Effects of behavioral skills training on parental treatment of children's food selectivity

We used behavioral skills training to teach parents of 3 children with autism spectrum disorder and food selectivity to conduct a home-based treatment package that consisted of taste exposure, escape extinction, and fading. Parent performance following training improved during both taste sessions and probe meals and was reflected in increases in children's acceptance of bites and decreases in their disruptive behavior. Parents also reported that increases in diet variety were maintained at follow-up.     

Inhibitory control gains from higher-order cognitive strategy training

The present study examined the transfer of higher-order cognitive strategy training to inhibitory control. Middle school students enrolled in a comprehension- and reasoning-focused cognitive strategy training program and passive controls participated. The training program taught students a set of steps for inferring essential gist or themes from materials. Both before and after training or a comparable duration in the case of the passive controls, participants completed a semantically cued Go/No-Go task that was designed to assess the effects of depth of semantic processing on response inhibition and components of event-related potentials (ERP) related to response inhibition. Depth of semantic processing was manipulated by varying the level of semantic categorization required for response selection and inhibition. The SMART-trained group showed inhibitory control gains and changes in fronto-central P3 ERP amplitudes on inhibition trials; whereas, the control group did not. The results provide evidence of the transfer of higher-order cognitive strategy training to inhibitory control and modulation of ERPs associated with semantically cued inhibitory control. The findings are discussed in terms of implications for cognitive strategy training, models of cognitive abilities, and education.     

Decreasing Self-Injurious Behavior in a Student with Autism and Tourette Syndrome through Positive Attention and Extinction

This case study was conducted with a student diagnosed with autism and Tourette syndrome who displayed severe self-injurious behavior (SIB). We conducted a functional behavioral assessment which indicated that SIB was maintained by multiple functions using an ABAC design to determine the effect of positive social attention and extinction. Results show a considerable decrease in SIB incidents, particularly when session duration was reduced from 10 minutes to 5 minutes during the second intervention phase. Thus, the combination of contingent social attention formulated from the functional assessment and extinction was successful in bringing about significant decreases in SIB. This combination holds great promise as a nonintrusive positive strategy for SIB.     

Danger and safety: The analyst as analytic subject

Abstract

This paper considers questions of danger and safety in the analytic relationship in light of the contemporary recognition of analysis as a co-participatory process. In the interest of safety, the psychoanalyst has the responsibility to be persistently curious, particularly about the problems derived from his contact with the analysand. Information about the analyst's impact must be taken to heart; it must be experientially considered. As the process unfolds, the analyst presumes that a portion of its effect will be negative. The analyst aspires not to preempt all negative impact but to create an analytic environment in which the analysand's conscious and unconscious communications about impact may be attended to. The analyst's ability to receive such information is crucial in the establishment of a reliable process capable of addressing and surviving the unanticipated dangers that inevitably emerge and securing the analysand for further self articulation. The analyst can simultaneously attend to being the analyst and being a subject of analysis by regarding all communications from the analysand as representing, at least in part, interpretations of the analyst and the analyst's participation. Illustrative material is presented.     

Wellbeing through Self-Fulfilment: Examining Developmental Aspects of Self-Actualization

Self-actualization is described as an individual's expression of their full potential and a desire for self-fulfilment. It is the leading need in Maslow's hierarchical motivation theory (Maslow, 1943 Maslow , A. H. ( 1943 ). Conflict, frustration, and the theory of threat . Journal of Abnormal Social Psychology , 38 , 81 – 86 .[Crossref] , [Google Scholar]) which does not specify an age range for each level, believing that individuals progress through the hierarchy at different rates. However, he recognises older adults are more likely than young adults to be concerned with higher motivation (Maslow, 1970 Maslow , A. H. ( 1970 ). Motivation and personality . New York : Harper & Row . [Google Scholar]). Previous work has revealed that people over the age of 36 have a tendency to be concerned with higher motives and people under this age with lower motives (Reiss & Havercamp, 2005 Reiss , S. , & Havercamp , S. M. ( 2005 ). Motivation in a developmental context: A new method for studying self-actualization . Journal of Humanistic Psychology , 45 , 41 – 53 .[Crossref], [Web of Science ®] , [Google Scholar]). This study looks at the influence of age on the level of self-actualization and discovered that on 8 out of the 12 Personal Orientation Inventory (POI) scales, participants over the age of 36 showed higher levels of self-actualization than participants under the age of 36. These results indicate the relevance of developmental issues in this matter and back up the hypothesis that there is a relationship between one's age and levels of self-actualization. However, results also showed a degree of overlap of self-actualization scores across age groups, suggesting further research may find other important factors, beyond age, which have a relationship with self-actualization.     

