Efficacy of delayed auditory feedback for treating cluttering: Two case studies

Two clutterers were treated with similar preplanned delayed auditory feedback (DAF) procedures, using probe samples in which the DAF was not present to measure treatment efficacy. Whereas both clients met established fluency criteria during treatment, both clutterers had difficulty transferring gains to probe sessions—one more than the other. Differences in results of DAF treatment are discussed from the perspectives of differences in cluttering severity, coexisting disorders, and supplementary clinical techniques.     

A tabular summary of cluttering subjects in the special edition

Tables summarizing results of questionnaires, completed by authors, for each cluttering subject are presented. The first table summarizes symptoms and abnomalities manifested by the 29 clutterers. The second table summarizes the targets, procedures, and results of therapy for 15 of the clutterers for whom knowledge of therapy was available.     

Stress Management in Bus Drivers: A Pilot Study Based on the Model of Effort–Reward Imbalance

A number of studies documented associations between work stress and elevated morbidity in professional drivers. The model of effort–reward imbalance (ERI) identifies distinct situational and personal characteristcs which elicit chronically stressful experience at work in terms of a mismatch between high costs and low gain. Fifty-four highly stressed male inner-city bus drivers (mean age 49,5 ± 5,3) were recruited to participate in a 12 weeks stress management program based on the ERI model (intervention group (IG) n = 26, control group (CG) n = 28). Intervention included relaxation, coping with anger and excessive work commitment (“high need for control”), management of conflicts with superiors, and recommendations for structural changes at work. After 12 weeks, mean level of “need for control,” a critical, health adverse style of coping with job demands, was significantly reduced in IG vs. CG, and this effect persisted after 3 months. In conclusion, a theory-based worksite stress management program in an occupational risk group is feasible and shows beneficial psychological effects.     

Discrimination of picture requests for missing items among young children with developmental disabilities

Two experiments were conducted to assess discrimination of picture requests for missing items among young children with developmental disabilities. In Experiment 1, three children were first taught to request one object when it was missing from a set of two related leisure items. In Experiment 2, two children were taught to request one object belonging to a set of three leisure items. In both studies the requesting response consisted of pointing to a photograph of the missing item. After acquisition of the initial request, discrimination of picture requests was assessed when the second item (Experiment 1) and second or third item (Experiment 2) was missing. Requests for the untrained items emerged in the presence of natural maintaining contingencies and in the absence of instructional prompts for all but the third child in Experiment 1. This child required continued intervention on the initial request. The results suggest that for some children a sequence of intervention and the programming of natural maintaining contingencies may prove effective in promoting the discrimination of picture requests for missing items among young children with developmental disabilities.     

Clinical,developmental and social aspects of infant crying and colic

Persistent unexplained infant crying in the first few months is a common source of distress for parents and is costly for the health services. The aim was to assess the merits of developmental and social conceptualizations of this phenomenon, compared to the clinical approach as represented by the concept of colic. From a community sample of 530 infants, 67 who met the ‘rule of threes’ definition of colic by fussing and crying for 3 or more hours per day at 4-5 weeks of age were chosen. To avoid confusion, these infants were called ‘persistent criers’. Groups of ‘evening criers’ (N = 38) and ‘moderate cries’ (N = 55) were also selected. These 160 infants were assessed by researcher measures of their consolability and by maternal diary measures of their amounts of fussing, crying and colic behaviour when 5-6 weeks old. The persistent and evening criers cried more than the moderate criers. However, irritable, ‘fussy’ behaviour was the predominant form of distress for all three groups of infants. Colic bouts–defined as ‘bouts of intense, unsoothable crying and other behaviour, perhaps due to stomach or bowel pain’–were rare even among the persistent criers and only 7% of these infants were found to be inconsolable. The results support growing evidence that normal infant developmental processes are central to this phenomenon. In addition, social interactions between infants and parents, and parental subjective variables, appear to be involved. Colic was distinguished as a rare and separate form of distress by the infants' mothers. Further evidence needs to determine whether colic is a distinct clinical phenomenon or an extreme degree of normal distress interpreted within a western cultural framework.     

On the Right Track: Client Experience of Narrative Therapy

This article presents an ethnographic research on eight families' experience of narrative therapy and discusses six major themes found in the interviews including externalizing conversation, developing the alternate story, personal agency, reflecting/consulting teams, building a wider audience, and the helpful and unhelpful aspects of the therapy. The findings and the notation that families found the therapy to be very effective are also included.     

Reviews of current books

Pastoral Psychology -     

Two youths who clutter, but is that the only similarity?

This article describes the clinical profile of two youngsters who clutter. Although both subjects share key characteristics, they differ in other respects. As we gain more systematic information on the nature and symptomatology of cluttering, we may conclude that it is not a homogeneous but a heterogeneous phenomenon.