Alcoholism treatment and marriage and family therapists: An empirical study

This article reports on results of a mail questionnaire study conducted among 257 members of the American Association for Marriage and Family Therapy (132 respondents, response rate of 51%) on their attitudes toward alcoholism issues (acceptance of alcoholism as a disease, treatment philosophies used with clients and/or families, and acceptance and use of Alcoholics Anonymous as a resource). Results indicated that 69% of respondents (as compared with 42% formerly) considered alcoholism a disease after MFT education. A combination of individual, family therapy, and AA (81.1%); family therapy (66.7%); and AA only (60.6%) were most often used. Controlled use of alcohol by clients in treatment was believed to be unethical by 43.2%, legal by 39.4% and ineffective by 54.5%.     

Parental perceptions of supplemental interventions received by young children with autism in intensive behavior analytic treatment

Parents of children with autism in applied behavior analytic treatment were surveyed on their use and perceptions of supplemental treatments. In study 1, respondents (N=121) reported enrolling their children in an average of seven supplemental interventions, most commonly non‐behavior‐analytic speech therapies (85%), megavitamins (61%), Sensory Integration Therapy (56%), and elimination diets (50%). In study 2, parents (N=24) were interviewed about these four interventions and typically reported little or no benefit. Factors that parents cited as influencing their decision to obtain supplemental interventions for their children varied substantially, depending on the individual intervention. Because of the extensive use of unvalidated interventions that parents deemed unhelpful, it seems important to reduce children's participation in such interventions. However, because of the diverse influences on parents' decisions to obtain the interventions, a multifaceted strategy may be needed. Copyright © 2000 John Wiley & Sons, Ltd.     

The perceived importance of sensory modalities in product usage: a study of self-reports

Although popular belief holds that vision dominates human experience, this does not necessarily imply that people regard vision as the most important sensory modality during the interaction with every product. Instead, the relative importance of the different modalities is likely to depend on the type of product and on the task performed. In Study 1, respondents reported how important they found vision, audition, touch, taste, and smell during the use of 45 different products. In Study 2, the respondents answered a similar question for the evaluation of the safety, ease of use, and enjoyment experienced for 15 products. Importance ratings for the sensory modalities differed considerably between the products. Differences due to the types of evaluations were smaller. Averaged over products and evaluation types, vision was the most important sensory modality for product evaluations, followed by touch, smell, audition, and taste. However, for about half of the individual products, the importance ratings for vision were lower than for one of the other modalities. These findings are in line with the view that vision is regarded the dominant modality, because it plays an important part in many and an irrelevant part in virtually no product experiences.     

Old and new controversies in the alternative treatment of attention-deficit hyperactivity disorder

Use of complementary and alternative medicine (CAM) for treatment of attention-deficit hyperactivity disorder (ADHD) has become widespread in both referral and primary care populations. We review the purported mechanism of action and available evidence for selected CAM therapies for ADHD. Enduring controversies, such as elimination of artificial food additives, colors, and/or preservatives; the effect of sugar on behavior in children; and the use of EEG biofeedback, have been well studied but lack support as effective sole treatments for ADHD. The initial evidence for some emerging CAM therapies, such as essential fatty acid supplementation, yoga, massage, homeopathy, and green outdoor spaces, suggests potential benefits as part of an overall ADHD treatment plan. More rigorously designed studies are needed to evaluate their effectiveness as single therapy for ADHD.     

Introduction: novel therapies in developmental disabilities--hope, reason, and evidence

Complementary and alternative medicine (CAM) is used both alongside (complementary) and as a substitute for (alternative) conventional therapies. Although CAM use is reported to be high among children with typical development, reported rates for CAM use to address symptoms of children with developmental disabilities may be higher. Increased use in this population may relate to hope for amelioration of symptoms, concerns regarding side effects of conventional treatments, and a need on the part of families to participate in decision making regarding their child's care. Primary health care providers may find that the child's needs are best served when they maintain a dialogue with families to evaluate the evidence supporting novel therapies. Interventions need to be assessed in an evidence based fashion whether or not they are initially preceived as CAM. This issue of Mental Retardation and Developmental Disabilities Research Reviews contains reviews of CAM used to treat several developmental disabilities as well as some broader discussions related to the determinants of CAM use, current efforts to evaluate novel therapies, and how to consider the possibility of placebo effects.     

