Communication options for children with hearing loss

This article examines the communication options that are available for use within families of infants and young children who are hard-of-hearing or deaf. The need for language development, regardless of the specific communication mode, is stressed. The demands of the current environment of early identification and intervention often put families in a position of needing to decide among communication methods before they are fully knowledgeable and/or emotionally ready. Specific communication options are delineated and considered within a continuum of spoken and visual language. Available research related to early acquisition of language by infants and young children who are hard-of-hearing and deaf is reviewed; outcomes, when available, are presented for specific methods from reports of older children. Factors that influence families' decisions regarding the selection of a communication option are highlighted in the context of the existing literature. An ongoing evaluative process that respects the choices of families is advocated; a context in which change(s) in communication mode through childhood is viewed as a positive circumstance. The ultimate goal in the selection of any communication approach is to ensure that infants and young children who are hard of hearing or deaf and their families are language proficient and fluent communicators.     

The jouissance of the other and the prohibition of incest: a Lacanian perspective

The authors describe how Lacan diverged from classical Freudian concepts to arrive at an alternative model of psychoanalysis. In a discussion that also addresses the concept of the mirror stage and Lacan's use of language, the authors show how the Lacanian concepts of jouissance and the prohibition of incest contribute to this model, which can be successfully applied to the psychoanalytic treatment of more seriously disturbed patients. A clinical vignette is presented to illustrate the latter point.     

Motor imagery vividness and symptom severity in Parkinson's disease

Motor imagery (MI), the mental simulation of movement in the absence of overt motor output, has demonstrated potential as a technique to support rehabilitation of movement in neurological conditions such as Parkinson's disease (PD). Existing evidence suggests that MI is largely preserved in PD, but previous studies have typically examined global measures of MI and have not considered the potential impact of individual differences in symptom presentation on MI. The present study investigated the influence of severity of overall motor symptoms, bradykinesia and tremor on MI vividness scores in 44 individuals with mild to moderate idiopathic PD. Linear mixed effects modelling revealed that imagery modality and the severity of left side bradykinesia significantly influenced MI vividness ratings. Consistent with previous findings, participants rated visual motor imagery (VMI) to be more vivid than kinesthetic motor imagery (KMI). Greater severity of left side bradykinesia (but not right side bradykinesia) predicted increased vividness of KMI, while tremor severity and overall motor symptom severity did not predict vividness of MI. The specificity of the effect of bradykinesia to the left side may reflect greater premorbid vividness for the dominant (right) side or increased attention to more effortful movements on the left side of the body resulting in more vivid motor imagery.     

The Impact of Race,Racial Attitude,and Gender on Reactions to the Criminal Trial of O. J. Simpson1

Opinions about the criminal trial of O. J. Simpson, as well as general racial attitude, were assessed in different samples of African Americans and Whites in three studies: during jury selection (Study 1), after closing arguments (Study 2), and after the jury verdict was reached (Study 3). We assessed the effects of respondent race, gender, and general racial attitude on case opinion factors and guilt judgments at each point in time. Race was strongly related to case opinions and guilt judgments in all three studies. Racial attitude related significantly to guilt judgments only in Study 1 for Blacks and in Study 3 for Whites. Guilt judgments of Whites were more strongly predicted by the case opinion factors than were those of African Americans. General racial attitudes and opinions about the criminal justice system were more positive for Blacks in Studies 2 and 3, while they did not differ across studies for Whites. A hindsight bias was found for Whites but not for African Americans. Race had a more powerful impact than did gender. Across-study comparison suggested that very few respondents changed their views appreciably over the year-long trial.     

Attachment Style,Assertive Communication,and Safer-Sex Behavior1

This research tested the proposition that the effect of attachment security on safer-sex practice may be mediated by communication patterns. One hundred eighty-five undergraduate students completed questionnaire measures of attachment, assertiveness, and attitudes to communication about AIDS. Eight weeks later, they reported on their practice of safer sex in the period since the first testing session. Hierarchical regressions showed that at Step I, anxiety about relationships (a measure of insecure attachment) was associated with less safer-sex practice, for all outcome measures. Attitudes to communication about AIDS added to the prediction of general reports of safer-sex practice: in line with the mediational model, anxiety about relationships became unimportant as a predictor when communication variables were included. Communication variables failed to add to the prediction of safer sex on the most recent encounter, and both anxiety about relationships and attitudes to communication about AIDS predicted condom use. Some gender differences in patterns of prediction were noted. The results are discussed in terms of attachment style and its links with the negotiation of sexual practice and relationship issues.     

A counseling approach to assist near-death experiencers: A response to Bette Furn's paper

Conclusion In sum, I believe a practitioner's theoretical orientation is a necessary factor for NDErs to consider when choosing a therapist. As stated, I feel that an orientation reflecting a phenomenological, client-centered approach will encourage experiencers to find the personally relevant answers they are seeking. Additionally, it is important that that approach be conceptually clear to the clinician and be congruent with his or her value system. I agree with Furn regarding the need for practitioners to be knowledgeable about NDEs and sensitive to other spiritual and paranormal phenomena. And I believe that if by chance the practitioner is also an experiencer, then the NDEr who has chosen that clinician will have indeed come across a winning combination.     

The double bind of personal striving: Ethnic working class women in psychotherapy

Ethnic working class women's special responsibility for transmitting their heritage ties them, often painfully, to that heritage and to their traditional gender role. Psychologically, they experience a unique set of exodus stresses. When they seek psychotherapy the process can place them in a double bind in that their personal striving deeply threatens their ethnic and class ties. These women may leave treatment prematurely unless clinicians are willing to recognize the unique configuration of symptoms that derive in large part from their subcultures of origin. By challenging their own ethnic, racial and class identities, clinicians can open up new treatment possibilities to help strengthen positive group identity, enhance self-esteem and support personal striving in their patients and in themselves.     

DECREASING DANGEROUS INFANT BEHAVIORS THROUGH PARENT INSTRUCTION

One adult and three adolescent mothers with 1-year-old infants were taught to reduce their infants' potential for injury in the home. After being taught to increase their positive interactions with their infants, the mothers were taught to child-proof the home, to use playpen time-out for potentially dangerous behaviors, and to give positive attention for safe behaviors. A multiple baseline design across subjects was used to evaluate functional control. Potentially dangerous behaviors, observed during 10 min of free play, decreased from variable and, at times, high rates during baseline to stable near-zero rates after treatment. These target behaviors remained low at a 7-month follow-up assessment.