Establishing motion control in children with autism and intellectual disability: Applications for anatomical and functional MRI

Excessive motion makes magnetic resonance imaging (MRI) extremely challenging among children with autism spectrum disorder (ASD). The medical risks of sedation establish the need for behavioral interventions to promote motion control among children with ASD undergoing MRI scans. We present a series of experiments aimed at establishing both tolerance of the MRI environment and a level of motion control that would be compatible with a successful MRI. During Study 1, we evaluated the effects of prompting and contingent reinforcement on compliance with a sequence of successive approximations to an MRI using a mock MRI. During Study 2, we used prompting and progressive differential reinforcement of other behaviors (DRO) to promote motion control in a mock MRI for increasing periods of time. Finally, during Study 3, some of the participants underwent a real MRI scan while a detailed in‐session motion analysis informed the quality of the images captured.     

The Application of Cortical Arousal Assessment to Control Neuromuscular Fatigue During Strength Training

The author's aim was to analyze the cortical arousal response during a conventional strength training session as a method to assess central nervous system fatigue. Sixteen trained men were recruited to perform the maximum number of training series composed of 6 exercises of 10 repetition each, at the intensity of 70% of the 1 maximum repetition, with a rest period of 2 min between exercises and 5 min between series, until exhaustion. Cortical arousal was measured using the critical flicker fusion threshold before, after warm-up, after each exercises series, after the recovery phase between series, and 15 min and 30 min after finishing the training session. Participants could not finish the fourth series of exercise, corresponding with a significant decrease of cortical arousal respect to the warm-up value. The assessment of cortical arousal using CFFT during a strength training session could be a fast and efficient method for assessing central nervous fatigue. Practically, coaches could modify the training protocol according to the individual cortical arousal response in order to improve training efficiency and prevent injuries.     

Beyond Realism and Moralism: A Defense of Political Minimalism

What is the relationship between morals and politics? What is the relationship between moral philosophy and political philosophy? Defenders of political moralism postulate moral aims or constraints for politics, and hence they see political philosophy as a chapter of moral philosophy. Contrastingly, advocates of political realism describe politics as an independent endeavor aiming at providing order and security, and conceive of political philosophy as an autonomous discipline. This article claims that political moralism and political realism share the mistake of assuming that politics has substantial, permanent goals or constraints. After criticizing political substantialism, the article explains the main ingredients of its alternative, political minimalism: (1) the idea that politics, understood as collective instrumental rationality, aims at providing adequate means for the accomplishment of people's goals, whatever these are; and (2) the conception of the relationship between morality and politics as one of “reciprocal containment.” Finally, it addresses some foreseeable criticisms of political minimalism.     

Is place-value processing in four-digit numbers fully automatic? Yes,but not always

Knowing the place-value of digits in multi-digit numbers allows us to identify, understand and distinguish between numbers with the same digits (e.g., 1492 vs. 1942). Research using the size congruency task has shown that the place-value in a string of three zeros and a non-zero digit (e.g., 0090) is processed automatically. In the present study, we explored whether place-value is also automatically activated when more complex numbers (e.g., 2795) are presented. Twenty-five participants were exposed to pairs of four-digit numbers that differed regarding the position of some digits and their physical size. Participants had to decide which of the two numbers was presented in a larger font size. In the congruent condition, the number shown in a bigger font size was numerically larger. In the incongruent condition, the number shown in a smaller font size was numerically larger. Two types of numbers were employed: numbers composed of three zeros and one non-zero digit (e.g., 0040–0400) and numbers composed of four non-zero digits (e.g., 2795–2759). Results showed larger congruency effects in more distant pairs in both type of numbers. Interestingly, this effect was considerably stronger in the strings composed of zeros. These results indicate that place-value coding is partially automatic, as it depends on the perceptual and numerical properties of the numbers to be processed.     

