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).     

Hemispheric differences in processing visual patterns

The dichotomies verbal/visuospatial, serial/parallel and analytic/holistic are reviewed with respect to differences in hemispheric processing. A number of experimental parameters may be varied in such tasks, and together with certain frequently-occurring weaknesses of experimental design may account for the often discrepant results hitherto reported. The above factors are systematically reviewed, and three further experiments are reported which attempt to fill in the missing designs. Further evidence is given in support of the hypothesis that right-hemisphere superiority is most apparent in processes leading to identity matching. It is quantitative rather than qualitative, and may depend upon operations on the entire gestalt, such as holistic matching, mental rotation, reflection, distortion, etc., rather than, e.g., simultaneous (parallel) processing of discretely analysed or isolated features or elements. On the other hand left-hemisphere involvement in visuospatial processing is thought to reflect analysis of the configuration into its separable components; such processing may be either serial or parallel, and may frequently lead to a judgement different.     

The use of on-line computers in psychobiology

This paper examines several areas in the use of laboratory computers in psychobiology, specifically how they are being used, the problems in languages and software, in interfacing computers to experimental configurations, and in the hardware involved. The paper defines the experimental tasks and data requirements which tend to distinguish computer usage in physiological research from other areas of psychology and the tasks which absolutely necessitate the use of a computer and in what mode. Finally we present our views of the dangers of computer use and misuse and make our own subjective evaluation of how well computers are living up to their end of the bargain, how well scientists are doing at their end, and where we should go from here.     

A CULTURAL EVOLUTIONARY APPROACH TO MODERNITY: WHAT MIGHT IT MEAN FOR CHRISTIAN FAITH?

This essay introduces, for theological consideration, some recent work in the field of cultural evolutionary theory, specifically the kin-influence hypothesis. This theory holds that, following the beginnings of industrialization and economic growth, a nation's fertility rate commences a decline, which is further abetted by the consequent and increasing imbalance in the relative influence of kin versus nonkin influences on individuals in favor of the latter. It is further proposed that this process is itself a major independent factor in the emergence of many of the features of what is called modernity, among which is that of secularization. Extending further this work, I argue that, given the historic alignment of family and religious values in Christian nations, a loss of religious belief and practice is, at least in part, the spill over effect of the opposing influence of values emerging from ever more dominant nonfamily social interaction. I conclude with some reflections on possible theological implications.     

Family interaction: A process model of deviancy training

A model was presented describing the reciprocal influence of disruptions in parent discipline practices on irritable exchanges between the target child and other family members. Disrupted parent discipline and irritable microsocial exchanges within the family were hypothesized to provide a basic training for aggression that generalizes to other settings such that the child is identified by peers, teachers, and parents as physically aggressive. Physical fighting was thought to lead to rejection by the normal peer group, which was hypothesized to feed back to further exacerbate fighting. Multilevel assessment including interview, questionnaires, laboratory studies, and home observations were carried out with the families of 91 preadolescent and adolescent boys. Nine indicators from the assessment battery were used to define the constructs Inept Parental Discipline, Negative Microsocial Exchanges, Physical Fighting, and Poor Peer Relations. Structural equations (LISREL VI) were used to describe the relations among the constructs. The t values for the path coefficients were significant. A chi-square analysis showed an acceptable fit between the model and the empirical findings. The findings were interpreted as being consistent with the hypothesis that under certain circumstances, family interaction may serve as basic training for aggression. In the present study, interactions with siblings in the home seemed to serve a pivotal role.     

Influences on responsiveness: Interactions between mothers and their premature infants

The responsiveness of mothers to their infants has been found to make an important contribution to children's development. Mothers' cognitive ability, emotional state, and life stresses may influence their responsiveness, as may the medical condition of their infants. The patterns of influence may vary between groups of children with different biological risk conditions and should be examined carefully to determine intervention points for different groups. Forty mothers and their 3-month-old (corrected age) infants with intraventricular hemorrhage (IVH) were observed in free play. Mothers' depressive symptoms, cognitive skills, and the degree of infants' IVH were assessed and expected to be influences on mothers' responsiveness. Results indicated that mothers' depressive symptoms and cognitive skills were associated with their responsiveness, but that depressive symptoms were the stronger predictor. Post hoc analyses suggested that socioeconomic status and depressive symptoms may have related effects on mothers' behavior.     

Relationships Among Emerging Adult Psychological Problems,Maltreatment, and Parental Psychopathology: Moderation by Parent–Child Relationship Quality

Current research supports clear relationships between parental psychopathology, parental maltreatment, and emerging adult child psychopathology. Less research has examined how the role of the parent–child relationship influences these existing associations. The current study tested two models that examined the moderating effect of parent–child relationship quality on parental psychopathology and emerging adult mental health as well as the effect on parental maltreatment and emerging adult mental health. It was expected that high parent–child relationship quality would buffer against the negative effects of parental psychopathology and maltreatment while enhancing the effects of functional parenting characteristics. Participants included 1,452 emerging adults, predominantly Caucasian (73.3%) college students who completed surveys on their mental health, recent experienced maltreatment, and their parents’ mental health problems. Results suggested lowest rates of mental health problems for emerging adults were associated with higher parent–child relationship quality and lower parental psychological problems, whereas negative outcomes were associated with higher parental psychopathology, regardless of parent–child relationship quality. Additionally, physical maltreatment was associated with lower rates of mental health concerns in the context of higher mother-daughter relationship quality. Results emphasize the continuing impact of the parent–child relationship, particularly the mother-daughter relationship, on emerging adults’ mental health. Moreover, the current study demonstrates the continuing influence of parents on their emerging adult children.     

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...