Religion and the Use of Complementary and Alternative Medicine (CAM) Among Cardiac Patients

This study investigates the prevalence and predictors of using complementary and alternative medicine (CAM) among middle-aged and older patients prior to cardiac surgery. Additionally, it addresses the correlates of using 10 commonly used CAM therapies. The influence of religion on itemized CAM usage is also explored. Comprehensive data were collected from adult patients undergoing cardiac surgery through a preoperative survey 2 weeks prior to surgery, followed by a telephone interview the day before surgery. More than two-thirds of participants (80.9 %) indicated at least one CAM use. Income, religiosity, education, BMI, employment, and congestive heart failure predicted greater CAM utility. After multiple controls, major cardiac indicators were significantly positively associated with greater utility of CAM. There was also a significant positive association between religiosity and CAM use. Findings suggest considerable CAM use in this cardiac sample and certain associations among cardiac conditions, religiosity, and itemized CAM utilization. Future research is needed to investigate the potential joint therapeutic and adverse effects of drug and herbal remedies in cardiac patients.     

Dutch modality exclusivity norms: Simulating perceptual modality in space

Perceptual information is important for the meaning of nouns. We present modality exclusivity norms for 485 Dutch nouns rated on visual, auditory, haptic, gustatory, and olfactory associations. We found these nouns are highly multimodal. They were rated most dominant in vision, and least in olfaction. A factor analysis identified two main dimensions: one loaded strongly on olfaction and gustation (reflecting joint involvement in flavor), and a second loaded strongly on vision and touch (reflecting joint involvement in manipulable objects). In a second study, we validated the ratings with similarity judgments. As expected, words from the same dominant modality were rated more similar than words from different dominant modalities; but – more importantly – this effect was enhanced when word pairs had high modality strength ratings. We further demonstrated the utility of our ratings by investigating whether perceptual modalities are differentially experienced in space, in a third study. Nouns were categorized into their dominant modality and used in a lexical decision experiment where the spatial position of words was either in proximal or distal space. We found words dominant in olfaction were processed faster in proximal than distal space compared to the other modalities, suggesting olfactory information is mentally simulated as “close” to the body. Finally, we collected ratings of emotion (valence, dominance, and arousal) to assess its role in perceptual space simulation, but the valence did not explain the data. So, words are processed differently depending on their perceptual associations, and strength of association is captured by modality exclusivity ratings.     

Sex Selection Technology: A Prediction of Its Use and Effect

We surveyed 281 undergraduates to assess their sexual preference for a firstborn child and their willingness to use sex selection technology. Results indicated overall preference for a boy among these respondents whether or not they indicated a willingness to use reproductive technology. Black women reported a greater willingness to use technology than did White women (p < .05), and older respondents (p < .10) also reported a greater intention to use the technology. Catholics were less willing to use technology than all other religious sects (p < .05). Of the 51 respondents who indicated their willingness to use technology, 73% preferred sons (p < .01). This finding held across sex, race, religion, age, and income levels. Support for the women's movement was unrelated to either preference or projected use of sex selection technology.     

Complementary and alternative therapies for cerebral palsy

The optimal practice of medicine includes integrating individual clinical expertise with the best available clinical evidence from systematic research. This article reviews nine treatment modalities used for children who have cerebral palsy (CP), including hyperbaric oxygen, the Adeli Suit, patterning, electrical stimulation, conductive education, equine-assisted therapy, craniosacral therapy, Feldenkrais therapy, and acupuncture. Unfortunately, these modalities have different degrees of published evidence to support or refute their effectiveness. Uncontrolled and controlled trials of hippotherapy have shown beneficial effects on body structures and functioning. Studies of acupuncture are promising, but more studies are required before specific recommendations can be made. Most studies of patterning have been negative and its use cannot be recommended. However, for the other interventions, such as hyperbaric oxygen, more evidence is required before recommendations can be made. The individual with CP and his or her family have a right to full disclosure of all possible treatment options and whatever knowledge currently is available regarding these therapies.     

