Brief assessment and treatment of pica using differential reinforcement,response interruption and redirection,and competing stimuli

Pica is a life threating form of challenging behavior displayed by individuals with intellectual and developmental disabilities. In most cases, pica is maintained by automatic reinforcement. Common interventions for pica use some combination of response blocking, response interruption and redirection (RIRD), differential reinforcement of alternative behavior (DRA), and noncontingent reinforcement with competing stimuli. However, there is need for additional research regarding DRA procedures that emphasize skills acquisition by teaching alternative behaviors that modify the established behavioral chain of pica responses that occur in the presence of non-edible stimuli. There is also a need to examine the generality of recent advances in competing stimulus assessment (CSA) methodologies—namely, the augmented-CSA (A-CSA)—to pica. Thus, the purpose of the present investigation was to systematically replicate and extend previous research for the assessment and treatment of pica in an individual with IDD. First, we conducted a functional analysis to identify environmental variables associated with pica. Next, taught Patrick a differential response (i.e., discard pica items in trash receptacle) to earn reinforcers in conjunction with a RIRD procedure. Finally, we conducted an A-CSA for pica. Overall, low rates of pica were maintained over time with a combination of these procedures, and treatment was generalized across settings and people.     

“Shame: The Misplaced Debt of Structural Sin”

Although sexual violence and economic distress are often understood and responded to as individual problems, they are rooted in and must be understood within the social systems of patriarchy and advanced global capitalism, both of which normalize these traumas. The problem is that social systems divert guilt for structural sin onto individuals in the form of shame, which I argue is the misplaced debt of structural sin. Through narrative and analysis, I demonstrate the problems of silence, judgement, and death associated with the misplaced debt of shame in structural sin. Preliminarily, I suggest that the theology of the cross enables Christians to name structural sin for what it actually is; judge who or what is truly guilty; and remove shame and guilt from survivors to foster flourishing.     

Memory Performance and Socio-Economic Status

Memory ability is affected by the physical, educational and health environments. The nature of these environments, in turn, differs across people with different socio-economic status (SES). Thus, it would be expected that memory performance would vary systematically with SES. However, memory researchers have yet to examine the relationship between economic variables and memory performance. This paper reviews several literatures (medical, public health, IQ, sociological and memory) to assess the relationship—if any—of socio-economic status to memory performance. The results of the review revealed that memory performance is strongly and directly correlated with SES. However, the results were not strong enough to determine whether the extent of this relationship differs across different kinds of memory. These results suggest that memory researchers should investigate further the nature of the relationship between SES and memory performance and take account of the possible influence of SES in the design and interpretation of memory data. © 1997 by John Wiley & Sons, Ltd.     

Violence against women: Mental health effects. Part II. Conceptualizations of posttraumatic stress

A broad range of psychological aftereffects have been noted among women who have experienced male-perpetrated violence. These symptoms vary considerably among individuals, across social contexts, and across different types of violent encounters (Coley & Beckett, 1988; Goodman, Koss, & Russo, 1992; Koss, 1988; Straus, Gelles, & Steinmetz, 1980). Nevertheless, a remarkably consistent picture of the psychological sequelae of violence—particularly sexual and physical assault—emerges from the empirical and clinical literature (Koss, 1988). In this article, we use the posttraumatic stress disorder diagnosis—a frame that captures many of the disparate symptoms described by researchers—as a basis for exploring several conceptual models that have been developed to explain women's responses to violence.     

Conversations on clinical supervision: benefits perceived by school counsellors

This Australian study describes the benefits of clinical supervision as perceived by school guidance officers who work in a large education authority. The participants were a random sample of guidance officers and senior guidance officers who agreed to participate in focus group interviews conducted via teleconference calls. The benefits of and reasons for clinical supervision graphically described by the participants raise questions about the cost of inadequate supervision to the individual counsellors themselves and to the profession as a whole. The findings become even more important when considered in light of the world of work of the 21st century.     

Catholics and the Christian Right: A View from Four States

Christian Right Organizations in the 1990s have tried to avoid the pitfalls for the religious particularism that undermined the earlier efforts of such groups as Moral Majority to build long lasting political coalitions. For many Christian Right leaders, conservative Catholics appear to be a particularly appealing group to reach for membership recruitment and political coalition-building. Yet such leading groups as the Christian Coalition have largely experienced disappointment with such efforts.
This essay presents data that offer reasons why conservative Catholics might be willing to form political coalitions with activists of the Christian Right but remain reluctant to join Christian Right organizations. The findings are based on a large survey of Republican party state convention delegates in four states. The data show that Catholic delegates hold very conservative issue positions in line with Christian Right organizations, and have positive feelings toward Christian Right leaders and organizations. Yet Catholic delegates hold somewhat distinctive positions among Republicans on certain issues, and therefore remain reluctant to join the Christian Coalition and other such groups.     

Correlates and Characteristics of Boredom Proneness and Boredom1

This study investigated the relationships between boredom proneness, mood monitoring, mood labeling, and tendency to experience flow; and explored some qualitative, phenomenological aspects of boredom. College students (N= 170) responded to an anonymous questionnaire containing the Boredom Proneness Scale (Farmer & Sundberg, 1986), the Mood Awareness Scale (Swinkels & Giuliano, 1995), a measure of flow proneness, and questions about the experience of boredom. As predicted, Boredom Proneness was positively correlated with mood monitoring, negatively correlated with mood labeling, and negatively correlated with flow. Respondents provided interesting information about their perceptions of boredom, its causes, and their strategies for coping with and planning for boring situations. A majority of participants described positive aspects of boredom, and 10% volunteered that they were never bored.     

Couples Therapy for Drug Abusing Women in an Inpatient Setting: A Pilot Study

This article describes a pilot study to examine the usefulness of adding a couples therapy component to inpatient drug and alcohol treatment for women. The treatment model was modified from a 12-week integrative systems model that has been empirically supported in outpatient treatment settings. A team of student-therapists received intensive training and supervision in the modified version. This article discusses the ability of chemical dependency counselors to implement this model, includes pre and post treatment comparisons, and qualitative findings regarding the efficacy of the project. The treatment model promises to be usable, safe, and practical in inpatient settings, and merits a more thoroughgoing clinical trial.