Posttraumatic Stress Related to Hyperglycemia: Prevalence in Adults with Type I Diabetes

Prevalence of hyperglycemia-related posttraumatic stress (PTS) was assessed in 239 adults with type 1 diabetes using the posttraumatic stress diagnostic scale (PDS; Foa, Posttraumatic stress diagnostic scale manual, National Computer Systems, Inc., Minneapolis, 1995) by an anonymous online survey. Additionally, this study aimed to identify variables related to hyperglycemia-related PTS. Over 30 % of participants reported symptoms consistent with PTSD related to hyperglycemia with standard PDS scoring, and 10 % with more conservative scoring. Hierarchical multiple regression analyses indicated that diabetes self-management behavior and perceived helplessness about hyperglycemia predicted PTSD with standard scoring. Perceived death threat, self-management behavior, helplessness about hyperglycemia, and severity of hypoglycemia in past month predicted PTSD using more conservative scoring. Perceived helplessness, hypoglycemia severity, perceived death-threat, HbA1c, and self-management behavior predicted PTS severity. When fear, helplessness, and perceived death-threat were combined to represent an overall cognitive appraisal factor, this variable was the strongest predictor of PTSD and PTS severity. Scores for PTSD symptom clusters appeared similar to data on hypoglycemia-related PTS.     

Physical punishment and the parenting cycle: a survey of Northern Irish parents

The intergenerational transmission of physical punishment was examined in a questionnaire study of Northern Irish parents (n=371). Participants completed measures of commitment to and use of physical punishment, hostility and a retrospective parenting report on their parents' disciplinary behaviours. The results reveal that 91% of Northern Irish parents report using physical punishment to discipline their children (including 44% who smack only ‘very rarely’). Retrospective reports of working class parents suggest that physical punishment by grandparents at low, medium and high levels corresponds to the levels of reported punishment used by participants with their own children. Middle class parents who reported low or medium levels of parental discipline displayed a similar pattern of intergenerational transmission. However, middle class parents who reported receiving higher levels of punishment were found to use lower rates of punishment with their children. Copyright © 1999 John Wiley & Sons, Ltd.     

Parent voices: difficulty in accessing behavioral intervention for autism; working toward solutions

The history of autism treatment has been dominated by a series of failed treatments, passing fads, and misinformed theories of etiology. With the advances in teaching methods derived from the science of Applied Behavior Analysis however, significant remediation of the disorder is now possible. Yet at present parents or caregivers still face serious challenges in identifying scientifically‐validated treatment models, and in securing competent and well‐trained therapists. Four parents report on these challenges, on the steps they have taken to mitigate these difficulties in their own families, and on the long‐term solutions they are attempting to implement in the wider community. Copyright © 2001 John Wiley & Sons, Ltd.     

A cognitive-behavioral analysis of parental facilitation of children's social-cognitive problem solving

The present study used a case study framework to examine ways in which parental belief systems and parental teaching strategies interact to enhance children's social-cognitive problem solving and school adjustment. The focus of the investigation was to examine the robustness of several postulated typologies of interrelationship among the key variables, as well as antecedents and consequences of means-ends problem solving exhibited by children. Four intact families with second grade children were observed in the home as they participated in discussion and decision making concerning problematic social situations. The data suggested these major points: Parental behavior was generally consistent with their beliefs; parents could most effectively elicit means-ends verbalizations from children through direct questioning; families differed in the extent to which children's inputs into family decision making were valued and the degree of interparental discord concerning beliefs and strategies. The latter points suggest a reconceptualization of how parental variables can be linked to the development of social-cognitive and behavioral competence in children. Specific implications for theory and recommendations for research are discussed.     

On the form and universality of the contempt expression: A challenge to Ekman and Friesen's claim of discovery

The claim of Ekman and Friesen (1986, A New Pan- Cultural Facial Expression of Emotion,Motivation and Emotion, 10, 159–168) that they have found the first empirical support for the existence of a pancultural expression of contempt is challenged on three grounds. First, the claim that no one else had ever attempted to describe an expression unique to contempt in any culture neglects a tradition of research dating back to Darwin. Second, the data presented by Ekman and Friesen were derived using stimuli that are ambiguous representations of their intended expressions. Finally, there are earlier data for the universality of contempt expressions. Ekman and Friesen's contempt expression may best be viewed as a learned modification of a prototypical expression evolved from the infrahuman snarl.     

Group therapy with Vietnam veterans: A brief review

This paper reviews the benefits and general considerations regarding group therapy with Vietnam veterans. A review of veteran rap groups and traditional therapy groups highlights the similarities and differences between types of groups used to treat this population. The importance of countertransference reactions and the need to consider a variety of treatment approaches is emphasized.     

Empiricism,judgment, and argument; Toward an informal logic of science

In an attempt to explore the role of argumentation in scientific inquiry, I explore the conception of argument that appears fruitful in the light of the recent trends in the philosophy of science, away from logical empiricism, and toward a greater emphasis on change, disagreement, and history. I begin by contrasting typical instances philosopers theories of both empiricism and apriorism, with typical instances of scientists uses of these two attitudes, suggesting that such practice shows a judiciousness lacking in epistemological theory. Then I examine at some length three important version of scientific judgement, namely Einstein's opportunism, Boltzmann's pluralism, and Huygens's eclecticism. I go on to discuss some recent work in the philosophy of science, exploring connections between the notion of judgment and Feyerabend's anarchism, Harold Brown's view of rationality, and Dudley Shapere's analysis of scientific change. All of this suggests a notion of argument in the sense of informallogic, and I examine some aspects of Galileo's work in its terms.