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Biomedical subjects

E L Cowen

Publications and source records attributed to E L Cowen.

At least 55 records · Page 3Linked to original sources

Help-agents' views about clinical interactions with acting-out children.

A scale to measure nonprofessional child-aides' views about, and practices in, working primarily with acting-out children is described. The scale was used as part of an overall evaluation of a program to teach the aides Ginottian limit-setting approaches for work with such children. A prior study had shown that the training was followed by significantly more favorable treatment outcomes. Compared to 44 nontrained child-aides, the 19 trained aides had significantly higher postprogram scale scores on opinions and beliefs about acting-out children, changes in feeling about working with them, and actual observed changes in their playroom behaviors. Item analysis indicated that, following training, aides felt more comfortable with and had a richer repertoire of techniques for dealing with acting-out children. Specifically, they found it easier to set limits and to deal with overtly aggressive behaviors. Those changes may be key factors in explaining the significantly greater effectiveness of the trained aides working with acting-out children.

Acting Out↗

Referral to a school mental health project: a screening note.

The screening efficiency of two measures of school-adjustment is considered by assessing the proportion of children referred to a school mental health program whose scores fall at or above the 85th centile on one or both measures. The study's findings demonstrate that 60-90% of referred children were identifiable by a screening cutoff score procedure. The implications for using a cutoff score approach in selecting children for the intervention are discussed.

Child↗

Judged school problems and competencies of referred children with varying family background characteristics.

The school adjustment problems and competencies of referred children with varying family background histories were compared. Children from homes characterized by low parent interest in education had more severe learning problems and fewer competencies than either matched referred controls without such a history or matched referred children under family pressure to succeed. The relationship of these findings to other studies of school adjustment and family background was considered.

Aptitude↗

Nonprofessional and professional help-agents' views of interventions with young maladapting school children.

The expectations of nonprofessional and professional help-agents about helping interventions with young children experiencing different types of school adjustment problems (i.e., aggressive-acting out, shy-anxious, and learning problems) were studied. The two groups responded similarly. Shy-anxious children were seen as most appropriate for the intervention, the easiest and most enjoyable group to work with, and as having the best prognoses. These four sets of judgments were relatively independent of each other. A connection was made between the current data and prior findings suggesting that shy-anxious children have more favorable treatment outcomes than other groups.

Acting Out↗

Normative and parametric analyses of school maladjustment.

Format and instructional revisions were made in the TRF, a previously reported school adjustment measure, to extend its diagnostic, prescriptive, and empirical utility. Factor analyses of school adjustment ratings on the revised CARS with a normative sample of "healthy" primary graders demonstrated that while the revisions maintained the scale's original three-factor structure, they increased specific item factor loadings and accounted scale variance. To extend the screening utility of the proposed measure, normative and parametric comparisons are reported describing adjustment ratings for sex, age, and city/country subgroups. Comparisons of children who are or are not referred to a secondary prevention program provide evidence of the CARS discriminative validity and screening potential.

Age Factors↗

Multiple views of a school mental health project: a needed focus in community programs.

A school-based community mental health program, emphasizing early detection and prevention of school maladaptation, was analyzed from the perspectives of participants with different roles and stakes. Program founders tended to value it more than those who carried out its "line" functions. Some differences are identified between what was valued theoretically about the program and how participants actually allocated their time. Differences in perspectives among program participants at various levels and differences between de jure and de facto aspects of program operation are viewed as sources of potential friction. Such difficulties tend to increase as initially simple program models are extended to diverse settings with different needs, problems, resources, and personnel.

Attitude of Health Personnel↗