FUNCTIONAL COMMUNICATION TRAINING WITH AND WITHOUT EXTINCTION AND PUNISHMENT

Functional communication training has been reported to be a promising treatment for severe behavior problems. In this study, functional communication training alone and combined with extinction and/or punishment was evaluated for 4 clients with severe retardation, behavior problems, and communication deficits. The participants were inpatients on a hospital unit for treatment of severe behavior disorders. They received individualized interventions based on functional assessment that included reinforcement of a communication response with the same function as their destructive behavior. Results showed that for some patients, functional communication training was not sufficient to produce clinically significant reductions in destructive behavior, and the combination of training plus punishment produced the largest and most consistent reductions.     

Ritual and vulnerability

Crises are viewed as direct challenges to one's communal patterns of living. The individual response to crisis(-es) is mediated by the grand rituals of the culture. Ritual behaviors are adaptive behaviors. For the religious community, ritual becomes liturgy. Rite-as-liturgy is a profound statement about the meeting of the human and the divine. Ritual behaviors are understood as liturgical and/or sacramental responses to those crises that bring one to the brink of chaos.     

Family therapy with problem drinkers and drug takers: A pilot follow-up study

We report a retrospective outcome study of 36 problem drinkers and/or drug takers, treated with structural-strategic family therapy. The interval between treatment and follow-up varied from six months to two years. Follow-up data was available on 34 cases. Twenty had a pure alcohol problem and of these 18 had a good outcome at follow up. Five had a mixed drug/alcohol problem; of these all were free from problem drinking and four had become abstinent from drugs at follow-up. Of the nine patients with a pure drug problems, eight were abstinent from drugs at follow-up. Given the retrospective nature of this study and the lack of control data, these results must remain impressionistic but the implications of the findings are discussed.     

Gibsonian representations and connectionist symbol processing: Prospects for unification

Summary Not long ago the standard view in cognitive science was that representations are symbols in an internal representational system or language of thought and that psychological processes are computations defined over such representations. This orthodoxy has been challenged by adherents of functional analysis and by connectionists. Functional analysis as practiced by Marr is consistent with an analysis of representation that grants primacy to a stands for conception of representation. Connectionism is also compatible with this notion of representation; when conjoined with functional analysis, it provides a means of analyzing psychological systems in term of rules and representations without becoming committed to symbolism. Direct theorists, who rejected the orthodox symbolist conception of representation because it violated their strictures against cognitive mediational mechanisms, should find it possible to accept rules-and-representations and information-processing analyses of the mechanisms of information pickup couched in terms of functional analysis.     

Feigned insanity in nineteenth-century America: Tactics,trials, and truth

Feigned insanity in nineteenth-century America is appraised through a review of the medical and legal literature. The authors focus on the explanations for feigning, procedures used in uncovering feigning, and the role of feigning in the courtroom. This discussion of feigned insanity demonstrates the remarkable consistency of approach to this form of malingering over the past 200 years.     

“This project is mad”: Descartes,Derrida, and the notion of philosophical crisis

In “Cogito and the History of Madness,” Derrida maintains that crisis is endemic to philosophy rather than being, as Husserl forcefully argued, a temporary condition that can and must be overcome through the resources of reason. A reflection on the place of madness in Descartes's Meditations serves as the point of departure for demonstrating that Derrida has done an injustice to philosophy; and a comparison of Derrida's views with the thought of Husserl, Heidegger, and Nietzsche reveals that Derrida's position in “Cogito and the History of Madness” entails a sacrifice of the notion of responsibility that lies at the center of meaningful historical action.     

Object identification without foveal vision: Evidence from an artificial scotoma paradigm

The purpose of the present study was to investigate the degree to which foveal information is necessary for object identification. To explore this question, we used an artificial moving scotoma paradigm to eliminate a region of a currently viewed display in real time as a function of eye position. Subjects examined linear arrays of four line drawings of objects while their eye movements were recorded. Immediately following each array, a test probe was presented to test the degree to which the subject had identified those objects. Three conditions were compared, one in which a central foveal scotoma was created, one in which an extrafoveal scotoma was created, and a control condition in which the scotoma was absent. The main result was that identification accuracy was very good, but eye-movement behavior was disrupted when a foveal scotoma was present. These results suggest that foveal information is not necessary but is beneficial for perceptual encoding during object identification; the loss of foveal information can be overcome as long as compensatory extrafoveal processing is possible.     

DIRECT AND COLLATERAL EFFECTS OF RESTRAINTS AND RESTRAINT FADING

Mechanical restraints are commonly used to reduce the risks associated with severe self-injurious behavior (SIB), but may result in movement restriction and adverse side effects (e.g., bone demineralization). Restraint fading may provide a method for decreasing SIB while increasing movement and reducing these side effects. In the current investigation, rigid arm sleeves and restraint fading (gradually reducing the rigidity of the sleeves) were used with 3 clients who engaged in hand-to-head SIB. Restraints and fading reduced the hand-to-head SIB of all clients. However, for 1 client, the addition of a water mist procedure further reduced SIB to near-zero levels. For a 2nd client, another form of SIB developed that was not prevented by the rigid sleeves. For a 3rd client, a topography of SIB that was not physically prevented by the rigid sleeves was also reduced when restraints and fading were introduced.