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121.
Auto-aggressive individuals have a higher likelihood of engaging in interpersonal violence, and vice versa. It is unclear, however, whether ward circumstances are involved in determining whether aggression-prone patients will engage in auto-aggressive or outwardly directed aggressive behavior. The current study focuses on the situational antecedents of self-harming behavior and outwardly directed aggression of psychiatric inpatients. Inwardly and outwardly aggressive behavior were monitored on a locked 20-bed psychiatric admissions ward for 3.5 years with the Staff Observation Aggression Scale-Revised (SOAS-R). A map of the ward was attached to each SOAS-R form, enabling staff members to specify locations of aggressive incidents. Time of onset, location, and provoking factors of auto-aggressive incidents were compared to those connected to aggression against others or objects. Of a total of 774 aggressive incidents, 154 (20%) concerned auto-aggressive behavior. Auto-aggression was significantly more prevalent during the evening (i.e., 50% compared to 32%), and reached its highest level between 8 and 9 P.M. (17% compared to 7%). The majority of self-harming acts (66%) were performed on patients' bedrooms. Outwardly directed aggression was particularly common in the day-rooms (24%), the staff office (19%), the hallways of the ward (14%), and the dining rooms (10%). Provoking factors of auto-aggressive behavior are less often of an interactional nature compared to outwardly directed aggression. The results suggest that a lack of stimulation and interaction with others increases the risk of self-injurious behavior. Practical and testable measures to prevent self-harm are proposed. 相似文献
122.
When timing the mind one should also mind the timing: biases in the measurement of voluntary actions
Trevena and Miller (2002, this issue) provide further evidence that readiness potentials occur in the brain prior to the time that participants claim to have initiated a voluntary movement, a contention originally forwarded by Libet, Gleason, Wright, and Pearl (1983). In their examination of this issue, though, aspects of their data lead them to question whether their measurement of the initiation of a voluntary movement was accurate. The current article addresses this concern by providing a direct analysis of biases in this task. This was done by asking participants to make subjective timing decisions regarding a stimulus that could be measured objectively. Our findings suggest that their timing task was indeed biased such that participants' tend to report events as happening approximately 70 ms later than they actually happened. Implications for the original Libet et al. claims are discussed. 相似文献
123.
van de Grind W 《Consciousness and cognition》2002,11(2):241-64; discussion 308-13
The conclusions drawn by Benjamin Libet from his work with colleagues on the timing of somatosensorial conscious experiences has met with a lot of praise and criticism. In this issue we find three examples of the latter. Here I attempt to place the divide between the two opponent camps in a broader perspective by analyzing the question of the relation between physical timing, neural timing, and experiential (mental) timing. The nervous system does a sophisticated job of recombining and recoding messages from the sensorial surfaces and if these processes are slighted in a theory, it might become necessary to postulate weird operations, including subjective back-referral. Neuroscientifically inspired theories are of necessity still based on guesses, extrapolations, and philosophically dubious manners of speech. They often assume some neural correlate of consciousness (NCC) as a part of the nervous system that transforms neural activity in reportable experiences. The majority of neuroscientists appear to assume that the NCC can compare and bind activity patterns only if they arrive simultaneously at the NCC. This leads to a search for synchrony or to theories in terms of the compensation of differences in neural delays (latencies). This is the main dimension of the Libet discussion. Examples from vision research, such as "temporal-binding-by-synchrony" and the "flash-lag" effect, are then used to illustrate these reasoning patterns in more detail. Alternatively one could assume symbolic representations of time and space (symbolic "tags") that are not coded in their own dimension (not time in time and space in space). Unless such tags are multiplexed with the quality message (tickle, color, or motion), one gets a binding problem for tags. One of the hidden aspects of the discussion between Libet and opponents appears to be the following. Is the NCC smarter than the rest of the nervous system, so that it can solve the problems of local sign (e.g., "where is the event"?) and timing (e.g., "when did it occur?" and "how long did it last?") on its own, or are these pieces of information coded symbolically early on in the system? A supersmart NCC appears to be the assumption of Libet's camp (which includes Descartes, but also mystics). The wish to distribute the smartness evenly across all stages of processing in the nervous system (smart recodings) appears to motivate the opponents. I argue that there are reasons to side with the latter group. 相似文献
124.
