
variance to give greater weight to larger samples than
smaller samples‛ (Sirin, 2005, p. 423). Seventy-
three associations were included in the 13 articles and
the associations that were calculated across these 73
associations are called effect sizes. An effect size is
the standardized measure of association that is
employed in meta-analyses which allows researchers
to compare effects across various studies (Borenstein,
Hedges, Higgins, & Rothstein, 2009)
These effect sizes were separated in terms of the
two dimensions of father involvement and child
outcomes as outlined above. In theory, four separate
meta-analyses were conducted: one on the
relationship between active father involvement and
positive social-emotional outcomes, one on the
relationship between active father involvement and
negative social-emotional outcomes, one on the
relationship between passive involvement and positive
outcomes, and one on the relationship between
passive involvement and negative outcomes.
However, there were no measures of association
between active father involvement and negative
child outcomes, and consequently no data to
analyze in this regard.
A mean effect size was then calculated for
each study included in these three meta-analyses.
Although this approach allows for the possibility
of overlooking legitimate differences that may
exist across multiple correlations within a study
(i.e., correlations based upon father involvement,
as rated by mothers versus as rated by fathers) it
does avoid giving too much power and
significance to those studies that include multiple
correlations (Lipsey & Wilson, 2001). At this
point, each mean effect size was integrated to find
one summary effect size to describe the direction
and strength of the relationship between the
variables of father involvement and social-
emotional outcomes. These statistics were
transformed back to Pearson’s correlation
coefficient r through a z-to-r transformation with
95% confidence intervals to designate the range
where the population mean were most likely to
fall in the observed data (Hedges & Olkin,
1985).
Random Effects Model
With consideration to the generalizability of
meta-analysis effect sizes, there is often debate
over whether a fixed effects model or a random
effects model should be utilized (Cooper & Hedges,
1994; Hedges & Vevea, 1998; Sirin, 2005). A
fixed effects model assumes that the effect sizes
calculated are adequate in estimating the population
effect sizes, and therefore are generalizable (Lipsey
& Wilson, 2001). However, a random effects
model assumes that the included studies do not
embody any ‘identical’ true effect sizes that would
22
Volume I | Spring 2010
necessarily be representative of the larger population
(Borenstein et al., 2009). Under a random effects
model, there is no standard for what should be
expected as an outcome of the independent variable
(i.e., father involvement), and therefore
generalizability is low. A random effects model was
utilized in this meta-analysis as there is no standard
for social-emotional outcomes that would be
associated with any level of father involvement, and
under this model, more weight was given to studies
that included more variance and larger sample sizes.
Tests for Heterogeneity among Correlations
Tests for heterogeneity were included to examine
how much of the variation present in the included
studies was real and representative of the larger
population (Borenstein et al., 2009). In other words,
these statistics ensured that the observed findings were
representative of real effects and were not merely
spurious, or based completely in error. In addition,
the I2 statistic indicated what percentage of the
observed variation was real. A large I2 statistic would
warrant further analyses on the influence of possible
moderating variables on the relationship between
father involvement and early childhood social-
emotional development (Borenstein, Hedges, Higgins,
& Rothstein).
Publication Bias
Publication bias is another critical aspect of
meta-analyses that was considered. Only articles that
were published in peer-reviewed journals were
utilized in this meta-analysis. However, it is possible
that more work on father involvement and early
childhood social-emotional development was
conducted during the years 1998-2008, but was not
published. This is especially possible if such work
lacked statistical significance and included a small
sample size. Although these features do not discredit
the findings of such work, it certainly might have
impeded the opportunity for publishing. Due to this
fact, it is possible that the trends captured in this
review are only representative of the work that was
published, and not of all of the work that was
actually conducted in this period. Therefore, tests for
publication bias were also included to ensure that the
results accurately captured all work conducted
between the years 1998-2008.
Test for Moderator Effects
To check for the significance of each moderating
variable included in this review (SES, race/ethnicity,
and father residential status), the heterogeneity
analysis delineated by Borenstein Hedges, Higgins,
and Rothstein (2009) was followed. Q statistics
from tests for heterogeneity were analyzed. A
significant Q-between would have signified that the
mean effect sizes across each level of the moderating
variables differed by more than merely sampling
error, and that the moderating variable did have an
effect on the relationship between father involvement
and early childhood social-emotional development.
Results
Overall Effect Sizes
The seven articles (31 effect sizes) that were
included in this work in relation to active father
involvement and positive social-emotional abilities
yielded a summary effect size of .22 (p < .05). The
eight articles (32 effect sizes) of relevance to active
father involvement and negative social-emotional
outcomes yielded a summary effect size of -.13 (p =
.069). And the three articles (10 effect sizes) of
relevance to passive father involvement and negative
social-emotional outcomes yielded a summary effect
size of -.14 (p=.089).
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
Tests for Heterogeneity and Publication Bias
In interpreting the Q statistic, we found that it
was significant, meaning that there was heterogeneity
in the observed effects. When looking at the I2
statistic, we found that 60% of the observed variation
was real (which is a medium-large percent for this
statistic), meaning that there was enough variation in
the overall sample to examine what was contributing
to the association (Borenstein et al., 2009). In other
words, we were justified to look at the moderating
variables to see if they could explain any of the
variability. In addition, there was no evidence of
publication bias in the sample.
Moderating Variables
In these analyses, we combined both active and
passive dimensions of father involvement into one
variable, as there were not enough effect sizes from
each dimension to run the analyses separately. Also,
there were only enough data to run moderator
analyses on SES in relation to positive outcomes.
There were, however, enough data to run the
moderator analyses across all three moderators in
relation to negative outcomes. After running the
analyses, we found that, with nonsignificant Q-
between statistics, neither SES, race/ethnicity, nor
father residential status was able to explain any of the
variability in relation to both positive and negative
social-emotional outcomes. In other words, none of
these three variables were found to be significant in
moderating the relationship between father
involvement and social-emotional outcomes.
