Abusive parenting may have a biological basis

Research led by University of Oregon professor unveils a potential neurobiological trigger EUGENE, Ore. -- Parents who physically abuse their children appear to have a physiological response that subsequently triggers more harsh parenting when they attempt parenting in warm, positive ways, according to new research. Reporting in the quarterly journal Couple and Family Psychology: Research and Practice, a five-member team, led by Elizabeth A. Skowron, a professor in the Department of Counseling Psychology and Human Services in the University of Oregon College of Education, documented connections between the nervous system's ability to calm heart rate -- via electrocardiogram (ECG) measures of parasympathetic activation -- and the type of parenting mothers displayed during a laboratory interaction with their preschool child LCSW Continuing Education Studies of child maltreatment have consistently found that parents who physically abuse their children tend to parent in more hostile, critical and controlling ways. Skowron's team appears to have found evidence of a physiological basis for patterns of aversive parenting -- the use of hostile actions such as grabbing an arm or hand or using negative verbal cues in guiding a child's behavior -- in a sample of families involved with Child Protective Services. For the experiment, mothers and children were monitored to record changes in heart rate while playing together in the lab. Parenting behavior was scored to capture positive parenting and strict, hostile control using a standard coding system. What emerged, Skowron said, were clear distinctions between abusive, neglectful and non-maltreating mothers in their physiological responses during parenting. When abusive mothers were more warm and nurturing, they began to experience more difficulty regulating their heart rate and staying calm. This physiological-based stress response then led the abusive mothers to become more hostile and controlling toward their child a short time later in the interaction. The same was not the case for mothers who had been previously identified as being physically neglectful or for mothers with no history of neglectful or abusive parenting. Participants in the National Institutes of Health-funded study were 141 mothers -- 94 percent Caucasian with a high school degree or less and incomes at or below $30,000 -- and their children, ranged in age from 3 to 5 years old. The research focuses on tracking the effects of physiology on parenting in real time. "Abusive mothers who try to warmly support their child when the child faced a moderate challenge displayed a physiological response that suggested they're stressed, on alert and preparing to defend against a threat of some kind," said Skowron, a researcher at the Child and Family Center/Prevention Science Institute at the UO. "This kind of physiological response then led to a shift in an abusive mother becoming more hostile, strict, and controlling ways with her young child, regardless of how her child was behaving." The findings, she added, suggest that when physically abusive mothers experience being a nurturing parent they find it to be hard work. "It appears to quickly wear them out, perhaps because it challenges them in ways that lower-risk mothers don't experience," she said. "An abusive mother appears caught: When she does a good job with her child, it costs her physiologically, and it negatively affects her because it leads to more aversive parenting." The team's findings help to explain why abusive parenting is so resistant to most interventions, Skowron said. "Most parents who struggle with child maltreatment really love their children and want help improving their parenting skills. Our findings suggest that many are experiencing a biological response during parenting that actively interferes with their efforts to parent in warm and nurturing ways." The next step, she said, is exploring how to translate the new discovery into interventions specifically designed for parents struggling with child abusive. "We have to figure out how to help these high-risk parents calm themselves down more effectively and enjoy the experience of supporting their children in warm, positive ways. First, she noted, it will be important for other researchers to replicate the findings. "Researchers at the University of Oregon continue to yield critical insights that result in more effective prevention strategies," said Kimberly Andrews Espy, vice president for research and innovation and dean of the UO Graduate School. "This research by Dr. Skowron revealing a potential neurobiological trigger involved in abusive parenting may lead to new interventions that could help to improve the lives of children." ### Co-authors with Skowron were Elizabeth Cipriano-Essel and Aaron L. Pincus, both of Pennsylvania State University where Skowron conducted this research, Lorna Smith Benjamin of the University of Utah Neuropsychiatric Institute, and Mark J. Van Ryzin, research associate in the UO Child and Family Center and researcher at the Eugene-based Oregon Social Learning Center. NIH grant RO1 MH079328 to Skowron supported the research through the National Institute of Mental Health. Additional funding was provided by the Administration for Children and Families, through its Children's Bureau of the Administration on Children, Youth and Families, as part of the Federal Child Neglect Research Consortium. About the University of Oregon The University of Oregon is among the 108 institutions chosen from 4,633 U.S. universities for top-tier designation of "Very High Research Activity" in the 2010 Carnegie Classification of Institutions of Higher Education. The UO also is one of two Pacific Northwest members of the Association of American Universities. Source: Elizabeth A. Skowron, associate professor of counseling psychology, 541-346-0913, eskowron@uoregon.edu Links: Skowron faculty page: https://education.uoregon.edu/users/elizabeth-skowron Counseling psychology and human services: https://education.uoregon.edu/department/counseling-psychology-and-human-services Child and Family Center: http://cfc.uoregon.edu/ College of Education: https://education.uoregon.edu/ Audio: 1) Skowron on main finding, 20 seconds: http://uonews.uoregon.edu/sites/uonews.wc-sites.uoregon.edu/files/uploads/AbusiveParenting-Response.mp3 2) Skowron on the challenges of intervention, 66 seconds: http://uonews.uoregon.edu/sites/uonews.wc-sites.uoregon.edu/files/uploads/Intervention%20Challenges.mp3 Follow UO Science on Facebook: http://www.facebook.com/UniversityOfOregonScience UO Science on Twitter: http://twitter.com/UO_Research More UO Science/Research News: http://uoresearch.uoregon.edu Note: The University of Oregon is equipped with an on-campus television studio with a point-of-origin Vyvx connection, which provides broadcast-quality video to networks worldwide via fiber optic network. In addition, there is video access to satellite uplink, and audio access to an ISDN codec for broadcast-quality radio interviews.

