Dry pants: A rapid method of toilet training children

Toilet training sometimes requires considerable time. An intensive learning procedure was devised for shortening this training time and tested with 34 children who were experiencing toilet training problems. The procedure had the following major characteristics: (1) a distraction-free environment, (2) an increased frequency of urination by increased fluid intake, (3) continuous practice and reinforcement of the necessary dressing skills, (4) continuous practice and reinforcement in approaching the toilet, (5) detailed and continuing instruction for each act required in toileting, (6) gradual elimination of the need for reminders to toilet, (7) immediate detection of accidents, (8) a period of required practice in toilet-approach after accidents as well as (9) negative reinforcement for the accident, (10) immediate detection of correct toileting, (11) immediacy of reinforcement for correct toiletings, (12) a multiple reinforcement system including imagined social benefits as well as actual praise, hugging and sweets, (13) continuing reinforcement for having dry pants, (14) learning by imitation, (15) gradual reduction of the need for immediate reinforcement and (16) post-training attention to cleanliness. All 34 children were trained and in an average of 4 hr; children over 26 months old required an average of 2 hr of training. After training, accidents decreased to a near-zero level and remained near zero during 4 months of follow-up. The results suggest that virtually all healthy children who have reached 20 months of age can be toilet trained and within a few hours.     

Enuresis: The beginning work—what really happened

The harmless, inexpensive, and effective method of treating enuresis (bed-wetting) described in this paper was developed more than forty years ago; yet dangerous, brutal, and ineffective methods of toilet training continue to be widely used. This article has therefore been prepared, not only because of historical considerations, but also in the hope of substantially increasing its usage, with benefit to enuretic children (adolescents, even some adults) and their families, far and wide. This article is not copyrighted, and the simple apparatus required for the type of training here described is not patented.     

Working with the families of children with mental handicap in India: Various models

This paper presents a rationale for working with families who have children with disabilities in India. The various types of parent and family involvement which have been developed at the National Institute for the Mentally Handicapped are described. These include: individual programmes; group activities; family cottages; parent training programmes; sibling groups; and, self-help groups. Finally, the difficulties encountered in working with such families in India are discussed.     

An extension of commonly used toilet-training procedures to children with autism spectrum disorder

The current study evaluated a toilet-training treatment package described by Greer et al. (2016) with children diagnosed with autism spectrum disorder (ASD). Most of the current research on toilet-training interventions for children with ASD are replications and modifications of Azrin and Foxx (1971) or (more recently) LeBlanc et al. (2005). However, these procedures are composed of components that are not included in studies with typically developing (TD) children. For example, Greer et al. evaluated the effectiveness of three typical components within a toilet-training package, mostly with TD participants: a 30-min sit schedule, placing participants in underwear, and differential reinforcement. The primary purpose of the current study was to replicate and extend the treatment package described by Greer et al. to children with ASD. A secondary purpose was to evaluate modifications necessary for individualized toilet training when the commonly used components were ineffective. The results of Greer et al. were replicated for 11 participants with ASD in the current study, suggesting that intensive toileting interventions (e.g., interventions requiring overcorrection, reprimands, and dense sit schedules) may only be necessary for a subset of individuals with ASD.     

