Functional analysis and treatment of problem behavior related to mands for rearrangement

This study is a systematic replication of a functional analysis (FA) of the relation between mands and problem behavior. We extended treatment approaches for this problem behavior function, and describe the treatment of problem behavior related to mands for rearrangement demonstrated by a 12‐year‐old girl with autism spectrum disorder and Smith‐Magenis syndrome. The mands consisted of requests for others to change their body positioning or proximity, or rearrange items back to their original position. An FA confirmed the relation between problem behavior and mand compliance, and functional communication training with extinction decreased problem behavior and increased functional communication responses. Problem behavior remained low as gradually longer nonreinforcement periods were introduced using a multiple schedule.     

Clinical and functional correlates of processing speed in pediatric Attention-Deficit/Hyperactivity Disorder: a systematic review and meta-analysis

It is well established that processing speed is negatively impacted in children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). Unfortunately, exactly how processing speed vulnerabilities manifest in daily functioning has not been well established. To support clinical care of youth with ADHD, it is important to better understand the functional consequences and relevant outcomes associated with processing speed deficits. This systematic review and meta-analysis sought to identify the association between processing speed and clinical or functional correlates among children or adolescents diagnosed with ADHD. A total of 409 abstracts were screened, of which, 60 full-text articles were identified as potentially relevant, and 8 of these studies met inclusion criteria. Domains evaluated across these studies included reading skills, mathematics skills, written expression, anxiety, self-appraisals of competence, and adaptive functioning. Six studies reported an association between processing speed and reading skills, allowing for meta-analysis. Processing speed difficulties among youth with ADHD appear strongly associated with several clinical and functional correlates including weaker academic skills, poorer adaptive skills, increased self-reported anxiety, and overestimates of social competence. Meta-analytic results for studies reporting the association between processing speed and reading skills indicate a medium overall weighted mean effect size (r = 0.33, 95% CI = 0.28 –0.39) with minimal heterogeneity (I² = 0.17). Clinical implications of these findings, limitations in the current knowledge base, and suggestions for future research are discussed.     

Multiple schedules,off‐baseline reinforcement shifts,and resistance to extinction

Resistance to extinction in a target multiple‐schedule component varies inversely with the rate of reinforcement arranged in an alternative component during baseline. The present experiment asked whether changing the reinforcer rate in an alternative component would impact extinction of target component responding if those changes occurred in an off‐baseline phase during which the target component was never experienced. Pigeons' key pecking was studied in three types of conditions, and each condition consisted of three phases. In Phase 1, pecking produced food in the target and alternative components of a multiple schedule according to variable‐interval 60‐s schedules. In Phase 2, the alternative‐component stimulus was presented alone in a single schedule. Pecking during this phase produced the same reinforcer rate as in baseline in the Control condition, a higher rate of food (variable‐interval 15 s) in the High‐Rate condition, or was extinguished in the Extinction condition. Extinction of target‐ and alternative‐component key pecking then was assessed in a multiple schedule during the final phase of each condition. Resistance to extinction of target‐component key pecking was the same between the Control and High‐Rate conditions but lower in the Extinction condition. These findings are discussed in terms of discrimination and generalization processes.     

‘In God's Changelessness There Is Rest’: The Existential Doctrine of God's Immutability in Augustine and Kierkegaard

This article establishes a specific point of agreement between St Augustine and Søren Kierkegaard: for both thinkers the doctrine of God's immutability is an existential doctrine. Specifically, Augustine and Kierkegaard agree that God's immutability functions as a condition to preserve the existential integrity of the human creature across the vicissitudes of time and change. This article describes the existential role of God's immutability in Augustine and Kierkegaard, and it establishes this point of agreement between the two thinkers. Afterward, this article briefly considers some implications of this point of agreement for the interpretation of Augustine and Kierkegaard and some implications for the doctrine of God's immutability.     

Reconsidering Empathy: An Interpersonal Approach and Participatory Arts in the Medical Humanities

Journal of Medical Humanities - The decline of empathy among health professional students, highlighted in the literature on health education, is a concern for medical educators. The evidence...     

Parent‐conducted rapid assessment of attention types for the treatment of attention‐maintained problem behavior

When praise is not a reinforcer for alternative behavior in the treatment of attention‐maintained problem behavior, further pretreatment assessments are warranted to develop an effective treatment. The current study reports a replication of the pretreatment rapid assessment of attention types (RAAT) procedures, implemented by the parents of a 19‐year‐old female with attention‐maintained problem behavior. After administering staff and parent‐conducted RAATs, a parent‐implemented treatment, (a) produced clinically significant decreases in problem behavior, and (b) confirmed that the RAAT identified an attention‐type that served as a reinforcer for appropriate alternative behavior. This study extends the findings of Strohmeier et al. by reporting results of a parent‐conducted RAAT and treatment evaluation. The findings highlight the practical importance of pretreatment assessment of attention‐types, with emphasis on caregiver involvement, to develop effective treatments for attention‐maintained problem behavior.     

Who Is This God of Whom You Speak? Counseling Students' Concept of God

Many clients bring a belief in God or a Higher Power into counseling sessions. What is less clear, however, is how counselors conceptualize “god,” which may affect how spirituality is integrated in the counseling process. To explore this question, the authors conducted a concept map study of god images among counseling students. Results suggest that students harbor broad and diverse conceptualizations of god, which may affect the counseling process.     

Breathing Characteristics and Symptoms of Psychological Distress: An Exploratory Study

In this exploratory study of the relationship between characteristics of breathing and 3 common psychological issues (i.e., symptoms of anxiety, alexithymia, and depression), 79 college‐age adults were examined using self‐report, rater observation, and physiological measures. Results indicated significant positive relationships between dysfunctional breath characteristics and symptoms of both anxiety and alexithymia. A significant positive correlation was found between self‐reported symptoms of dysfunctional breathing and symptoms of depression, but no significant relationships existed between symptoms of depression and either rater‐observed breath characteristics or physiological measures.