Training Individuals to Implement Applied Behavior Analytic Procedures via Telehealth: A Systematic Review of the Literature

The purpose of this article is to summarize literature relating to training individuals to implement applied behavior analytic procedures via telehealth and identify any gaps in the evidence base for this type of support. A systematic literature search revealed 20 articles focusing on training individuals to implement specific ABA techniques via telehealth. The Evaluative Method (Reichow et al. in J Austism Dev Disord 38:1311–1319, 2008; Reichow, in: Reichow, Doehring, Cicchetti, Volkmar (eds) Evidence-based practices and treatments for children with autism, Springer, New York, Reichow 2011) was used to assess the methodological quality of included articles. Results indicated that individuals were trained to implement a range of techniques, including assessments, targeted interventions, and specific teaching techniques. Socially significant outcomes were reported for clients in the form of reduced challenging behavior and increased skills. Trainee fidelity following training via telehealth was variable, and barriers related to the use of telehealth were highlighted. Where evaluated, cost and travel burdens were considerably lower than support provided in-person. The emerging literature is promising and suggests that telehealth may be an effective means of training individuals in ABA techniques; however, wider issues and practical implications related to the use of telehealth should be considered and are discussed as it relates to ABA providers.     

Defining and Distinguishing Sexual and Emotional Infidelity

Researchers studying interpersonal relationships often distinguish between “sexual infidelity” and “emotional infidelity.” Yet, it remains largely unclear whether and how individuals actually conceptualize these constructs in their own lives, and how men and women vary, if at all, in their definitions and understanding of different types of infidelity. The current research used a mixed-methodology approach to explore the epistemological nature of sexual infidelity and emotional infidelity. In Study 1, 379 participants provided open-ended definitions of what they believe constitutes sexual infidelity and emotional infidelity. In Study 2, responses were then coded by a different group of outside raters to examine overall themes in the definitions provided and how prototypical these definitions were for each type of infidelity. Results identified and examined the definitions with the highest mean ratings in terms of how well they represented emotional infidelity or sexual infidelity. Overall, both men and women had more consistency in their definitions of what constituted sexual infidelity than on what constituted emotional infidelity, suggesting that emotional infidelity is a more vague and complex concept than sexual infidelity. Additionally, when asked to define sexual and emotional infidelity, many participants focused on specific behaviors (including deception), but when asked to consider the types of infidelity as distinct from each other, participants focused on feelings. By exploring how individuals actually define these constructs, these data provide a more accurate and rich depiction of how individuals define acts of infidelity than currently exists in the relationship literature.     

‘Theory of mind’ in animals: ways to make progress

Whether any non-human animal can attribute mental states to others remains the subject of extensive debate. This despite the fact that several species have behaved as if they have a ‘theory of mind’ in various behavioral tasks. In this paper, we review the reasons of skeptics for their doubts: That existing experimental setups cannot distinguish between ‘mind readers’ and ‘behavior readers’, that results that seem to indicate ‘theory of mind’ may come from studies that are insufficiently controlled, and that our own intuitive biases may lead us to interpret behavior more ‘cognitively’ than is necessary. The merits of each claim and suggested solution are weighed. The conclusion is that while it is true that existing setups cannot conclusively demonstrate ‘theory of mind’ in non-human animals, focusing on this fact is unlikely to be productive. Instead, the more interesting question is how sophisticated their social reasoning can be, whether it is about ‘unobservable inner experiences’ or not. Therefore, it is important to address concerns about the setup and interpretation of specific experiments. To alleviate the impact of intuitive biases, various strategies have been proposed in the literature. These include a deeper understanding of associative learning, a better knowledge of the limited ‘theory of mind’ humans actually use, and thinking of animal cognition in an embodied, embedded way; that is, being aware that constraints outside of the brain, and outside of the body, may naturally predispose individuals to produce behavior that looks smart without requiring complex cognition. To enable this kind of thinking, a powerful methodological tool is advocated: Computational modeling, namely agent-based modeling and, particularly, cognitive modeling. By explicitly simulating the rules and representations that underlie animal performance on specific tasks, it becomes much easier to look past one’s own biases and to see what cognitive processes might actually be occurring.     