Discussion
Summary Effect Sizes
There was a significant positive effect
between active father involvement and the
development of positive social-emotional abilities
in early childhood, meaning that more father
involvement was associated with more positive
child outcomes. With an effect size of .22 (p <
.05), this relationship was of a medium size in
terms of the standards for interpreting meta-
analyses (Borenstein et al., 2009). In addition,
there were significant trends between father
involvement (both active and passive dimensions)
and fewer social-emotional problems. In other
words, more father involvement was associated
with less negative child outcomes. However, it is
important to keep in mind that although these
effects were not, in fact, significant, when
working with such a limited number of studies,
significant trends are still impressive. In addition,
when interpreting effect sizes in meta-analyses,
the standard is to examine the strength of the
effect primarily, and to not rely solely on the
significance of the effect, as the significance will
vary based upon many factors and does not
necessarily discredit the presence and strength of
an effect (Borenstein et al., 2009). Therefore,
father involvement was associated with child
outcomes in the expected directions, and
supported the hypothesis that there would be a
positive association between the two variables
(after considering the desired direction of the
effect between father involvement and negative
social-emotional outcomes).
Moderator Variables
Our next finding was that neither SES,
race/ethnicity, or father residential status served as
significant moderators of the relationship between
father involvement and social-emotional outcomes.
These findings ultimately mean this relationship may
be the same across all levels of the moderators. In
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Volume I | Spring 2010
other words, it is possible that the relationship
between father involvement and early childhood
social-emotional abilities may not differ whether the
father were of low SES, minority status, or
nonresidential nor whether the father were of
mid/high SES, non-minority status, or residential.
These findings are consistent with the work by
Dooley and Stewart (2007), which also found that
family income level was not a significant predictor of
variability in the behavioral-emotional scores of
children. Therefore, our hypotheses in relation to SES
and father residential status were incorrect. However,
our hypothesis regarding race/ethnicity was correct in
that we predicted that the minority status of the father
would not have any influence on the relationship
between father involvement and child outcomes.
However, caution should be used in interpreting
these results with the great deal of data missing from
the moderator analyses. Many of the studies did not
include the data necessary to run the moderator
analyses, and in fact, data from only five out of the
13 studies were included in these analyses. Some
articles did not report data on the three variables
whereas others reported mixed samples. With the
minimal number of studies that were able to be
included in the moderator analyses, it is possible that
our results do not fully represent the sample.
Therefore, it is necessary for researchers to study
context more purposefully in relation to father
involvement and child outcomes. Although the
relationship did not vary as a function of the three
variables, it would be injudicious to assume that
father involvement across all of the moderator
variable levels was identical. Recent work on
parenting demonstrates that involvement across
different cultures cannot be measured or interpreted in
one distinct manner (McWayne, Owsianik, Green,
& Fantuzzo, 2008). Therefore, although we can
safely argue that, based upon the findings of this
analysis, father involvement is important, it will be
important for more work to be completed in which
culture and context are explicitly taken into account.
Directionality of Results
Another conclusion to be drawn from this
meta-analysis is that the field presently lacks an
indication of the directionality of the relationship
between father involvement and child outcomes. In
other words, we do not know if father involvement
affects child outcomes, if child behavior affects
father involvement, or if the relationship is
transactional, meaning that it works in both
directions. This point is important to consider so
that future research can identify where possible
interventions and additional supports will be most
beneficial. Recent work suggests that the direction
of this relationship in relation to parent involvement
is transactional in nature (Hoglund, Jones, Brown,
& Aber, 2009). Therefore, it is possible that both
father involvement and child behavior affect each
other. However, only longitudinal data on father
involvement and child outcomes will help us to
address this properly and test for causality.
Nonetheless, engagement of fathers in their
children’s lives is an exciting finding, regardless
of the direction of the relationship, and should be
further supported in various ways.
Conceptions of Father Involvement
This meta-analysis has made clear that the
field needs to develop a more explicit and unified
conception of what father involvement truly is. Is
father involvement how much time a father spends
with his child, how the father communicates with his
A Meta-Analysis on Father Involvement and Early Childhood Social-Emotional Development | Robby D. Harris
26
child, or how much money the father contributes to
his child’s life? When the field measures one concept
in so many diverse ways, the true meaning of the
variable can get lost, and therefore it will be
important for future research to create measures that
more concretely measure father involvement. Before
research on fathers involvement can be employed in
the development of programs and policies that focus
on supporting fathers in raising their children, it will
be necessary for the field to synthesize what father
involvement includes, how to measure this construct,
and what the implications of such involvement are in
the lives of children.
Similarly, measures that directly sample fathers
will be important to develop. Most of the measures on
father involvement included in this project were either
completed by teachers or mothers, and only a few
studies included data on father involvement that were
reported by fathers. There are many extraneous
variables that may make reports by mothers and
teachers inaccurate in obtaining a true measure of a
father’s involvement. For example, the quality of a
relationship that a father has with the mother of his
child may certainly influence how she reports his
involvement regardless of his actual involvement with
the child. A divorced custodial mother who does not
get along with her divorced husband might report
lower father involvement than a divorced custodial
mother who does get along with her divorced
husband, even if both fathers are involved in the same
exact manner. In addition, it is possible that a teacher
who does not witness much father presence during the
school day would rate such a father as low in
involvement. However, it is possible that this father
works during the school day, but is very involved
with his child outside of school, and therefore such a
report might not accurately capture the involvement
of this father. The importance of studying context
and the intersectionality of variables should be taken
into consideration when developing measures of
father involvement and study designs in the future.
It is also important to consider what has
been addressed in the field since Amato and
Gilbreth (1999) conducted the last meta-analysis
on father involvement. One of the most significant
future directions that these authors suggested was
that father involvement should preferably be
measured in an engaged manner rather than in a
more superficial manner (i.e., physical presence
of the father in the child’s life). From examining
the articles included in this meta-analysis, it
would appear that the field of father involvement
has, in fact, taken the directives laid out by
Amato and Gilbreth. The overwhelming majority
of father involvement measures were ‚active‛ in
nature (63 effect sizes) with only ten measuring
father involvement in ‚passive‛ terms. However,
what is important to keep in mind is that the
meta-analysis by Amato and Gilbreth was
conducted on nonresidential fathers, who, as
research demonstrates, are less likely to be
actively engaged with their children due to limited
access (Black et al., 1999). Nonetheless, it is
possible the great deal of active father
involvement measures that were included this
analysis are indicative of a shift in how the field
conceives of fathers and their importance.
