Enuresis in cross-cultural perspective: a comparison of training for elimination control in three Israeli ethnic groups

Enuresis was investigated in the context of different styles of training for bladder control among three Israeli ethnic groups (Jews of Moroccan, Kurdish or Eastern European descent). Semistructured interviews were conducted in ethnically homogeneous agricultural villages with 46 mothers of 248 children between the ages of 3 and 18 years. In contrast to previous British and American studies, no sex differences were found, but there were higher rates of primary enuresis and lower rates of secondary (regressive) enuresis. Enuresis was correlated among siblings in the Kurdish group only and with disorderly sleeping arrangements in the Moroccan group. The Moroccan and Kurdish groups had higher rates of enuresis than the Ashkenazi group. The higher rates appear to be related to differences in the age of onset of training and a lack of age-appropriate changes in the parent-child interaction, which led to chronic enuresis and the inability to seek effective assistance. These results are discussed in terms of a proposed typology for training: an early symbiotic style, a strict toddler style, and a communicative partnership.     

DISTRACTION: ITS UTILIZATION AND EFFICACY WITH CHILDREN UNDERGOING DENTAL TREATMENT

We investigated the utilization and efficacy of distraction in reducing the anxious and disruptive behavior of 4 children undergoing dental treatment. During the distraction procedure, the children were shown a poster and told a story about it during dental treatment. They earned a prize if they attended to the poster and story and could correctly answer questions about them following each intervention visit. The children's disruptive behavior was assessed via direct observation, and results were analyzed within a multiple baseline design. The children exhibited high levels of anxious and disruptive behavior across baseline visits, regardless of the length of time in treatment or number of visits. Anxious and disruptive behavior decreased upon introduction of the intervention for all children. This was accompanied by the children meeting the criterion for correct answers on the distraction quiz. However, 2 of the children demonstrated an increase in their anxious and disruptive behavior across intervention visits. Results are discussed in terms of the need to evaluate treatment strategies that promote maintenance as well as initial changes.     

Response

The Psychologisation of the Church: on Jack Dominian's review of J.G. Sullivan's book 'Journey to Freedom: The Path to Self-Esteem for the Priesthood and Religious Life' (May, pp. 258—9).     

Interfacing Apple and IBM computers for the analysis of clinical biofeedback

This paper demonstrates a method of transferring research data from a remote clinic to a large university mainframe for data manipulation and statistical analysis. Data collected by an Apple //e computer were transferred to an IBM 3031 mainframe by sending data files to an IBM PC by telephone modem or by direct hardwire connection to the PC. The IMB PC performed data-formatting routines and then uploaded the files to the mainframe for storage. Advantages and disadvantages of sending data over telephone lines via a modem are discussed.     

Single-subject statistical analysis of computer-assisted biofeedback

Single-subject statistics were used to analyze physiological data [electromyographic (EMG) temperature] recorded from two patients receiving computer-assisted biofeedback treatment in a clinic. When the data were analyzed by an ANOVA method or a regression technique, the results demonstrated that both patients learned to significantly reduce EMG levels. The rationale of using single-subject statistics is discussed, and the applicability of the statistical technique to the clinic population is illustrated.     

Satisfaction with intimate exchange: Gender-role differences and the impact of equity,equality, and rewards

The relative effects of equity, equality, and reward level upon assessments of marital satisfaction are investigated. In doing so, the impact of gender-role orientation upon the relationship between the predictor variables and marital satisfaction is specified. The data indicate that reward level is the major variable affecting assessments of satisfaction for both moderns and traditionals. Further, the effect of reward level is more pronounced for those with modern gender-role orientations. Contrary to expectation, the effects of the exchange-related variables, equity and equality, are minimal for both moderns and traditionals. These findings suggest that intimates, regardless of gender-role orientation, tend to avoid the “bookkeeping” involved in global equity and equality comparisons and instead accentuate individual reward levels. It appears, however, that moderns are significantly more demanding than traditionals in their emphasis upon reward levels.     

Aggression in toddlers: Responses to the assertive acts of boys and girls

Sex Roles - Forty-eight toddler boys and girls, 18 to 36 months of age, were observed in play groups. The assertive acts of each child and the responses of peers and teachers were recorded. The...