Religio-cultural variation in childbearing practices

A sample of 300 mothers aged 20-35 years from Bihar city in Bhagalpur, India, was drawn to reflect similar ages, education, family income, number of children, and residence for each religious group: Hindu, Muslim, and Christian. The hypothesis was that childbearing mothers would differ significantly in their child rearing methods and attitudes toward their children. The Child Care Schedule asked questions about methods of feeding, weaning, toilet training, and bed habit training. The Parent Attitude Schedule measures mother's attitudes: restrictive-permissive, loving-rejecting, and protecting-neglecting. The results indicated that 78% of Christian mothers breast fed compared to 75% of Muslim mothers and 58% of Hindu mothers. There were significant differences between groups in feeding practices (x2= 11.18, df=2, p.01). 77.3% of Christian mothers practiced a 3-hour feeding schedule, compared to 52% of Muslim mothers and 50% of Hindu mothers; 49.5% of Hindu mothers preferred a 4-hour feeding schedule. These differences were also significant. 54% of HIndu mothers wean before 12 months, and only 33% of Muslim and 35% of Christian mothers did. A greater proportion of Muslim mothers (58%) wean between 13 and 24 months. Differences again were significant. 66% or more of the mothers in each group practiced gradual weaning rather than forced or casual weaning. There were significant differences in toilet training habits and training in washing and bathing among the 3 groups of women. All 3 groups believed in moderate training in bathing. There were insignificant differences in bed habit training and the age at which training began. About 75% of all mothers followed moderate approaches to bed habit training. There were significant differences in child rearing attitudes between Hindus and Muslims. Hindu mothers were the least restrictive, and Christian mothers were the most restrictive. The same pattern applied to loving-rejecting and protecting-neglecting. Christian mothers were the most loving, and Muslim mothers were the least loving. Christian mothers were the most protective and Muslim mothers the least protective. In Hindu families with early weaning and toilet training, the joint family system helps to dissipate frustration caused by early practices. Further research on cultural differences in personality and cultural variations in child rearing is needed.     

Induction of intellectual gains in blind children

Twenty blind children (5–10 years old) were taught the concept of seriation by a learning set procedure. Ten of the children were also taught a simple classification concept to see if developing both abilities would produce more general intellectual gains. Children in a control group had training sessions matched in timing and extent, but differing in content. The results indicate that mastery of the concepts of seriation and classification can be accelerated through training. Training also affected WISC and SIT IQ scores; for these measurements, the seriation-classification group showed the greatest increase. Training had no effect on measures of psychological and social adjustment. The findings suggest that learning set training of Piagetian concepts can be effective in overcoming some conceptual deficiencies found in blind children. It may be profitable to test similar procedures with other children who are biologically mature but lagging in conceptual development.     

The lasting effects of process‐specific versus stimulus‐specific learning during infancy

The capacity to tell the difference between two faces within an infrequently experienced face group (e.g. other species, other race) declines from 6 to 9 months of age unless infants learn to match these faces with individual‐level names. Similarly, the use of individual‐level labels can also facilitate differentiation of a group of non‐face objects (strollers). This early learning leads to increased neural specialization for previously unfamiliar face or object groups. The current investigation aimed to determine whether early conceptual learning between 6 and 9 months leads to sustained behavioral advantages and neural changes in these same children at 4–6 years of age. Results suggest that relative to a control group of children with no previous training and to children with infant category‐level naming experience, children with early individual‐level training exhibited faster response times to human faces. Further, individual‐level training with a face group – but not an object group – led to more adult‐like neural responses for human faces. These results suggest that early individual‐level learning results in long‐lasting process‐specific effects, which benefit categories that continue to be perceived and recognized at the individual level (e.g. human faces).     

Two-year-olds learn novel nouns,verbs, and conventional actions from massed or distributed exposures

Two-year-old children were taught either 6 novel nouns, 6 novel verbs, or 6 novel actions over 1 month. In each condition, children were exposed to some items in massed presentations (on a single day) and some in distributed presentations (over the 2 weeks). Children's comprehension and production was tested at 3 intervals after training. In comprehension, children learned all types of items in all training conditions at all retention intervals. For production, the main findings were that (a) production was better for nonverbal actions than for either word type, (b) children produced more new nouns than verbs, (c) production of words was better following distributed than massed exposure, and (d) time to testing (immediate, 1 day, 1 week) did not affect retention. A follow-up study showed that the most important timing variable was the number of different days of exposure, with more days facilitating production. Results are discussed in terms of 2 key issues: (a) the domain-generality versus domain-specificity of processes of word learning and (b) the relative ease with which children learn nouns versus verbs.     