School Readiness Meta-Analysis
Finally, this meta-analysis examined one
construct of school readiness. The larger meta-
analysis from which this project is based will
examine all aspects of school readiness in relation to
26 26
Volume I | Spring 2010
father involvement. In addition, the school readiness
meta-analysis will include more studies across all of
the dimensions of school readiness, including social-
emotional development, so to increase the variability
of the data and allow us to draw more generalizable
conclusions.
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Amato, P. R., & Gilbreth, J. G. (1999). Nonresident fathers and children’s well-being: A meta-analysis.
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Bates, M. P., Mastrianni, A., Mintzer, C., Nicholas, W., Furlong, M. J., Simental, J., et al. (2006).
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Biller, H. B. (1993). Fathers and families: Paternal factors in child development. Boston: Auburn House.
Black, M. M., Dubowitz, H., & Starr, R. H. (1999). African American fathers in low income, urban
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Borenstein, M., Hedges, L.V., Higgins, J. P.T., & Rothstein, H.R. (2009). Introduction to meta-analysis.
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Boyce, W. T., Essex, M. J., Alkon, A., Goldsmith, H. H., Kraemer, H. C., & Kupfer, D. J. (2006). Early
father involvement moderates biobehavioral susceptibility to mental health problems in middle
childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 45(12),
1510-1520.
*Burgos, L. (2003). The effect of the father-child relationship on the social conduct of 2 1/2 year old
children in preschool. European Journal of Psychology of Education, 18(2), 135-155.
Campos, R. (2008). Considerations for studying father involvement in early childhood among Latino
families. Hispanic Journal of Behavioral Sciences, 30(2), 133-160.
Carlson, M. J. (2006). Family structure, father involvement, and adolescent behavioral outcomes. Journal
of Marriage and Family, 68, 137-154.
Coley, R. L. (2001) (In)visible men: Emerging research on low-income, unmarried, and minority fathers.
American Psychologist, 56(9), 743-753.
Cooper, H. M., & Hedges, L. V. (Eds.). (1994). Handbook of research synthesis. New York, NY: Russell
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*Cugmas, Z. (1998). The correlation between children's personal behavioural characteristics and indicators
of children's attachment to their mother or father, respectively. Early Child Development &Care,
143, 65-78.
*Culp, R. E., Schadle, S., Robinson, L., & Culp. A. M. (2000). Relationships among paternal
involvement and young children’s perceived self-competence and behavioral problems. Journal
of Child and Family Studies, 9, 27-38.
*Denham, S. A., Workman, E., Cole, P. M., Weissbrod, C., Kendziora, K. T., & Zahn-Waxler, C.
(2000). Prediction of externalizing behavior problems from early to middle childhood: The role
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Dodge, K. A., Pettit, G. S., & Bates, J. E. (1994). Socialization mediators of the relations between
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Downer, J. T., Campos, R., McWayne, C.M., & Gartner, T. (2008). Father involvement and children’s
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*Downer, J. T., & Mendez, J. L. (2005). African American father involvement and preschool children’s
school readiness. Early Education and Development, 16, 317-340.
Dubowitz, H., Black, M. M., Cox, C. E., Kerr, M. A., Litrownik, A. J., Radhakrishna, A., English, D. J.,
Schneider, M. W., & Runyan, D. K. (2001). Father involvement and children’s functioning at
age 6 years: A multisite study. Child Maltreatment: Journal of the American Professional
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Entwisle, D. R., & Alexander, K. L. (1998). Facilitating the transition to first grade: The nature of
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Fagan, J. (2000). African American and Puerto Rican American parenting styles, paternal involvement,
and Head Start children’s social competence. Merrill-Palmer Quarterly, 46, 592-612.
Fagan, J., & Iglesias, A. (2000). The relation between fathers’ and children’s communication skills and
children’s behavior problems: A study of Head Start children. Early Education and
Development, 11, 307-320.
Flouri, E. (2008). Fathering and adolescents’ psychological adjustment: The role of fathers’ involvement,
residence and biology status. Child: Care, Health and Development, 34(2), 152-161.
Flouri, E., & Buchanan, A. (2004). Early father’s and mother’s involvement and child’s later educational
outcomes. British Journal of Educational Psychology, 74, 141-153.
Greene, A. D. & Moore, K. A. (2000). Nonresident father involvement and child well-being among
young children in families on welfare. Marriage and Family Review, 29, 159-180.
*Hagan, L. K., & Kuebli, J. (2007). Mothers' and fathers' socialization of preschoolers' physical risk
taking. Journal of Applied Developmental Psychology, 28(1), 2-14.
Hedges, L.V. & Olkin I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press,
Inc.
Hedges, L. V. & Vevea, J. L. (1998). Fixed and random-effects models in meta-analysis.
Psychological Methods, 3, 486–504.
Hoglund, W. L. G., Jones, S. M., Brown, J. L., & Aber, J. L. (2009, April). Family home and school-
based involvement in the inner-city context: Transactions with child school adjustment. Paper
symposium presented at the 2009 biennial meeting of the Society for Research in Child
Development, Denver, CO.
*Jackson, A. P. (1999). The effects of nonresident father involvement on single Black mothers and their
young children. Social Work, 44, 156-166.
*Keown, L. J., & Woodward, L. J. (2002). Early parent-child relations and family functioning of
preschool boys with pervasive hyperactivity. Journal of Abnormal Child Psychology, 30(6),
541-553.
Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage.
Marsiglio, W., Amato, P., Day, R., & Lamb, M. E. (2000). Scholarship on fatherhood in the 1990s
and beyond. Journal of Marriage and Family, 62, 1173-1191.
McWayne, C.M., Owsianik, M., Green, L.E., Fantuzzo, J. W. (2008). Parenting behaviors and
preschool children’s social and emotional skills: A question of the consequential validity of
traditional parenting constructs for low-income African Americans. Early Childhood Research
Quarterly, 23, 173-192.
