The importance of stories in the act of caring

This article focuses on the essential role and function of story in the care of young children with emotional and behavioral disorders in an institutional setting. Highlighted in this article is the importance of story in the therapeutic relationship, its educational implications, and in theological reflection. A narrative approach of care becomes a way of healing both heart and mind, and is ultimately an act of love.     

Prevalence and constituency of behavioral disturbance taxonomies in the regular school population

The Bristol Social Adjustment Guides (BSAG) are widely employed in research and in the identification of maladjustment in school children. The BSAG provides scores on several indices including five homogeneous behavioral syndromes and one associated grouping. Field experience suggests that maladjusted children frequently manifest problems in more than one syndrome. In order to discover what patterns of syndromic profiles may commonly exist among children, the data for the most recent revision of the BSAG are reanalyzed. The syndrome scores for all 2,527 5- to 15-year-old regular school children in the standardization sample were grouped into similar profile patterns by hierarchical cluster analysis. Sixteen homogeneous syndromic profile types emerged. The resultant profile types were described on the basis of their component behaviors and examined for membership trends by sex and age groups. Multiple syndromic profiles represented 60% of all maladjusted children.The author wishes to thank Dr. Denis H. Stott, former professor of psychology at the University of Guelph, Ontario, for kindly making the Bristol Social Adjustment Guides data available for this study.     

Objective self-awareness as a nonaversive state: Effect of anticipating discrepancy reduction

The possibility that self-aware subjects in previous objective sell-awareness studies displayed heightened negative affect and avoidance reactions because they were made to focus on permanent negative discrepancies was investigated in the present research. Subjects were first induced to regard a negative real-ideal discrepancy as either permanent or reducible in size, and then were either made or not made objectively self-aware. As expected, those self-aware subjects who anticipated no reduction in discrepancy size were found to be more negative in mood and quicker to exit from the experimental room than were their counterparts in the other three conditions. It was concluded that self-focused attention only generates aversive reactions when it brings to awareness a negative real-ideal discrepancy which the individual feels cannot be altered.     

Speech treatment and support group experiences of people who participate in the National Stuttering Association

Support groups are rapidly becoming an important part of the recovery process for many people who stutter, and a growing number of speech-language pathologists (SLPs) are encouraging their clients to participate in support groups. At present, however, little is known about the individuals who join stuttering support groups and the benefits they derive from their participation. This study surveyed members of the National Stuttering Association (NSA) to learn about their experiences in support groups, as well as their experiences in speech therapy. Respondents were 71 people who attended the 1999 NSA conference in Tacoma, WA. The majority of respondents had participated in treatment several times during their lives, using a variety of techniques. Respondents who had participated in fluency-shaping treatments were more likely to report that they had experienced a relapse than those who had participated in stuttering modification or combined treatments. Also, there was a strong positive correlation between respondents' satisfaction with treatment and their judgments of clinicians' competence, suggesting that improved training for SLPs should lead to improved treatment for people who stutter. Results will be used to provide a foundation for further evaluations of the benefits of support group participation for people who stutter. EDUCATIONAL OBJECTIVES: The reader will learn (a) that many people who participate in the NSA have had numerous and varied experiences with speech treatment throughout their lives, (b) which aspects of treatment and support group participation are seen as most beneficial for people who participate in the NSA.     

Validity and reliability of the audit and CAGE-AID in Northern Plains American Indians

According to the Indian Health Service, substance abuse and Type 2 diabetes are serious problems among Native Americans. To assess substance use in a medical setting, valid screening tests are needed so the Alcohol Use Disorders Identification Test (AUDIT), a simple brief screen for excessive drinking, and the CAGE-adapted to Include Drugs (CAGE-AID) for identifying primary care patients with alcohol and drug disorders were given 50 Northern Plains American Indians with diabetes. Both are short, easy to administer, have good sensitivity and specificity, and can be easily incorporated into a medical history protocol or intake procedure. Reliability coefficients were above .90 and appeared to have sufficient concurrent and divergent validity indicated by moderate correlations with the General Well-being Schedule (rs=-.39 and -.36), the Family-Adaptation, Partnership, Growth, Affection, & Resolve (r =-.47 and -.36), and the Beck Depression Inventory-IT (r = .36 and .29).     

The scaling of information to action in visually guided braking

Braking to avoid a collision can be controlled by keeping the deceleration required to stop (i.e., ideal deceleration) in the "safe" region below maximum deceleration, but maximum deceleration is not optically specified and can vary as conditions change. When brake strength was manipulated between participants using a simulated braking task, the ratio of ideal to maximum deceleration at brake onset was invariant across groups, suggesting that calibration involves scaling information about ideal deceleration in intrinsic units of maximum deceleration. Evidence of rapid recalibration was found when brake strength was manipulated within participants, and the presence of external forces that affect brake dynamics resulted in biases in performance. Discussion focuses on the role of calibration, internal models, and affordance perception in visually guided action.