DISTRACTION: ITS UTILIZATION AND EFFICACY WITH CHILDREN UNDERGOING DENTAL TREATMENT

We investigated the utilization and efficacy of distraction in reducing the anxious and disruptive behavior of 4 children undergoing dental treatment. During the distraction procedure, the children were shown a poster and told a story about it during dental treatment. They earned a prize if they attended to the poster and story and could correctly answer questions about them following each intervention visit. The children's disruptive behavior was assessed via direct observation, and results were analyzed within a multiple baseline design. The children exhibited high levels of anxious and disruptive behavior across baseline visits, regardless of the length of time in treatment or number of visits. Anxious and disruptive behavior decreased upon introduction of the intervention for all children. This was accompanied by the children meeting the criterion for correct answers on the distraction quiz. However, 2 of the children demonstrated an increase in their anxious and disruptive behavior across intervention visits. Results are discussed in terms of the need to evaluate treatment strategies that promote maintenance as well as initial changes.     

PROMOTING SAFETY BELT USE WITH TRAFFIC SIGNS AND PROMPTERS

Two studies were conducted examining the stimulus-control effects of conventional traffic signs as prompts for motor vehicle driver safety belt use. Following pilot research which suggested that a traffic sign reading “Fasten Safety Belt” posted at a parking lot exit was effective in producing small increases in safety belt use, Study I demonstrated the superiority of having human prompters display such signs compared to simply posting the signs. Study II replicated the findings of Study I and found that posted signs became more effective in prompting safety belt use if simple posting was preceded by a period involving human prompters who displayed the signs. The results bear upon the development of more effective use of traffic signs in promoting safety belt use and in viewing such use as an instance of rule-governed behavior.     

Context effects in episodic studies of verbal and facial memory: A review

Memory research has in the last fifteen years been marked by a considerable interest in context effects. This review begins by examining experimental manipulations of verbal and environmental context in verbal memory. This is followed by a more extensive review of episodic studies of face recognition that have examined the effects of varying the background in which a face is portrayed, the room of testing, and the presence of guided instructions. The relevance of these findings to eyewitness memory is also considered. Discrepancies in the literature are pinpointed with theoretical discussion centering around encoding specificity theory (Tulving & Thomson, 1973) and Baddeley and Woodhead’s (1982) distinction between “independent” (extrinsic) and “interactive” (intrinsic) context effects. The review ends with an evaluation of some recent models of memory and face recognition in an attempt to provide a framework within which to interpret the context effects in the literature.     

An “outside-in” processing strategy in the perception of form

The discriminability of line segments in a number of different geometric forms was examined. The procedure used was to have one of the lines within a given form drawn thinner than the other lines. The location of the thin line varied randomly within the form, and subjects were required to detect its location. Three observations were made. First, outer line elements were discriminated more accurately than inner line elements. Second, the outer line advantage appeared to reflect an attentional strategy: By presenting inner and outer lines independently, and informing subjects in advance as to whether target lines would be in the inner or outer area of the form, the outer line advantage could be eliminated. Third, consonant with a global attentional strategy, and in opposition to any retinally tied, peripheral-to-central scanning process, an outer-line advantage was evident regardless of whether the fixation point was positioned within or outside the forms, or whether outer lines were more peripheral than inner lines.     

Subcortical functions in language: A working model

The current paper explains a model of subcortical language functions that focuses on dynamic interactions between the cortex, the thalamus, and the basal ganglia in the production of spoken language. The model was derived from (a) studies of subcortical lesions and language, (b) studies of subcortical stimulation and language, (c) knowledge regarding neural pathways between various cortical and subcortical structures, and (d) indications that preverbal monitoring of language occurs. In the current model, the thalamus plays roles in cortical arousal and activation and in preverbal semantic monitoring. The basal ganglia function to regulate the degree of excitation conveyed from the thalamus to the cortex and to time the release of formulated language for motor programming. Consistency with classical syndromes of aphasia and potential applications to other areas in the neurosciences are discussed. The current theory, unlike previous formulations, is specific enough that testable hypotheses can be derived.     

Youth suicide

The literature on youth suicide (ages 15-24) is surveyed for the period 1980-1985. Emphasis is placed on general determinants of suicide, predictors in the form of psychological tests, precipitating events (immediate causes), and signs--clues that may signify impending attempts at self-destruction. Suggestions for prevention, and limitations of research on suicide are offered.     

USE OF ESCAPE AND REWARD IN THE MANAGEMENT OF YOUNG CHILDREN DURING DENTAL TREATMENT

A reinforced practice procedure was used to facilitate cooperative behavior in five children, aged 3 to 6 years, during dental treatment. In a multiple baseline design across subjects, the children were rewarded with escape, inexpensive stickers, and praise for cooperative behavior in the presence of the sights, sounds, and some sensations of the dental instruments prior to actual dental treatment. Direct observations of disruptive behavior via a 15-s interval recording system indicated baseline levels as high as 90% were reduced to less than 15% by the final treatment visit. In addition, the procedure was effective in reducing overall heart rate and blood pressure reactivity to dental treatment. All children were rated by the involved dental professionals as more cooperative and relaxed following exposure to reinforced practice.