Extinction of a phobia of physical examination in a seven-year-old mentally retarded boy—A case study

Counterconditioning is a process in which aversive stimuli that ordinarily evoke emotional or avoidance responses are paired with positive stimuli which evoke incompatible activities. Several sets of operations have been employed to induce these incompatible activities (e.g. food, Jones, 1924; relaxation. Grossberg, 1964; positive imagery, Lazarus and Abramowitz, 1962; pharmacological agents, Friedman, 1966; laughter, Ventis, 1973).Although the Counterconditioning process has been successfully applied to a wide variety of emotional disorders, special problems arise when the procedure is applied to the mentally retarded. First, because of the limitations in cognitive abilities, it is generally impossible to train the subject in either relaxation or positive imagery processes. Consequently, it is necessary to place the child in direct contact with the anxiety-inducing situation. Secondly, it is often difficult to find an anxiety-free situation which is incompatible with the anxiety-arousing situation and which can be practically implemented, particularly when the phobia involved is complex.The purpose of this paper is to describe a case whereby a phobic response of physical examination by male doctors in a 7–yr-old mentally retarded boy was extinguished by pairing the examination with an anxiety-free situation, i.e. an extremely comfortable relationship between the patient and a nurse on the ward. Previous research had indicated that parents and people who have positive relationships with a person might possibly serve as effective anxiety reducers in fear-provoking situations (Jersild and Holmes, 1935).     

Clusters of Suicidal Events Among Young People: Do Clusters from One Time Period Predict Later Clusters?

We sought to compare clusters of suicidal events between two different time periods and examine the extent to which earlier clusters predict later clusters. We included data on suicides and suicide attempts from New South Wales between July 2001 and June 2012 and Western Australia between January 2000 and December 2011. Suicide attempts included admissions to hospital for deliberate self‐harm and suicides were deaths due to deliberate self‐harm. We combined data on suicides and suicide attempts and grouped them into two equal time periods. We detected clusters in each period using Poisson discrete scan statistics adjusted for socio‐economic status. We estimated the predictive values of earlier clusters on later clusters. The results showed that clusters from earlier time period had a moderate power (36%) in predicting later clusters. During the later time period, some additional cluster areas (14%) were found and some earlier cluster areas subsided (64%). Historical clusters predict 36% of the subsequent clusters, which is probably not sufficient for targeting interventions. Our study highlights the need for other strategies to detect emerging clusters, for example, up‐to‐date data.     

Precise Worlds for Certain Minds: An Ecological Perspective on the Relational Self in Autism

Topoi - Autism Spectrum Condition (ASC) presents a challenge to social and relational accounts of the self, precisely because it is broadly seen as a disorder impacting social relationships. Many...     

Yogicchakra symbols: Mirrors of the human mind/heart

This paper describes the classical understanding of the system ofchakras, or centers of spiritual energy, in tantric yoga. Eachchakra is presented in terms of its traditional understanding. Each is also discussed in the light of contemporary psychological stage theories of development, showing that thechakras can be seen as a model of spiritual development. The preoccupations, concerns, and attitudes associated with eachchakra are portrayed as a mirror of the human mind/heart when spiritual energy is concentrated at that location.She is also founder and chair of the board of Resources for Ecumenical Spirituality.     

Birkhoff-like sheaf representation for varieties of lattice expansions

Given a variety we study the existence of a class such that S1 every A can be represented as a global subdirect product with factors in and S2 every non-trivial A is globally indecomposable. We show that the following varieties (and its subvarieties) have a class satisfying properties S1 and S2: p-algebras, distributive double p-algebras of a finite range, semisimple varieties of lattice expansions such that the simple members form a universal class (bounded distributive lattices, De Morgan algebras, etc) and arithmetical varieties in which the finitely subdirectly irreducible algebras form a universal class (f-rings, vector groups, Wajsberg algebras, discriminator varieties, Heyting algebras, etc). As an application we obtain results analogous to that of Nachbin saying that if every chain of prime filters of a bounded distributive lattice has at most length 1, then the lattice is Boolean.We wish to thank Lic. Alfredo Guerin and Dr. Daniel Penazzi for helping us with linguistics aspects. We are indebted to the referee for several helpful suggestions. We also wish to thank Professor Mick Adams for providing us with several reprints and useful e-mail information on the subject.Suported by CONICOR and SECyT (UNC).