Effects of escape to alone versus escape to enriched environments on adaptive and aberrant behavior

Escape-maintained aberrant behavior may be influenced by two outcomes: (a) a break from the activity and (b) subsequent access to preferred activities. To assess this hypothesis, a treatment was developed that analyzed response allocation across two break options: break alone and break with access to preferred social activities. The break with preferred activities decreased aberrant behavior and increased appropriate behavior.     

Physical Medicine and Family Dynamics: The Dialectics of Rehabilitation

The relation between illness and the rehabilitation process, on the one hand, and family dynamics, on the other hand, is examined. A clinical-casework study conducted in three physical medicine settings generated an appreciation for interpersonal features of the patient's rehabilitation network. Four recurrent interactional-familial configurations were identified and discussed in terms of core dynamics, the persons involved, and the impact on rehabilitation progress. The phenomenology of disability was observed to be a central element in each of the four interpersonal situations. A dramatic finding was that if the rehabilitation of the disabled family member went sour, it was most frequently a sign that other family members were involved in some uncooperative strategy. Suggestions are made for future research and for more effective ways to involve the family.     

Children’s Memory for Temporal Information: The Roles of Temporal Language and Executive Function

Abstract

The ability to recall the temporal order of events develops much more slowly than the ability to recall facts about events. To explore what processes facilitate memory for temporal information, we tested 3- to 6-year-old children (N?=?40) for immediate memory of the temporal order of events from a storybook, using a visual timeline task and a yes/no recognition task. In addition, children completed tasks assessing their understanding of before and after and the executive functions of inhibition using the Day/Night Stroop task and cognitive shifting using the Dimensional Change Card Sort (DCCS) task. Older children (Mage?=?69.25?months) outperformed younger children (Mage?=?52.35?months) on all measures; however, the only significant predictor of memory for the temporal ordering of events was cognitive shifting. The findings suggest that the difficulty in memory for temporal information is related to development of a general cognitive ability, as indexed by the DCCS, rather than specific temporal abilities.     

INCREASING IMPLEMENTATION OF SPECIAL EDUCATION INSTRUCTION IN MAINSTREAM PRESCHOOLS: DIRECT AND GENERALIZED EFFECTS OF NONDIRECTIVE CONSULTATION

Two studies evaluated a consultation strategy for increasing teachers' implementation of instruction related to specific Individualized Education Plan objectives for handicapped children mainstreamed into regular preschool programs. In the first study, teachers viewed videotaped sequences of regular classroom routines and were asked to generate ideas for embedding IEP-related instruction into those routines. All teachers demonstrated increases in instructional behaviors in targeted routines, and 2 of the 3 teachers increased instruction in additional settings that had not been the focus of the consultation. Children demonstrated concomitant increases in IEP-targeted behaviors. In follow-up questionnaires and interviews, teachers reported increased confidence in their ability to implement specialized instruction. These findings were replicated in a second study in which the videotaping was replaced by teacher interview, and in which the consultation was carried out by a previously untrained special education teacher.     

Perversion: a clinical possibility

Abstract

Clinical work with perverse patients presents numerous difficulties to psychoanalysis, be that due to the characteristics typical of the perverse structure, which is founded on the mechanism of disavowal, or to the inefficiency of neutrality and free association in this kind of practice. A study of existing literature on the subject and a thorough examination of their own clinical findings led the authors to propose a different kind of strategy for dealing with transference that would make clinical work with these patients plausible and indicate options for the paralyzing position that is imposed on the analyst by the perverse patient in order to derange the analytic process. By proposing an alternative for the “semblance subject-supposed-knowledge,” the authors defend the idea that clinical work with perverse patients is possible, resulting in a subject less captive of the phantasmagoric scene.

Drummond S et al. Perversion: eine klinische Möglichkeit

Klinische Arbeit mit perversen Patienten bildet zahlreiche Schwierigkeiten für die Psychoanalyse, sei es wegen der Eigenart der perversen Struktur, welche durch den Mechanismus der Verleugnung begründet wird oder sei es wegen der Ineffektivität der Neutralität und freien Assoziation bei dieser Art von Praxis. Ein Studium der vorhandenen Literatur über das Thema und eine gründliche Überprüfung eigener klinischer Befunde führte die Autoren dazu, eine unterschiedliche Art von Strategie des Umgangs mit Übertragung vorzuschlagen. Das würde klinische Arbeit mit diesen Patienten plausibel machen und auf Optionen für die paralysierende Position hinweisen, die dem Analytiker durch den perversen Patienten aufgebürdet wird, um den analytischen Prozess zu stören. Ein Alternative für das “semblance subject-supposed knowledge” vorschlagend, verteidigen die Autoren die Idee, daß klinische Arbeit mit perversen Patienten möglich ist, mit dem Ergebnis eines Subjekts, welches weniger durch die phantasmagorische Szene gefesselt ist.

Drummond S et al. perversión: una posibilidad clínica.

El trabajo clínico con pacientes perversos presenta numerosas dificultades para el psicoanálisis, puede ser debido a las características típicas de la estructura perversa, fundamentado en le mecanismo de repudio, o debido a la ineficacia de la neutralidad y asociación libre en este tipo de práctica. Un estudio de la literatura existente sobre el tema y un examen completo de los hallazgos clínicos, llevó a los autores a proponer un tipo diferente de estrategia para el manejo de la transferencia, que pudiera hacer posible el trabajo clínico con estos pacientes, también indicar opciones para la situación de paralización que estos pacientes imponen al analista para desorganizar el proceso analítico. Con la proposición de una alternativa para la “semblance-subject-supposed knowledge(apariencia del sujeto-supuesto saber),” el autor defiende la idea de que el trabajo clínico con pacientes perversos es posible, resultando un asunto menos cautivo de la escena fantasmagórica.     

INCREASING SELF-DETERMINATION: TEACHING PEOPLE WITH MENTAL RETARDATION TO EVALUATE RESIDENTIAL OPTIONS

The community living preferences of 4 institutionalized adults with mild mental retardation were identified using photographs that depicted a variety of residential characteristics. Individuals then were taught to obtain information regarding their preferences during tours of community group homes, to report that information to their social worker, and to evaluate the homes based on the information obtained. A multiple baseline across participants design showed that all 4 participants substantially increased their skills at asking questions, reporting information, and evaluating homes. The results indicate that people with mental retardation can take an active role in major lifestyle decisions that others have typically made for them.