BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

Assessment of human obesity: The measurement of body composition

The most common methods of assessing degree of obesity in humans are reviewed. These include anthropometry, somatotyping, bodyweight, skinfold calipering, densitometry, and several nondensitometric procedures. The evidence suggests that bodyweight may often be an unreliable and invalid index of obesity. The parameters influencing its inaccuracy are discussed. These include age, height, sex, muscularity, and degree of obesity or amount of recent weight loss. The most reliable and valid measures of human bodyfat are generally the most complicated and impractical. Compromise assessment procedures involving nonintrusive measurement of subcutaneous fat and selected anthropometric dimensions may offer an incomplete but welcome improvement over sole reliance on bodyweight as an index of obesity.     

Dressing up with Disney and Make-Believe with Marvel: The Impact of Gendered Costumes on Gender Typing,Prosocial Behavior,and Perseverance during Early Childhood

Wearing costumes is a common experience during early childhood and is often important to sociodramatic play. Costumes tend to be highly gendered for both girls and boys (such as princess and superhero costumes). However, there is very little research on the impact that wearing costumes has on gender-differentiated behavior, such as toy preference, prosocial behavior, or perseverance during early childhood. The current study included 223 U.S. children, aged between 3 and 5 years-old. Children were assigned to wear either a gendered, counter-gendered, or gender-neutral costume, and they then took part in three gender-related tasks. There was no impact of wearing costumes on any task for girls. However, boys preferred feminine toys significantly more when wearing a neutral costume when compared to a masculine-typed one. Additionally, boys were significantly less likely to help when wearing a masculine-typed costume compared to a feminine-typed costume. There are several implications of these findings that are discussed in the paper. Parents may wish to purchase a wide range of costumes for their child for sociodramatic play, particularly for boys. Therapists could also potentially use costumes during play therapy to discuss gender issues. Additionally, costume producers could consider marketing a wide range of costumes for children as opposed to largely focusing on gendered ones.

     

Children's reasoning about responses to peer aggression: Victim's and witness's expected and prescribed behaviors

This research examined children's reasoning about expected (i.e., what a peer would do) and prescribed (i.e., what a peer should do) responses to unprovoked, intentional aggressive actions in two contexts: as a victim of such a transgression and as a witness to the incident. Physical harm and property damage items were used in a structured interview format. There were 90 subjects drawn from three elementary school grades (2nd, 4th, and 6th). Children differentiated between the expected and prescribed responses of peers and significant developmental differences in children's evaluations were found. Although the majority of the subjects in all grades denounced retaliation on the basis of concerns about others' welfare, older children stated that peers were likely to retaliate against the perpetrator nonetheless. Across different contexts, older children's responses appeared to reveal a greater independence from authority in negotiating peer interactions. In evaluating the witness's responses to aggressive acts, younger children's expected and prescribed responses were less disparate than that of the older children. The utility of including different vantage points of the child in examining children's social reasoning about aggression and the application of the present findings to social information-processing models are discussed. © 1996 Wiley-Liss, Inc.     

Assessing the Intersectionality of Religious and Sexual Identities During the Coming-Out Process

Lesbian, gay, and bisexual (LGB) individuals often experience internalized and/or externalized religious rejection due to their sexual orientation. Initial steps in the coming-out process can be especially difficult and can result in existential crises, including questioning one's place within the religious/spiritual realm. The authors propose a developmental framework for conceptualizing the role of religion and spirituality in the coming-out process. Cass's (1979, 1984) stage model of coming out and Genia's (1995) model of religious development, along with additional literature addressing LGB spirituality, serve as foundations for this framework. Counseling and research implications of the framework are also discussed.