Mitchell, S. J. (2008). Low-income African American fathers’ contributions to toddlers’ social and
emotional development (Doctoral dissertation, University of Maryland, College Park, 2007).
Dissertation Abstracts International Section A: Humanities and Social Sciences 69(2-A).
National Center for Educational Statistics. (2000). The kindergarten year. Washington, D.C.: National
Center for Educational Statistics.
Overbeek, G., Stattin, H., Vermulst, A., Ha, T., Engels, & Rutger C. M. E. (2007). Parent–child
relationships, partner relationships, and emotional adjustment: A birth-to-maturity prospective
study. Developmental Psychology, 43(2), 429-437.
*Page, T., & Bretherton, I. (2001). Mother- and father-child attachment themes in the story completions
of pre-schoolers from post-divorce families: Do they predict relationships with peers and
teachers? Attachment & Human Development, 3(1), 1-29.
Peretti, P. O., & di Vitorrio, A. (1993). Effect of loss of father through divorce on personality of a
preschool child. Social Behavior & Personality, 21, 33-38.
*Pettit, G. S., Brown, E. G., Mize, J., & Lindsey, E. (1998). Mothers' and fathers' socializing behaviors
in three contexts: Links with children's peer competence. Merrill-Palmer Quarterly, 44(2),
173-193.
Raver, C. C., & Zigler, E. F. (1997). Social competence: An untapped dimension in evaluating Head
Start’s success. Early Childhood Research Quarterly, 12, 363-385.
*Roopnarine, J. L., Krishnakumar, A., Metindogan, A., & Evans, M. (2006). Links between parenting
styles, parent-child academic interaction, parent-school interaction, and early academic skills
and social behaviors in young children of english-speaking Caribbean immigrants. Early
Childhood Research Quarterly, 21(2), 238-252.
Sirin, S. R. (2005). Socioeconomic status and academic achievement: A meta-analytic review of research.
Review of Educational Research, 75(3), 417-453.
*Stover, C. S., Van Horn, P., Turner, R., Cooper, B., & Lieberman, A. F. (2003). The effects of father
visitation on preschool-aged witnesses of domestic violence. Journal of Interpersonal Violence,
18(10), 1149-1166.
*Verschueren, K., & Marcoen, A. (1999). Representation of self and socioemotional competence in
kindergartners: Differential and combined effects of attachment to mother and to father. Child
Development, 70(1), 183-201.
submissions
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Volume I | Spring 2010
The way psychologists think about and treat
phobias may be facing imminent change. Damour and
Hansell (2008) define a phobia as an intense,
persistent and irrational fear and avoidance of a specific
object or situation. However, recent research suggests
that phobias are more than simply intense fears. In fact,
psychologists have discovered that exposure to phobic-
stimuli (specific object of phobia) activates different
part of the brain than the one which activates when
people are exposed to fearful-stimuli (anything else
someone is afraid of) (Carlsson, Petersson, Lundqvist,
Karlsson, Ingvar & Ohman, 2004). In other words,
phobias may be neurologically different from fears.
Furthermore, when unconsciously exposed to fearful-
stimuli, the brain reacts differently than it reacts when
consciously exposed to fearful stimuli (Morris, Ohman
& Dolan, 1998), suggesting that people use different
parts of their brains to process conscious and
unconscious emotions. Understanding these unique
properties of phobias is instrumental in treating them.
One strategy, exposure therapy, requires that
people face their fears in the most literal sense
(Damour & Hansell, 2008). It has been shown to be
highly effective in the treatment of phobias (Barlow,
Raffa & Cohen, 2002). In exposure therapy, the
eradication of phobias is accomplished by gradually
exposing individuals to the object they are afraid of.
Eventually, individuals come to realize that the feared
object is not intrinsically dangerous, because they are
not harmed by the object itself. When individuals can
reach this conclusion, they are less avoidant of the
feared object. Effective as the treatment may be,
Damour and Hansell (2008) note that exposure therapy
can cause people to experience anxiety during treatment.
However, there may be a way to achieve similar effects
without requiring clients to experience such anxiety.
Carlsson et al. (2004) used backwards masking
to unconsciously expose participants to phobic and fear
relevant stimuli. In backwards masking, people are
shown to an image for a brief period of time before it is
covered up by a different image. This technique exposes
participants to images they are unable to report seeing.
In Carlsson et al.’s (2004) study, half of participants
exhibited arachnophobia (phobia of spiders) and the
other half exhibited ophiophobia (phobia of snakes).
Participants were exposed to six image-mask pairs, each
in randomized order and repeated twice. Images included
two phobic stimuli (spiders and snakes respective to the
participant), fear relevant stimuli (spiders and snakes
respective to the participant) and two mushrooms.
Positron Emission Tomography (PET) images showed
that unconscious exposure to phobic stimuli and fear-
relevant stimuli elicit similar responses. However, when
the participants were given time to consciously process
the stimuli being exposed, differences emerged.
Consciously-exposed, phobic stimuli elicited an
affective processing response that fear-relevant stimuli
did not elicit. In other words, on a conscious level,
when people suffering from phobias are exposed to their
phobias, their fear response is different from exposure to
other things of which they are non-pathologically afraid.
Morris et al. (1998) also used backwards
In Between the Images: The Therapeutic Benefits of Unconscious Exposure
New York University | Department of Applied Psychology | Class of 2011
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masking to unconsciously expose people to “fearful
faces” which were later covered up by “neutral faces”.
They measured participants’ fearful responses to these
stimuli with PET scans and magnetic resonance images
(MRI) of brain activity in the amygdala, a region
central to emotional functioning. The images showed
that unconsciously exposed faces elicited a neural
response in the right amygdala without eliciting a
response in the left. When the faces were unmasked, the
amygdala response was different: unmasked faces
elicited neural responses in the left amygdala without
eliciting response in the right amygdala. This
discrepancy shows that the human brain responds to
conscious and unconscious stimuli in different ways.
Understanding these differences may prove useful in
better understanding and treating phobias in the future.
