Pilot Study Investigating the Role of Therapy Dogs in Facilitating Social Interaction among Children with Autism

Ten children with autism, aged 7–10, attended 14 individual sessions of social interaction therapy. A group-comparison design was adopted. Comparing two interventions, matching and random assignment were used to form the experimental group (Animal-Assisted Play Therapy with a therapy dog) and the comparison group (an identical play therapy procedure using a doll as the dog surrogate). The within-group results using nonparametric tests showed that verbal social behavior increased significantly in the experimental group. Although the magnitude of this increase was not significantly larger than that in the comparison group, the preliminary findings suggested that the therapy dog had a positive impact on language output. The results are discussed in terms of the role that a therapy dog can fulfill as a “Speech Elicitor” for children with autism.     

The personal and marital adjustment of parents as related to observed child deviance and parenting behaviors

The purpose of this study was to document the relationship of parents' personal and marital adjustment to their own behavior as parents and the behavior of their children. A total of 31 families who had been referred for behavioral counseling regarding their male child's behavior problems were given a diagnostic battery which included home observations as well as administration to parents of the Minnesota Multiphasic Personality Inventory (MMPI) and the LockeWallace Marital Adjustment Test. Results revealed consistent negative relationships between marital satisfaction and the observed level of child deviance. Similarly, there were consistent negative relationships between marital satisfaction and the level of observed “negativeness” to the child. Analyses using the MMPI indicated that a large number of the fathers ' MMPI scales were related to child deviance, but this finding was not replicated for mothers. Several MMPI scales were related to marital satisfaction for both parents. These results are discussed in terms of their implications for the assessment and treatment of families with a problem child.     

Commentary on Wolford,Taylor, and Beck: The conjunction fallacy?

AlthoughP(A&B|X) can never exceedP(A|X) (the conjunction rule), it is possible forP(X|A&B) to exceedP(X|A). Hence, people who rankA&B as more probable thanA are not necessarily violating any normative rule if the ranking is done in terms of the probability of these events to yield an eventX. Wolford, Taylor, and Beck (1990) have argued that this indeed is what happens in some problems (e.g. Tversky& Kahneman’s [1983] Linda problem). The claim made here is that the Linda problem is hard to reconcile with this interpretation; that there is little if any evidence that subjects utilize this interpretation; and that in any case, representativeness can account for all Linda problem results.     

Heidegger,Hermeneutics and History: Undermining Jeff Malpas’s Philosophy of Place

Most works about the philosophy of Martin Heidegger either disregard Heidegger’s attachment to National Socialism or assume the ‘minimalist’ view that his attachment was a brief political aberration of no consequence for his philosophy. This paper contends that the minimalist view is not only factually wrong but also that its assumption promotes methodological errors and poor philosophy. To assess this contention we examine two important texts from one of the more fertile fields in current philosophy: Jeff Malpas’s Heidegger’s Topology: Being, Place, World (2006) and Heidegger and the Thinking of Place (2012). Malpas claims that Heidegger’s rejection of National Socialism spurred, or was concomitant with, new directions in his philosophy. These claims are wrong. The paper concludes that any work about Heidegger’s philosophy must first acknowledge and understand his enduring attachment to National Socialism.     

Effects of target monitoring on understanding fluent speech

Phoneme monitoring and word monitoring are two experimental tasks that have frequently been used to assess the processing of fluent speech. Each task is purported to provide an “online” measure of the comprehension process, and each requires listeners to pay conscious attention to some aspect or property of the sound structure of the speech signal. The present study is primarily a methodological one directed at the following question: Does the allocation of processing resources for conscious analysis of the sound structure of the speech signal affect ongoing comprehension processes or the ultimate level of understanding achieved for the content of the linguistic message? Our subjects listened to spoken stories. Then, to measure their comprehension, they answered multiple-choice questions about each story. During some stories, they were required to detect a specific phoneme; during other stories, they were required to detect a specific word; during still other stories, they were not required to monitor the utterance for any target. The monitoring results replicated earlier findings showing longer detection latencies for phoneme monitoring than for word monitoring. Somewhat surprisingly, the ancillary phoneme- and word-monitoring tasks did not adversely affect overall comprehension performance. This result undermines the specific criticism that on-line monitoring paradigms of this kind should not be used to study spoken language understanding because these tasks interfere with normal comprehension.     