Teaching a picture language to a non-speaking retarded boy

In recent years numerous operant language training programmes have been designed for teaching both receptive and expressive language to autistic and retarded children (e.g. Bricker and Bricker. 1970a; Bricker and Bricker, 1970b; Lovaas, 1968; Sloane et al, 1968). There have been suggestions that the content of such programmes should be to some extent dictated by the findings of psycholinguists, while the methods be designed along behaviour modification lines (Lynch and Bricker, 1972; Miller and Yoder, 1972). Certainly operant programmes have been shown to produce some improvement of language function in autistic and retarded children (Bricker and Bricker. 1970a; Sloane et al, 1968; Lovaas. 1968; Guesset al, 1968); but the problem of whether all retarded children can be taught some language by these means has not been tackled. Psycholinguists, following Chomsky (Chomsky, 1965) maintain that the development of language in children is dependent on the language acquisition device, or LAD. Unfortunately there are no independent means of determining the presence of LAD in a child, so that relating a child's inability to use language to the absence of LAD becomes a circular argument.It frequently seems to be assumed that, provided no perceptual deficits are present, language acquisition is as difficult in one medium as in another. Individuals who are deaf and retarded have been taught sign language with some success (Berger, 1972; Cornforth et al, 1974), and retarded children who are non-speaking have been taught symbolic languages (Bliss symbols in Vanderheiden et al, 1975; Premack symbols in Hollis and Carrier, 1975, and Hodges, 1976). It is unclear, however, whether those learning symbolic languages, but having no gross physical or perceptual handicap, could have learnt sign language or even spoken language with an equivalent method of training. The present study is a report of a retarded boy with unreliable hearing (which ruled out spoken language), who seemed unable to learn (receptive or expressive) sign language after extensive operant training, but who rapidly acquired a limited symbolic “language” using an identical training method. The symbols used were pictorial representations of the objects (cf. Bliss and Premack symbols).     

Consumer behaviour and the toilet: Research on expulsive and retentive personalities

During the last five decades, a number of studies have attempted to draw from psychoanalytic theory to examine the relationship between evacuation disorders and a person's character. According to Freud's original conceptualization, early or harsh toilet training leads children to develop an anal retentive personality, characterized by the tendency to control their bowels as well as their material possessions; by contrast, liberal toilet training leads children to develop an anal expulsive personality, characterized by the tendency to excessively relieve faeces, as well as be being careless, messy, and inclined to dispose of old products and buy new ones. Although toilet training may not be responsible, these sets of traits do cohere. To empirically examine these hypotheses, we studied the personality traits and consumption habits of people suffering from different bowel disorders. By means of semistructured interviews, we analysed the personality characteristics, sociodemographic backgrounds, and peculiar consumption habits of people suffering from constipation and diarrhoeic syndromes. The results show that constipated people tend to be obstinate, excessively concerned with hygiene, and inclined toward retaining possessions, whereas diarrhoeic people tend to be careless, disorganized, and disposed to share their possessions with others. We discuss the theoretical and practical implications of these results and indicate avenues for future research.     

Differential effects of reasoning and speed training in children

The goal of this study was to determine whether intensive training can ameliorate cognitive skills in children. Children aged 7 to 9 from low socioeconomic backgrounds participated in one of two cognitive training programs for 60 minutes/day and 2 days/week, for a total of 8 weeks. Both training programs consisted of commercially available computerized and non-computerized games. Reasoning training emphasized planning and relational integration; speed training emphasized rapid visual detection and rapid motor responses. Standard assessments of reasoning ability - the Test of Non-Verbal Intelligence (TONI-3) and cognitive speed (Coding B from WISC IV) - were administered to all children before and after training. Neither group was exposed to these standardized tests during training. Children in the reasoning group improved substantially on TONI (Cohen's d = 1.51), exhibiting an average increase of 10 points in Performance IQ, but did not improve on Coding. By contrast, children in the speed group improved substantially on Coding (d = 1.15), but did not improve on TONI. Counter to widespread belief, these results indicate that both fluid reasoning and processing speed are modifiable by training.     

Reviewing Automated Sensor-Based Visitor Tracking Studies: Beyond Traditional Observational Methods?

