THE RELATION OF FOOD QUANTITY TO RUMINATION BEHAVIOR

Preliminary work suggested that the quantity of food ingested by retarded individuals who usually ruminated following meals was related to the frequency and duration of ruminating responses. This possible relation was experimentally examined by systematically varying food quantity from regular portions to satiation levels for three retarded individuals who exhibited high levels of ruminating. A clear functional relation of food quantity to ruminating emerged, with satiation procedures producing rapid and large decreases in the relatively high frequencies and durations of ruminating characteristic of baseline food quantity conditions.     

Decreasing rumination using a starchy food satiation procedure

A starchy food satiation procedure was evaluated in an ABAB withdrawal design on the post‐meal rumination of a nine‐year‐old girl with autism. During treatment unlimited quantities of starchy foods were provided following each meal. High rates of rumination occurred during baseline conditions, followed by an immediate decrease in rumination during treatment. Rumination decreased to 82 and 97% of baseline during the first and second treatment conditions, respectively. In addition, follow‐up probes were conducted at irregular intervals for 4 years following treatment, during which zero or near‐zero rates of rumination were sustained. This study extends the literature on the functional relation between increased starchy food quantity and rumination in adults to rumination with a young child, and demonstrates maintenance of the treatment effect for 4 years. Copyright © 2002 John Wiley & Sons, Ltd.     

A parametric analysis of the relationship between food quantity and rumination

Rumination is the chronic regurgitation, chewing, and reswallowing of previously ingested food. The study reported here, using a parametric design, examined the control of rumination by the quantity of food eaten at meals. The subjects were three profoundly retarded individuals who chronically emitted this behavior. The quantity of food by weight ingested daily was varied in 10-oz steps in both ascending and descending series (data were collected only after breakfasts and lunches). Ruminating decreased when food quantity increased and increased when food quantity decreased. In addition, there was a similar inverse interaction between breakfast food quantity and post-lunch ruminating. The data showed relatively rapid transitions in both frequency and duration at each meal size for all subjects. The data establish a clear functional relation between the quantity of food ingested and ruminating.     

Brief report: effects of supplemental feedings of white bread on chronic rumination

A common intervention for rumination is satiation: allowing individuals to eat additional and unlimited portions at meals. The effectiveness of this intervention is often overshadowed by concerns of overeating and related long-term health issues. The current study evaluated a variation of food-satiation procedures by providing supplemental feedings of white bread to a 44-year-old man who had severe mental retardation, sensory impairment, and chronic rumination. Post-meal supplemental feedings were associated with decreases in rumination to near-zero levels. While the reasons for the effectiveness of this procedure are uncertain, it may be an alternative to traditional satiation procedures, particularly for individuals who have weight concerns or restrictive diets. © 1998 John Wiley & Sons, Ltd.     

The End of the Incarnation: John Owen,Trinitarian Agency and Christology

Recent interpreters of John Owen incorrectly argue that Owen's trinitarian theology undermines the doctrine of inseparable operations (Opera Trinitatis ad extra sunt indivisa). On the contrary, this article argues Owen upheld this doctrine like his Reformed Orthodox contemporaries, using the incarnation as a test case. Owen maintained the incarnation was an undivided act of the Trinity, which had its appropriative terminus on the Son alone – a pattern of thought he extended to the Spirit's work on the Son's humanity. Owen's creative use of the tradition is an example for contemporary theologians who would emphasize the Spirit's role in Christology.     

“You Need to Stop Talking About This!”: Verbal Rumination and the Costs of Social Support

This study examined whether the type of support individuals receive when they are verbally ruminating affects their cognitive rumination (brooding), anxiety, and relationship satisfaction; 233 young adults were randomly assigned to be the subject, 233 others the confederate. The confederate was trained to provide “good support” or “poor support” to the subject who talked about a topic he/she had been verbally ruminating about recently. When individuals verbally ruminated and received poor support, they became more anxious and dissatisfied with the friendship. When individuals received good support, they were more satisfied with their friendship, but their anxiety was not significantly reduced. In addition, verbal rumination was directly associated with more brooding after the conversation, regardless of the type of support provided.     

Fred Rogers and children’s spirituality: valuing the uniqueness of others and caring for others

Mister Rogers' Neighborhood was a safe haven advocating kindness, empathy, and caring for all children. Making everyone feel loved, Fred Rogers captured the attention and curiosity of young children across America with his compassionate manner, intentional listening skills, and respect for all individuals by encouraging children to feel good about themselves. This article explores the ministry of Fred Rogers and how his approach to children's spirituality focused on valuing the uniqueness of each individual, human connections through play, and caring for others by recognizing spiritual moments and teaching the whole child while appreciating the uniqueness of others. His genuine and patient presence had a healing quality, creating a world for children in which real learning and unconditional love could flourish. The messages of tolerance and acceptance by recognizing and respecting other's beliefs, and unconditional love and care, were beacons of hope for all.     

