AN EVALUATION OF EVIDENCE‐BASED INTERVENTIONS TO INCREASE COMPLIANCE AMONG CHILDREN WITH AUTISM

We evaluated 4 evidence‐based interventions to increase compliance. Three children with autism who exhibited noncompliance when asked to relinquish a preferred toy were exposed sequentially to interventions that included a reduction in response effort, differential reinforcement, and guided compliance. Results indicated that effort reduction alone was ineffective and that each participant's compliance improved after exposure to a different intervention; these results highlight the need to individualize treatments for compliance.     

An analysis of modifications to the three-step guided compliance procedure necessary to achieve compliance among preschool children

After a 3‐step guided compliance procedure (vocal prompt, vocal plus model prompt, vocal prompt plus physical guidance) did not increase compliance, we evaluated 2 modifications with 4 preschool children who exhibited noncompliance. The first modification consisted of omission of the model prompt, and the second modification consisted of omitting the model prompt and decreasing the interprompt interval from 10 s to 5 s. Each of the modifications effectively increased compliance for 1 participant. For the remaining 2 participants, neither modification was effective; differential reinforcement in the form of contingent access to a preferred edible item was necessary to increase compliance. Problem behavior varied across participants, but was generally higher during guided compliance conditions and lower during differential reinforcement conditions.     

Situating Emotions: From Embodied Cognition to Mindreading

In this article we analyze the strengths and weaknesses of mindreading versus embodied cognition approaches to emotion understanding. In the first part of the article we argue that mindreading explanations of how we understand the emotions of others (TT, ST or hybrid) face a version of the frame problem, i.e. the problem of how to limit the scope of the information that is relevant to mindreading. Also, we show that embodied cognition explanations are able to by-pass this problem because they provide a characterization of social understanding as being essentially situated. However, embodied cognition explanations seem to be limited in scope insofar as they do not target the more sophisticated forms of emotion understanding that have traditionally been the main focus of mindreading explanations. In the second part of the article we discuss Goldie’s account of emotion understanding as a possible way to complement embodied cognition approaches without re-introducing the frame problem. We offer two suggestions that might further the integration of Goldie’s account of emotion understanding within the framework of embodied cognition.     

Attending to illusory differences in object size

Focused visual attention can be shifted between objects and locations (attentional orienting) or expanded and contracted in spatial extent (attentional focusing). Although orienting and focusing both modulate visual processing, they have been shown to be distinct, independent modes of attentional control. Objects play a central role in visual attention, and it is known that high-level object representations guide attentional orienting. It not known, however, whether attentional focusing is driven by low-level object representations (which code object size in terms of retinotopic extent) or by high-level representations (which code perceived size). We manipulated the perceived size of physically identical objects by using line drawings or photographs that induced the Ponzo illusion, in a task requiring the detection of a target within these objects. The distribution of attention was determined by the perceived size and not by the retinotopic size of an attended object, indicating that attentional focusing is guided by high-level object representations.     

Disclosure of Genetic Research Results to Members of a Founder Population

There is currently extensive discussion and debate in the literature on how, when, and to whom genetic research results should be returned (see Genetics in Medicine, April 2012 issue). Here, we describe our experience in disclosing genetic information on Mendelian disorders discovered during the course of our research in the Hutterites. We first assessed attitudes toward the disclosure of carrier results, which revealed that many individuals wanted carrier information and that many intended to use the information in family planning. Based on this information, we developed a pilot study to test and disclose cystic fibrosis (CF) carrier status. Next, a larger scale project was developed in order to disclose genetic research results for 14 diseases to those interested in receiving the information. We developed brochures, offered a live interactive educational program, conducted a consent process, and disclosed results in letters mailed to the consented individuals. Overall, ~80 % of individuals who participated in the educational program signed consent forms for the release of their results for 14 diseases. We describe our experience with returning individual genetic research results to participants in a population-based research study.     

fMRI responses to Jung's Word Association Test: implications for theory,treatment and research

Jung's Word Association Test was performed under fMRI conditions by 12 normal subjects. Pooled complexed responses were contrasted against pooled neutral ones. The fMRI activation pattern of this generic ‘complexed response’ was very strong (corrected Z scores ranging from 4.90 to 5.69). The activation pattern in each hemisphere includes mirror neurone areas that track ‘otherness’ (perspectival empathy), anterior insula (both self‐awareness and emotional empathy), and cingulated gyrus (self‐awareness and conflict‐monitoring). These are the sites described by Siegel and colleagues as the ‘resonance circuitry’ in the brain which is central to mindfulness (awareness of self) and empathy (sense of the other), negotiations between self awareness and the ‘internal other’. But there is also an interhemispheric dialogue. Within 3 seconds, the left hemisphere over‐rides the right (at least in our normal subjects). Mindfulness and empathy are central to good psychotherapy, and complexes can be windows of opportunity if left‐brain hegemony is resisted. This study sets foundations for further research: (i) QEEG studies (with their finer temporal resolution) of complexed responses in normal subjects (ii) QEEG and fMRI studies of complexed responses in other conditions, like schizophrenia, PTSD, disorders of self organization.