COMPUTER‐ASSISTED MEASUREMENT OF WOUND SIZE ASSOCIATED WITH SELF‐INJURIOUS BEHAVIOR

We evaluated an inexpensive, efficient, and noninvasive technique for measuring tissue damage produced by self‐injurious behavior (SIB). The technique involved computerized measurement of wound surface area (WSA) based on digital photographs. In Study 1, we compared photographic measurement to a more commonly used procedure, transparency measurement, in estimating WSA of 20 wound models. Results showed that both methods were reliable and that there was a high degree of correspondence between the 2 sets of measures. In Study 2, we compared photographic WSA measures to direct‐observation measures in documenting changes over time in the SIB exhibited by a woman with Prader‐Willi syndrome. Results showed that increases and decreases in observed SIB during baseline and treatment conditions corresponded with changes in WSA measures, indicating that the computer‐assisted photographic technique may be useful as a corroborative measure or as a primary measure when direct observation of SIB is not feasible.     

Self‐restraint and self‐injury: a demonstration of separate functions and response classes

We evaluated the self‐injurious behavior (SIB) and self‐restraint (SR) of an 11‐year‐old boy with severe mental retardation that were suspected to be functionally unrelated. A functional analysis (consequences provided for SIB) resulted in near‐zero levels of SIB across experimental conditions and did not indicate a specific function of SIB. In contrast, high, undifferentiated levels of SR were observed during the attention, control, alone, and demand conditions. Further analysis of a possible tangible function of SIB using pairwise comparisons resulted in a high rate of SIB during the contingent tangible condition, no SIB in the noncontingent tangible condition, and comparable levels of SR in both conditions. A subsequent analysis using restraint blocking during play and no‐play contexts suggested that SR produced automatic reinforcement under conditions of low ambient stimulation. Thus, SIB and SR were shown to be functionally independent and maintained by distinct consequences. The results are briefly discussed and suggestions for future research are provided. Copyright © 2000 John Wiley & Sons, Ltd.     

FUNCTIONAL ANALYSIS AND TREATMENT OF SELF‐INJURY IN A CAPTIVE OLIVE BABOON

Self‐injurious behavior (SIB), such as self‐biting and head banging, has been reported to occur in approximately 10% of captive, individually housed nonhuman primates. Accounts of the etiology of SIB in primates range from ecological to physiological. However, to date, no research has examined the possible influence of social consequences delivered by handlers and keepers in the maintenance of SIB in this population. The current study investigated the effects of social contact as a potentially reinforcing consequence for the SIB displayed by an olive baboon (Papio hamadryas anubis). Results indicated that the behavior was maintained by attention from humans. As treatment, reinforcement was arranged for an appropriate alternative response, resulting in increases in the appropriate alternative behavior and decreases in SIB.     

SELF‐FORGIVENESS AND FORGIVENESS

If the notion of a victim's forgiveness encounters scepticism in today's world, more so the notion of self‐forgiveness by the offender. However, a failure to forgive oneself, when self‐forgiveness is appropriate, may be detrimental to one's moral and psychological well‐being. Self‐forgiveness is called for when guilt, self‐hatred and shame reach high levels. Further, a third party's assurance that the offence is forgivable may contribute considerably to the completion of the self‐forgiveness process. This article explores the notion of forgiveness of self and compares it with the notion of forgiveness of others. In addition, guilt and shame, right and wrong, repentance and dealing with the consequences of harmful actions are examined in the context of self‐forgiveness.     

ANALYSIS OF SOCIAL VARIABLES WHEN AN INITIAL FUNCTIONAL ANALYSIS INDICATES AUTOMATIC REINFORCEMENT AS THE MAINTAINING VARIABLE FOR SELF‐INJURIOUS BEHAVIOR

Self‐injurious behavior (SIB) that occurs at high rates across all conditions of a functional analysis can suggest automatic or multiple functions. In the current study, we conducted a functional analysis for 1 individual with SIB. Results indicated that SIB was, at least in part, maintained by automatic reinforcement. Further analyses using protective equipment (i.e., a helmet with face shield) revealed an attention function for the SIB.     

SELF‐KNOWLEDGE AND MORAL STUPIDITY

Most commonplace moral failure is not conditioned by evil intentions or the conscious desire to harm or humiliate others. It is more banal and ubiquitous – a form of moral stupidity that gives rise to rationalization, self‐deception, failures of due moral consideration, and the evasion of responsibility. A kind of crude, perception‐distorting self‐absorption, moral stupidity is the cause of many moral missteps; moral development demands the development of self‐knowledge as a way out of moral stupidity. Only once aware of the presence or absence of particular desires and beliefs can an agent have authority over them or exercise responsibility for their absence. But what is the connection between self‐knowledge and moral development? I argue that accounts (such as Kant's and Richard Moran's) which construe instances of self‐knowledge as like the verdicts of a judge cannot explain its potential role in moral development, and claim that it must be conceived of in a way that makes possible a process of self‐refinement and self‐regulation. Making use of Buddhist moral psychology, I argue that when self‐knowledge plays a role in moral development, it includes a quality of attention to one's experience best modeled as the work of the craftsperson, not as judge.     

