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31.
For several decades, the use of psychotropic medication has either been regarded as a medical issue or an example of the medicalization of social problems. As the publication in 2005 of a knowledge synthesis on conduct disorder in children and adolescents and the reply of the «Pas de zéro de conduite» collaboration (literally: No F for Conduct) was a highly important event in the French mental health scene, it deserves a thorough discussion. In the hope of improving the practices and policies targeting children and their families, it is essential to gain a better understanding of the bones of contention between the proponents and opponents of a medical or rather biosocial model. To achieve this, we first analyze how this model assigns a central role to certain disorders defined and diagnosed based on constellations of symptoms. We then identify five dimensions which seem to hold center stage in the controversy: genetic susceptibility, neurocognitive deficits and temperament, the familial and social environment seen as a reservoir of stressors, large-scale screening for disorders using simple instruments and multi-modal treatments, including psychotropic medication. We take an interest in the French debate as this allows us to stand back from the models prevailing in North America. It also underscores the importance of multidisciplinary thinking and social sciences when elaborating clinical or political mental health guidelines. 相似文献
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Decay theory posits that memory traces gradually fade away over the passage of time unless they are actively rehearsed. Much recent work exploring verbal short-term memory has challenged this theory, but there does appear to be evidence for trace decay in nonverbal auditory short-term memory. Numerous discrimination studies have reported a performance decline as the interval separating two tones is increased, consistent with a decay process. However, most of this tone comparison research can be explained in other ways, without reference to decay, and these alternative accounts were tested in the present study. In Experiment 1, signals were employed toward the end of extended retention intervals to ensure that listeners were alert to the presence and frequency content of the memoranda. In Experiment 2, a mask stimulus was employed in an attempt to distinguish between a highly detailed sensory trace and a longer-lasting short-term memory, and the distinctiveness of the stimuli was varied. Despite these precautions, slow-acting trace decay was observed. It therefore appears that the mere passage of time can lead to forgetting in some forms of short-term memory. 相似文献
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Human control of action in routine situations involves a flexible interplay between (a) task‐dependent serial ordering constraints; (b) top‐down, or intentional, control processes; and (c) bottom‐up, or environmentally triggered, affordances. In addition, the interaction between these influences is modulated by learning mechanisms that, over time, appear to reduce the need for top‐down control processes while still allowing those processes to intervene at any point if necessary or if desired. We present a model of the acquisition and control of goal‐directed action that goes beyond existing models by operationalizing an interface between two putative systems—a routine and a non‐routine system—thereby demonstrating how explicitly represented goals can interact with the emergent task representations that develop through learning in the routine system. The gradual emergence of task representations offers an explanation for the transfer of control with experience from the non‐routine goal‐based system to the routine system. At the same time it allows action selection to be sensitive both to environmental triggers and to biasing from multiple levels within the goal system. 相似文献
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Dyslexia is a neurodevelopmental disorder manifested in deficits in reading and spelling skills that is consistently associated with difficulties in phonological processing. Dyslexia is genetically transmitted, but its manifestation in a particular individual is thought to depend on the interaction of epigenetic and environmental factors. We adopt a novel interactional perspective on early linguistic environment and dyslexia by simultaneously studying two pre‐existing factors, one maternal and one infant, that may contribute to these interactions; and two behaviours, one maternal and one infant, to index the effect of these factors. The maternal factor is whether mothers are themselves dyslexic or not (with/without dyslexia) and the infant factor is whether infants are at‐/not‐at family risk for dyslexia (due to their mother or father being dyslexic). The maternal behaviour is mothers’ infant‐directed speech (IDS), which typically involves vowel hyperarticulation, thought to benefit speech perception and language acquisition. The infant behaviour is auditory perception measured by infant sensitivity to amplitude envelope rise time, which has been found to be reduced in dyslexic children. Here, at‐risk infants showed significantly poorer acoustic sensitivity than not‐at‐risk infants and mothers only hyperarticulated vowels to infants who were not at‐risk for dyslexia. Mothers’ own dyslexia status had no effect on IDS quality. Parental speech input is thus affected by infant risk status, with likely consequences for later linguistic development. 相似文献
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Multinomial processing tree (MPT) models are a class of measurement models that account for categorical data by assuming a finite number of underlying cognitive processes. Traditionally, data are aggregated across participants and analyzed under the assumption of independently and identically distributed observations. Hierarchical Bayesian extensions of MPT models explicitly account for participant heterogeneity by assuming that the individual parameters follow a continuous hierarchical distribution. We provide an accessible introduction to hierarchical MPT modeling and present the user-friendly and comprehensive R package TreeBUGS, which implements the two most important hierarchical MPT approaches for participant heterogeneity—the beta-MPT approach (Smith & Batchelder, Journal of Mathematical Psychology 54:167-183, 2010) and the latent-trait MPT approach (Klauer, Psychometrika 75:70-98, 2010). TreeBUGS reads standard MPT model files and obtains Markov-chain Monte Carlo samples that approximate the posterior distribution. The functionality and output are tailored to the specific needs of MPT modelers and provide tests for the homogeneity of items and participants, individual and group parameter estimates, fit statistics, and within- and between-subjects comparisons, as well as goodness-of-fit and summary plots. We also propose and implement novel statistical extensions to include continuous and discrete predictors (as either fixed or random effects) in the latent-trait MPT model. 相似文献
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An appreciation of object-centred spatial relations involves representing a 'within-object' spatial relation across changes in the object orientation. This representational ability is important in adult object recognition [Biederman, I. (1987). Recognition-by-components: A theory of human image understanding. Psychological Review, 94, 115-147; Marr, D., & Nishihara, H. K. (1978). Representation and recognition of the spatial organisation of three-dimensional structure. Proceedings of the Royal Society of London, Series B (Biological Sciences), 200, 269-294; Tarr, M. J., & Pinker, S. (1990). When does human object recognition use a viewer-centred reference frame? Psychological Science, 1, 253-256] and is also thought to be a fundamental component of the mature object concept [Piaget, J. (1954). The Construction of Reality in the Child. Routledge & Kegan-Paul: London, UK. (Originally published in French in 1937)]. An experiment is reported in which eighteen 4-month-old infants were familiarised to a specific spatial relation within an object, across six different orientations of the object. On subsequent test trials the object was presented to the infants in an entirely novel orientation. Between successive test trials the within-object spatial relation was alternated between novel and familiar. The infants demonstrated significant sensitivity of their looking to both the novelty of the stimuli and the order in which novel and familiar stimuli were presented. It is concluded that by 4 months of age infants are able to form object-centred spatial frames of reference. These findings are discussed in the light of our current understanding of the development of object representation during infancy. 相似文献