The effect of unconscious exposure to phobic
stimuli was explored by Siegel and Weinberger
(2009), whose work more directly suggests
unconscious exposure may be useful in therapy. Siegel
and Weinberger (2009) conducted three experiments,
one of which tested the effect of unconscious exposure
on behavior. Their first experiment established that,
through backwards masking, participants can be
exposed to stimuli without being able to report
exposure to these stimuli. Their second experiment
showed that when individuals suffering from fear of
spiders were unconsciously exposed to spider images,
they were less behaviorally avoidant of a caged
tarantula than people suffering from a fear of spiders
that were not exposed to those images. In a third
experiment, participants were separated into two
groups. During the first week of their experiment,
participants completed a behavioral approach task,
during which they approached a caged spider. In the
second week, one group of participants was
unconsciously exposed to the phobic stimuli (spider
images), while the other was not. Participants in the
group that was unconsciously exposed to the spider
images were less avoidant of the spider in the second
week, compared to their first week. Participants in the
group that was not exposed to the spider images were
not less avoidant of the spider. Siegel and Weinberger’s
(2009) work suggests that the effect of unconscious
exposure is similar to the effect of current exposure
therapy in that both successfully reduce avoidant
behavior.
Because the highlighted studies only examined
the effects of unconscious exposure in the short-term,
further research is needed to investigate the effectiveness
of unconscious exposure in treating phobias.
Additionally, the aforementioned studies have only
investigated the use of unconscious exposure with two
phobias – arachnophobia and ophidiophobia. If the
effects of unconscious exposure prove to be long lasting
and applicable to a wider range of phobias, unconscious
exposure therapy should be integrated into current
interventions. Because unconscious exposure
circumvents the anxiety conscious exposure causes, it
has the potential to become a preferred treatment option.
References Barlow, D. H., Raffa, S. D., & Cohen, E. M. (2002). Psychosocial treatments for panic
disorders, phobias, and generalized anxiety disorder. In P. E. Nathan & J. M. Gorman
(Eds.), A guide to treatments that work (pp. 301-336). New York: Oxford
University Press.
Carlsson, K., Peterson, K. M., Lundqvist, D., Karlsson, A., Ingvar, M., & Öhman, A.
(2004). Fear and the amygdala: Manipulation of awareness generates differential
cerebral responses to phobic and fear-relevant stimuli. Emotion, 4, 340–353.
Damour, L. K., & Hansell, J. H. (2008). Abnormal Psychology (2 ed.). New York, NY:
Wiley.
Morris J.S., Ohman A, & Dolan RJ. (1998). Conscious and unconscious emotional learning in
the human amygdala. Nature, 393, 467– 70.
Siegel, P. & Weinberger, J. (2009). Very brief exposure: The effects of unreportable stimuli
on fearful behavior. Consciousness and Cognition. doi: 10.1016/j.concog.2009.08.001
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Considerable research in psychology documents
the co-occurrence of addictive behavior and mood
disorders. When a person is diagnosed with both a
mental illness and co-occurring substance use disorder
(SUD), they are considered to have a “dual
diagnosis”. It is crucial for psychologists to concern
themselves with both aspects of this dual diagnosis in
order to research and provide effective, comprehensive,
and sustainable treatment for clients. Bipolar disorder
(BD), in particular, has a very high rate of dual
diagnosis. Sasson, Chopra, Harrari, Amitai, and Zohar
(2003) report that 60% of individuals diagnosed with
bipolar disorder also exhibit symptoms of other
disorders, and more than 40% report simultaneous drug
use, posing a unique challenge to clinicians and
researchers. For these dually diagnosed patients,
response to medication is often altered by their drug
habit, their symptoms are harder to detect, and they
have higher rates of relapse, hospitalization, and suicide
attempts (Xie, McHugo & Drake, 2009).
There is a crucial need to identify the best
treatment option for those who suffer from the
combined effects of BD and SUD. Substantive data
collected by the National Comorbidity Survey supports
such necessity, suggesting psychologists need to
increase outreach for patients who are dually diagnosed
(Kessler et al., 1996). Although many epidemiological
and descriptive studies describe the severity of the
issue, very few empirical studies have evaluated
possible treatment options. It is difficult to design
randomized controlled experiments for this population
due to ethical concerns with placing individuals in
treatment groups and the breadth of potential confounding
factors, such as individual differences in genetic makeup,
level of drug use, and self-esteem. In the few empirical
studies on aspects of treatment for individuals dually
diagnosed with BD and SUD, researchers investigated the
effectiveness of three aspects of dually diagnosed
patients’ treatment – the way their case is managed,
(Drake, Xie, McHugo, & Shumway, 2004), the training
of their therapist (Grella & Stein, 2006), and the type of
treatment they receive, specifically the effectiveness of
medication alone versus medication paired with CBT
(Schmitz et al., 2002) - on their treatment outcomes.
Even in these few empirical studies that are meant to
provide us with greater understanding of how to treat this
dual diagnosis, flaws in their very research designs have
left the psychological community unable to draw any
concrete conclusions. This review hopes to shed light on
the methodological flaws of these studies in order to
further demonstrate the need for more conclusive research
to assess treatment options for this population.
Drake, Xie, McHugo, and Shumway (2004; based
on The New Hampshire Dual Diagnosis Study)
empirically investigated the longitudinal (1989-1992)
treatment outcomes of bipolar outpatients (N=51) based
on the way their case was managed. The sample
consisted of mostly White (98% White) and male (65%
male) patients dually diagnosed with BD and co-
occurring SUD. The sample, especially in terms of race,
is not representative of the general population and leaves
an enormous gap in the lack of generalizability of its
A Call for the Proper Evaluation of Treatment for Co-Occurring BD and SUD
New York University | Department of Applied Psychology | Class of 2011
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findings. In this randomized controlled trial, participants
were randomly assigned to receive either assertive
community treatment or standard case management
(Drake et al., 2004). Though the article noted that both
conditions provided integrated services to address dual
diagnosis, the authors failed to provide operational
descriptions of either condition, making it impossible to
account for any resulting significant difference in
outcome as a result of management group. Though it
failed to find a significant association between outcomes
and case management strategy, one value of this study
lies in its presentation of the success of treatment for
dually diagnosed patients that integrates both aspects of
their diagnoses, evident in patients’ improvement in
multiple domains (e.g., employment, behavior,
functionality) throughout the study.
