Conditioning treatment of enuresis: Auditory intensity

The auditory stimulus characteristics of three commercially-produced enuresis alarms are described and the results of a clinical trial of the three alarm types are reported. No significant differences regarding outcome, either in terms of treatment efficiency or of subsequent relapse, were found.     

Pastoral ecstasy and the authentic self: Theological meanings in symbolic distance

Pastoral ecstasy is defined as the capacity for and the experience of my distance from myself. It is the ability to stand outside one's social roles for purposes of critical reflection. Social roles are inevitable and cannot be laid aside. The role-distancing of the authentic self nurtures emotional well-being and enables the pastor to reflect, address his failures, and modify his patterns and behavior. The capacity for role-distancing demonstrates a natural self-role duplicity that is legitimate, i.e., to stand outside of and critically reflect on one's role while performing responsibly within it. Authentic living involves this legitimate duplicity and indicates honest commitment.This article was first presented as an address before the Southwest Regional Meeting of the Association for Clinical Pastoral Education in Albuquerque, New Mexico, Spring 1976.     

An analysis of factors affecting traditional family expectations and perceptions of ideal fertility

This study examines: 1) the conditions giving rise to variation in sex-role orientation and the perceived cost of having children; and 2) the role these variables play as mechanisms linking antecedent variables to perceptions of ideal fertility. Data are drawn from a metropolitan area (Oklahoma City) sampling of 401 adults. Antecedent variables of sex, employment status, age, education, exposure to metropolitan living, and religious traditionalism--though correlated with ideal fertility--have no direct effects on that variable. Rather, the effects of these variables on fertility are mediated through sex-role orientation and the perceived cost of having children. The study confirms that there is a great deal of variation in the perception of a woman's place in comtemporary society and much of this variation is predictable. Education and exposure to metropolitan living both have influences which result in more egalitarian sex-role orientations, while traditional beliefs reinforce traditional sex-role orientations. Younger people also are more likely than older ones to be egalitarian. On the average, women are less traditional in their sex-role orientations than men and employed women are less traditional than unemployed women. Thus, the 2 strongest predictors of sex-role orientation are age and education. Sex role orientation and the perceived cost of having children both exert strong influences on the number of children thought to be ideal.     

Effects of post-operative environment on recovery from dorsal hippocampal lesions in young rats: Tests of spatial memory and motor transfer

Young rats (30 days old) were given dorsal hippocampal lesions and then housed in different conditions to assess the contribution of the environment to recovery from the effects of the lesion. They were subsequently tested on a spatial memory task and on a task requiring complex motor movements and transfer ability. Animals with lesions were inferior to sham-operates on both these tasks. Social housing and environmental enrichment improved performance on both tests, but there was no evidence for an interaction between lesion and environmental effects. The validity of using the term “recovery” in these circumstances is discussed, and called into question.     

MANAGEMENT OF GERIATRIC INCONTINENCE IN NURSING HOMES

A behavioral management system designed to reduce urinary incontinence was evaluated in two nursing homes with a pretest-posttest control group design with repeated measures. The primary components of the system were prompting and contingent social approval/disapproval which required approximately 2.5 minutes per patient per hour to administer. The frequency of correct toileting for experimental subjects increased by approximately 45%. The experimental groups were significantly different from the control groups on both incontinence and correct toileting measures. The results are discussed in view of the management issues inherent in nursing home settings.