Rethinking Medical Humanities

This paper questions different conceptions of Medical Humanities in order to provide a clearer understanding of what they are and why they matter. Building upon former attempts, we defend a conception of Medical Humanities as a humanistic problem-based approach to medicine aiming at influencing its nature and practice. In particular, we discuss three main conceptual issues regarding the overall nature of this discipline: (i) a problem-driven approach to Medical Humanities; (ii) the need for an integration of Medical Humanities into medicine; (iii) the methodological requirements that could render Medical Humanities an effective framework for medical decision-making.     

The role of masculinity and femininity in depression and social satisfaction in elderly females

Several recent meta-analyses indicate a relation between masculinity and psychological adjustment, but there is little correlation between femininity and adjustment. The present study examined the generalizability of this finding in a sample of elderly women. Thirty women ranging in age from 68 to 97 years were administered a battery of questionnaires including the Personal Attributes Questionaire, the Geriatric Depression Scale, the Hopelessness Scale, and three subscales from the Self-Evaluation of Life Function Scale. Consistent with previous meta-analytic results, correlational analyses revealed significant negative relations between masculinity and the cognitive measures of depression (i.e., hopelessness and self-esteem), and no correlation between femininity and these same cognitive measures. Femininity, however, was correlated with social satisfaction and symptoms of aging. Masculinity was unrelated to these social and physical indices of depression. The implications of these findings for the androgyny and masculinity models of mental health are discussed with particular reference to the role that femininity may play in potentiating or exacerbating depression.     

Sensory Extinction: A procedure for eliminating self-stimulatory behavior in developmentally disabled children

This study was designed to investigate the role of sensory reinforcement in the motivation of self-stimulation. If self-stimulatory behavior is maintained by its sensory consequences, such as the proprioceptive, auditory, or visual stimulation it produces, then such behavior should extinguish when those sensory consequences are not permitted. The present study introduces a new procedure, Sensory Extinction, in which certain sensory consequences are masked or removed, to examine whether self-stimulation is operant behavior maintained by sensory reinforcement. The effectiveness of Sensory Extinction was assessed by a reversal design for each of three autistic children, and the results showed the following. First, self-stimulation reliably extinguished when a certain sensory consequence was removed, then increased when that consequence was permitted. This was replicable within and across children. Second, different Sensory Extinction procedures were required for different self-stimulatory behaviors, since the sensory reinforcers supporting them were idiosyncratic across children. Finally, regarding clinical gains, the data suggest that Sensory Extinction may be a relatively convenient and rapid alternative for the treatment of self-stimulation. The present findings extend the efficacy of extinction as a behavior-modification technique to instances in which the reinforcer is purely sensory. The implications of these results for the treatment of other forms of deviant behavior are discussed.     

Inverse statistics and misperception of exponential growth

Exponential growth presented by numerical series or graphs is grossly underestimated by human subjects. This misperception was considerably lessened by presenting decreasing functions; this conclusion holds for both numeric and graphic stimuli. In the numerical conditions, about 25% of the subjects performed according to the statistical norm. In contrast with previous results, considerable individual differences with respect to sensitivity for rate of growth were observed. This finding was interpreted in terms of task difficulty: Extrapolation of ascending series is too difficult a task to be discriminative. Extrapolation of descending series is much easier, and may therefore better discriminate among subjects.     