The Communication and Bioethical Training (CoBiT) Program for assisting dialysis decision-making in Spanish ACKD units

Healthcare professionals currently working in Advanced Chronic Kidney Disease (ACKD) units must cope with difficult situations regarding assisting patients with the dialysis decision-making process, and they are often untrained for these conversations. Although we have evidence from the literature that these skills can be learned, few professionals feel confident in this area. A Communication and Bioethical Training (CoBiT) Program for ACKD staff (physicians, nurses and allied health professionals) was developed to improve their ability and self-confidence in conducting these conversations. A four-stage study was conducted: (1) development of the CoBiT program, beginning with the creation of an interdisciplinary focus group (N = 10); (2) design of a questionnaire to assess self-confidence based on the areas identified by the focus group. The face validity of the instrument was tested using an inter-judge methodology (N = 6); (3) design of the format and contents of the program; (4) piloting the program. Thirty-six health professionals took an 8-h workshop based on role-playing methodology. Participants assessed their self-confidence in their communication skills before and after the program using self-report measures. The results show that after the program, participants reported significantly higher levels of self-confidence measured with a five-point Likert scale (p < 0.001). Participants felt that communication with colleagues of other professions significantly increased after the workshop (p = 0.004). The CoBiT program improves ACKD Unit healthcare professionals’ self-confidence in their ability to perform a specific communication task.     

The contrast between permissions to act and permissions to believe

There is an interesting contrast between permissions to act and permissions to believe. Plausibly, if it is permissible to believe something from a perspective with incomplete evidence, it cannot become impermissible to believe it from a second perspective with complete evidence. In contrast, it seems that something permissible to do for an agent in a perspective with limited evidence can become impermissible in a second perspective in which all the relevant evidence is available. What is more, an agent with incomplete evidence may be permitted to do something that she knows would be impermissible if she occupied a perspective of complete evidence. In this paper, I argue that this contrast is explained by a disanalogy between the role played by belief in epistemic deliberation and the role played by action in practical deliberation. Epistemic deliberation may be closed by adopting other attitudes than belief (e.g. accepting some hypothesis as the most likely one), whereas in general, practical deliberation can only be closed by endorsing some course of action. Thus, when there are pressures to close some practical deliberation, agents have to make a decision about what to do even if they lack relevant information. By contrast, lacking relevant evidence, agents may always refrain from forming a belief and close instead their epistemic deliberation by adopting some other attitude.     

Gender differences in alcohol dependence: personality variables, psychopathological profile and personality disorders

In this paper, gender differences in personality, psychopathology and personality disorders of alcohol-dependent patients are described. The sample consisted of 158 alcohol-dependent patients attending a psychiatric outpatient clinic (105 men and 55 women). All participants were assessed with various assessment tools related to personality (Impulsiveness Scale, Sensation Seeking Scale and STAI), psychopathology (SCL-90-R, BDI and Inadaptation Scale) and personality disorders (IPDE). There were no differences in personality variables, but the women had more anxiety and depressive symptoms and also more problems to adapt to everyday life than did the men. Personality disorders were not as prevalent as in the case of men, and the most frequent among women were obsessive-compulsive, dependent and histrionic personality disorders. Implications of this study for further research are commented on.     

Physical activity, sedentary leisure, short sleeping and childhood overweight

In this study, using the path analysis, the relation between physical activity, non-regulated activity, sedentary leisure, hours of sleeping, and the body mass index (BMI) was analyzed. The sample was made up of 103 students, 59 girls and 44 boys, aged between 9 and 10 1/2 years. An individual interview was performed in which the children were asked about the TV programs they watched each day of the week; the time they played with the console and the computer; the time dedicated to sports, games and other activities. The results showed that sedentary leisure (number of hours of TV, computer and console) maintains a significant and inverse relation with the hours of sleeping, non-regulated activity (games and others activities), and physical sport activity. The difference between the results of this study and the previous one is discussed, taking into account the recruitment procedure of the participants.     

Variability in the semantic errors produced by brain-injured patients

One of the most common types of errors produced by aphasic patients during oral word production is semantic errors. However, although aphasia semantic errors are often treated as a single homogenous group, there are, in fact, several subtypes defined by the nature of the error-target relationship: paradigmatic, if the two words are category coordinates; syntagmatic, if they are associatively related but from different semantic categories; and superordinate, if the meaning of the error is broader than the meaning of the target. The goal of this study was to investigate whether or not these various subtypes of semantic errors have a similar processing origin. With this objective, we compared the patterns of semantic errors made by a group of Alzheimer patients in a picture-naming task with those made by a group of aphasic patients. We examined the percentages of the different error types, the degree of association between target and error, and the frequency values both of errors and targets. The results suggest that the three subtypes of semantic errors have different origins: the superordinate appear to arise at the semantic level, the syntagmatic at the lexical level, and the paradigmatic at both levels of processing.