The otolaryngologist's role in management of hearing loss in infancy and childhood

This article reviews the role of the otolaryngologist-head and neck surgeon-in the diagnosis and treatment of hearing loss in infants and young children. The otolaryngologist is well-versed in the anatomy, physiology, and pathophysiology of the auditory system, as well as the craniofacial syndromes that can involve the head and neck in combination with deafness. In this paper, the various causes of congenital hearing loss are described, as well as the steps required for proper diagnosis. Finally, surgeries used by otolaryngologists to treat childhood hearing loss, their indications, and outcomes, are discussed.     

“What Button Do I Press?” the Consequences of Conducting a Service Learning Project with Senior Citizens

In an effort to build interest in the two-year old service learning center and to fulfill its mission to integrate academic life with service in thoughtful and relevant ways, a competition was held to award developmental grants to faculty to create innovative courses incorporating service learning. The winning proposal from the business school used a business ethics course as the vehicle for formally introducing service into the business curriculum. This paper will tell the story of the intended and unintended consequences of building collaboration on several levels: between generations, between college and community, between faculty and college resources, between student teams, and between theory and practice.     

Spatial knowledge acquisition from maps and from navigation in real and virtual environments

In this study, the nature of the spatial representations of an environment acquired from maps, navigation, and virtual environments (VEs) was assessed. Participants first learned the layout of a simple desktop VE and then were tested in that environment. Then, participants learned two floors of a complex building in one of three learning conditions: from a map, from direct experience, or by traversing through a virtual rendition of the building. VE learners showed the poorest learning of the complex environment overall, and the results suggest that VE learners are particularly susceptible to disorientation after rotation. However, all the conditions showed similar levels of performance in learning the layout of landmarks on a single floor. Consistent with previous research, an alignment effect was present for map learners, suggesting that they had formed an orientation-specific representation of the environment. VE learners also showed a preferred orientation, as defined by their initial orientation when learning the environment. Learning the initial simple VE was highly predictive of learning a real environment, suggesting that similar cognitive mechanisms are involved in the two learning situations.     

Youth Living with HIV as Peer Leaders

Community-based service providers often hire youth living with HIV (YLH) as peer leaders for delivering HIV education to uninfected adolescents. Life narratives were collected from 44 YLH during a hypotheses-generating two-year ethnographic study. About 30% of the youth were employed as peer educators. While 60% of the 44 youth had a lower-class background, only 23% of the peer leaders were lower class. One-fifth of the sample were female, but more than one-half of the peer leaders were female. After identifying and categorizing difficulties experienced by the peer leaders, a frequency count of each theme was conducted. Issues about professional boundaries were evident in 38.5% of the youth's narratives, indicating conflicts in their roles as peer leaders; 23% of the youth engaged in substance use and sexual behaviors that placed themselves and uninfected youth in their peer educator programs at risk; and 8% of the youth reported relapse while peer leaders. The observations suggest reconsideration or restructuring of existing peer-education models that employ YLH.     

The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

Development of the Iowa Infant Feeding Attitude Scale (IIFAS) is described. In Study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. Analyses of the reliability and validity were then conducted. In Study 2, these analyses were replicated using data from an independent sample of 130 postpartum women. Study 3 involved an analysis of the ability of scores on the IIFAS to predict duration of breast-feeding among a sample of 725 women who had initiated that method of feeding their babies while in the hospital. Limitations of this research and possible future uses of the IIFAS in studies addressing the determinants and consequences of infant-feeding attitudes are discussed.     

Operants Were Never "Emitted," Feeling Is Doing, And Learning Takes Only One Trial: A Review Of B. F. Skinner's Recent Issues In The Analysis Of Behavior

This final collection of Skinner's papers was intended for the professional, although other readers will find much of interest. The first five chapters are devoted to what Skinner called “theoretical issues” and include clear presentations of his positions on “feelings” and on the “self” as an apparent agent of volition. Skinner skillfully discusses thinking, the origins of cognitive-mediational theories, and a favorite topic: the similarity of processes occurring in the histories of species and of individuals. The next four chapters cover what he called “professional issues,” including the often-misunderstood philosophy known as radical behaviorism as well as the operant aspects of behavior therapy and attempts to influence educational practices. He seemed disappointed in the lack of acceptance of programmed learning methods and pessimistic about the possibility of improving education practices. This pessimism was evident in the final section, “personal issues,” in which he expressed doubt that the powerful and self-serving forces of government, business, and religion will ever permit the changes that could be wrought by the application of behavior analysis to the great problems of society. Two other chapters in the last section will be useful to historians who are curious about the influence of logical positivism on Skinner's thinking (apparently there was not much influence) and to sophisticated readers who are interested in Skinner's retrospective consideration of his work.     

Black Churches as Therapeutic Groups

This article examines how Black churches serve as therapeutic groups and thus provide a source of psychological support to African American communities. Group theory is used as a conceptual framework to discuss the findings from 7 focus groups conducted in Black churches in the New York metropolitan area. Implications for counselors working with clients involved in the Black religious tradition are discussed.     

Balancing acts: Rational agency and efficacious action

In this paper I try to problematize our conception of rational agency and to suggest that this conception is a matter of some practical and political significance. This is done on the one hand by indicating why more attention should be paid to the role of practical know‐how, or skill, in the application of general laws or principles to particular cases, and on the other by looking to a Chinese model of efficacious action, where much attention is paid to cultivating the skills required to make the transition from general to particular, albeit at the expense of recognizing the significance of what we would think of as scientific understanding.     

Intergenerational Effects of Incest on Parenting: Skills,Abilities, and Attitudes

Women's perceptions of generational influences of incest on their skills, abilities, and attitudes toward parenting their own children were investigated. Overarching themes that emerged were classified as unbalanced development, disconnected lives, and disowned dramas. Implications for clinical intervention, parent training, and future research are discussed.