PREFERENTISM AND SELF‐SACRIFICE

According to the argument from self‐sacrifice, standard, unrestricted desire‐based theories of welfare fail because they have the absurd implication that self‐sacrifice is conceptually impossible. I attempt to show that, in fact, the simplest imaginable, completely unrestricted desire‐based theory of well‐being is perfectly compatible with the phenomenon of self‐sacrifice – so long as the theory takes the right form. I go on to consider a new argument from self‐sacrifice against this simple theory, which, I argue, also fails. I conclude that, contrary to popular opinion, considerations of self‐sacrifice do not pose a problem for preferentist theories of welfare.     

Further evaluation of latency measures in the assessment and treatment of severe self‐injurious behavior

Recent research has demonstrated the utility of latency measures during the functional analysis of problem behavior; however, few studies have evaluated the utility of latency measures during subsequent treatment analyses. The current study seeks to extend the literature on the use of latency measures during the treatment of severe self‐injurious behavior (SIB). Following a latency‐based functional analysis, a treatment analysis was conducted using a hybrid procedure in which baseline sessions were terminated following the first instance of SIB, and test sessions ended after a fixed length of time. Latency to SIB was compared across conditions, whereas latency and rate measures for both SIB and functional communication responses were compared for the functional communication training condition. Results suggest that latency measures may be too sensitive during treatment analyses and that it is beneficial to use a hybrid procedure that allows for both latency and rate comparisons.     

Psychiatric and Self‐Injury Profiles of Adolescent Suicide Attempters versus Adolescents Engaged in Nonsuicidal Self‐Injury

To better delineate the unique correlates of self‐injurious behaviors (SIB), psychiatric profiles of mutually exclusive groups of adolescents who made a suicide attempt (SA) versus those engaged in nonsuicidal self‐injury (NSSI) were examined. Contrary to hypotheses, the NSSI group endorsed earlier onsets of SIB and suicidal ideation (SI), as well as higher rates of depression and anxiety compared with their SA counterparts. Future work is warranted to understand the role of SI, including duration of SI and anxiety in the development of NSSI, and to identify risk and resiliency factors useful in predicting an adolescent's SIB status.     

SELF‐OWNERSHIP AND THE STATE: A DEMOCRATIC CRITIQUE

Libertarians often invoke the principle of self‐ownership to discredit distributive interventions authorized by the more‐than‐minimal state. But if one takes a democratic approach to the justification of ownership claims, including claims of ownership over oneself, the validity of the self‐ownership principle is theoretically inseparable from the normative justification of the state. Since the idea of the state is essential to the very assertion (not just the positive enforcement) of the principle of self‐ownership, invoking the principle to discredit a distribution of ownership authorized by the state commits libertarians also to weakening that principle's validity. Put differently, appealing to the self‐ownership principle to circumscribe the state's power to distribute property is problematic when the state is necessary to assert the validity of that principle. This is because anytime the self‐ownership principle is used to undermine a state‐based distribution of property it is also implicitly eroding the ground for asserting its own validity. 1     

SELF‐DECEPTION AND THE EXPERIENCE OF FICTION

Sartre's commentary on bad faith is the starting‐point for an exploration of self‐deception: what it is not, what it is, and whether it's always wrong. The proffered analysis of self‐deception parallels a certain theory of our experience of fiction. In essence, it is argued that the self‐deceiver creates a kind of fiction in which he is a character, a fiction that he nonetheless believes to be real.     

FIRST PERSON PLURAL: SELF‐UNITY AND SELF‐MULTIPLICITY IN THEOLOGY'S DIALOGUE WITH PSYCHOLOGY

In contradistinction to the contemporary human sciences, recent theological accounts of the individual‐in‐relation continue to defend the concept of the singular continuous self. Consequently, theological anthropology and the human sciences seem to offer widely divergent accounts of the sense of self‐fragmentation that many believe pervades the modern world. There has been little constructive interdisciplinary conversation in this area. In this essay I address the damaging implications of this oversight and establish the necessary conditions for future dialogue. I have three primary objectives. First, I show how the notion of personal continuity acquires philosophical theological significance through its close association with the concept of personal particularity. Second, through a discussion of contemporary accounts of self‐multiplicity, I clarify the extent of theological anthropology's disagreement with the human sciences. Third, I draw upon narrative accounts of identity to suggest an alternative means of understanding the experiential continuity of personhood that maintains the tension between self‐plurality, unity, and particularity and thereby reconnects philosophical theological concerns with human‐scientific analyses of the human condition. Narrative approaches to personhood are ideally suited to this purpose, and, I suggest, offer an intriguing solution to understanding and resolving the problem of self‐fragmentation that has caused recent theological anthropology so much consternation.     