Anger Management: A Cognitive Behavioral Therapy Manual

Anger Management: A Cognitive Behavioral Therapy Manual

This course is designed to help you: 1. Recognize the dynamics of anger and related anger management challenges 2. Utilize appropriate cognitive behavioral anger management interventions. 3. Analyze anger management cases for power and control dynamics. 4. List potential services and interventions. 5. Promote an interdisciplinary approach. 6. Increase familiarity with group dynamics involving anger management Course Description: This manual was designed for use by qualified substance abuse and mental health clinicians who work with substance abuse and mental health clients with concurrent anger problems. The manual describes a 12-week cognitive behavioral anger management group treatment. Each of the 12 90-minute weekly sessions is described in detail with specific instructions for group leaders, tables and figures that illustrate the key conceptual components of the treatment, and homework assignments for the group participants. MFT, mft, lpc, lpcc, LCSW, lsw, CA BBS, online ceus, board approved, mental health ce courses, online ceus, ceus for MFTs, ce courses for counselors, Social Worker ceus, continuing education units for LPCs, MHC ceus, LCSW, ASW and MFT Intern ceus, Board approved ceus in many states, national board approval ceus, alcohol and drug abuse counselor ceus. See chart below for your

Uncontrollable anger prevalent among US youth

Intermittent Explosive Disorder affects up to 6 million US adolescents Nearly two-thirds of U.S. adolescents have experienced an anger attack that involved threatening violence, destroying property or engaging in violence toward others at some point in their lives. These severe attacks of uncontrollable anger are much more common among adolescents than previously recognized, a new study led by researchers from Harvard Medical School finds. The study, based on the National Comorbidity Survey Replication Adolescent Supplement, a national face-to-face household survey of 10,148 U.S. adolescents, found that nearly two-thirds of adolescents in the U.S. have a history of anger attacks. It also found that one in 12 young people—close to six million adolescents—meet criteria for a diagnosis of Intermittent Explosive Disorder (IED), a syndrome characterized by persistent uncontrollable anger attacks not accounted for by other mental disorders. The results will be published July 2 in Archives of General Psychiatry. IED has an average onset in late childhood and tends to be quite persistent through the middle years of life. It is associated with the later onset of numerous other problems, including depression and substance abuse, according to senior author Ronald Kessler, McNeil Family Professor of Health Care Policy at HMS and leader of the team that carried out the study. Yet only 6.5 percent of adolescents with IED received professional treatment for their anger attacks. Study findings indicate that IED is a severe, chronic, commonly occurring disorder among adolescents, one that begins early in life. Yet the study also shows that IED is under-treated: although 37.8 percent of youths with IED obtained treatment for emotional problems in the 12 months prior to the study interview, only 6.5 percent received treatment specifically for anger. The researchers argue for the importance of identifying and treating IED early, perhaps through school-based violence prevention programs. "If we can detect IED early and intervene with effective treatment right away, we can prevent a substantial amount of future violence perpetration and associated psychopathology," Kessler said. To be diagnosed with IED, an individual must have had three episodes of impulsive aggressiveness "grossly out of proportion to any precipitating psychosocial stressor," at any time in their life, according to the Diagnostic and Statistical Manual of Mental Disorders. The investigators used an even more stringent definition of IED, requiring that adolescents not meet criteria for other mental disorders associated with aggression, including bipolar disorder, attention-deficit/hyperactivity disorder, oppositional defiant disorder and conduct disorder. As a result, researchers found that 1 in 12 adolescents met criteria for IED Anger Management CE Course ### Collaboraters included Katie McLaughlin, an HMS assistant professor of pediatrics and psychology at Boston Children's Hospital, Jennifer Greif Green at Boston University School of Education, Alan Zaslavsky, an HMS professor of health care policy, as well as statistical programmer and data analyst Irving Hwang and Nancy Sampson, a project director at HMS. This research was funded by the National Institute of Mental Health (U01-MH60220 and R01-MH66627), the National Institute on Drug Abuse, the Substance Abuse and Mental Health Services Administration, the Robert Wood Johnson Foundation and the John W. Alden Trust. Harvard Medical School has more than 7,500 full-time faculty working in 11 academic departments located at the School's Boston campus or in one of 47 hospital-based clinical departments at 16 Harvard-affiliated teaching hospitals and research institutes. Those affiliates include Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Cambridge Health Alliance, Children's Hospital Boston, Dana-Farber Cancer Institute, Harvard Pilgrim Health Care, Hebrew SeniorLife, Joslin Diabetes Center, Judge Baker Children's Center, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, McLean Hospital, Mount Auburn Hospital, Schepens Eye Research Institute, Spaulding Rehabilitation Hospital, and VA Boston Healthcare System.