Liquid rescheduling for the treatment of rumination

A pre‐intervention assessment was conducted to determine the conditions under which rumination by a 19‐year‐old man with autism was most and least likely to occur. The results of the assessment suggested that rumination was least likely when the participant did not consume liquids with meals and when he consumed peanut butter during meals. Based upon the results of the assessment, an intervention consisting of rescheduling access to liquids (i.e., no liquids during meals) was evaluated across both breakfast and lunch at the participant's school placement. Results suggest that the intervention was effective in reducing rumination. Copyright © 2003 John Wiley & Sons, Ltd.     

Transforming or restraining rumination: The impact of compassionate reappraisal versus emotion suppression on empathy,forgiveness, and affective psychophysiology

We tested the effects of practicing compassionate reappraisal vs. emotional suppression as direct coping responses to victims’ ruminations about a past interpersonal offense. Participants (32 females, 32 males) were randomly assigned to learn one coping strategy which immediately followed three of six offense rumination trials (counterbalanced). For both strategy types, coping (vs. offense ruminating) reduced ratings of negative emotion, decreased the use of negative emotion language, and reduced tension at the brow muscle (corrugator EMG). Only compassionate reappraisal coping (vs. offense rumination) immediately prompted greater empathy and emotional forgiveness toward the offender. Empathy ratings for the first coping trial mediated the relationship between strategy type and empathy ratings for the final rumination trial. Compassionate reappraisal strategy participants increased their empathy toward the offender while ruminating at the end of the study. Compassionate reappraisal participants (vs. emotional suppression) described coping (vs. rumination) with more positive language, and also had calmer cardiac pre-ejection period responses.     

CHEWING GUM AS A TREATMENT FOR RUMINATION IN A CHILD WITH AUTISM

Rumination involves regurgitation of previously ingested food, rechewing the food, and reswallowing it. In the current study, a child with autism displayed chronic rumination, resulting in the decay and subsequent removal of several teeth. After several treatments failed, including thickened liquids and starch satiation, the participant was taught to chew gum. His rumination decreased significantly when gum was made available. Results suggest that access to chewing gum may be an effective treatment for rumination in some individuals.     

Dark Storm Clouds and Rays of Sunshine: Profiles of Negative and Positive Rumination About Daily Hassles and Uplifts

Daily negative events (hassles) and positive events (uplifts) have an impact on our subjective well-being, and how we react to those events (e.g., negatively ruminating by reflecting on the difficulties that come with hassles, positively ruminating by reflecting on the good aspects of uplifts) often has additional influence. However, little is known about the use of positive and negative rumination in combination. Using data from 469 adults, we examined retrospective accounts of negative and positive rumination about specific hassles and uplifts in reference to a 24-h period. Although differences in rumination were not observed across various domains (e.g., work, family, health), profiles emerged in relation to valence. Specifically, we identified four profiles of rumination: Non-Ruminators (39 %), Multivalence Ruminators (10 %), Positive Ruminators (26 %) and Negative Ruminators (24 %). Neither age nor gender systematically related to rumination profile. We further examined whether the associations among hassles, uplifts and well-being outcomes differed across these profiles. Results suggested few differences in the structural relations across the profiles, although the strength of associations was stronger for Negative Ruminators than Positive Ruminators. Results are discussed in terms of the robustness of effects of hassles and uplifts on subjective well-being across individual difference variables.     

A comparison of noncontingent reinforcement,other competing stimulation,and liquid rescheduling for the treatment of rumination

Modified versions of three popular nonaversive treatments for rumination in a person with profound developmental delay were evaluated using an alternating treatments design (ATD) as a component of an ABAB design. Results showed that the most effective intervention involved noncontingent feeding every 20 s for the 30 min immediately following a meal. Further analysis demonstrated that no significant increase in rumination occurred during the 60 min after the treatment procedure had expired, thus indicating that rumination was not merely postponed. Results are discussed in terms of their relation to currently popular (satiation) interventions for the treatment of rumination in individuals with developmental disability. Future research needs are proposed from an analysis of known behavioral and physiological variables and their possible interactions. ©1997 by John Wiley & Sons, Ltd.     

ESTABLISHING OPERATIONS AND REINFORCEMENT EFFECTS

Positive reinforcement procedures have had a major impact on educational programs for the developmentally disabled; nevertheless, variation in reinforcer effectiveness both within and across individuals is a common phenomenon. This study examined one class of variables—establishing operations—that might influence the effectiveness of reinforcers. Five developmentally disabled adult males participated. Responding on one of two motor tasks—switch closure or block placement—was assessed during baseline, satiation, and deprivation conditions with respect to three classes of consequences: small food items, music, and social praise. Deprivation and satiation conditions were constructed so as not to alter significantly the normal course of events in a subject's day. For example, food deprivation entailed scheduling sessions just prior to a subject's regular lunch, and social deprivation involved limiting a subject's access to social interaction for 15 minutes, during which time the subject had access to an assortment of other activities. Results showed that each stimulus class functioned as reinforcement with different degrees of effectiveness during satiation versus deprivation conditions. These results are discussed in light of previous research on enhancement of reinforcer efficacy as well as the assessment and identification of functional reinforcers, and implications are presented for future research and client habilitation.     