MARTYRDOM: SELF‐DENIAL OR SELF‐EXALTATION? MOTIVES FOR SELF‐SACRIFICE FROM HOMER TO POLYCARP A THEOLOGICAL REFLECTION1

This article explores the theological understandings of martyrdom in the second century and how they might serve as a response to Nietzsche's critique that Christian martyrdom is not self‐abnegation but a self‐deluded assertion of the will to power. In reply to this objection, the article focuses on the early church's self‐conscious concern for the proper and improper forms of martyrdom as depicted in the Martyrdom of Polycarp. By contrasting the depiction of Polycarp's martyrdom “according to the gospel” with classical views of self‐sacrifice in Homer's Iliad and Aristotle's Nicomachean Ethics, it will show how martyrdom, contra Nietzsche, can be an act of true self‐denial.     

Treatment of self‐injury correlated with mechanical restraints

Mechanical arm restraints were used to decrease hand‐to‐head self‐injurious behavior (SIB) exhibited by a 16‐year‐old female with severe mental retardation. Although mechanical restraints reduced hand‐to‐head SIB, they were correlated with an increase in other topographies of SIB (e.g., head banging). These other topographies were not significantly affected by the addition of an environmental enrichment procedure, but were immediately and almost completely suppressed when contingent exercise was added. Copyright © 2001 John Wiley & Sons, Ltd.     

Combination of extinction and protective measures in the treatment of severely self‐injurious behavior

Two female adolescents with profound mental retardation and physical disabilities residing in a state facility exhibited self‐injurious behavior (SIB). They had been wearing restrictive mechanical restraints for more than two years to prevent injuries from occurring. By using an indirect method of functional analysis, social attention was found to be the factor reinforcing and maintaining their behaviors. Extinction in combination with non‐intrusive protective measures was selected as the intervention strategy to reduce SIB. The outcomes of the treatment were evaluated with an AB probe design. Incidents of SIB decreased quickly and sharply after the treatment began. Once the incidents had reached a level of zero for three consecutive sessions, a six‐month follow‐up was started. No SIB was observed or reported during the follow‐up. The advantages of using extinction, especially in conjunction with the non‐intrusive protective measures to treat SIB, are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

MONKEYS,MIRRORS, AND ME: GORDON GALLUP AND THE STUDY OF SELF‐RECOGNITION

This article explores the work of psychologist Gordon Gallup, Jr., during the 1960s and 1970s on mirror self‐recognition in animals. It shows how Gallup tried to integrate the mental “self‐concept” into an otherwise strictly behaviorist paradigm. By making an argument from material culture, the article demonstrates how Gallup's adoption of a self‐concept is best understood as a product of his sustained analysis of the workings of the mirror as a piece of experimental apparatus. In certain situations, the stimulus properties of the mirror changed dramatically, a shift that Gallup thought legitimated the positing of a self‐concept. For this reason, Gallup supposed he could use a mirror to provide an operationalized concept of the self, that is, produce a definition that was compatible with behaviorist experimental norms. The article argues that behaviorism was more supple and productive than is often assumed, and contained resources that could align it with the “cognitive revolution” to which it is most often opposed.     

Further analysis of subtypes of automatically reinforced SIB: A replication and quantitative analysis of published datasets

Hagopian, Rooker, and Zarcone (2015) evaluated a model for subtyping automatically reinforced self‐injurious behavior (SIB) based on its sensitivity to changes in functional analysis conditions and the presence of self‐restraint. The current study tested the generality of the model by applying it to all datasets of automatically reinforced SIB published from 1982 to 2015. We identified 49 datasets that included sufficient data to permit subtyping. Similar to the original study, Subtype‐1 SIB was generally amenable to treatment using reinforcement alone, whereas Subtype‐2 SIB was not. Conclusions could not be drawn about Subtype‐3 SIB due to the small number of datasets. Nevertheless, the findings support the generality of the model and suggest that sensitivity of SIB to disruption by alternative reinforcement is an important dimension of automatically reinforced SIB. Findings also suggest that automatically reinforced SIB should no longer be considered a single category and that additional research is needed to better understand and treat Subtype‐2 SIB.     

SELF‐DECEPTION ABOUT EMOTION

In this paper, I address an ignored topic in the literature on self‐deception—instances in which one is self‐deceived about their emotions. Most discussions of emotion and self‐deception address either the contributory role of emotion to instances of self‐deception involving beliefs or assume what I argue is an outdated view of emotion according to which emotions just are beliefs or some other type of propositional attitude. In order to construct an account of self‐deception about emotion, I draw a distinction between two variants of self‐deception about emotion: cognitively motivated self‐deception and phenomenologically motivated self‐deception. After providing an account of each variant, I discuss the importance of the role that perception plays in cases of self‐deception about emotion. I conclude with a comment on the relevance of this discussion for contemporary debates in moral theory.     

Evaluation of an arm‐splint belt to reduce self‐injury

After a functional analysis yielded undifferentiated results, a subsequent assessment suggested self‐injury exhibited by a young boy with autism was sensitive to physical restraint. Canvas arm splints with metal stays were initially effective to reduce self‐injury. Although we successfully faded the number of stays in each sleeve to 3, self‐injury reemerged. We then used a withdrawal design to evaluate a behind‐the‐back belt connected to the arm splints. When the belt and splints were on, self‐injury did not occur. When the belt was removed, self‐injury increased, even though the splints remained intact. Finally, we faded the length of the belt to allow increased range of motion, and rates of self‐injury remained low.