The method of timing and tracking has a long history within visitor studies and exhibition evaluation. With an increase in indoor tracking research, sensor-based positioning tool usage in museums has grown, as have expectations regarding the efficacy of technological sensing systems. This literature review identifies emerging trends in sensor-based tracking methods used for museum visitor studies. Ten studies are identified, in which five sensor-based solutions are used to access visitor movement in museum settings. These are compared with more established observational timing and tracking methods in terms of obtained level of detail, accuracy, level of obtrusiveness, automation of data entry, ability to time concurrent behaviors, and amount of observer training needed. Although individual sensor-based and traditional, observational methods had both strengths and weaknesses, all sensor-based timing and tracking methods provided automated data entry and the opportunity to track a number of visitors simultaneously regardless of the available personnel.     

The academic outcomes of working memory and metacognitive strategy training in children: A double‐blind randomized controlled trial

Working memory training has been shown to improve performance on untrained working memory tasks in typically developing children, at least when compared to non‐adaptive training; however, there is little evidence that it improves academic outcomes. The lack of transfer to academic outcomes may be because children are only learning skills and strategies in a very narrow context, which they are unable to apply to other tasks. Metacognitive strategy interventions, which promote metacognitive awareness and teach children general strategies that can be used on a variety of tasks, may be a crucial missing link in this regard. In this double‐blind randomized controlled trial, 95 typically developing children aged 9–14 years were allocated to three cognitive training programmes that were conducted daily after‐school. One group received Cogmed working memory training, another group received concurrent Cogmed and metacognitive strategy training, and the control group received adaptive visual search training, which better controls for expectancy and motivation than non‐adaptive training. Children were assessed on four working memory tasks, reading comprehension, and mathematical reasoning before, immediately after, and 3 months after training. Working memory training improved working memory and mathematical reasoning relative to the control group. The improvements in working memory were maintained 3 months later, and these were significantly greater for the group that received metacognitive strategy training, compared to working memory training alone. Working memory training is a potentially effective educational intervention when provided in addition to school; however, future research will need to investigate ways to maintain academic improvements long term and to optimize metacognitive strategy training to promote far‐transfer. A video abstract of this article can be viewed at https://youtu.be/-7MML48ZFgw     

Examining Parents’ Preferences for Group Parent Training for ADHD When Individual Parent Training is Unavailable

Parent training programs are considered well-established interventions for attention deficit hyperactivity disorder in children as they reduce behavioral impairment, but limited parent engagement decreases service effectiveness. We used a discrete choice experiment to examine how parent preferences for group vs. individual format might influence their participation in Parent training. Parents (N?=?260) seeking mental health services for children with elevated symptoms of attention deficit hyperactivity disorder in Ontario, Canada were participants. They preferred Individual parent training in another study and completed a discrete choice experiment composed of 30 choice tasks measuring Parent training format preference. In this paper, parents’ preferences for alternatives to Individual Parent training, specifically Group Parent training and Minimal Information options, were estimated. Specifically, this study asked “if first choice is unavailable, what is the second choice?” This question is important as many clinics may not be able to offer both group and individual therapy given state funding cuts for youth mental health services. Simulations predicted that 85.8?% of parents who initially preferred Individual Parent training would switch to Group Parent training that included step-by-step solutions to children’s emotional and behavior problems, and the possibility of feeling informed and confident. The remaining 14.2?% of parents preferred Minimal Information; these parents preferred internet services offered conveniently and timely. Findings highlight consideration of less appealing factors that families might trade for more desirable service elements in a cost-restrictive environment.     

PARENT EDUCATION PROJECT II. INCREASING STIMULATING INTERACTIONS OF DEVELOP MENTALLY HANDICAPPED MOTHERS

Two studies are reported on the assessment and training of parent-child interactional skills in developmentally handicapped mothers. Study 1 compared the interactions of eight developmentally handicapped versus eight nonhandicapped mothers during play with their young (6–25 months) children. Results showed that the former group generally interacted much less with their children and that they were less likely to praise appropriate child behavior and imitate child vocalizations. Study 2 attempted to remediate these deficits, using a training package consisting of discussion, modeling, feedback, social reinforcement, and self-recording. Results showed, first, that the training did increase the targeted skills to well within the range found for the nonhandicapped mothers. Second, training effects generalized from the group instructional setting to the mothers' own homes. Third, newly acquired skills were generally maintained at or above levels found for the nonhandicapped mothers over a 5- to 10-month follow-up period. Finally, all seven children showed increases in vocalizations concomitant with parent training. The results suggest that developmentally handicapped mothers can be taught to provide more effective and stimulating interactions to their young children.     