Grella and Stein (2006) investigated the role of
psychologist training and use of on-site dual diagnosis
services in patients’ outcomes. Using a sample of 351
patients from 11 residential programs, researchers sought
to identify which type of program had the best treatment
outcome for dually diagnosed patients. The sample was
evenly distributed between males and females (53% male
and 47% female) and included a larger proportion of
African Americans (35%) than Drake et al.’s (2004)
study. It also sought to represent some of the concerns of
the African American population - of the 123 African
Americans patients who took part in this study, 82% had
been homeless and 59% had previously been in trouble
with the law. Grella and Stein (2006) found that better
training for psychologists and their increased utilization
of on-site dual diagnosis services in their treatment
improved patients’ outcomes. The study also found
higher rates of psychological distress for African
Americans, both before and after treatment, as well as a
reduced access to healthcare for this population. A major
setback of this study is its investigation of co-morbidity
in general, rather than BD and SUD specifically (only
65% of the sample suffered from a mood disorder),
which means that the results may not acknowledge the
unique considerations in the co-morbidity of mood
disorders. Though it certainly seeks to present a case for
increased dual diagnosis services, this study does not
provide clinicians with a concrete idea of what these dual
diagnosis services entail and which of their features are
really making the difference.
Schmitz et al. (2002) investigated the role of the
type of treatment dually diagnosed patients receive on
their treatment outcome. In order to test the effectiveness
of Cognitive Behavioral Therapy (CBT) in treating co-
occurring BD and SUD, 46 patients (80% white, 47.8%
male) were randomly assigned to a treatment group with
either medication intervention alone or medication
intervention with CBT. The medically managed group
had 4 clinic visits in three months to monitor their
compliance, drug-use, and mood. The CBT group had
these clinic visits supplemented with 16 individual
sessions of CBT. The results supported the hypothesis
that CBT fostered patients’ compliance with medication
and improved their mood. However, both groups showed
lower rates of substance abuse at the end of the 12
weeks, leading us to believe that CBT did not create any
significant difference in addictive behavior between
groups. On the other hand, members of the CBT group
were found to be more regular in their attendance and
showed more satisfaction with their prognosis. How do
we make sense of these results? Staying in treatment is
linked to more positive treatment outcomes and
perception of recovery, as evidenced by patients’ self-
reports, so why do these encouraging outcomes not
translate into a difference in behavior? Schmitz et al.
(2002) acknowledged that the way in which substance
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Volume I | Spring 2010
use was measured and coded as well as high levels of
attrition could have skewed their results. In the face of
these methodological concerns, it is difficult to draw any
appropriate conclusions from this study.
The review of these articles provides a small sample
of the literature that is currently available on treatments
for co-occurring BD and SUD. All three studies offer
support for the growing consensus that dually diagnosed
patients find it much more difficult than patients with a
single diagnosis to recover. However, studies often
present inconsistent findings and limitations imposed by
biased samples, lack of operationalization, and
confounding variables. It is apparent that there are not
enough soundly designed experimental studies to examine
the effects of different aspects of treatment on the co-
morbidity of BD and SUD. Therefore, there is an urgent
need to properly evaluate new treatment options available
to this unique population. Further investigation using
experimental techniques needs to help clarify the best
aspects of treatment plans for people suffering from co-
occurring BD and SUD, rather than lead us further
astray.
References Drake, R.E., Xie, H., McHugo, G.J., & Shumway, M. (2004). Three-year outcomes of
long-term patients with co-occurring bipolar and substance use disorders. Biological
Psychiatry, 56(10), 749-756. doi:10.1016/j.biosych.2004.08.020
Grella, C. E., & Stein, J. A. (2006). Impact of program services on treatment outcomes of
patients with comorbid mental and substance use disorders. Psychiatric Services,
57(7), 1007-1015. doi:10.1176/appi.ps.57.7.1007
Kessler, R. C., Nelson, C. B., McGonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J.
(1996). The epidemiology of co-occurring addictive and mental disorders:
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Sasson, Y., Chopra, M., Harrari, E., Amitai, K., & Zohar, J. (2003). Bipolar comorbidity: From
diagnostic dilemmas to therapeutic challenge. International Journal of
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Schmitz, J. M., Averill, P., Sayre, S., McCleary, P., Moeller, F. G., & Swann, A. (2002).
Cognitive-behavioral treatment of bipolar disorder and substance abuse: A preliminary
randomized study. Addictive Disorders & Their Treatment, 1(1), 17-24.
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Xie, H., McHugo, G. J., & Drake, R. E. (2009). Subtypes of clients with serious mental
illness and co-occurring disorders: Latent-class trajectory analysis. Psychiatric
Services, 60(6), 804-811. doi:10.1176/appi.ps.60.6.804
abstracts The following abstracts highlight the research of members of
the Applied Psychology Honors Program.
The authors will present their projects at the Undergraduate
Research Conference on April 30, 2010.
Look for their complete theses in the Fall 2010 issue of OPUS.
Father Involvement in Ethnically Diverse Populations
Ryann McNeil
Researchers, practitioners, and policy makers recognize the early influential role of fathers in their infants’ socio-emotional
and cognitive development, and recognize the cultural embeddedness of father involvement. Nonetheless, little research has
examined father involvement across ethnically diverse groups in early infancy. The current study uses a time-diary approach
coupled with surveys to explore how fathers engage with their 14 month infants, how demographic and social factors affect
the quality of the father-infant relationship, and how the child’s gender influences these interactions. Mothers of African
American, Dominican, and Mexican backgrounds were recruited from 3 New York City hospitals. When infants were 1, 6,
14, and 24 months mothers were interviewed for an hour using a time-diary approach in which they reported infants’
activities during the prior day (24 hours) based on what infants were doing and who was engaged in those activities. They
also reported on their relationship to father, education, etc. This study reports on the 14-month interviews of 168 mothers.
