Measurement tool for preoperative anxiety in young children: The yale preoperative anxiety scale

To develop a preoperative anxiety scale (YPAS) for children undergoing surgery, 21 specific behaviors indicating anxiety were defined within five domains (activity, emotional expressivity, state of arousal, vocalization, and use of adults). A reliability Kappa analysis revealed that inter-observer agreement ranged from .66 to .94, while intra-observer Kappa ranged from .66 to .91. Validity analysis between a Visual Analog Scale and the YPAS revealed an r of .59 for entering the operating room. Multiserial analysis comparing the YPAS to the Vernon Anxiety Scale ranged from .61 to .64. Showing good to excellent observer reliability and validity, the YPAS proves to be an appropriate tool for studying children's responses in preoperative settings. As such, the new assessment instrument should be of interest to clinical and research neuropsychologists who need to assess a child's anxiety level prior to the undertaking of a given surgical procedure.     

The earth is the Lord's: the biblical view of the environment

The Church needs a characteristically Christian voice in environment discourse. The Bible offers this in the form of symbols and stories. Familiar terms such as righteousness, covenant and atonement originated in the biblical teaching about creation, and the liturgy of the Temple was to maintain the creation. Angels and their music described the powers of creation and cosmic harmony, and Adam lost all this when he chose secular knowledge rather than Wisdom from the Tree of Life.     

Failure to Mentalize Self and Masochistic Functioning

Mentalization includes the ability to apprehend and reflect upon one's subjective state, as well as an appreciation of one's agency (Fonagy & Target, 2006 Fonagy, P. and Target, M. 2006. The mentalization-focused approach to self pathology. Journal of Personality Disorders, 20(6): 544–576. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Masochism is a character pattern that is traditionally defined as pleasure in pain or suffering (Million, 1996 Million, T. M. 1996. Disorders of personality: DSM-IV and beyond , 2nd, New York: John Wiley and Sons.  [Google Scholar]). In some cases the etiology of this character pattern may mirror failures on the part of the caregiving surround that contribute to deficits in the ability to mentalize self (Fonagy, Gergely, & Target, 2007 Fonagy, P., Gergely, G. and Target, M. 2007. The parent-infant dyad and the construction of the subjective self. Journal of Child Psychology and Psychiatry, 48(3/4): 288–328. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Benjamin, 1988 Benjamin, J. 1988. The bonds of love: Psychoanalysis, feminism, and the problem of domination, New York: Pantheon Books.  [Google Scholar]). When this occurs masochism may be more profitably understood as an inability to register pain, rather than pleasure in pain. A case example demonstrates that when a deficit in mentalization underlies masochistic functioning, treatment may include interventions aimed at helping the patient improve the ability to reflect upon his or her mental state, especially negative affect such as pain and anger, and connect to a sense of agency.     

Applying Motivational Interviewing in a Domestic Violence Shelter: A Pilot Study Evaluating the Training of Shelter Staff

ABSTRACT

This pilot study examined the use of motivational interviewing (MI) with 20 women receiving services at a domestic violence shelter. The experimental group (n = 10) received regular treatment services (RTS) from shelter counselors who were trained in MI; the control group (n = 10) received RTS only. Fisher's exact test showed that participants who received MI-enhanced RTS were significantly more motivated for change (p = .029), as measured through a dichotomous readiness for change motivational variable on the University of Rhode Island Change Assessment (URICA; Center on Alcoholism, Substance Abuse, &; Addiction Research Division, 1996 Center on Alcoholism, Substance Abuse, &; Addiction Research Division. 1996. University of Rhode Island Change Instrument (URICA) Scale, Albuquerque, NM: Author.  [Google Scholar]). Findings suggest that MI can be helpful in increasing the readiness for change in domestic violence survivors who contemplate leaving abusive relationships.     