The Adaptation and Validation of Quality of Work Life Scale to Turkish Culture

The aim of this research is to adapt the Quality of Work Life Scale developed by Sirgy et al. (Social Indicators Research, 55, 241–302, 2001) to Turkish culture, and to examine its psychometric properties. The research has been conducted on 254 academics who are affiliated to the Faculty of Education and Faculty of Science and Letters of four different universities in Ankara, Turkey. In order to provide the lingual equivalence, bilingual group pattern was used, and an English version of the scale was applied to a group of 34 academicians who are fluent in both English and Turkish. Nearly 1 month after this application, the Turkish version of the same form was applied once again to the same 34 people. The construct validity of the scale was conducted by using the Confirmatory Factor Analysis method. As a result of the study, it was determined that the original scale and its Turkish form yielded similar results. The fact that internal consistency is high is proved. Croanbach alpha coefficient was found as 0.84. This result indicates that the internal consistency of the test and accordingly the reliability are high and close to the original QWL scale. As a result of the Confirmatory Factor Analysis applied, it was determined that the Turkish form gave a factorial structure which was similar to the original scale and that no problems occurred in the course of using the scale total points. It is concluded that this scale, with its extremely comprehensible language, will contribute to defining the level of quality of the work life of those who work in Turkey and understand their behaviors and attitudes towards their work.     

Assessment of Callous-Unemotional Traits in 6 to 12 Year-Old Children with Oppositional Defiant Disorder/Conduct Disorder by Parent Ratings

The factorial structure of the Inventory of Callous-Unemotional Traits (ICU; Frick 2004) has been inconsistent across previous studies using different rater versions (self-report, parent, teacher) and versions in different languages applied to both clinical and nonreferred samples predominantly of adolescents. The present study examined the factorial structure of the parent-report version of the ICU in a clinical sample of boys aged 6–12 years with Oppositional Defiant Disorder/Conduct Disorder (n?=?131) using confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). Results from the CFA supported previous findings, but even the preferred model with three independent factors (Callousness, Uncaring, and Unemotional) showed inadequate model fit. Subsequent EFA revealed a three-factor model consisting of two new subscales (Callousness/Lack of Guilt or Remorse, Unconcerned about Performance) and the original subscale Unemotional. Internal consistencies of the three subscales and total score were satisfactory, and intercorrelations of the subscales were weak, except for a moderate correlation between the subscales Callousness/Lack of Guilt or Remorse and Unconcerned about Performance. The corresponding subscales of the original and new versions were highly correlated. As expected, the ICU subscale Callousness/Lack of Guilt or Remorse showed associations with other measures of aggressive and oppositional behavior. The other two ICU subscales were not associated with aggression or oppositional/antisocial behavior, but Unconcerned about Performance correlated with a measure of attention problems and Unemotional correlated with the internalizing problem withdrawn. The implications of these findings are discussed, especially as a callous unemotional specifier for the diagnosis of Conduct Disorder is included in DSM-5.     

Examining the Internal Consistency Reliability and Construct Validity of the Authentic Happiness Inventory (AHI) among Iranian EFL Learners

Unlike other measures of happiness that have tended to capture current levels of happiness, the Authentic Happiness Inventory (AHI) (Peterson, 2005; Seligman et al. in The American Psychologist 60:410–421, 2005) assesses changes in happiness based on the creation of positive emotions (the pleasant life), engagement in activities that facilitate the utilization of one’s strengths (the engaged life), and serving a more worthwhile purpose than merely the self’s pleasures (the meaningful life). Nonetheless, there is little published data regarding the construct validation of the AHI. The present study, which is part of a larger research project in assessing the effectiveness of integrating happiness intervention programs in the foreign language teaching curriculum at private English institutes and universities in Iran, attempts an examination of the psychometric quality and the construct validation of the Persian version of AHI (hereafter AHI-PV) using data collected from 234 Iranian learners of English as a Foreign Language (EFL), mainly through employing the Exploratory Factor Analysis (EFA). The AHI was translated into Persian to ensure item comprehension by the Iranian participants. The results show that the AHI-PV enjoys a high internal consistency (alpha?=?.93). Further, having determined a ‘marvelous’ factorability of the present sample through the Kaiser-Meyer-Olkin (KMO) test of Sampling Adequacy (.94) and Bartlett’s Test of Sphericity (p?Principal Component Analysis (PCA) and the Scree test indicated that, in contrast to earlier findings, a four-factor solution provides a more parsimonious grouping of the items in the inventory. Having analyzed the items on the scale, we labeled the four factors as ‘Meaningful and Purposeful Life’, ‘Pleasures and Positive Emotions’, ‘Engagement in Life Activities’, and ‘Interpersonal Connectedness’, hence the alignment of these new factors to Seligman’s (2002) conceptualization of authentic happiness.     

