Right of active duty military personnel to refuse psychiatric treatment

Under Federal Court precedents, mentally ill patients have a qualified right to refuse treatment. The amount of due process that may be required to override treatment refusals by active duty military patients is discussed. Due process for these individuals need not be judicial, since medical review satisfies federal requirements. Involuntary administration of medication to active duty military personnel is justified in some circumstances. Specific criteria for overriding treatment refusals are suggested. A sample protocol for overriding the treatment refusals of active duty personnel is offered.     

INCREASING HANDICAPPED PRESCHOOLERS' PEER SOCIAL INTERACTIONS: CROSS-SETTING AND COMPONENT ANALYSIS

The purposes of our study were: (a) to train a set of observationally determined social behaviors via peer initiation; (b) to determine if effects generalized across classroom settings and to directly intervene if generalization did not occur; and (c) to analyze components of the peer-initiation intervention. After baseline, nonhandicapped preschool children (confederates) were taught to direct social initiations to the three handicapped preschool-aged students. Teachers prompted the confederates to engage the students in social interaction when necessary and rewarded the confederates with tokens. Confederates' initiations to the students resulted in increased frequencies of positive social interaction. There was no generalization to other classroom settings, and the intervention was subsequently implemented in a second and third classroom. Next, the confederates' token reinforcement system was withdrawn, with no apparent deleterious effects on the confederates' or students' social interactions. When teachers substantially reduced their prompts to the confederates, students' social interactions decreased. Finally, reinstatement of teacher prompts resulted in increases in the confederates' social initiations and, consequently, the positive social interactions of the students.     

IMPROVING PEDIATRIC APPOINTMENT KEEPING WITH REMINDERS AND REDUCED RESPONSE REQUIREMENT

We evaluated the effectiveness of appointment reminders and a reduced response requirement for improving appointment keeping in a hospital ambulatory pediatric clinic. Participants received mailed and telephoned reminders along with a parking pass that reduced the time and effort required to attend the clinic. A multiple baseline analysis of 5,261 appointments over one fiscal year showed that the intervention increased the percentage of appointments kept and decreased the percentage of appointments broken in the continuity clinics of five pediatric health care providers. Social validation, consumer satisfaction, and cost-effectiveness measures, as well as an interrupted time-series analysis, all support the effectiveness of the intervention.     

A Buddhist view of abortion

This paper examines the abortion issue from a Buddhist perspective. As the consciousness is held to enter the embryo at conception, it is felt to be fully human at that moment. Thus, Buddhism strongly discourages abortion except in the situation of an immediate threat to the mother's life. Though Buddhism has clearly a pro-life position on abortion, the final decision should be left to the pregnant woman.     

8080 port addressing with the C/80 compiler

This paper deals with Intel 8080 port addressing with the C/80 compiler. Specifically, two assembly language routines designed for the C/80 are described.     

Simple reaction time with markovian evolution of gaussian discriminal processes

If the discriminal distributions of signal-detectability theory evolve in time according to a normal Markov process, they can be characterized by Brownian motion generalized with a constant bias determined by signal strength. If the process is stopped at the first occurrence of a preset criterion displacement, the resulting latency distribution provides a model for the central component of simple reaction time. Discussed are properties of the distribution which should be useful in obtaining experimental predictions from neural-counting assumptions, and in relating reaction times to basic variables of the theory of signal-detectability.This paper was written while the author was on a post-doctoral fellowship at the Mental Health Research Institute, University of Michigan, supported by U.S.P.H.S. Training grant T01-MH-7417-07.     

Conflict Between Firemen and Ghetto Dwellers: Environmental and Attitudinal Factors1

During the past few years urban fire companies have responded to a vastly increased number of false alarms, especially from lower income areas. In a preliminary attempt to understand this phenomenon, two studies were conducted. In the first, several environmental variables, in addition to average neighborhood income, reported harrassments of firemen, and type of alarm box, were correlated with false alarm frequencies for randomly selected alarm boxes in lower income sections of Brooklyn. Results of a step-wise multiple regression analysis indicated that (a) a linear combination of six environmental variables accounts for 73% of the variance in false alarms, (b) this relationship is not due simply to differences in average neighborhood income, and (c) false alarms are associated geographically with harassments. The results suggested that false alarms should be interpreted as expressions of protest. The second study explored the beliefs and attitudes of ghetto residents and revealed that young nonwhites showed most hostility to the fire department. Although most respondents expressed positive attitudes toward firemen, many believed they do unnecessary damage; and some respondents linked this with racism. Other causes for anger not directly related to the fire department were also mentioned, including the environmental factors emphasized in the first study. The findings raise several questions amenable to social psychological investigation and suggest ways to reduce false alarms, but it seems unlikely that the problem can be solved until deeper racial and class antagonisms are reduced.     

EFFECTS OF SYSTEMATIC,RESPONSE-DEPENDENT FADING AND THINNING PROCEDURES ON THE MAINTENANCE OF CHILD-CHILD INTERACTION

Previous investigations of the social behavior of handicapped preschool children (Journal of Applied Behavior Analysis, 1974, 7 , 583–590; Journal of Applied Behavior Analysis, 1976, 9 , 31–40; Journal of Applied Behavior Analysis, 1977, 10 , 289–298) demonstrated that introduction of adult or peer confederate intervention agents produced substantial increases in levels of positive social behavior emitted by the subjects. In addition, it was observed that changes in rates of positive social behavior emitted by recipients of intervention tactics were accompanied by parallel changes in rates of positive social behavior emitted by interacting peers. However, with one limited exception, sudden removals of arranged intervention procedures were followed by immediate reductions in the levels of positive social behavior emitted by subjects and peers in each study. The current investigation was designed to examine the effects of response-dependent removal of intervention procedures on the positive behavior of three socially withdrawn preschool boys. Interactive effects on the social behavior of classroom peers who did not receive adult prompts and contingent attention events were also examined. A combination of withdrawal of treatment and multiple baseline procedures was employed. The three target subjects received fixed numbers of prompts and contingent attention events during Intervention I and Intervention II, Phase 1 conditions. During Intervention II, Phase 2 conditions, prompts and contingent attention events were reduced on a response-dependent basis for two subjects and on a response-independent basis for the third subject. The results suggest that: (a) the intervention procedures produced marked increases in positive social behavior emitted by each subject; (b) response-dependent fading and thinning, contrasted with response-independent tactics, maintained levels of positive social behavior equivalent to those observed during Intervention I and Intervention II, Phase 1 conditions; (c) changes in positive and negative behaviors emitted by peers paralleled changes in positive and negative behaviors emitted by each subject; and (d) no “spillover” of treatment effects was noted for subjects during periods in which they were not direct recipients of intervention procedures.     

Self-awareness and cigarette-smoking behavior

According to the theory of objective self-awareness (Duval & Wicklund, 1972), the concept of generalized drive is unnecessary, its explanatory function having been replaced by the concepts of self-evaluation and desire to be “correct”. An experiment was designed to compare alternative predictions from the drive and self-awarencess theories. Subjects listened to music in the presence of a mirror and, at another time, not in the presence of a mirror. The effect of self-consciousness on several habitual behaviors related to smoking was assessed. It was known that the subjects believed the number of cigarettes one should smoke “ideally” was significantly less than the number they actually smoked. Hence, the theory of objective self-awarencess predicts decreased smoking in the presence of the mirror, while a drive theory interpretation of self-consciousness predicts the opposite. Results generally supported the drive theory.