Clinical,developmental and social aspects of infant crying and colic

Persistent unexplained infant crying in the first few months is a common source of distress for parents and is costly for the health services. The aim was to assess the merits of developmental and social conceptualizations of this phenomenon, compared to the clinical approach as represented by the concept of colic. From a community sample of 530 infants, 67 who met the ‘rule of threes’ definition of colic by fussing and crying for 3 or more hours per day at 4-5 weeks of age were chosen. To avoid confusion, these infants were called ‘persistent criers’. Groups of ‘evening criers’ (N = 38) and ‘moderate cries’ (N = 55) were also selected. These 160 infants were assessed by researcher measures of their consolability and by maternal diary measures of their amounts of fussing, crying and colic behaviour when 5-6 weeks old. The persistent and evening criers cried more than the moderate criers. However, irritable, ‘fussy’ behaviour was the predominant form of distress for all three groups of infants. Colic bouts–defined as ‘bouts of intense, unsoothable crying and other behaviour, perhaps due to stomach or bowel pain’–were rare even among the persistent criers and only 7% of these infants were found to be inconsolable. The results support growing evidence that normal infant developmental processes are central to this phenomenon. In addition, social interactions between infants and parents, and parental subjective variables, appear to be involved. Colic was distinguished as a rare and separate form of distress by the infants' mothers. Further evidence needs to determine whether colic is a distinct clinical phenomenon or an extreme degree of normal distress interpreted within a western cultural framework.     

Transformative Treatments

Contemporary social‐scientific research seeks to identify specific causal mechanisms for outcomes of theoretical interest. Experiments that randomize populations to treatment and control conditions are the “gold standard” for causal inference. We identify, describe, and analyze the problem posed by transformative treatments. Such treatments radically change treated individuals in a way that creates a mismatch in populations, but this mismatch is not empirically detectable at the level of counterfactual dependence. In such cases, the identification of causal pathways is underdetermined in a previously unrecognized way. Moreover, if the treatment is indeed transformative it breaks the inferential structure of the experimental design. Transformative treatments are not curiosities or “corner cases,” but are plausible mechanisms in a large class of events of theoretical interest, particularly ones where deliberate randomization is impractical and quasi‐experimental designs are sought instead. They cast long‐running debates about treatment and selection effects in a new light, and raise new methodological challenges.     

What is morality?

Philosophical Studies - In “Modern Moral Philosophy,” Anscombe argued that the moral vocabulary does not correspond to any concept in Aristotelian ethics, that it derives from a...     

Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial

In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive-behavioral treatment for insomnia for AD (CBTI-AD, n = 9) or to a behavioral placebo treatment (BPT, n = 8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.     

Multiple factors of cognitive failure and their relationships with stress vulnerability

Use of the Cognitive Failures Questionnaire (CFQ) in clinical research assumes that the questionnaire measures a single factor. A factor analysis of the CFQ was performed, on a sample of 475 students, using accurate procedures for determining the number of factors. These procedures gave mutually inconsistent results: at least two alternative factor structures can be extracted from the CFQ. An interpretable seven factor solution was found, but the CFQ probably has insufficient items to measure more than two strongly defined factors. The capacity of CFQ multiple factors to predict measures related to stress vulnerability was tested in a further study (N=57). Correlations between CFQ total score and neuroticism and use of coping strategies appeared to depend mainly on a single CFQ multiple factor, related to failures of concentration. Some of the other CFQ factors predicted other criteria. Further research on multiple factors of cognitive failure might improve the validity of the CFQ as a predictor of stress vulnerability and of cognitive performance.     

The factorial structure of sleep dissatisfaction

Research into sleep problems has been dominated by a number of theoretical perspectives from each of which useful treatment applications have been derived. However, the rich diversity of problems that are subsumed under insomnia or sleep disturbance often remain unappreciated. This paper reports the results of a factor analysis performed on the combined items of two questionnaires designed to assess sleep disturbance. Six factors are described, two of which relate to cognitive aspects of sleep disturbance; two which map onto sleep onset and sleep maintenance problems; and two which are drawn from dissatisfaction with poor sleep. Correlations of factor scores with measures of neuroticism, worry and various sleep history variables provide a strong level of construct validity. The results are discussed in terms of their treatment implications.     