Semantic effects on sensory-motor modality switching

Language processing always involves a combination of sensory (auditory or visual) and motor modalities (vocal or manual). In line with embodied cognition theories, we additionally assume a semantically implied modality (SIM) due to modality references of the underlying concept. Understanding ear-related words (e.g. “noise”), for example, should activate the auditory SIM. In the present study, we investigated the influence of the SIM on sensory-motor modality switching (e.g. switching between the auditory-vocal and visual-manual combination). During modality switching, participants categorised words with regard to their SIM (e.g. ear- versus eye-related words). Overall performance was improved and switch costs were reduced whenever there was concordance between SIMs and sensory-motor modalities (e.g. an auditory presentation of ear-related words). Thus, the present study provides first evidence for semantic effects during sensory-motor modality switching in terms of facilitation effects whenever the SIM was in concordance with sensory-motor modalities.     

Self-reported assessment practices of school psychologists: Implications for training and practice

This study reports the results of an investigation of the assessment views and practices of school psychologists in the United States. Results of the investigation indicated that respondents are predominantly behavioral and cognitive behavioral in orientation; spend most of their professional time in the public schools; and engage in a great deal of assessment. Behavioral assessment and projective testing occupies the greatest amount of their social-emotional assessment time. Behavioral interviewing is the most used behavioral technique, followed by behavioral observation, which is reportedly used by approximately one third of the respondents with from 41% to 100% of clients. Although most of the respondents report a preference for continuing to do approximately the same amount of the various social-emotional assessment activities as they are presently doing, very high percentages of respondents indicate that their use of behavioral assessment strategies would increase with development of published instrumentation, normative standards, and standardized out-of-setting behavioral procedures.     

In God and CAM We Trust. Religious Faith and Use of Complementary and Alternative Medicine (CAM) in a Nationwide Cohort of Women Treated for Early Breast Cancer

Turning to faith in God or a higher spiritual power is a common way of coping with life-threatening disease such as cancer. Little, however, is known about religious faith among cancer patients in secular societies. The present study aimed at exploring the prevalence of religious faith among Danish breast cancer patients and at identifying whether socio-demographic, pre-cancer health status, clinical, and health behavior characteristics, including their use of complementary and alternative medicine (CAM), were associated with their degree of faith. Information on faith in God or a higher spiritual power and use of CAM was provided by a nationwide sample of 3,128 recurrence-free Danish women who had received surgery for early-stage breast cancer 15–16 months earlier. Socio-demographic, clinical, and health status variables were obtained from national longitudinal registries, and health behaviors had been assessed at 3–4 months post-surgery. Of the women, 47.3% reported a high degree of faith (unambiguous believers), 35.9% some degree of faith (ambiguous believers), while the remaining 16.8% were non-believers. Unambiguous believers were more likely than ambiguous believers to experience their faith as having a positive impact on their disease and their disease-related quality-of-life. When compared to non-believers, unambiguous believers were also older, had poorer physical function, and were more frequent users of CAM, and more inclined to believe that their use of CAM would have a beneficial influence on their cancer. Disease- and treatment-related variables were unrelated to faith. While overall religious faith appears equally prevalent among Danish and US breast cancer patients, the majority of Danish breast cancer patients experienced ambiguous faith, whereas the majority of US patients have been found to express unambiguous faith. Our results suggest that future studies may benefit from exploring the role of faith for health behaviors, adherence to conventional treatment, and impact upon quality of life.     

Effects of standard modality, comparison modality and retention interval on matching of form

Garvill, J. & Molander, B. Effects of standard modality, comparison modality and retention interval on matching of form. Scand. J. Psychol., 1973, 14, 203–206.MdashIntra-modal and cross-modal matching of nonsense forms was studied in a 2 (standard modalities: visual vs. tactual) by 2 (comparison modalities: visual vs. tactual) by 3 (intervals between standard and comparison: 1, 10 and 30 sec) factorial experiment. The errors were divided into false negatives and false positives. Significant effects of standard modality and of comparison modality were found for false negatives. For false positives the most prominent effect was an interaction between the standard modality and the comparison modality. Retention interval had no effect in any of the modality conditions. The effects are discussed in terms of differential information processing capacity for the visual and the tactual modalities.     

