The Provenance and Control of Behavior: Simplistic Answers Are Doomed to Fail

This study examined the movement coordination in an exceptional tetraplegic individual who has practiced Japanese calligraphy with a mouth-held brush for over 25 years to reach master level. In the experiment, the calligrapher wrote the same Chinese character on a sheet of ink paper multiple times. The uncontrolled manifold analysis revealed the forms of covariation among joint degrees of freedom so as to keep the brush pressure, brush angle, and upright head posture invariant over different realizations of the task while allowing for joint configuration fluctuations that do not affect these task variables. The fact that the 3 task variables were simultaneously controlled further suggested that the acquisition of the skill was not only a matter of learning to control each of the task variables but also a matter of learning to nest different layers of activities that control the multiple functional relationships to the environment in such a way as not to be dysfunctional for one layer to another.     

From the Galleries to the Clinic: Applying Art Museum Lessons to Patient Care

Increasingly, medical educators integrate art-viewing into curricular interventions that teach clinical observation—often with local art museum educators. How can cross-disciplinary collaborators explicitly connect the skills learned in the art museum with those used at the bedside? One approach is for educators to align their pedagogical approach using similar teaching methods in the separate contexts of the galleries and the clinic. We describe two linked pedagogical exercises—Visual Thinking Strategies (VTS) in the museum galleries and observation at the bedside—from “Training the Eye: Improving the Art of Physical Diagnosis,” an elective museum-based course at Harvard Medical School. It is our opinion that while strategic interactions with the visual arts can improve skills, it is essential for students to apply them in a clinical context with faculty support—requiring educators across disciplines to learn from one another.     

“They Go Too Far”: Reply to Review Essays by Lewes and O'Connor

Kenneth Lewes and Noreen O'Connor share little common ground in their discussions of Lesbian Lives. They agree that it represents, in Lewes's words, “important trends in psychoanalysis and more general intellectual discourse” (“the developing discourse on homosexuality, the ascendancy of feminist ideas within psychoanalysis, … the shift … from classical drive theory to … more … relational approaches, and the influence of postmodern social and literary thought”). But whereas O'Connor welcomes a text she sees as offering “critiques of traditional psychoanalysis's binary theorising of gender and sexuality,” Lewes finds that Lesbian Lives presents “certain questions and difficulties, especially to those who, like myself, espouse theoretical and political allegiances quite different from them.” This article responds to several of Lewes's distortions and misreadings, including his allegations that the authors believe they can “conduct therapy without theory or value” and that they “insist on the essential sameness of people who are heterosexual and homosexual.” Lewes also wrongly attributes to the authors a simplistic belief in “sexual fluidity” and the “multiplicity of selves.” Instead, the text of Lesbian Lives in various ways encourages psychoanalysis to incorporate into its developmental models what it has learned clinically about the multiple dimensions of subjective experience.     

Barriers and Supports to Substance Abuse Service Use Among Homeless Adults

Although there is a great need for substance abuse services among the homeless, many homeless individuals do not use those services. This study examined barriers and supports related to service use. Participants recognized a need for treatment and significant barriers to accessing care.     

Imitating Christ's Cross: Lonergan and Girard on How and Why

The article begins with the gospels’ admonition to take up one's cross and asks how Christians might understand Christ's work on the cross so that we might better imitate or participate in it. Using tools from recent advances in literary analysis and systematic theology, the article attempts to provide some answer to this question. It considers contemporary feminist and liberation theologians’ criticism of the common but problematic interpretation of Christ's cross, what is often called ‘substitutionary penal atonement.’ It compares this with Anselm's atonement theory of satisfaction and Bernard Lonergan's and René Girard's analysis of the cross as a communication of love that invites others into loving relationship. With these interpretations of Christ's work, it concludes with some thoughts on how Christians might take up their own daily crosses.     

Children and Aging: Attitudes,Differentiation Ability,and Quantity and Quality of Contact

The attitudes and age differentiation ability of forty-seven 3- to 5-year-old children toward pictures of older and younger people were assessed. In addition, cognitive performance on a seriation task as well as the quantity and quality of each child's contact with adults over 60 years of age were measured. Chi squares were performed by sex and age of stimulus photograph on the attitudinal questions. One of the chi squares reached signficance on the age comparison and two on the sex comparison. In addition, sign tests were used to assess the direction of the trends on the questions, and both age and sex trends were significant at the .05 level with children being more likely to choose pictures of younger rather than older models and female rather than male models. Ability to correctly order pictures by age was signficantly related (r = .53, p < .001) to the seriation ordering task. Four of the 18 correlations between contact and attitudinal variables were significant and negative.     

Self-Perceived Peer Acceptance in Preschoolers of Differing Economic and Cultural Backgrounds

Self-evaluation begins in early childhood and becomes more nuanced as children get older. However, little is known about the specific factors that predict self-perception and in particular peer acceptance, early in life. This is especially true for low-income children and children of different ethnicities. This study examined 4-year-old children's feelings of social acceptance relative to teachers' perceptions. It also explored whether temperament, language skills, traditional parenting, and teachers' perceptions of peer acceptance were related to children's self-perceptions. Using 94 preschoolers from different cultural and economic backgrounds as participants, results of a mixed model analysis of variance indicated that the relation between children's self-perceptions and teachers' ratings were not uniform across economic and cultural groups. In addition, results of hierarchical multiple regression analyses demonstrated that traditional parenting was one of the strongest predictors of children's social self-perceptions. Beyond parenting, children with relatively good verbal skills, who were not temperamentally shy, tended to perceive themselves as socially competent.     

Is Change Bad? Personality Change Is Associated with Poorer Psychological Health and Greater Metabolic Syndrome in Midlife

Personality change is emerging as an important predictor of health and well‐being. Extending previous research, we examined whether two types of personality change, directional and absolute, are associated with both subjective and objective indicators of health. Utilizing the longitudinal Midlife in the United States survey (MIDUS) data, we examined whether both types of change over 10 years were associated with psychological well‐being, self‐reported global health, and the presence of metabolic syndrome (MetS) components and diagnosis. Socially undesirable personality change (e.g., becoming less conscientious and more neurotic) and absolute personality change were independently associated with worse perceived health and well‐being at Time 2. Notably, absolute personality change, regardless of the direction, was also associated with having a greater number of MetS components and a greater probability of diagnosis at Time 2. In sum, too much personality change may be bad for one's health: Socially undesirable and absolute personality change were both associated with worse psychological health and worse metabolic profiles over 10 years. These findings suggest that personality change may contribute to psychological and physical health, and provide initial insight into potential intermediate links between personality change and distal outcomes such as mortality.     

Sex education for parents using behavior rehearsal

Abstract

In reviewing the family assessment literature, there appears to be a need for behaviorally based report procedures capable of describing important aspects of family functioning. Thus far, most activity in this direction has involved the development of methods of evaluating marital relationships with relatively little attention to parent-adolescent assessment. This article introduces an adaptation of the Areas of Change Questionnaire (originally developed for work with marital pairs) for the assessment of parent-adolescent relationships. The potential utility of this instrument in clinical and research efforts is described, and initial psychometric evaluations are presented.