THE SELF-INJURY TRAUMA (SIT) SCALE: A METHOD FOR QUANTIFYING SURFACE TISSUE DAMAGE CAUSED BY SELF-INJURIOUS BEHAVIOR

A method is described for classifying and quantifying surface tissue damage caused by self-injurious behavior. The Self-Injury Trauma Scale permits differentiation of self-injurious behavior according to topography, location of the injury on the body, type of injury, number of injuries, and estimate of severity. Fifty pairs of independently scored records were subjected to interrater reliability analyses, and the following mean (median) percentage agreement scores were obtained: overall agreement, 97% (98%); location of injury, 99% (100%); type of injury, 96% (100%); number of injuries, 89% (100%); and severity of injury, 94% (100%). Percentage agreement also was calculated for three summary scores: Number Index, 90%; Severity Index, 92%; and Estimate of Current Risk, 100%. Potential applications and limitations of the scale are discussed.     

STIMULUS FADING AND TRANSFER IN THE TREATMENT OF SELF-RESTRAINT AND SELF-INJURIOUS BEHAVIOR

We conducted several manipulations of mechanical restraint properties during the course of treatment for two profoundly retarded adolescents who exhibited both self-restraint and self-injurious behavior. In study 1, a combination of prompting, differential reinforcement, and stimulus fading reduced one subject's self-restraint, which consisted of holding rigid tubes on his arms. Subsequently, stimulus control of both self-restraint and self-injurious behavior was transferred to tennis wrist bands. In study 2, a second subject's self-restraint—placing his hands in his pants—was immediately eliminated by the use of air splints. Additionally, differential reinforcement and air-pressure fading resulted in the complete mobility of his arms and a substantial increase in appropriate behaviors. Results of this investigation suggest that stimulus fading and transfer may be valuable components in the elimination of self-restraint.     

Action Interrupted: Movement and Breakpoints in the Processing of Motion Violations in Toddlers and Adults

From early in development, segmenting events unfolding in the world in meaningful ways renders input more manageable and facilitates interpretation and prediction. Yet, little is known about how children process action structure in events composed of multiple coarse-grained actions. More importantly, little is known about the time course of action processing in young children or about the specific features that recruit attention. This is particularly true when we consider action that pauses unexpectedly—as actions sometimes do—thereby violating the expectation of a continuous unfolding of motion. We assessed visual preference to intact and disrupted actions embedded within a multiaction event in toddlers and adults. In 1 condition, pauses were inserted at intact action boundaries, whereas in the other condition, they disrupted action. Attention in both groups was recruited to the disrupted relative to intact events. Time-course analyses, however, revealed developmental differences in sensitivity to the movement features (e.g., motion, pauses, and transitions) of disrupted events.     

THE FUNCTIONS OF SELF-INJURIOUS BEHAVIOR: AN EXPERIMENTAL-EPIDEMIOLOGICAL ANALYSIS

Data are summarized from 152 single-subject analyses of the reinforcing functions of self-injurious behavior (SIB). Individuals with developmental disabilities referred for assessment and/or treatment over an 11-year period were exposed to a series of conditions in which the effects of antecedent and consequent events on SIB were examined systematically by way of multielement, reversal, or combined designs. Data were collected during approximately 4,000 experimental sessions (1,000 hr), with the length of assessment for individuals ranging from 8 to 66 sessions (M = 26.2) conducted over 2 to 16.5 hr (M = 6.5). Differential or uniformly high responding was observed in 145 (95.4%) of the cases. Social-negative reinforcement (escape from task demands or other sources of aversive stimulation) accounted for 58 cases, which was the largest proportion of the sample (38.1%). Social-positive reinforcement (either attention or access to food or materials) accounted for 40 (26.3%) of the cases, automatic (sensory) reinforcement accounted for 39 (25.7%), and multiple controlling variables accounted for 8 (5.3%). Seven sets of data (4.6%) showed either cyclical or inconsistent patterns of responding that were uninterpretable. Overall results indicated that functional analysis methodologies are extremely effective in identifying the environmental determinants of SIB on an individual basis and, subsequently, in guiding the process of treatment selection. Furthermore, an accumulation of assessment data from such analyses across a large number of individuals provides perhaps the most rigorous approach to an epidemiological study of behavioral function.     

Hating among adolescents: Common contributions of cognitive distortions and maladaptive personality traits

The phenomenon of hating is becoming common in adolescence, but it has been rarely investigated. The study aimed to examine the relationships between hating behaviors, maladaptive personality traits, and cognitive distortions, and to explore whether cognitive distortions might intervene in the relationship between personality traits and hating. Method: Participants (200 boys and 202 girls) completed the Hating Adolescents Test (HAT), the Personality Inventory for DSM-5-Brief Form-Children (PID-5), and the How I Think Questionnaire (HITQ). Results: Preliminary results showed significant gender differences in the study’s variables: boys reported higher scores than girls on hating and on cognitive distortion minimizing, whereas no significant differences emerged on maladaptive personality traits. The mediation model showed that the cognitive distortion blaming others mediated the relationship between psychoticism and hating. Conclusions: Data suggested a mediating role of cognitive distortion blaming others in the relationship between psychoticism trait and hating behaviors.