Using several modalities to perceive one temporal pattern

In two experiments, subjects identified temporal patterns. The patterns consisted of eight dichotomous (left-right) elements, e.g. LLRRLRLR, continuously repeated until the subject was able to identify the pattern. In Experiment 1, one pattern was presented either separately in the auditory, tactual, or visual modalities or one pattern was presented simultaneously in two modalities (compatible presentation). In Experiment 2, one pattern was simultaneously presented in two modalities, but the pattern was presented in one modality and the complement of the pattern (the complement of LLRRLRLR is RRLLRLRL) was presented in the second modality. Therefore, opposite spatial elements appeared in each modality (incompatible presentation).

The results indicated that the rate of pattern identification was the same for compatible and incompatible presentation. These methods produce better performance than individual modality presentation at fast presentation rates (2 elements/sec. and faster) although individual modality presentation was better at slower rates. This suggests that when a pattern is presented in two modalities, the pattern in each modality is integrated, not the particular spatial elements in each modality. Furthermore, the rate of pattern identification using individual modalities did not predict the difficulty using pairs of modalities. These results demonstrate the Gestalt nature of pattern perception; the pattern is perceptually salient and the performance of pairs of modalities depends on the inherent properties of the individual modalities.     

Modality and variability of synesthetic experience

In synesthesia, stimulation of one sensory or cognitive pathway leads to additional, involuntary experiences in a second sensory or cognitive pathway. We here review previous surveys on this neurologically based phenomenon and report the results of 63 synesthetes who completed our Internet and paper questionnaire on synesthesia. In addition to asking for personal data and information on the participant's synesthesia, the questionnaire focused on the components of the inducer that elicit or modulate synesthesia. Synesthesia was most often developmental (92%) and of the grapheme-color type (86%). Sixty-two percent of the participants perceived time-related words in a spatial configuration. Music-color synesthesia was common (41%), and synesthesia for natural and artificial sounds (33%) was higher than in previous estimates. Eighty-one percent of participants experienced more than one form of synesthesia. Multimodal synesthesia, in which inducer and concurrent belong to 2 different sensory modalities, occurred in 92% of the participants. Overall, auditory stimuli were most often reported as inducers, and visual concurrents were most common. Modulations of the synesthetic experiences such as changes of the concurrent color, expansion within the same or to a different sensory modality, or reduction of the number of inducers over time were reported by 17% of participants. This challenges the presumed consistency of synesthesia and the adequacy of the test-retest consistency score still most commonly used to assess the veracity of reported synesthesia. Implications of the high prevalence of cross-modal synesthesia and the variability of synesthesia are discussed.     

The role of preparation and cue-modality in crossmodal task switching

The present study examined the effects of cue-based preparation and cue-target modality mapping in crossmodal task switching. In two experiments, we randomly presented lateralized visual and auditory stimuli simultaneously. Subjects were asked to make a left/right judgment for a stimulus in only one of the modalities. Prior to each trial, the relevant stimulus modality was indicated by a visual or auditory cue. The cueing interval was manipulated to examine preparation. In Experiment 1, we used a corresponding mapping of cue-modality and stimulus modality, whereas in Experiment 2 the mapping of cue and stimulus modalities was reversed. We found reduced modality-switch costs with a long cueing interval, showing that attention shifts to stimulus modalities can be prepared, irrespective of cue-target modality mapping. We conclude that perceptual processing in crossmodal switching can be biased in a preparatory way towards task-relevant stimulus modalities.     

The role of cross-modal associations in statistical learning

Our environment is richly structured, with objects producing correlated information within and across sensory modalities. A prominent challenge faced by our perceptual system is to learn such regularities. Here, we examined statistical learning and addressed learners’ ability to track transitional probabilities between elements in the auditory and visual modalities. Specifically, we investigated whether cross-modal information affects statistical learning within a single modality. Participants were familiarized with a statistically structured modality (e.g., either audition or vision) accompanied by different types of cues in a second modality (e.g., vision or audition). The results revealed that statistical learning within either modality is affected by cross-modal information, with learning being enhanced or reduced according to the type of cue provided in the second modality.     