Not Just “Study Drugs” for the Rich: Stimulants as Moral Tools for Creating Opportunities for Socially Disadvantaged Students

An argument in the cognitive enhancement literature is that using stimulants in populations of healthy but socially disadvantaged individuals mistakenly attributes pathology to nonpathological individuals who experience social inequalities. As the argument goes, using stimulants as cognitive-enhancing drugs to solve the social problem of poorly educated students in inadequate schools misattributes the problem as an individual medical problem, when it is really a collective sociopolitical problem. I challenge this argument on the grounds that not all types of enhancement have to be explained in medical terms, but rather at least one conception of enhancement can be explained in social terms—opportunity maintenance. Therefore, I propose that as a moral requirement we ought to explore whether stimulants could be a means of remedying underprivileged children's experiences of social inequalities that are borne from inadequate schools for the sake of increasing their chances for opportunities and well-being.     

Neuroticism and Facebook Addiction: How Social Media can Affect Mood?

Abstract

Individuals high in neuroticism experience negative affect and social anxiety, therefore, they may prefer online communications where they are able to portray an idealized image of themselves to attract social support, seek validation, and enhance mood. These motivations may lead to greater social media use and addiction. In this study of Facebook users (N?=?742; 474 females, 268 males) who mostly resided in the United States, we explored the association between neuroticism, Facebook addiction, and negative affect. Our mediation model showed a partial mediating effect of Facebook addiction in predicting negative affect in individuals who were high in neuroticism. In theory, individuals who use Facebook as a tool to improve their mood may actually experience more negative affect due to social overload, jealousy, and envy. Individuals high in neuroticism, who already maintain a higher negative affect than those low in neuroticism, might be particularly inclined towards increased Facebook use, which could deteriorate their mood further. Consequently, individuals and therapists should be aware of the personality traits that could lead to greater Facebook addiction and a higher negative mood. Therapists could encourage users to engage in activities, other than social media use, that can improve mood without leading to addiction.     

Robot-enabled support of daily activities in smart home environments

Smart environments offer valuable technologies for activity monitoring and health assessment. Here, we describe an integration of robots into smart environments to provide more interactive support of individuals with functional limitations. RAS, our Robot Activity Support system, partners smart environment sensing, object detection and mapping, and robot interaction to detect and assist with activity errors that may occur in everyday settings. We describe the components of the RAS system and demonstrate its use in a smart home testbed. To evaluate the usability of RAS, we also collected and analyzed feedback from participants who received assistance from RAS in a smart home setting as they performed routine activities.     

Discussing smart pills versus endorsing smart pills: reply to Swanson, Wigal, and Volkow (2011) and Elliott and Elliott (2011)

We find much of interest, and little to disagree with, in the commentaries on our article. We take issue only with the suggestion that our article was provocative and submit that the attempt to understand the use of stimulants as smart pills does not imply an endorsement of the practice.     

Between-sex differences in romantic jealousy: Substance or spin? A qualitative analysis

An influential evolutionary account of romantic jealousy proposes that natural selection shaped a specific sexually-dimorphic psychological mechanism in response to relationship threat. However, this account has faced considerable theoretical and methodological criticism and it remains unclear whether putative sex differences in romantic jealousy actually exist and, if they do, whether they are consistent with its predictions. Given the multidimensional nature of romantic jealousy, the current study employed a qualitative design to examine these issues. We report the results of sixteen semi-structured interviews that were conducted with heterosexual men and women with the purpose of exploring the emotions, cognitions and behaviors that formed their subjective, lived experience in response to relationship threat. Interpretative phenomenological analysis revealed four super-ordinate themes ("threat appraisal", "emotional episodes", "sex-specific threat" and "forgive and forget") and unequivocal sex differences in romantic jealousy consistent with the evolutionary account. Self-esteem, particularly when conceptualized as an index of mate value, emerged as an important proximal mediator for both sexes. However, specific outcomes were dependent upon domains central to the individual's self concept that were primarily sex-specific. The findings are integrated within the context of existing self-esteem and evolutionary theory and future directions for romantic jealousy research are suggested.     