The relationship between state anxiety and depressed mood: A validity study

The validity of the A-State Scale of the State-Trait Anxiety Inventory and the Zung Self-Rating Depression Scale was assessed using data from a general health survey. Depression and anxiety states were found to coexist, however, evidence from a factor analysis, showing items from the two tests loaded on separate factors, demonstrated that these states can be measured independently. Both the A-State and the Zung Scales were found to comprise two factors, and for each scale, one factor consisted of positively phrased items, and the other of negative items. The implications of these findings for the construct validity of the two scales are discussed.     

Congestive Heart Failure and Quality of Life

Our study aimed to assess the quality of life (QoL) of patients with congestive heart failure (CHF) and to correlate the different aspects of QoL with relevant socio-demographic variables, CHF severity, somatic comorbidities, other clinical variables and depressive symptomatology. In a cross-sectional study design, a community sample of 103 adult patients with CHF (mean age 68 years, 73 % male) was recruited from an outpatient cardiology practice. CHF severity was assessed with physician ratings of the New York Heart Association (NYHA) functional class and measurement of brain natriuretic peptide (BNP) levels. The psychometric evaluation of quality of life was made using the Medical Outcomes Study Short Form-36 (SF-36) and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The Beck Depression Inventory Second Edition (BDI-II) assessed depressive symptoms. Using multiple linear regression, predictors of poorer QoL included being a female, being older, living alone, NYHA functional class ≥ II, higher levels of BNP comorbidity (such as renal insufficiency and cerebrovascular disease), fluid retention, depressive symptomatology (assessed by BDI-II) and treatment with anti-dyslipidemics, diuretics and β-blockers. Among these correlates, psychological distress was the most strongly related to QoL. Also, functional status measured by NYHA demonstrated a high impact on QoL. Our findings suggest the need to address such factors in developing effective care to improve psychological and functional status in order to enhance QoL in these patients.     

Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

The purpose of this study was to determine the extent to which maternal relationship insecurity and severe depressive symptoms moderate home visiting impacts on developmental and behavioral outcomes in 2-year old children. In an experimental trial of the Healthy Families Alaska home visiting program, families (N = 249) were randomly assigned to home visiting (n = 126) or community services as usual (n = 123). Maternal severe depressive symptoms (CES-D ≥ 24) and relationship insecurity were measured using the Center for Epidemiologic Studies Depression Scale and the Attachment Style Questionnaire at baseline. Child cognitive and psychomotor development and behavior problems were measured with the Bayley Scales of Infant Development and the Child Behavior Checklist at follow-up. The results revealed that home visiting significantly impacted three outcomes—child cognitive development, internalizing behavior, and externalizing behavior. Home visiting impacts were limited to subgroups defined by maternal depressive symptoms and relationship insecurity. Home visiting improved cognitive development (B = 6.02, p < .03), and decreased internalizing behavior (B = ?3.83, p = .02) and externalizing behavior problems (B = ?3.74, p = .03) in children of mothers with either severe depressive symptoms or high levels of discomfort with trust at baseline, but not both. Family engagement in home visiting seems to play a role in mediating these moderating effects. These findings reflect the importance of screening for maternal relationship insecurity and depressive symptoms to distinguish family subgroups likely to benefit from home visiting from those for whom an enhanced service model might be needed.     

The Pavlovian basis of reciprocal inhibition therapy

While there is a slight disagreement between Wolpe’s views and Pavlov’s statements concerning the application of experimental psychology to the study of psychiatry, Wolpe indicates that he owes much to Pavlov. A Pavlovian analysis of therapy by reciprocal inhibition, which includes the physiological constructs as well as Pavlovian methodology, will increase our understanding of Reciprocal Inhibition therapy. The major techniques of Reciprocal Inhibition therapy are discussed in the terms of Pavlovian method and theory. Desensitization based on systematic relaxation appears to be effective because the excitatory stimulus is presented when the subject’s cortex is predominantly in an inhibitory state while relaxed. Assertive training relies mainly on building up the excitatory process by use of the second signal system. Thought-stopping is analogous to the external inhibition procedure with the use of the second signaling system as the “extra” stimulus. Deductions from Pavlov’s typology predict that an excitable subject will be difficult to desensitize and somewhat easier to train in assertive behavior and thought-stopping. Some implications of relating Pavlovian method and theory to Reciprocal Inhibition therapy are discussed.     