Book reviews

The Rise of Christianity: A Sociologist Reconsiders History. Rodney Stark, 1996 Princeton, NJ: Princeton University Press xiv + 247 pp., US$24.95, £16.95 ISBN 0–691–02749–8

Church Watch: Christianity in the Countryside. Leslie J. Francis, 1996 London: SPCK 248 pp., £9.99 ISBN 0–281–04951–3

Strategic Church Leadership. Robin Gill & Derek Burke, 1996 London: SPCK vii + 96 pp., £9.99 ISBN 0–281–04901–7

’Nice When They Are Young’: Contemporary Christianity in Families and Schools. Mairi Levitt, 1996 Aldershot: Avebury viii +171 pp., £32.50 ISBN 1–85972–388–8

Die Sekten‐Kinder. Kurt‐Helmuth Eimuth, 1996 Freiburg: Herder Verlag 239 pp., DM 19.80 (pb) ISBN 3–451–04397–1

The Good Heart: His Holiness the Dalai Lama Explores the Heart of Christianity—and of Humanity. H.H. The Dalai Lama, 1997. London: Rider xiv + 207pp., £9.99 (pb) ISBN 0–7126–7275–3

Scientists as Theologians: A Comparison of the Writings of Ian Barbour, Arthur Peacocke & John Polkinghome. John Polkinghorne, 1996 London: SPCK 95 pp., £9.99 ISBN 0–281–04945–9

Psychiatry and Religion: Context, Consensus and Controversies. Dinesh Bhugra, ed., 1996 London, New York: Routledge 236 pp., £50.00, US$65.00 ISBN 0–415–08955–7 (hb)

Ethical Issues in Six Religious Traditions. Peggy Morgan & Clive Lawton, eds, 1996 Edinburgh: Edinburgh University Press 278 pp., £14.95 (pb) ISBN 0–7486–0709–9

Religious Institutions and Women's Leadership: New Roles Inside the Mainstream. Catherine Wessinger, ed., 1996 Columbia: University of South Carolina Press x +434 pp., US$24.95 ISBN 1–57003–073–1

Traveller in Space: In Search of Female Identity in Tibetan Buddhism. June Campbell, 1996 London: Athlone Press 225 pp., £17.95 ISBN 0–485–11494–1

Forbidden Revolutions: Pentecostalism in Latin America, Catholicism in Eastern Europe. David Martin, 1996 London: SPCK 96 pp., £7.99 ISBN 0–281–04999–8

The Ukrainian Greek Catholic Church and the Soviet State (1939–1950) Bohdan R. Bociurkiw, 1996 Edmonton, Toronto: Canadian Institute of Ukrainian Studies Press 310 pp., Ca$39.95(hb) ISBN 1–895571–12‐X

Qur'an, Liberation & Pluralism: An Islamic Perspective of Interreligious Solidarity against Oppression. Farid Esack, 1997 Oxford: Oneworld Publications xii + 288 pp., 3 Appendices + Glossary + Bibliography; £14.99, US$22.95 ISBN 1–85168–121–3

A Sociological Analysis of the Theology of Quakers: The Silent Revolution Studies in Religion and Society Volume 34 Pink Dandelion, 1996 Lampeter: Edwin Mellen Press xxxiv +417 pp., £59.95 ISBN 0–7734–8807–3

Counting the Days to Armageddon: The Jehovah's Witnesses and The Second Presence of Christ Robert Crompton, 1996 Cambridge: James Clarke & Co. 160 pp., £22.50 ISBN 0–2276–7939

Magical Religion and Modern Witchcraft. James R. Lewis, ed., 1996 Albany, NY: State of New York University Press vi + 423 pp., US$19.95 (pb) ISBN 0–7914–2890–7

The Divine Versus The Asurian: An Interpretation of Indo‐European Cult and Myth. Michael York, 1995 Bethesda, MD: International Scholars Publications 635 pp., US$94.95 ISBN 1–57309–029–8     

Interculturalism: A new diversity ideology with interrelated components of dialogue,unity, and identity flexibility

Increased cultural diversity has led to considerable debate on how to best promote intergroup harmony within pluralistic nations. In the current research, we consider the nature of interculturalism, a new diversity ideology extensively discussed by political philosophers and policy-makers in Europe and beyond. Interculturalism consists of three interrelated components of dialogue, unity, and identity flexibility. Using data (N = 2,364) from three national surveys in two ethnically diverse nations (Netherlands and USA), we test a new measure of interculturalism and establish its independence from multiculturalism and assimilation. We then demonstrate that interculturalism predicts positive intergroup outcomes, over and above multiculturalism, and is in a theoretically meaningful way related to various criterion measures. Collectively, these studies establish the uniqueness of interculturalism from multiculturalism and demonstrate its promise for improving intergroup relations in culturally diverse nations.