Long Term Outcomes to Family Caregiver Empowerment

The Vanderbilt Caregiver Empowerment Project evaluated a training program designed to enhance empowerment of caregiver and their subsequent involvement in the mental health treatment of their children. The intervention utilized a multi-component parent training curriculum that was designed to enhance: (a) knowledge of the service system; (b) skills needed to interact with the mental health system; and (c) the caregiver' s mental health services self-efficacy designed to improve caregivers beliefs in their ability to collaborate with service providers. The resulting increased empowerment was hypothesized to increase caretaker involvement, which should affect service use and ultimately the mental health status of the child. A randomized design was used to test the effectiveness of this model with caregivers of children receiving mental health services. The results one-year after the training replicated the intermediate outcomes of the project conducted 3-months after the training. The initial training continued to significantly influence the parent's knowledge and mental health services self-efficacy. However, the intervention had no effect on caregiver involvement in treatment, service use or the mental health status of the children.     

The Generality Problem for Reliabilism

Philosophical Studies -     

Long-term effects of intensive treatment for a client with both a cluttering and stuttering disorder

This study presents data on the effects of an intensive smooth speech treatment program for stuttering on the speech and psychological status of a man, aged 21 years who stuttered and who was also diagnosed as a clutterer (S 29). Stuttering was mild to moderate (7% syllables stuttered) (%SS) and consisted mostly of rapid repetitions with an occasional block. The client had stuttered since the age of 5 years. Initial rate could not be determined with accuracy due to its irregularity and speed, but was estimated to be between 260 to 300 syllables per minute (SPM). Speech was also characterized by irregular quick bursts that were often unintelligible. There was no evidence of abnormal psychological traits. However, a higher than normal level of negative communication attitudes was evidenced. An intensive 3-week smooth speech program designed to reduce and control stuttering was initiated. It was believed the training, which involved rate control, would control the cluttering symptoms as well. After successful completion of the program, stuttering was greatly reduced, and the gains were maintained after 10 months. Speech rate was reduced to normal levels and was also maintained at the 10-month follow-up. Negative attitudes to communication, furthermore, were greatly reduced both in the short- and long-term. Consequently the cluttering symptoms after treatment were minimal. This case study suggests that an intensive treatment for stuttering, which contains rate control, can also be a successful treatment for cluttering, at least for those who also stutter.     

Temporal necessity; Hard facts/soft facts

Conclusion In conclusion, then, the notion of temporal necessity is certainly queer and perhaps a misnomer. It really has little to do with temporality per se and everything to do with counterfactual openness or closedness. We have seen that the future is as unalterable as the past, but that this purely logical truth is not antithetical to freedom or contingency. Moreover, we have found certain past facts are counterfactually open in that were future events or actualities to be other than they will be, these past facts would have been different as a consequence. God's beliefs about the future are such past facts. Moreover, the effects of actions which God would have taken had He believed differently are also such past facts. Oddly enough, then, virtually any past fact is potentially counterfactually open, and the only necessity that remains is purely de facto. We, of course, do not in general know which events of the past depend counterfactually on present actions, and those cases we do know about seem rather trivial. Our intuitions of the necessity, unalterability, and unpreventability of the past as opposed to the future stem from the impossibility of backward causation, which is precluded by the dynamic nature of time and becoming. But the counterfactual dependence of God's beliefs on future events or actualities is not a case of backward causation: rather future-tense propositions are true in virtue of what will happen, given a view of truth as correspondence, and God simply has the essential property of knowing all and only true propositions. With regard to the future, virtually all facts are counterfactually open, and therefore future-tense propositions are not temporally necessary. Propositions thus move from being temporally contingent to being temporally necessary when all the opportunities to affect things counterfactually have slipped by. Hence, the mere fact that an event is past is no indication that it is counterfactually closed. This is especially evident in the case of God's foreknowledge. If we say that God foreknows that I shall do x and therefore I cannot refrain from doing x, lest I change God's past foreknowledge, we are being deceived by a modality which has nothing to do with my power or freedom. All that is impossible is the conjunction of God's foreknowledge that p and of ~ p; but this modality in sensu composito has no bearing on my ability to act such that ~ p would be true and God would have foreknown differently. Temporal necessity, then, turns out to be only obliquely temporal and modally weak, certainly no threat to freedom or divine foreknowledge.     

Modes of vibrotactile pattern generation

Two modes of generating vibrotactile patterns, static and scanned, were examined. In the static mode, all elements making up the pattern were turned on and off simultaneously. In the scanned mode, the pattern to be identified was moved across the tactile array. The patterns were letters of the alphabet presented to the fingertips by means of the Optacon, a reading aid for the blind. The results of the first experiment showed that the performance on a letter recognition task decreased as pattern duration decreased and that at all durations below 200-msec performance in the static mode was better than in the scanned mode. Good letter recognition was possible at durations of 4 msec in the static mode. The results of the second experiment showed that letter recognition in the static mode was highly dependent on the perceived intensity of the letters presented, whereas intensity changes in the scanned mode had little effect on letter recognition. The results of the third experiment showed that both modes of pattern presentation produced similar results in the presence of masking stimuli. The implications of the results for cutaneous pattern perception and information transmission and visual letter recognition are discussed.     

Warm-up effects in the learning of discrete motor skills

Three experiments were conducted to determine the influence of warming-up activities on performance and on learning in two discrete motor tasks. During initial trials on the criterion task, Ss were given various types of warming-up activities having an activity-set that was either the same as or different from the criterion task. Test trials followed in which all groups practiced the criterion task only. No significant differences in performance on the criterion task were found regardless of the appropriateness of the warming-up activity during initial trials. The results suggested that warming-up properties are not a factor in original learning of discrete motor skills.     

Skin conductance response conditioning with CS intensities equal to and greater than UCS intensity

With .2-sec bursts of white noise as both conditioned stimulus (CS) and unconditioned stimulus (UCS), conditioning of first-interval skin conductance responses was obtained when the intensity of the CS equaled and exceeded that of the UCS. There was no evidence that second-interval response conditioning occurred. Nonspecific response frequencies were also affected by the variations in stimulus intensity, this raising some question about typical controls employed in SCR conditioning. There was some evidence that second interval responses were suppressed by the intense CS values. It was concluded that the existence of simple conditioning with a CS/UCS intensity ratio equal to or greater than unity was contrary to the Pavlovian proposition that a CS must be biologically less salient than the UCS in order for conditioning to occur. It was noted, however, that the suppression of second-interval responses might indicate that anticipatory CRs which are not confounded with orienting reflexes are prevented from exhibiting a conditioning effect when a high CS/UCS intensity ratio is employed.