Enumeration produces poor primacy for tactile presentation relative to visual and auditory presentation as the only modality effect

Methodological biases may help explain the modality effect, which is superior recall of auditory recency (end of list) items relative to visual recency items. In 1985 Nairne and McNabb used a counting procedure to reduce methodological biases, and they produced modality-like effects, such that recall of tactile recency items was superior to recall of visual recency items. The present study extended Nairne and McNabb's counting procedure and controlled several variables which may have enhanced recall of tactile end items or disrupted recall of visual end items in their study. Although the results of the present study indicated general serial position effects across tactile, visual, and auditory presentation modalities, the tactile condition showed lower recall for the initial items in the presentation list than the other two conditions. Moreover, recall of the final list item did not differ across the three presentation modalities; modality effects were not found. These results did not replicate the findings of Nairne and McNabb, or much of the past research showing superior recall of auditory recency items. Implications of these findings are discussed.     

Spiritual and Religious Healing Practices: Some Reflections from Saudi National Center for Complementary and Alternative Medicine,Riyadh

Traditional practices constituting spiritual and religious (S/R) healing are an important component of the holistic healthcare model and are used in health, well-being, and treating a variety of diseases around the world. The main focus of this review is to summarize the Complementary and Alternative Medicine (CAM) studies that especially target S/R healing practices in Saudi Arabia (SA) and discuss the results in light of relevant international literature. From year 2013–2017, electronic searches of PubMed, OvidSP, Google Scholar, and two publishing housing Web sites (Sciencedomain.com and Dove Medical Press.com) were made using key words and Boolean operators and retrieved thousands of published papers from peer-reviewed journals. Two independent reviewers decided to include a total of 108 articles: 48 from SA and 60 from other international literature. The sociodemographic variables of the participants varied in local studies and were comparable with international data. The frequency and types of religious and spiritual practices reported in local and international zones varied in accordance with religious belief, gender, age, education, and prevalent chronic diseases. Most of professionals and practitioners showed fairly good knowledge and positive attitude toward spiritual and religious practices used in diverse clinical and non-clinical situations across the world. Furthermore, it was observed that in the international scenario, S/R researches using specific religious screening tools have been conducted on different aspects of clinical application including self-care, social cohesion, negative impact, and child development, whereas regional studies targeting varied participants mainly focused on the epidemiological trends of S/R therapies in Saudi Arabia. CAM practitioners and public tend to show great interest in prescribed and self-use of religious and spiritual therapies across the world because of multiple dynamic forces, including positive effects on health, sense of well-being and disease control, cost-effectiveness, easy access to services, and improvement in quality of life. Further studies are needed to assess the effectiveness of different types of religious and spiritual therapies and practices used in specific diseases, their role in promotion of health and well-being, and prevention of diseases nationwide and across the world. Besides integration of S/R into mainstream treatment modalities, medical education curriculum, continuous medical education, and training programs are needed for bridging the knowledge, attitude, and practice gaps concerning CAM in targeted population groups such as medical professionals, CAM practitioners, medical students, public and traditional healers, not only in SA but also around the world.

     

Perception with compensatory devices: from sensory substitution to sensorimotor extension

Sensory substitution devices provide through an unusual sensory modality (the substituting modality, e.g., audition) access to features of the world that are normally accessed through another sensory modality (the substituted modality, e.g., vision). In this article, we address the question of which sensory modality the acquired perception belongs to. We have recourse to the four traditional criteria that have been used to define sensory modalities: sensory organ, stimuli, properties, and qualitative experience ( Grice, 1962 ), to which we have added the criteria of behavioral equivalence ( Morgan, 1977 ), dedication ( Keeley, 2002 ), and sensorimotor equivalence ( O'Regan & Noë, 2001 ). We discuss which of them are fulfilled by perception through sensory substitution devices and whether this favors the view that perception belongs to the substituting or to the substituted modality. Though the application of a number of criteria might be taken to point to the conclusion that perception with a sensory substitution device belongs to the substituted modality, we argue that the evidence leads to an alternative view on sensory substitution. According to this view, the experience after sensory substitution is a transformation, extension, or augmentation of our perceptual capacities, rather than being something equivalent or reducible to an already existing sensory modality. We develop this view by comparing sensory substitution devices to other "mind-enhancing tools" such as pen and paper, sketchpads, or calculators. An analysis of sensory substitution in terms of mind-enhancing tools unveils it as a thoroughly transforming perceptual experience and as giving rise to a novel form of perceptual interaction with the environment.