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).     

Performance of Mental Health Counselors in Integrated Primary and Behavioral Health Care

Integrated primary and behavioral health care (IPBH) is becoming a preferred mode of service delivery in the United States. Integrated care includes the participation of medical and mental health professionals, such as mental health counselors. The clinical outcomes of these professionals need to be studied to determine their effectiveness in such settings. We examined the performance of 10 mental health counselors on the clinical outcome of 1,747 clients treated in an IPBH center. Analyses using growth curve modeling and pre‐post test design revealed that mental health counselors were effective overall, but they differed in client dropout rates and efficiency in reducing clients' initial symptoms. We used the analyses to rank order counselors based on their effectiveness. Counselors who were the most effective varied in their efficiency but demonstrated the lowest client dropout rates. Implications for future research and counseling practice were discussed.     

Children's reasoning about responses to peer aggression: Victim's and witness's expected and prescribed behaviors

This research examined children's reasoning about expected (i.e., what a peer would do) and prescribed (i.e., what a peer should do) responses to unprovoked, intentional aggressive actions in two contexts: as a victim of such a transgression and as a witness to the incident. Physical harm and property damage items were used in a structured interview format. There were 90 subjects drawn from three elementary school grades (2nd, 4th, and 6th). Children differentiated between the expected and prescribed responses of peers and significant developmental differences in children's evaluations were found. Although the majority of the subjects in all grades denounced retaliation on the basis of concerns about others' welfare, older children stated that peers were likely to retaliate against the perpetrator nonetheless. Across different contexts, older children's responses appeared to reveal a greater independence from authority in negotiating peer interactions. In evaluating the witness's responses to aggressive acts, younger children's expected and prescribed responses were less disparate than that of the older children. The utility of including different vantage points of the child in examining children's social reasoning about aggression and the application of the present findings to social information-processing models are discussed. © 1996 Wiley-Liss, Inc.     

The quality of sucking in infants with colic

Feeding problems have been reported in infants with colic. The purpose of this study was to examine the nutritive sucking pattern of infants identified as having colic. Twenty-nine infants (16 with colic and 13 controls) between the ages of 1 to 3 months, being bottle-fed by their mothers, were observed by a blind examiner. We hypothesized that infants with colic would show greater disorganization in nutritive sucking and show greater variability in sucking rate than infants without colic, as assessed by the revised Neonatal Oral Motor Assessment Scale (NOMAS). Infants with colic were found to present a disorganized sucking pattern; namely, a lack of rhythmical movement and a difference in amount of sucks per burst than infants without colic. Methods of intervention are suggested.     

Economic optimization by compromise programming: The joint production model

In a basic microeconomic model (joint production and consumer's utility curves) three key optima appear: the best technological mix, the maximum profit point and the consumer's utility optimum. Compromise analysis can help to clarify their connections. This paper and other recent research attempt to specify the conditions which guarantee that these three optima coincide. Thus compromise programming becomes a valuable surrogate of economic optimization.     

Intercessory Prayer on Spiritual Distress,Spiritual Coping,Anxiety, Depression and Salivary Amylase in Breast Cancer Patients During Radiotherapy: Randomized Clinical Trial

The goal of this study was to assess the effect of intercessory prayer in the psychological, spiritual and biological scores of breast cancer patients who are undergoing radiotherapy. Double-blind RCT comprising a sample of 31 participants (15 in the Control Group and 16 in the Intervention Group). Data collection was performed in three time points (T₀, T₁ and T₂). Significant changes have been identified in the intra-group analysis, concerning the decrease in spiritual distress score; negative religious/spiritual coping prevailed, while the total religious/spiritual coping increased between the posttest T₂ to T₀. Intercessory prayer was effective in religious and spiritual scores.

     

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...