Food satiation in the pigeon

The experiment was designed to find the shape of food satiation curves of the pigeon as a function of hours of deprivation or percentage of free-feeding weight, and to study the fluctuation in free-feeding weight as a function of deprivation and satiation. At a systematically and progressively increased number of hours'' deprivation, eight birds were allowed to satiate on grain presented contingent upon the emission of a pecking response. In the second part of the experiment, in which two birds were used, a similar procedure was followed except that the independent variable was percentage of free-feeding weight. These were the conclusions.1. Approximately 64% of the satiation curves were classified as straight with an abrupt stop. The next highest percentage of curves was 18% for curves classified as straight with a curvilinear stop. No “classic” satiation curves, curvilinear with curvilinear stop, were found.2. The pigeons responded at fairly constant rate during the early part of each satiation session, or they did not respond at all. The critical weight, above which they did not respond, was 85% of free feeding.     

The influence of event-time (vs. clock-time) scheduling style on satiation

Consumers often need to schedule different activities. While consumers who adopt a clock-time scheduling style decide when to transition from one activity to the next according to external temporal cues (e.g., clock), those who adopt an event-time scheduling style tend to perform each activity until they feel internally that it is completed. This research showed that consumers' scheduling style (clock-time vs. event-time) could influence their satiation with repeated consumption. Four studies involving actual consumption across various domains (e.g., music, artwork, food) demonstrated that an event-time scheduling style leads to more rapid satiation with repeated consumption than a clock-time scheduling style because event-timers (vs. clock-timers) have higher private self-focus. The results further revealed that the satiation effect of scheduling style is mitigated when consumers are distracted from their private self or informed of additional sensitization cues in the consumption stimuli.     

Compassionate reappraisal and emotion suppression as alternatives to offense-focused rumination: Implications for forgiveness and psychophysiological well-being

This within subjects experiment (28 females, 26 males) examined three responses to a past interpersonal offender. We contrasted offense-focused rumination with two subsequent, counterbalanced coping strategies: compassionate reappraisal and emotion suppression. Compassionate reappraisal emphasized the offender's human qualities and need for positive change. Emotion suppression inhibited the experience and expression of negative offense-related emotions. Offense rumination was associated with negative emotion, faster heartbeats (i.e., shortened electrocardiogram R-R intervals), and lower heart rate variability (HRV; i.e., the high-frequency component of the R-R power spectrum). By contrast, both compassionate reappraisal and emotion suppression decreased negative emotion in ratings and linguistic analyses, calmed eye muscle tension (orbicularis oculi EMG, electromyography), and maintained HRV at baseline levels. Suppression inhibited negative emotion expression at the brow (corrugator EMG) and slowed cardiac R-R intervals, but without forgiveness effects. Only compassionate reappraisal significantly increased positive emotions, smiling (zygomatic EMG), and social language along with forgiveness.     

Assessment and treatment of rumination in a young man with autism

After a pretreatment screening analysis suggested that rumination by a 19‐year‐old man with autism was maintained by automatic reinforcement, we evaluated his preference for three snack foods and the frequency of his rumination after consuming each. Rumination was more common after eating high‐preference foods. We then examined noncontingent access to a type of lollipop (i.e., a Ring Pop?) to decrease rumination. The Ring Pop? reduced rumination to moderately low levels. Next, to further decrease rumination, we added a reprimand, which reduced rumination to near zero levels. Finally, we evaluated the reprimand by itself, which resulted in a reduction in rumination roughly equivalent to that produced by the Ring Pop?. Results are discussed in terms of the source of reinforcement for rumination and the behavioral mechanisms responsible for intervention effects.     

The Aesthetic Collision: Hans Urs von Balthasar on the Trinity and the Cross

The relationship envisioned by Hans Urs von Balthasar between the Trinity and the events of Christ's passion and death has elicited concern from various theologians that he has muddled the important distinction between God's eternal life ad intra and his interaction with the world through the economy of his actions. This article argues that such a reading of Balthasar's theology is ultimately a serious misconstrual of his work since it overlooks the aesthetic categories established early in The Glory of the Lord through which his narration of the cross‐event must ultimately be interpreted. By interpreting Balthasar in this manner, this article clarifies the content of what is perhaps Balthasar's most important theological contribution, and provides a creative alternative for how best to situate the relationship (oft‐discussed in twentieth‐century theology) between the Trinity and the crucifixion.     

Dietary Control of Rumination: Two Case Studies

Chronic rumination of 2 institutionalized men with profound mental retardation was treated using a dietary approach. In the first case, a peanut butter or honey supplement was given, whereby 2 spoonfuls of either food was added to every meal, with drinks moved to a later time. In the second case, food satiation together with a honey supplement was applied. In the first case, an ABABACA design was used. In the second case, the non-experimental AB design was applied. In both cases, rapid decrease in rumination was achieved. Anecdotal follow-up confirmed the permanency of the results.