A Cross-Sectional and Longitudinal Investigation of the External Correlates of Sluggish Cognitive Tempo and ADHD-Inattention Symptoms Dimensions

The objective was to determine if the external correlates of sluggish cognitive tempo (SCT) and ADHD-inattention (IN) dimensions were the same in cross-sectional and longitudinal analyses. Teachers and aides rated SCT, ADHD-IN, ADHD-hyperactivity/impulsivity (HI), oppositional defiant disorder (ODD), and depression along with academic impairment in 758 Spanish children (55 % boys) on three occasions (twice at the end of the first grade year [6-week separation] and then again 12-months later at the end of the second grade year). Three of eight SCT symptoms showed substantial loadings on the SCT factor and substantially higher loadings on the SCT factor than the ADHD-IN factor for teachers and aides at each assessment (seems drowsy, thinking is slow, and slow moving). Cross-sectional and longitudinal analyses yielded similar results with SCT and ADHD-IN factors having different and unique external correlates (higher scores on SCT predicted lower scores on ADHD-HI and ODD while higher scores on ADHD-IN predicted higher scores on ADHD-HI and ODD with SCT and ADHD-IN both uniquely predicting academic impairment and depression). Developmental and methodological reasons are discussed for the failure to find an inconsistent alertness SCT factor (daydreams, alertness fluctuates, absent-minded, loses train of though, and confused).     

Determining cause of death in 45,564 autopsy reports

It has been demonstrated that death certificates do not accurately record the actual cause of death in up to one-fourth of cases, as determined from subsequent autopsy findings. The purpose of this study was to explore the use of natural language autopsy data bases as an automated quality assurance mechanism. We translated the account of the major process leading to death, or the primary diagnosis, from all 45,564 narrative autopsy reports obtained at The Johns Hopkins Hospital between May 28, 1889, and June 30, 1987, into the hierarchical system of Medical Subject Heading (MeSH) titles. We obtained a total of 125,772 MeSH title translations, 1,563 of them distinct (average 2.8 per case), ranging in frequency from 6,029 occurrences of LUNG to 1 occurrence apiece of 357 MeSH titles. The natural-language-to-MeSH translations showed expected trends over the past century: fewer infectious diseases; more cardiovascular and neoplastic disease among adults; and more respiratory diseases and congenital malformations in the pediatric age group. The greater availability of autopsy documents in electronic form should increase the value of this resource for quality assurance.     

The Weird World of Cross-Cultural False-Belief Research: A True- and False-Belief Study Among Samoan Children Based on Commands

Previous cross-cultural research using false-belief tasks has explored whether children's theory of mind develops synchronously across cultures. Success on false-belief tasks is usually interpreted as an important indicator of children's mental state understanding, but inconsistent findings have led to questions regarding the interpretation of children's success and failure. Based on the assumptions of perceptual access reasoning (Hedger & Fabricius, 2011 Hedger, J. A., & Fabricius, W. V. (2011). True belief belies false belief: Recent findings of competence in infants and limitations in 5-year-olds, and implications for theory of mind development. Review of Philosophy and Psychology, 2, 429–447.[Crossref] , [Google Scholar]) and reflecting on inconsistencies in cross-cultural false-belief research, we argue for the advantages of the additional use of true-belief tasks, which can help to differentiate between different levels of children's reasoning. Consequently, a false-belief task and a true-belief task were derived from typical Samoan adult–child interactions. The performance of 40 Samoan children aged 5 to 7 years old was compared to the performance of 40 age-matched German children. While German children passed both tasks, Samoan children failed the false-belief task and did not reply above chance level in the true-belief task. According to our knowledge, this is the first study using both a false-belief task and true-belief task in a cross-cultural setting. Our results reveal additional patterns of reasoning that are neither in line with perceptual access reasoning nor with a representational understanding of false beliefs. The study is discussed in terms of a more general problem of experimental research in non-Western settings.