     

Adolescent Effortful Control as Moderator of Father's Psychological Control in Externalizing Problems: A Longitudinal Study

This longitudinal study investigates the moderating role of a temperamental trait, the effortful control, in the relation between father's psychological control and externalizing problems. In Wave 1, the participants included 507 adolescents attending the second classes of two public schools situated in two Italian cities; in Wave 2, 482 adolescents attending the fifth classes of high school participated again in the study. The results demonstrated a positive contribution of paternal achievement-oriented psychological control to externalizing problems and a moderator effect of effortful control in the relationship between the father's psychological control and externalizing problems. These findings extend current knowledge on the role of the father in the difficult task of balancing the promotion of individuality without falling into psychological control that can trigger externalizing problems among adolescents, especially when the temperament of the latter does not foresee the availability of self-regulating abilities that mediate disadvantageous reactivity.     

Late Adoptions: Attachment Security and Emotional Availability in Mother–Child and Father–Child Dyads

A growing body of research suggests that a history of neglect, abuse and institutionalization can negatively affect late-adopted children’s attachment representations, and that adoptive parents can play a key role in enabling adopted children to earn secure attachments. Still, only a few studies have explored the quality of caregiver–child interaction in adoptive families. The present study aimed at verifying both the concordance of attachment in adoptive dyads (mother–children and father–children) and the relationship between attachment representations and parent–child interaction. The research involved 20 adoptive families in which the child’s arrival had occurred between 12 to 36 months before the assessment, and where children were aged between 4.5 and 8.5 years. Attachment was assessed through the Adult Attachment Interview for parents and through the Manchester Child Attachment Story Task for children. The emotional quality of parent–child interaction was assessed trough the Emotional Availability Scales. Our results pointed out the presence of a relation between attachment representations of late-adopted children and their adoptive mothers (75%, K?=?0.50, p?=?.025). In addition, we found that both insecure children and mothers showed lower levels of EA than secure ones. Some explanations are presented about why, in the early post-adoption period, child attachment patterns and dyadic emotional availability seem to be arranged on different frameworks for the two parental figures.     

Eudaimonic Well-Being in Transsexual People,Before and After Gender Confirming Surgery

Gender confirming surgery (GCS) and cross-sex hormones (CSH) are crucial steps in the self-realization of a transsexual individual. However, no study has analyzed the outcome of GCS in a eudaimonic perspective, nor explored eudaimonic well-being before GCS. The study compares the eudaimonic well-being of trans men (N = 56) and women (N = 89) before and after GCS; in the MtF sample, a further comparison was carried out between those who never started any medical intervention and those who were already taking CSH. Finally, the impact of experiences of harassment, discrimination and violence on eudaimonic well-being in the post-surgery sample was explored. All participants completed the Psychological Well-being Scales (Ryff in J Pers Soc Psychol 57:1069–1081, 1989) and, only the post-surgery sample, a questionnaire to assess previous experiences of harassment, discrimination and violence. Both in MtF and FtM participants, those who already received GCS showed higher scores on self-acceptance; in the MtF sample, higher scores were also found on environmental mastery and lower scores on personal growth. The association between experiences of discrimination on well-being was limited and positive, with higher scores in personal growth only in FtM participants who reported being victims of such experiences. Our results suggest that both MtF and FtM transsexuals show higher levels of eudaimonic well-being after GCS.     

Autopoietic Enactivism,Phenomenology, and the Problem of Naturalism: A Neutral Monist Proposal

In this paper, I compare the original version of the enactive view—autopoietic enactivism—with Husserl’s phenomenology, regarding the issue of the relationship between consciousness and nature. I refer to this issue as the “problem of naturalism.” I show how the idea of the co-determination of subject and object of cognition, which is at the heart of autopoietic enactivism, is close to the phenomenological form of correlationism. However, I argue that there is a tension between an epistemological reading of the subject-object correlation that renounces to search for its metaphysical ground, and the enactivist focus on the biological basis of cognition, which seems to imply a view of nature as the metaphysical ground of the conscious mind. A similar problem arises in Husserl’s phenomenology in the contrast between the idea of the fundamental subject-object correlation, the concept of nature as a correlate of transcendental constitution, and the investigation of the corporeal and material grounding of consciousness. I find a way out of this problem by drawing on the distinction between static and genetic phenomenology. I argue that the investigation of the temporality of experience in genetic phenomenology leads us to investigate the metaphysical ground of the subject-object correlation, understood dynamically as co-constitution and co-origination. Then I propose to complement phenomenology and enactivism with a form of neutral monism, which conceives of the co-constitution of subject and object as grounded in a flow of fundamental, pre-phenomenal qualities.