Natural sequence of recovery from child post-traumatic amnesia: A retrospective cohort study

The aim of this study was to determine the sequence of skills recovery during post-traumatic amnesia (PTA) in children with moderate to severe traumatic brain injuries (TBIs). Setting: Fifty children aged 8 to 15 years consecutively admitted to a children’s hospital with TBI and PTA>24 were tested in a retrospective cohort study where the main measure was the Westmead PTA Scale (WPTAS). The group analyses show that orientation to time took longer to recover than orientation to person and place, but not memory, while the individual analyses revealed that when orientation to time was grouped with memory, 94% of children recovered orientation to person and place before orientation to time and memory (examiner and pictures). Correlation coefficients between age and the number of days taken to recover skills were not found to be significant. It was established that, in terms of the natural sequence of skills recovery in children aged 8 to 15 years following moderate to severe TBI, recovery of orientation to time is more closely aligned to memory than to orientation to person and place. It was also established that WPTAS items are developmentally appropriate for children aged 8 to 15 years who have sustained TBI. These findings are clinically important because monitoring recovery from PTA both impacts the rehabilitation offered to individuals during acute care and aids discharge planning.     

Self‐Regulation and Power: How Self‐Regulatory Failures Can Enhance Social Power

Low self‐control is often associated with poor life outcomes. Here, we propose that self‐control failures may also provide social benefits by signaling and maintaining power. We identify several pathways by which reduced self‐control can assist in ascending social hierarchies. First, the self‐enhancing tendencies adopted by people with low self‐control may contribute to making positive first impressions and advertising power to new acquaintances. The direct and disinhibited communication styles that stem from self‐control failures may also enhance power and lubricate difficult social interactions. Disinhibited aggression can help people maintain and acquire material resources and establish dominance over rivals. Finally, the parallels between the behavior of people with low self‐control and people with power (e.g., self‐enhancement, disinhibition, approach‐orientation, aggression) suggest that people with impaired self‐control will be perceived as more powerful than people with intact self‐control. Evidence for these propositions and directions for future research are discussed.     

From Dispositions to Goals to Ideology: Toward a Synthesis of Personality and Social Psychological Approaches to Political Orientation

We review existing research on the associations between political orientation and Big Five traits such as Openness to Experience and Conscientiousness. We suggest that analyzing these traits at the aspect level sheds light on motivational mechanisms underlying these links. For example, we present evidence that only one of the two aspects of Conscientiousness (“Orderliness”) reliably predicts conservatism. To account for this relationship, and to more generally describe how traits translate into political orientation, we present a new model, the Disposition‐Goals‐Ideology (DiGI) Model. The DiGI model outlines specific interrelationships among dispositions, goals, and ideological beliefs that help to shape individual differences in political orientation.     

A Mixed Methods Study of the Stages of Implementation for an Evidence-Based Trauma Intervention in Schools

A mixed methods study was conducted to examine the implementation process of 26 urban school-based mental health clinics that took part in a training and implementation support program for an evidence-based school trauma intervention. Implementation process was observed using the Stages of Implementation Completion (SIC) measure. Qualitative interviews were conducted with clinic leaders in order to gain insight into clinic processes related to the SIC. Results showed that almost all of the clinics engaged in some activities related to pre-implementation (engagement, feasibility, and readiness), but only 31% of the sites formally started delivering the program to youth. Completing more pre-implementation activities, particularly those related to readiness, predicted program start-up. Qualitative analysis comparing those that implemented the program to those that did not revealed critical differences in decision-making processes, leadership strategies, and the presence of local champions for the program. This study documented the patterns of clinic behavior that occurs as part of large-scale training efforts, suggests some unique challenges that occur in schools, and highlights the importance of engaging in particular implementation activities (i.e., readiness planning, stakeholder consensus and planning meetings) as part of program start-up. Findings indicate that pre-implementation and readiness-related consultation should be employed as part of broad-scale implementation and training efforts.     

A Comparison of the 1988 and 1994 Diagnostic Criteria for Chronic Fatigue Syndrome

Chronic Fatigue Syndrome (CFS) is an illness that involves severe, prolonged fatigue as well as neurological, immunological, and endocrinological system pathology. Because the pathogenesis of CFS has yet to be determined, case definitions have relied on clinical observation in classifying signs and symptoms for diagnosis. In an attempt to address various criticisms and inconsistencies in diagnostic criteria, there have been several revisions of the CFS case definition. The current investigation examined the differences between 1988 and 1994 definitions as well as participants who had a psychiatric explanation for their fatigue. Dependent measures included psychiatric comorbidity, symptom frequency, and functional impairment. The 1988 criteria, compared to the 1994 criteria, appeared to select a group of participants with more symptomatology and functional impairment, but these groups did not significantly differ in psychiatric comorbidity. Implications of these findings are discussed.     

Intruding male red swamp crayfish,Procambarus clarkii,immediately dominate members of established communities of smaller,mixed-sex conspecifics

The effects of competing asymmetries (intruder size advantage vs. prior residence) on dominance relationships were investigated in a laboratory setting. Sexually mature (Form I) male red swamp crayfish, 25%-27% larger than the average member of several mixedsex communities of 20-25 sexually mature conspecifics, individually intruded upon these communities on successive days. Each community was invaded once a day, with each of these large intruders invading every community once during the experiment. Five days after the last large intruder invasion, novel intruder group males, approximately the same size as the average community member, individually invaded the same communities, all communities being invaded once during a single day of testing. These novel intruders were used to differentiate the effects of intruder size from those effects of being put into a novel environment. During each intrusion, the frequencies of dominance, submission, aggressive standoffs, and nonaggressive interactions between the intruder and members of the community were recorded. The large intruders on each day immediately and virtually completely dominated all encountered community members, and the large intruders were significantly more dominant than the novel, smaller-sized intruders. The size advantage of the large intruders overwhelmed prior residence in influencing dominance outcomes, even in these well established communities. © 1995 Wiley-Liss, Inc.     

TRUTH AND METATHEORY IN FREGE

In this paper it is contended, against a challenging recent interpretation of Frege, that Frege should be credited with the first semi-rigorous formulation of semantic theory. It is argued that the considerations advanced against this contention suffer from two kinds of error. The first involves the attribution to Frege of a sceptical attitude towards the truth-predicate. The second involves the sort of justification which these arguments assume a classical semantic theory attempts to provide. Finally, it is shown that Frege was in fact mindful of the need for the relevant sort of justification.     

Effects of providing sensory stimulation to decrease self-stimulatory behavior: using additional food to suppress hand-mouthing behavior

This study describes the use of sensory stimulation to reduce self-stimulatory behavior of hand mouthing by an institutionalized adult male with profound developmental disabilities. The data showed that when an extra amount of food was presented to eat at meal time, the mouthing behavior decreased quickly to an appreciably lower level. Results suggested that additional food could effectively reduce hand-mouthing behavior in a short period of time if it served a similar function—to provide preferred sensory reinforcers to the individual. An interesting phenomenon which had been observed in this study was a shift in sensory stimulatory behavior or sensory reinforcer from one form to another. While hand mouthing was decreasing, vocalization seemed to be increasing. The advantages of providing additional food as a treatment strategy are discussed with reference to other studies using response inhibition to treat hand mouthing behavior. © 1997 John Wiley & Sons, Ltd.