The Long-Term Effects of Group-Based Psychological Interventions for Children With Tourette Syndrome: A Randomized Controlled Trial

This randomized controlled trial examined the long-term effects of group-based psychological interventions on measures of tic severity, self-reported quality of life (QOL), and school attendance. Children (n = 28) with Tourette syndrome (TS) were assessed 12 months after completing a course of either group-based Habit Reversal Training (HRT) or Education.Both groups demonstrated long-term improvement in tic severity and QOL, which included significant continued improvement during the follow-up (FU) period. Both groups also showed significant posttreatment improvement in school attendance. Further research is required to explore potential therapeutic mechanisms, independent or mutual, which may underlie long-term symptom improvements.     

Patients' intentions in primary care: Measurement and preliminary investigation

Abstract

A questionnaire to assess patients' intentions in primary care was completed by 206 patients. Patients also rated the amount of help with their presenting problem which they thought could be provided by each of 11 secondary services. A principal components analysis of the intentions revealed 4 components: “Explanation and understanding,” “Support,” “Medical treatment” and “Information-seeking.” Individual patients' intentions were quantified on each of these dimensions. Requests for “Explanation and understanding” did not correlate with expectation of help from any of the 11 sources. In contrast, each of the remaining 3 types of request correlated with expectation of help from a number of sources. These results show, first, a way of measuring patients' intentions on multiple independent dimensions. Secondly, they indicate that patients look solely to the general practitioner for general information and reassurance about their problems. For emotional support they look to additional, mainly psychiatric, sources. This calls into question the view that general practitioners are seen by patients as more appropriate providers of emotional support than specialist services.     

Entrevista con Sandra Bern

RESUMEN

En esta entrevista Bem comenta la relación entre sus aportaciones científicas -el estudio psicológico de los roles sexuales a nivel tanto instrumental como conceptual- y su compromiso personal a favor de unas relaciones más igualitarias entre las personas, ofreciendo una visión comprehensiva de su evolución profesional y personal y repasando las cuestiones más interesantes de la etapa de estudios sobre androginia (1974–1979) y de su actual enfoque cognitivo. Tras comenzar explicando su formación y trayectoria científica, así como las motivaciones que han guiado su trabajo, la autora realiza un análisis crítico del Bem Sex Role Inventory (BSRI). Seguidamente profundiza en diversos aspectos del concepto “androginia” acuñado por ella y explica las razones por las que a partir de 1979 los sujetos tipificados sexualmente se convierten en el blanco de su teoría sobre el esquema cognitivo del género, así como la caracterización de los conceptos masculinidad y/o feminidad como constructos cognitivos. La entrevista finaliza con algunas alusiones acerca de cómo educar a los niños de una “forma no esquemática” con respecto al género y señalando sus preocupaciones científicas más recientes en torno al concepto de género en los niños.     

Engaging Ethics

Abstract

Reflections Upon Reflections

Research As Praxis: Lessons From Programmatic Research In Therapeutic Practice Research in Therapeutic Practice edited by Lisa Tsoi Hoshmand and Jack Martin New York: Teachers College Press, 1995, 252 pp.

Revisioning Supervision

Visual and Active Supervision New York: Norton, 1995, 256 pp. by Antony Williams     

Monkeys perform as well as apes and humans in a size discrimination task

Whether the cognitive competences of monkeys and apes are rather similar or whether the larger-brained apes outperform monkeys in cognitive experiments is a highly debated topic. Direct comparative analyses are therefore essential to examine similarities and differences among species. We here compared six primate species, including humans, chimpanzees, bonobos, gorillas (great apes), olive baboons, and long-tailed macaques (Old World monkeys) in a task on fine-grained size discrimination. Except for gorillas, subjects of all taxa (i.e. humans, apes, and monkeys) were able to discriminate three-dimensional cubes with a volume difference of only 10 % (i.e. cubes of 50 and 48 mm side length) and performed only slightly worse when the cubes were presented successively. The minimal size discriminated declined further with increasing time delay between presentations of the cubes, highlighting the difficulty to memorize exact size differences. The results suggest that differences in brain size, as a proxy for general cognitive abilities, did not account for variation in performance, but that differential socio-ecological pressures may better explain species differences. Our study highlights the fact that differences in cognitive abilities do not always map neatly onto phylogenetic relationships and that in a number of cognitive experiments monkeys do not fare significantly worse than apes, casting doubt on the assumption that larger brains per se confer an advantage in such kinds of tests.