Main and Interactive Effects of Distress Tolerance and Negative Affect Intensity in Relation to PTSD Symptoms among Trauma-Exposed Adults

The present investigation evaluated the main and interactive effects of distress tolerance and negative affect intensity in relation to posttraumatic stress disorder (PTSD) symptom severity and symptom cluster severity. Participants were 190 trauma-exposed adults (52.6 % women; M _age?=?25.3 years, SD?=?11.4) recruited from the community. Distress tolerance (i.e., perceived ability to withstand distressing emotional states) demonstrated significant incremental associations with global PTSD symptom severity as well as Re-Experiencing, Emotional Numbing, and Hyperarousal symptom cluster severity. Negative affect intensity (i.e., perceived intensity of negative emotional responses) demonstrated significant incremental associations with each of the PTSD symptom outcomes. Moreover, the incremental interactive effect of distress tolerance and negative affect intensity was significantly associated with PTSD symptom severity as well as PTSD—Emotional Numbing symptom cluster severity. These incremental effects were evident after accounting for the variance explained by anxiety sensitivity (i.e., fear of anxiety-related sensations). Post hoc probing analyses supported the moderating role of negative affect intensity in the association between distress tolerance and PTSD symptom severity, such that low levels of distress tolerance, in the context of elevated levels of negative affect intensity, were associated with the greatest levels of PTSD symptoms.     

Exile and bereavement

In this paper I describe the disruptions of external and internal reality in the experience of exile, the interplay of these, and the impact of bereavement in the context of trauma. I consider the factors which disturb the mourning process in such circumstances. I draw upon the psychoanalytic literature, particularly that related to the Holocaust and other ‘man-made disasters’, and upon my own clinical material. Particular attention is drawn to the importance of acknowledgment and containment, and to awareness of the symbolic value of traditional mourning practices.     

The Association Between Delirium and Cognitive Decline: A Review of the Empirical Literature

Delirium is a common neurobehavioral syndrome that occurs across health care settings which is associated with adverse outcomes, including death. There are limited data on long-term cognitive outcomes following delirium. This report reviews the literature regarding relationships between delirium and cognitive impairment. Psych Info and Medline searches and investigation of secondary references for all English language articles on delirium and subsequent cognitive impairment were carried out. Nine papers met inclusion criteria and documented cognitive impairment in patients following delirium. Four papers reported greater cognitive impairment among patients with delirium than matched controls. Four papers reported higher incidence of dementia in patients with a history of delirium. One study found 1 of 3 survivors of critical illness with delirium developed cognitive impairment. The evidence suggests a relationship between delirium and cognitive impairment, although significant questions remain regarding the nature of this association. Additional research on delirium-related effects on long-term cognitive outcome is needed.     

Associating versus proposing or associating what we propose: comment on Gawronski and Bodenhausen (2006)

This commentary highlights the strengths of the associative-propositional evaluation model. It then describes problems in proposing a qualitative separation between propositional and associative processes. Propositional processes are instead described as associative. Propositions are ordered associations, whereas many other associations do not depend on the order of the involved elements. Implications of this alternative definition for the phenomenology of thought and for social psychology are discussed.     

Is knowing believing? The role of event plausibility and background knowledge in planting false beliefs about the personal past

False memories are more likely to be planted for plausible than for implausible events, but does just knowing about an implausible event make individuals more likely to think that the event happened to them? Two experiments assessed the independent contributions of plausibility and background knowledge to planting false beliefs. In Experiment 1, subjects rated 20 childhood events as to the likelihood of each event having happened to them. The list included the implausible target event “received an enema,” a critical target event of Pezdek, Finger, and Hodge (1997). Two weeks later, subjects were presented with (1) information regarding the high prevalence rate of enemas; (2) background information on how to administer an enema; (3) neither type of information; or (4) both. Immediately or 2 weeks later, they rated the 20 childhood events again. Only plausibility significantly increased occurrence ratings. In Experiment 2, the target event was changed from “barium enema administered in a hospital” to “home enema for constipation”; significant effects of both plausibility and background knowledge resulted. The results suggest that providing background knowledge can increase beliefs about personal events, but that its impact is limited by the extent of the individual’s familiarity with the context of the suggested target event.