From the diary data, infants’ time spent with fathers was coded into eight categories: care-giving, toy play, unstructured,
literacy, television, child outings, general outings, and childcare. Various differences emerged by ethnicity and child gender.
Mexican fathers spent the most time in care-giving activities, whereas African American and Dominican fathers spent more
time in unstructured play and television activities. Fathers spent significantly more time engaged in book-reading activities
with their daughters, and typically spent more time watching television with their sons. Aspects of the mother-father
relationship related to father time with infants. The activities infants share with their fathers are shaped by child gender, family
cultural practices, and the mother-father relationship. Discussion focuses on the challenges to studying father involvement in
infancy, and the value of diary approaches in developmental research.
Abstracts
Loneliness and Depression among Foster Children: The Role of Caregiver Ethnic Match
Maurice Anderson
Nearly 500,000 children are in foster care. More than 20% of them are transethnically (with ethnically dissimilar
families) placed following the Multiethnic Placement Act of 1994. Many exhibit internalizing behaviors (e.g.
depression, loneliness). This study investigated whether transethnic foster placement is associated with variation in
mental health outcomes of foster children. It was hypothesized that, the degree of ethnic matching between foster child
and caregiver, and the incidence of internalizing behaviors, would be negatively related. To test this hypothesis, a
secondary analysis was conducted on a sample (N=106) of mostly African-American and Hispanic (69%) boys
(N=58) and girls (N=48) between the ages of 7 and 15 (M=10.47; SD=1.89) in foster care. A continuous measure
of ethnic match, Total Match Index (TMI), was created (based on ethnic self-identification, country of origin, and
language), and regressed on child internalizing symptoms, controlling for several confounding covariates. TMI trended
towards significant prediction of childhood depression even after controlling for potential confounds (t=-1.93; p=.06;
R2=.15). Correlational analyses identified specific variables that may have moderated the influence of ethnic match on
the mental health outcomes of transethnically placed foster children. Suggestions for future research and potential policy
implications are discussed.
38
Demographic and Relational Predictors of Social Self-Awareness in Urban Elementary Classrooms
Neha Sahu
Elementary school classroom interactions with peers and individual student social competence are important to children’s
success in school. A key component of social competence is social self-awareness - awareness of one’s own behaviors in
social interactions. Research has focused on the intra-individual processes predicting social self-awareness. However, as
children grow older, peers become increasingly influential in their social development. This study moves beyond the
individual, examining the primary peer environment in middle childhood as it relates to social self-awareness. Using social
network and peer sociometric methods, the study examined the level of congruence between self-and peer-nominations of
prosocial and aggressive behaviors (social self-awareness) as predicted by individual-level social factors (peer network
centrality) over and above demographic factors (age and gender). Participants included 418 2nd
to 4th grade African-
American students facing heightened risk for school disengagement and social problems, from 33 classrooms in 5 Chicago
elementary schools, located in high poverty urban neighborhoods. Analyses revealed that increasing age and network
centrality predicted increasing levels of social self-awareness. Contrary to expectations, gender normative social behaviors
failed to match predictions. Discussion focused on how social contexts facilitate or inhibit internal processes
(Bronfenbrennerian approach). Future studies should examine classroom-level predictors, beyond individual-level
predictors.
Book Reading Styles in Bilingual Head Start Classrooms
Silvia Niño
Early narratives shared between children and adults are crucial for children’s linguistic and cognitive development. Most
research on narrative development has focused on parent-child conversations and book-reading interactions. However,
parent-child interactions are only one context through which children develop narrative skills. Because preschoolers spend
a significant part of their day in preschool, interactions between children and their preschool-teachers also plays a
formative role for children’s narrative competency. Nevertheless, only a handful studies have examined the book-sharing
styles used by preschool teachers, and little is known about how teachers adapt their book-sharing approach to bilingual
environments. The present study examined the book-sharing styles of teachers in 12 bilingual (Spanish-English) Head
Start classrooms as they shared wordless and text-based books with their class. Preliminary results suggest that there are
individual differences in teachers' book-sharing styles, with some teachers focusing closely on the storyline, whereas
others encourage their students to think analytically and make predictions about the plot. Interestingly, though, all teachers
tend to include more meta-literacy talk and offer richer language lessons when sharing the wordless book. Results are
discussed in relation to the role of teacher-class book-sharing on children's language development.
Volume I | Spring 2010
Language Attitudes of Puerto Ricans toward English and Bilingualism
Cristina Tamayo
Language learning and attitudes are often implicitly influenced by larger social, economic, and political factors. The Puerto
Rican experience is a perfect case study as the teaching and learning of English on the island is linked to historical events
that have led Puerto Ricans to resist becoming bilingual. However, research on Puerto Ricans’ attitudes towards English was
conducted in decades before English became the lingua franca of a globalized world. These global cultural changes might
have led to significant revisions in the language attitudes of Puerto Ricans, especially among the youth. The purpose of the
current study was to examine the language attitudes of young Puerto Ricans. Nine participants (ages 18-23) were
interviewed about their beliefs, attitudes and perceptions towards languages spoken in the island. Using a grounded theory
approach, data were coded and analyzed looking for recurring themes and patterns across and within cases. Preliminary
results suggest that attitudes have positively changed and that young Puerto Ricans are not resisting becoming bilinguals as
did youth of earlier generations. Results are discussed in relation to the potential impact of globalization in shaping modern
Puerto Rican’s language and cultural ideologies.
The Stories Friends Share: Structural and Thematic Analyses
Jessica Winterstern
Narratives are essential in a child’s life promoting growth in socio-emotional and cognitive areas. Yet, the current research
does not sufficiently investigate all critical contributors who influence children’s narrative development, such as peers.
Storytelling interactions influence the development of children’s unique narrative styles and the bonds that develop between
peers. However, there exist gaps in our understanding of how peer interactions support the development of children’s
storytelling abilities, in particular how this relationship develops with age and the role gender plays in such development.