Source-monitoring training facilitates preschoolers' eyewitness memory performance

Preschool children are more susceptible to misleading postevent information than are older children and adults. One reason for young children's suggestibility is their failure to monitor the source of their memories, as in, for example, discriminating whether an event was seen live versus on television. The authors investigated whether source-monitoring training would decrease preschoolers' suggestibility. Thirty-six 3-4-year-olds observed target live and video events and were then given source-monitoring or recognition (control) training on nontarget events. Following training, all children answered 24 misleading and nonmisleading target-event questions. Children given source-monitoring training were more accurate than control group children in response to misleading and nonmisleading yes-no questions and in response to nonmisleading, open-ended questions. Implications for strategy development, dual representation, and child witness interviewing are discussed.     

促进被拒绝和被忽视幼儿的同伴交往的三种训练法

本研究在测查了4-6岁幼儿在幼儿园的社交地位的基础上,对筛选出的被拒绝和被忽视幼儿进行干预训练,探讨行为训练、认知训练和情感训练对不同类型的同伴交往不良幼儿干预的有效性,并对被拒绝型和被忽视型幼儿同伴交往不良的可能成因做了分析。结果表明:行为训练法、认知训练法、情感训练法都可以促进同伴交往水平,三种方法之间的效果无显著差异。对被拒绝儿童采用认知训练法效果较好,对被忽视儿童采用行为训练法更好。从4岁到6岁,行为训练法的效果逐渐减弱、而认知和情感训练法的效果则逐渐提高。     

Individual Differences in Training Gains and Transfer Measures: An Investigation of Training Curves in Children with Attention‐Deficit/Hyperactivity Disorder

Currently, evidence for the beneficial effects of working memory (WM) training on transfer measures in children with attention‐deficit/hyperactivity disorder (ADHD) is inconsistent. Although there is accumulating evidence for the role of individual differences in training and transfer gains of cognitive training, this area has been left unexplored for children with ADHD. In the current study, an advanced latent growth curve model analysis was used to investigate the individual differences in learning curves (training gains) of WM training tasks within a new cognitive intervention ‘Paying Attention in Class’. It was investigated whether certain baseline variables (age, intelligence quotient, externalizing behaviour problems and presence of learning disability) predicted the learning curves and how these individual learning curves influenced near‐transfer and far‐transfer measures. A total of 164 children diagnosed with ADHD, between the age of 8 and 12 years old, followed this new Paying Attention in Class intervention. WM (near‐transfer) and academic performance (far‐transfer) measures were assessed before treatment and directly after treatment. Results showed that individual differences at the start of training were predicted by age and intelligence quotient, but the individual differences in learning curves were not predicted by any of the baseline variables. Both for the verbal and the visuospatial WM training, children with larger training gains (i.e. steeper training curves) showed larger benefits on the near untrained transfer measures. These effects were absent for the far‐transfer measures. Current study shows that training WM is quite complex and has its limitations for children with ADHD. Nonetheless, it highlights that training and transfer gains are affected by many different factors and warrants the need of a more in‐depth investigation of individual differences in future studies.Copyright © 2017 John Wiley & Sons, Ltd.     

The effects of undergarment type on the urinary continence of toddlers

There is a growing trend toward later toilet training of typically developing children. This trend is a problem for caregivers and professionals who work with young children, because it is associated with a number of costs and health risks in child-care settings. Results of a recent study (Tarbox, Williams, & Friman, 2004) suggest that wearing underwear may facilitate the development of toileting skills. Based on these findings, we examined the effects of wearing disposable diapers, disposable pull-on training pants, and underwear on urinary continence of 5 typically developing toddlers in a child-care setting. Underwear decreased incontinence and increased continent urinations for 2 of the 5 participants, produced no improvement in 2 participants, and when combined with increased fluid intake and longer sitting periods, produced some favorable trends for the 5th participant.