Recognition bias and the physical attractiveness stereotype

Previous studies have found a recognition bias for information consistent with the physical attractiveness stereotype (PAS), in which participants believe that they remember that attractive individuals have positive qualities and that unattractive individuals have negative qualities, regardless of what information actually occurred. The purpose of this research was to examine whether recognition bias for PAS congruent information is replicable and invariant across a variety of conditions (i.e. generalizable). The effects of nine different moderator variables were examined in two experiments. With a few exceptions, the effect of PAS congruence on recognition bias was independent of the moderator variables. The results suggest that the tendency to believe that one remembers information consistent with the physical attractiveness stereotype is a robust phenomenon.     

Dysfunctional Attitudes Lead to Depressive Symptoms by Generating Subjective Stress

Previous studies have indicated that objective stress—negative events that have actually occurred outside of individuals—is involved in processes of dysfunctional attitudes leading to depression. Subjective stress—individuals' perception of negative events that have not actually occurred outside of them—is also predicted to be involved in these processes. However, few studies have empirically investigated this prediction. The primary purpose of this study was to fill this gap by testing the hypothesis that dysfunctional attitudes lead to depression by generating subjective stress. A longitudinal design was employed and initial depression was controlled. The results supported the hypothesis. It was also found that initial depression fostered subsequent depression by generating subjective stress. This study contributes to the literature on depression mechanisms by elucidating that subjective stress plays an important role in the development and exacerbation of depression. This study also has important clinical implications as it suggests that preventing subjective stress in individuals with dysfunctional attitudes or depression helps to protect the development or exacerbation of their depression.     

The Hospital Room as Uncanny: Psychoanalytic Observations and Recommendations for Pastors and Chaplains

This essay in applied psychoanalysis is written for the field of pastoral psychology, and it also has obvious affinities with the medical humanities. The author uses Freud’s (The uncanny. In J. Strachey (Ed. and Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 17, pp. 217–256). Vintage, London, 1919/2001) “The Uncanny” to question the concept of homelike hospital rooms. Instead of making patients feel more comfortable, the authors believes that these rooms could, in some cases, actually increase the anxiety of patients. The author uses Helena Michie’s personal story of her experience of touring a birthing suite to support this argument, as well as some poetry by Billy Collins. The author, however, does not stop with identifying a problem, as he also suggests that pastors and chaplains, when they provide care for their patients, should help them identify and use their own transitional and transformational objects. These objects, of course, will be highly idiosyncratic, and it is precisely this kind of attention—attention to the idiosyncrasies of individuals—that pastors and chaplains should be giving to those in their care. While there is a growing literature on D. W. Winnicott, who coined the term “transitional object,” and Christopher Bollas, who gave us the term “transformational object,” in medical and pastoral circles, the author suggests that attention to and the endorsement of the use of transitional and transformational objects should become a part of hospital policy, if only in chaplaincy handbooks, so as to recognize what many individuals are already doing.     

Employee assistance programmes: The emperor's new clothes of stress management?

The employee assistance programme (EAP) is a benefit increasingly provided by UK employers that claims to reduce the effects of 'stress' on individuals and organisations, provide a 'management tool' to improve workplace performance and productivity, and respond to critical incidents. Although the marketing literature describes services as workplace-based counselling, there is evidence to suggest what they actually offer is consultation, assessment, referral and short-term treatment to clients experiencing a wide range of serious psychological and mental health difficulties. This article describes EAPs, their history, development and operation, and reviews the evidence to support their claims for effectiveness. Because employee distress is often the result of an interaction between organisational and individual factors, the role and claims of EAPs as organisational interventions are also critically examined.     

Telling young children they have a reputation for being smart promotes cheating

The present research examined the consequences of telling young children they have a reputation for being smart. Of interest was how this would affect their willingness to resist the temptation to cheat for personal gain as assessed by a temptation resistance task, in which children promised not to cheat in the game. Two studies with 3‐ and 5‐year‐old children (total N = 323) assessed this possibility. In Study 1, participants were assigned to one of three conditions: a smart reputation condition in which they were told they have a reputation for being smart, an irrelevant reputation control condition, or a no reputation control condition. Children in the smart reputation condition were significantly more likely to cheat than their counterparts in either control condition. Study 2 confirmed that reputational concerns are indeed a fundamental part of our smart reputation effect. These results suggest that children as young as 3 years of age are able to use reputational cues to guide their behavior, and that telling young children they have a positive reputation for being smart can have negative consequences.     