Nieuwenhuis S Ridderinkhof KR Talsma D Coles MG Holroyd CB Kok A van der Molen MW 《Cognitive, affective & behavioral neuroscience》2002,2(1):19-36
When participants commit errors or receive feedback signaling that they have made an error, a negative brain potential is elicited. According to Holroyd and Coles’s (in press) neurocomputational model of error processing, this error-related negativity (ERN) is elicited when the brain first detects that the consequences of an action are worse than expected. To study age-related changes in error processing, we obtained performance and ERN measures of younger and high-functioning older adults. Experiment 1 demonstrated reduced ERN amplitudes in older adults in the context of otherwise intact brain potentials. This result could not be attributed to uncertainty about the required response in older adults. Experiment 2 revealed impaired performance and reduced response- and feedback-related ERNs of older adults in a probabilistic learning task. These age changes could be simulated by manipulation of a single parameter of the neurocomputational model, this manipulation corresponding to weakened phasic activity of the mesencephalic dopamine system. 相似文献
125.
Two studies are reported which aimed to examine the relationship between phonological sensitivity and the acquisition of new words that systematically differed in the familiarity of their sound structures. In the first study measures of phonological sensitivity, phonological short-term memory, vocabulary, and nonverbal ability were administered to forty-one 5-year-old children. Phonological sensitivity was related to the paired-associate learning of phonologically unfamiliar words, but not to the learning of familiar words. In the second study a group of 14 nonreading 5-year-old children received phonological sensitivity training. A control group was trained in semantic categorization. After the training, the phonological sensitivity group did perform better on measures of letter knowledge and phonological sensitivity (rhyme and first-sound categorization) and appeared to learn phonologically unfamiliar words more easily. The findings of both studies suggest that phonological sensitivity can support the acquisition of novel words. 相似文献
126.
van Schoor EP 《International journal of group psychotherapy》2000,50(4):437-454
A deep strain of individualism permeates American culture, rooted in the political-economic ideology of capitalism. The ideal of a self-governing individual is promoted, independent from social, historical, and cultural forces, whose thoughts and emotions are located within the construct of a masterful self, ready to be filled and expanded. This article traces the influence of self-liberatory ideology in American group psychotherapy through the religious revivalist and Mental Hygiene movements. The "progressivism" of pioneering group theorists is examined in terms of revisionist psychology and self-liberatory practice. Psychodrama and T-groups are demonstrated to be precursors to the encounter group movement in which the belief in self-liberation reached its zenith. Early group analytic approaches are seen to eschew transpersonal and group dynamic processes. 相似文献
127.
van der Veer R 《Journal of the history of the behavioral sciences》2000,36(2):109-126
In this paper early work of the American rehabilitation psychologist Tamara Dembo (1902-1993) is brought to light. She was highly influenced by the concepts of Kurt Lewin's topological psychology, and she used the framework of topological psychology to analyze her investigations on animal behavior carried out with the Dutch zoopsychologist Frederik J. J. Buytendijk. These investigations have so far been ignored and are being described for the first time making use of archival materials. 相似文献
128.
Hagopian LP Crockett JL van Stone M DeLeon IG Bowman LG 《Journal of applied behavior analysis》2000,33(4):433-449
This study examined the effects of noncontingent reinforcement (NCR) with and without extinction on problem behavior and stimulus engagement (consumption of reinforcement) of 4 participants. Reductions in problem behavior using NCR have frequently been attributed to both satiation of the reinforcer and extinction. In the current study, aspects of the NCR treatment effects were difficult to explain based solely on either a satiation or an extinction account. Specifically, it was found that stimulus engagement remained high throughout the NCR treatment analysis, and that problem behavior was reduced to near-zero levels during NCR without extinction. The implications of these findings are discussed with respect to the satiation and extinction hypotheses frequently described in the applied literature. Findings from basic studies examining the effects of response-independent schedules are presented, and are used as the basis for a matching theory account of NCR-related effects. It is proposed that reductions in problem behavior observed during NCR interventions may be a function of the availability of alternative sources of reinforcement. 相似文献
129.
Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on health care expenses that calls for ahealth care policy that could imply limitations for the professionalautonomy of physicians; 3) a distorted understanding of theprofession as being based on a formal type of knowledge and relatedtechnology, in which other normative dimensions of medical practice areneglected and which frustrates meaningful communication betweenphysicians and patients. To answer these threats a normative structureanalysis of medical practice is presented, that indicates whichprinciples and norms are constitutive for medical practice. It isconcluded that professional autonomy, normatively understood, should bemaintained to avoid the lure of the technological imperative and toprotect patients against third parties' pressure to undertreatment.However, this professional autonomy can only be maintained if members ofthe profession subject their activities and decisions to a criticalevaluation by other members of the profession and by patients and ifthey continue to critically reflect on the values that regulate today'smedicine. 相似文献
130.