Development and validation of the Shy Bladder and Bowel Scale (SBBS)

Currently research exploring paruresis and parcopresis, anxiety relating to urinating and having bowel motions in public respectively is limited. While there are several validated measures of paruresis, no valid measure assessing parcopresis is currently available. The present study investigates the development and validation of the Shy Bladder and Bowel Scale (SBBS) which assesses both paruresis and parcopresis. Two participant groups were utilised to validate this scale, a student psychology cohort (n = 387) and a public cohort (n = 334). An eight-item two-factor model was identified in the psychology cohort and confirmed in the public cohort. The two-factor SBBS was found to be a valid and reliable measure of paruresis and parcopresis. Paruresis and parcopresis-related concerns were associated with social anxiety in both cohorts. Subscales for both paruresis and parcopresis (i.e. difficulty, interference and distress) were positively correlated, suggesting individuals are likely to report similar levels of concerns across both conditions. Further, individuals self-identifying with either paruresis or parcopresis reported significantly higher scores on the respective SBBS subscales than non-identifying paruresis and parcopresis individuals. The SBBS also demonstrated strong test–retest reliability in a small sample of adults (n = 13). Overall, the developed scale provides clinicians and researchers with a valuable tool to evaluate both paruresis and parcopresis.     

Differential effects of assisted cycling therapy on short-term and working memory of adolescents with Down syndrome

Persons with Down syndrome (DS) suffer from prefrontal cortex dysfunction and deficits in executive functions. The current study examined the effects assisted cycling therapy (ACT) on short-term (STM) and working memory (WM) in adolescents with DS. During ACT, the cadence of participants on a stationary bicycle was augmented with an electrical motor to 180% of the voluntary cadence. Participants completed eight weeks of ACT (n?=?17), eight weeks of voluntary cycling (VC) at their own preferred cadence (n?=?16), or eight weeks of no cycling (np?≥?.149) and working memory improved only in the ACT group (Hedge’s g?=?1.66; p?=?.003). The results indicate that assisted high-cadence cycling (i.e. ACT) produces superior neural benefits in the dorsolateral prefrontal cortex compared to VC.     

Managing Old Age: The Disciplinary Web of Power, Surveillance and Normalization

Health and welfare have emerged as key vehicles used to legitimize and position the identities that older people adopt in contemporary western societies. Both health and welfare contain specific yet continually changing technologies that function to mediate relations between older people and the state. Medico-technical and care management discourses have been presented as adding choice and reducing limitations associated with adult aging. However, they also represent an increase in professional control that can be exerted on lifestyles in older age and thus, the wider social meanings associated with that part of the lifecourse. This article presents a theoretical analysis based on a critical reading of the work of Michel Foucault; identifies the interrelationship between managers and older people in terms of power, surveillance and normalization; and highlights how and why older people remain the subjects of legitimizing professional gazes.     

The 'Plain' and the 'Positive': Ritual,Experience and Aesthetics in Quakerism and Charismatic Christianity

This paper argues that sharp distinctions between formal ritual action and everyday practice cannot always be sustained. Drawing on ethnographic fieldwork among British Quakers and Swedish charismatic Protestants, we seek to show that both groups manifest an experiential aesthetic that constructs and is constructed by engagement in daily life. The Quaker aesthetic we call 'the plain', and the charismatic aesthetic we term 'the positive'. In presenting our argument, we adopt Bourdieu's concept of habitus and extend its meaning to take account of material culture in the establishment of religious commitment.     

Testing joint attention, imitation, and play as infancy precursors to language and theory of mind

Various theoretical accounts propose that an important developmental relation exists between joint attention, play, and imitation abilities, and later theory of mind ability. However, very little direct empirical evidence supports these claims for putative “precursor” theory of mind status. A small sample (N=13) of infants, for whom measures of play, joint attention, and imitation had been collected at 20 months of age, was followed-up longitudinally at 44 months and a battery of theory of mind measures was conducted. Language and IQ were measured at both timepoints. Imitation ability at 20 months was longitudinally associated with expressive, but not receptive, language ability at 44 months. In contrast, only the joint attention behaviours of gaze switches between an adult and an active toy and looking to an adult during an ambiguous goal detection task at 20 months were longitudinally associated with theory of mind ability at 44 months. It is argued that joint attention, play, and imitation, and language and theory of mind, might form part of a shared social–communicative representational system in infancy that becomes increasingly specialised and differentiated as development progresses.     

Comprehensive community-based education and neurorehabilitation for children and adolescents with traumatic brain injury

Children and adolescents who experience a traumatic brain injury (TBI) typically have sensory, cognitive, behavioral, and functional skill challenges that must be addressed in acute and post-acute rehabilitation settings. This article describes a community-based school that combines educational, medical, nursing, family, residential-living, and psychological services in a comprehensive program of pediatric neurorehabilitation. The operational, administrative, and clinical features of these service components are presented. A critical aspect of the program is an emphasis on applied behavior analysis procedures for purposes of assessment, treatment formulation, and evaluation. Data are reviewed to demonstrate demographics, patterns of service delivery, and outcome. The school program represents an educational alternative for students with TBI who are discharged from acute-care settings and require comprehensive support services to facilitate their transition and re-entry to public school and community living. © 1998 John Wiley & Sons, Ltd.