Psychotherapy in the #MeToo era: Ethical issues.

The #MeToo movement has heightened awareness of sexual assault and harassment, causing victims, perpetrators, observers, and loved ones to reflect on what constitutes sexual coercion and what signifies consent. These new conversations have had powerful effects: Survivors who were once silent have raised their voices; hundreds of men in powerful positions across the United States have been dismissed from their jobs; and societal norms related to sex and gender are being reconsidered. It is no wonder that the "national reckoning" enters the world of psychotherapy.

Psychotherapists in danger: The ethics of responding to client threats, stalking, and harassment.

The ethics issues involved when clients threaten, stalk, or harass their psychotherapists have generally been neglected in the literature, leaving few psychologists prepared to manage such challenging situations. This article presents 3 clinical vignettes and recommendations resulting from a recent conference in Colorado on this important topic. In essence, the article seeks to address ways psychotherapists can balance the ethical challenges of simultaneously protecting clients and themselves.

Father attendance in nurse home visitation.

Our aim was to examine the rates and predictors of father attendance at nurse home visits in replication sites of the Nurse-Family Partnership (NFP). Early childhood programs can facilitate father involvement in the lives of their children, but program improvements require an understanding of factors that predict father involvement. The sample consisted of 29,109 low-income, first-time mothers who received services from 694 nurses from 80 sites.

Effects of home visits by paraprofessionals and by nurses on children: follow-up of a randomized trial at ages 6 and 9 years.

Importance: The Nurse-Family Partnership delivered by nurses has been found to produce long-term effects on maternal and child health in replicated randomized trials. A persistent question is whether paraprofessional home visitors might produce comparable effects.

Objective: To examine the impact of prenatal and infancy/toddler home visits by paraprofessionals and by nurses on child development at child ages 6 and 9 years.

Enduring effects of prenatal and infancy home visiting by nurses on children: follow-up of a randomized trial among children at age 12 years.

Objective: To test the effect of prenatal and infancy home visits by nurses on 12-year-old, firstborn children's use of substances, behavioral adjustment, and academic achievement.

Design: Randomized controlled trial.

Setting: Public system of obstetric and pediatric care in Memphis, Tennessee.

Story stem responses of preschoolers with mood disturbances.

Observing the young child's affect regulation and thought processes during a clinic assessment visit is of critical importance although challenging for children referred for mood disturbance. In this study, parents reported symptoms using standardized clinical interviews and story stems narratives were administered to 20 referred and 12 typically developing preschool age children. Comparison of the referred and typically developing children in our sample showed that specific story contexts varied in eliciting responses reflecting disorganization and thought disturbance from the referred children.

Using narratives to assess competencies and risks in young children: Experiences with high risk and normal populations.

The young child's mental representations convey a wealth of information about his/her early moral and emotional construction of reality. The MacArthur Story Stem Battery (MSSB) is a unique, child-friendly tool for assessing socioemotional development in young children (3-6 years). The technique provides incomplete stories (stems), which are completed by the child using their own verbalizations and actions with doll figures.

Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial.

Objective: Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers' fertility and children's functioning 7 years after the program ended at child age 2.

Methods: We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks' gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services.

Effects of home visits by paraprofessionals and by nurses: age 4 follow-up results of a randomized trial.

Objective: To examine the effects of prenatal and infancy home visiting by paraprofessionals and by nurses from child age 2 through age 4 years.

Methods: We conducted, in public and private care settings in Denver, Colorado, a randomized, controlled trial with 3 arms, ie, control, paraprofessional visits, and nurse visits. Home visits were provided from pregnancy through child age 2 years.

Effects of nurse home-visiting on maternal life course and child development: age 6 follow-up results of a randomized trial.

Objective: To test, with an urban, primarily black sample, the effects of prenatal and infancy home visits by nurses on mothers' fertility and economic self-sufficiency and the academic and behavioral adjustment of their children as the children finished kindergarten, near their sixth birthday.

Methods: We conducted a randomized, controlled trial of a program of prenatal and infancy home-visiting in a public system of obstetric and pediatric care in Memphis, Tennessee. A total of 743 primarily black women at <29 weeks of gestation, with no previous live births and with > or =2 sociodemographic risk characteristics (unmarried, <12 years of education, or unemployed), were randomly assigned to receive nurse home visits or comparison services.