Perceptions of Juvenile Offenders Who Were Abused as Children

Should a history of child abuse be taken into consideration when a juvenile offender is punished? Although some research shows that child abuse is used as a mitigating factor for juvenile offenders (i.e., elicits less punitive sentences), surveys of juvenile court officials reveal that it is considered an aggravating factor. Specifically, in controlled mock jury studies in which child abuse is experimentally manipulated, child abuse elicits less punitive sentences. In contrast, child abuse elicits more punitive sentences in a nonexperimentally controlled environment—the juvenile justice system. This article provides a comprehensive literature review to explain these conflicting bodies of research by considering factors that naturally covary with childhood abuse: chaotic family environment, mental health problems, behavioral problems, and school problems.     

The ministry of silly walks’ report: representational momentum sensitive to awkwardness following action,not single posture

ABSTRACT

Completing a representational momentum (RM) task, participants viewed animations of a human cartoon or a robot figure with three levels of awkwardness in the walk and indicated if the final posture was identical to the final frame of the animation. Animations were shown forward and backward, and the level of awkwardness influenced the extent of RM (Experiment 1: N?=?30). Positive distortions decreased with increased awkwardness for forward actions. Negative distortions for the backward animations meant either participants were falling behind the depicted action, or that continuing familiar actions forward is a stronger bias than continuing presented (backward) actions. Following a single posture (Experiment 2: N?=?19), positive distortions were observed, but no pattern regarding awkwardness. A single posture is sufficient to elicit forward distortions, but the awkwardness effect requires viewing the action.     

The Apartment Test: Validity of a Memory Measure

ABSTRACT

The Memory in Reality (MIR) test, or Apartment Test, was designed as an ecologically valid alternative to word list recall measures. Participants name 10 everyday objects, place them in a scale model of an apartment and after a delay with interference, recall the objects and their placement. Two studies are reported. Study 1 included 51 older adult volunteers. Study 2 was a population-based sample of 633 older twins. The Apartment Test Recall and Placement tasks were highly correlated with word list delayed recall. Ecological validity was supported by correlations with informant reports of participants' functioning. Apartment Test Recall was not affected by education. Analysis of Receiver Operating Characteristics (ROC) showed Apartment Test Recall performed as well as word list delayed recall in distinguishing participants with and without dementia. We conclude that the Apartment Test is a valid measure of verbal memory with evidence of ecological and concurrent validity.     

Disturbances of consciousness in dementia with Lewy bodies associated with alteration in nicotinic receptor binding in the temporal cortex

Disturbances of consciousness, including fluctuations in attention and awareness, are a common and clinically important symptom in dementia with Lewy bodies (DLB). In the present study we investigate potential mechanisms of such disturbances of consciousness (DOC) in a clinicopathological study evaluating specific components of the cholinergic system. [3H]Epibatidine binding to the high-affinity nicotinic receptor in the temporal cortex (Brodmann's areas 20 and 36) differentiated DLB cases with and without DOC, being 62-66% higher in those with DOC (F=4.5,p=.025). The were no differences between DLB patients with or without DOC in 125I-labeled alpha-bungaratoxin binding to the low-affinity nicotinic receptor, [3H]pirenzepine binding to the muscarinic M1 receptor, or in choline acetyltransferase activity. These findings provide support for the hypothesis that cholinergic activity is an important neural correlate if consciousness and suggest a mechanism of DOC in DLB involving alterations in the nicotinic receptor, composed of predominantly alpha4 and beta2 subunits.     

Development of Academic Skills from Preschool Through Second Grade: Family and Classroom Predictors of Developmental Trajectories

Children's experiences with their parents and teachers were related to the acquisition of academic skills from preschool through second grade. Individual and group growth curves were estimated, and individual patterns of change were predicted from selected demographic, family, and classroom characteristics to identify multiple pathways to early academic competence. Standardized assessments of language and academic skills and parent and teacher surveys were collected on 511 children beginning in the second-to-last year of child care through the third year of elementary school. As expected, children tended to show better academic skills across time if their parents had more education and reported more progressive parenting beliefs and practices. Statistical interactions between family background and teacher-child relationships indicated that a closer relationship with the teacher was positively related to language skills for African-American children and to reading competence for children whose parents reported more authoritarian attitudes. These results provide further evidence that social processes in classrooms are important for academic competence for children considered at risk for academic problems.