Self-esteem, self-confidence, anxiety and claimed self-handicapping: A mediational analysis

Objectives

The purpose of the present study was to examine the mediational role of self-confidence and anxiety in the relationship between self-esteem and claimed self-handicapping in an achievement context.

Design

To test this mediational role, the three-step procedure advocated by Baron and Kenny (1986) was used.

Method

After hearing and reading about specific conditions of performing that were intended to favor invoking excuses for future poor performance, 68 competitive basketball players completed measures of self-esteem, anxiety (cognitive and somatic), self-confidence, and claimed self-handicapping. Then, they warmed-up and carried out a basketball task.

Results

Self-esteem negatively predicted cognitive anxiety and positively predicted self-confidence. In turn, self-confidence negatively predicted claimed self-handicapping and mediated the relationship between self-esteem and claimed self-handicapping. Cognitive and somatic anxieties did not mediate the relationship between self-esteem and claimed self-handicapping. Together, these results suggest that individuals with low self-esteem use more claimed self-handicaps because they have lower self-confidence.

Conclusion

These findings shed light on the psychological processes that lead people with low self-esteem to use strategies of claimed self-handicaps.     

Not so fast! (and not so frugal!): rethinking the recognition heuristic

The 'fast and frugal' approach to reasoning (Gigerenzer, G., & Todd, P. M. (1999). Simple heuristics that make us smart. New York: Oxford University Press) claims that individuals use non-compensatory strategies in judgment--the idea that only one cue is taken into account in reasoning. The simplest and most important of these heuristics postulates that judgment sometimes relies solely on recognition. However, the studies that have investigated usage of the recognition heuristic have confounded recognition with other cues that could also lead to similar judgments. This paper tests whether mere recognition is actually driving the findings in support of the recognition heuristic. Two studies provide evidence that judgments do not conform to the recognition heuristic when these confounds are accounted for. Implications for the study of simple heuristics are discussed.     

Developing correspondence between the non-verbal and verbal behavior of preschool children

Correspondence was developed between children's non-verbal and verbal behavior such that their non-verbal behavior could be altered simply by reinforcing related verbal behavior. Two groups of six children each were given food snack at the end of the day: for reporting use of a specific preschool material during free play (procedure A); and then only for reports of use which corresponded to actual use of that material earlier that day (procedure B). Initially, procedure A alone had little or no effect on the children's use of materials. Procedure B resulted in all of the children in one group actually using a specific material, and after repeating procedures A and B with this group across a series of different materials, procedure A alone was sufficient to significantly increase use of a specific material. Correspondence between verbal and non-verbal behavior was produced such that, in this group of 4-yr-old disadvantaged Negro children, "saying" controlled "doing" 22 or more hours later. In the second group, procedure B initially did not increase the use of a specific material; rather, the children's reports decreased so as to correspond to the intermittent use of the material. It appeared from subsequent procedures with this group that maintenance of a high level of reporting was crucial to the saying-then-doing correspondence seen in the first group.     

Confrontation and Beyond: Examining a Stigmatized Target's Use of a Prejudice Reduction Strategy

What can stigmatized individuals do to reduce stereotyping, prejudice, and discrimination when they interact with a biased individual? This paper reviews the social psychological literature that examines how targets can be active agents of prejudice reduction for themselves and their group. The extant literature indicates that a target's direct confrontation of bias can reduce prejudice and discrimination against the target's group but that this strategy can also backlash in the form of increased prejudice and discrimination against the target. Other research indicates that presenting a common‐identity, self‐enhancing feedback, and a self‐affirmation can reduce bias against the target but that they may not reliably change bias against the target's group. We conclude by discussing the need for research on the processes by which stigmatized targets decide to use a given bias‐reduction strategy and on the processes by which specific strategies are effective, either alone or in combination, when delivered by a stigmatized target.