THE USE OF BEHAVIORAL ASSESSMENT TO PRESCRIBE AND EVALUATE TREATMENTS FOR SEVERELY HANDICAPPED CHILDREN

Behavioral assessment procedures were used to prescribe and evaluate treatments of maladaptive behavior for 2 children with severe multiple handicaps. In Experiment 1, the results of an assessment of reinforcer preference were used in conjunction with a functional analysis of the conditions maintaining self-injurious behavior to prescribe a treatment for a child with severe disabilities. The treatment procedure involved the use of a pressure-sensitive microswitch to activate reinforcing stimuli during two solitary conditions, during which self-injurious behavior had occurred at high rates. The results were evaluated with a multiple baseline across settings design and indicated that self-injury decreased with concomitant increases in microswitch activation. Results were maintained at 6 weeks, 8 weeks, and 6 months. In Experiment 2, the results of behavioral assessments of reinforcer preference and self-injurious behavior were combined to develop a treatment for a second severely handicapped child, who exhibited high rates of self-injury in demand situations. This treatment was evaluated with a multiple baseline across tasks design and resulted in the elimination of self-injury for up to 15 months.     

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.     

EVALUATION OF TACTILE PROMPTS WITH A STUDENT WHO IS DEAF,BLIND, AND MENTALLY RETARDED

We provided tactile cues to a student who was deaf, blind, and mentally retarded to guide her performance on a variety of packaging tasks. The student had previously received extensive training on multiple packaging and sequencing tasks through her vocational education program. Although she was able to complete these tasks, each change in materials necessitated that similar levels of retraining be conducted in order for her to perform revised tasks. Tactile cues were introduced and evaluated through a multiple baseline with sequential withdrawal design for two envelope-stuffing tasks and one bagging task. Results indicated that the tactile prompts were effective in guiding her performance on the training task and in promoting generalization to novel tasks and cues. Continued use of the cues was necessary to maintain the student's performance. Our findings suggest that tactile prompts function similarly to picture prompts and may be an effective alternative external prompting system for persons for whom picture prompts would not be appropriate.     

Instructions and reinforcement in the observing behavior of adults and children

Observing responses of college students and children of different ages (4 to 5, 9 to 10, and 13 to 14 years) were studied using two-component schedules of reinforcement. Different frequencies or numbers of points were given in the components and points were backed by either money or instructions about getting points (e.g., “points are for the experimenter's information only”). Stimuli that were either correlated or uncorrelated with the components were contingent on presses on either of two concurrently available levers (observing responses). In each of three experiments, preferences for stimuli were consistent with the conditioned-reinforcement hypothesis of observing but inconsistent with the uncertainty-reduction hypothesis. Stimulus preferences were established, eliminated, or reversed by instructions about the significance of getting points not backed with money. Instructions to in effect ignore points with no monetary value eliminated stimulus preference provided that money was not associated with points in other conditions for the same subjects. Stimulus preferences were otherwise independent of monetary point value. Instructions that described reinforcement contingencies promoted more rapid adjustment to the contingencies than occurred without them, and preferences were less variable across sessions within subjects and were on the average more extreme. Although some results involving absolute rates of observing depended upon the age of subjects, stimulus preferences did not. The data suggest that the conditioned-reinforcement hypothesis of observing has considerable generality for humans in choice procedures in the laboratory. That monetary value of points did not affect preferences in a graded fashion is consistent with versions of the conditioned-reinforcement hypothesis which emphasize reduction in delay to reinforcement over other reinforcement parameters.     

Complex decision making: A longitudinal study of process and performance

Two studies using a computer-simulated, strategy-formulation game and business students were conducted using simultaneous verbal protocols. It was found that a number of information-processing and information-evaluation thought processes were significantly related to game performance. Consistent with what is known about individual decision making, the present results suggest that, for the task used in this study, individuals who engage in causal analysis perform better than those who do not. But those who focus on negative emotions, blindly repeat previously successful decisions, and engage in illogical through processes perform more poorly than those who do not. Causal replication using real managers within organizational settings, however, is needed before firm conclusions can be drawn from this research.     

The why,when, and how of cognitive simulation: A tutorial

Practical advice is given on cognitive simulation modeling; information is provided on why a simulation effort is worthwhile, when it should be undertaken, and how to do it. A cognitive simulation model is defined as a computer program that represents a hypothetical mental process that operates on symbolic structures.     

Programming simulations of cognitive processes: An example of building macrostructures

Information is provided on the process of creating psychological simulations using LISP. A simulation is described, and the difference between progamming and simulation and “normal” programming is also provided, along with programming and debugging tips.     

The physician as priest,revisited

Despite much resistance from the medical profession, the notion persists in our culture that the physician plays a priestly role. Medical resistance must be taken seriously. It stems from legitimate concerns that the priestly role implies an unwelcome broadening of medical responsibilities, expectations of moral expertise, and being on the receiving end of people's most intense existential hopes. On the other hand, the nature of illness and healing makes it inevitable that physicianswill take on ministerial functions in their medical work. This essay attempts to recover the notion of the physician as priest on the basis of theological and religious reflection on the nature of ministry and pastoral care.     

Aggressive behavior inhibition by serotonin and quipazine injected into the amygdala in the rat

The effects on aggressive behavior, open-field activity, and pain threshold of bilateral microinjections of serotonin (20 micrograms) and quipazine (20 micrograms), the direct serotonergic receptor agonist, into the cortico-medial amygdala were investigated in Wistar rats. Both drugs significantly prolonged the attack latency in isolated killer rats (predatory aggression model), and suppressed the incidence of aggressive postures/attacks in shock-induced fighting test (affective aggression). The only difference in the open-field behavior was the lower number of central square entries in drug-treated compared to saline-injected rats. None of the substances produced any significant change in jump threshold. It is concluded that stimulation of serotonin receptors within the amygdala produces inhibition of affective and muricidal behavior in isolated rats. The effect does not seem to be dependent on changes in general activity and pain sensitivity.