The present study examined the personal narratives shared between friends across age groups and gender. Forty-eight
children between the ages of 5 and 10 were asked to share stories with a same-sex friend. Stories were audio-recorded,
videotaped and transcribed. Narrative interactions were coded for interactional features and themes. Interactional and
thematic features were submitted to analyses of variance determining gender and age-group differences. Preliminary results
showed that children told more elaborative narratives with age. Boys utilized agency themes whereas girls highlighted
communion themes. Finally, girls overlapped and interrupted more so than did boys. Results are discussed in relation to the
role peers and friendship play in language development.
Abstracts 40
Vanessa Victoria Volpe, editor-in-chief
of OPUS, is a junior in the Applied
Psychology program, with a minor in
Creative Writing. As a Research
Assistant in Dr. Selcuk Sirin's lab, she
researches identity negotiation and
psychological outcomes for urban
immigrant youth. She is also a
Research Assistant at St. Luke's -
Roosevelt Hospital's adolescent
outpatient substance abuse program,
where she researches the influence of
gender and social support on HIV risk
behavior, and serves as a Co-
Investigator on a study of the use of
text messaging to enhance the efficacy
of Cognitive Behavioral Therapy. Upon
graduation, she hopes to pursue a
Ph.D. in Developmental or Clinical
Psychology.
Jackson J. Taylor, editor of OPUS, is a
junior in the Applied Psychology
program. He is a member of Dr. Melzi’s
Child Language research team and the
NYU Latino Family Involvement Project.
He also interns for Dr. Jacqueline
Carleton, editor-in-chief of the United
States Association for Body
Psychotherapy Journal. His research
interests include socio-cultural influences
on interpersonal communication, the
influence of emerging technologies,
attachment theory, and advances in
experiential therapy. He plans to pursue
a Ph.D in Clinical Psychology after he
graduates, and live happily ever after in
New York. In the meantime, he keeps
himself occupied with independent
research, his unpackedbox, and
shameless self-promotions.
Alyssa Deichtman, a staff writer for
OPUS, is a sophomore in the Applied
Psychology program. Her research
interests include Autism research,
industrial/organizational psychology, and
adolescent mental health. She dreams of
dual-degrees in Psychology and Business
Administration.
Sibyl Hayley Holland, editor of OPUS, is a
junior in the Applied Psychology program.
She is a member of Elise Cappella’s
research team and an America Reads
literacy tutor. Her research interests
include child development and
educational psychology. Upon graduation,
she hopes to pursue a Masters in School
Counseling and work in the New York City
public school system as an elementary
school counselor.
Javanna N. Obregon, a staff writer for
OPUS, is a sophomore in the Applied
Psychology program. She is mainly
interested in women's mental health, and
she hopes to pursue a Ph.D. in Clinical
Psychology.
Justina Passarelli, a staff writer for OPUS,
is a freshman in the Applied Psychology
program. Her research interests include
adolescent depression, the feminist
perspective, and the dynamics of sexual
psychology. She hopes to pursue a
doctorate in clinical or counseling
psychology, and practice in NYC.
Cristina Tamayo is a senior in the Applied Psychology honors program. She thanks Dr. Gigliana Melzi, Adina Schick, Joy Kennedy and the Child Research Language research team for their support throughout the course of her project. Her main research interests include language ideologies, language attitudes and the Puerto Rican experience with bilingualism and English. After graduating, she plans to attend law school in Puerto Rico.
Neha Sahu is a senior Applied Psychology major, with a minor in Media, Culture, and Communications. Her research interests include educational psychology, as well as child and adolescent development. She is grateful for her mentor, Dr. Elise Cappella, for all of her help with her honors project. Upon graduation, she will be working as a Teach for India Fellow for two years.
Priya Gopalan is a junior in the Applied Psychology program, and a member of the Community College Transfer Opportunity Program (CCTOP). As a research assistant in Dr. Selcuk Sirin’s lab, she studies the educational experience of immigrants in the NY metropolitan area. Her main research interests include immigrant populations and substance abuse.
Robby D. Harris graduated from NYU in 2009 with a B.S. in Applied Psychology. He is currently working with Dr. Stephen Russell as a doctoral student in the Family Studies and Human Development program at the University of Arizona. Robby's research interests include gender identity development, masculinity, father involvement with adolescent sons, and schools as contexts for healthful identity development. He would like to extend great thanks to Onnie Rogers and Drs. Christine McWayne, Rodrigo Campos, and Gigliana Melzi for their help preparing his manuscript.
Jessica Winterstern is a senior in the Applied Psychology honor's program. She thanks Dr. Melzi for her unconditional support throughout the course of her project. She is also grateful for the opportunity to work with Adina Schick and the members of the Child Language and LFIP research teams. After graduating, she plans to present her research at the 2010 Stanford Undergraduate Psychology Conference, prepare to apply to law school, and take a much needed break.
Don Asher Cohen is a junior in the Applied Psychology program. His main research interests include non-conscious processes in phobias and trauma. After graduating, he plans to pursue a doctorate in psychology and eventually practice as a psychotherapist.
Maurice Anderson is a senior in the Applied Psychology honors program, with a minor in Sociology. As a proud member of the NYU community, he serves as president of the Applied Psychology Undergraduate (APUG) Club, and was inducted into Psi Chi as well as the Golden Key International Honor Society. He is a research assistant at the NYU Child Study Center investigating sibling interactions in foster care. He has previously worked at the Door, a youth community center, performing brief psychosocial intake assessments. He will be presenting his work at the 38th Annual Hunter College Psychology Convention, and Stanford’s 2010 Undergraduate Psychology Conference. He considers graduation his biggest accomplishment to date.
32
Silvia Niño is a senior in the Applied Psychology honors program. She thanks Dr. Gigliana Melzi, Adina Schick, and the members of the Child Language research team for their unwavering support and guidance throughout the course of her project.
Ryann McNeil is a senior in Applied Psychology honors program. She thanks Dr. Catherine Tamis-LeMonda and Dr. Gigliana Melzi for their support throughout the course of her project. Her main research interests include father involvement, gender socialization, and children’s developmental outcomes. She will begin NYU's Counseling Mental Health and Wellness masters program in Fall 2010.
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