Early communication development and intervention for children with autism

Autism is a neurodevelopmental disorder defined by impairments in social and communication development, accompanied by stereotyped patterns of behavior and interest. The focus of this paper is on the early development of communication in autism, and early intervention for impairments in communication associated with this disorder. An overview of components of communication is provided. Communication characteristics that are diagnostic of autism are summarized, with consideration of the overlap between social and communication impairment, particularly for children with autism functioning at the prelinguistic level. Early communication development and predictors of communication functioning in autism are examined, based on a review of prospective and retrospective studies. The focus of the discussion then turns to intervention. Consideration is given to the rationale for beginning intervention as early in life as possible for children with autism. Implications of motor, imitation, and play deficits for communication-based intervention are examined. Finally, issues related to the design and delivery of intervention for young children with autism are presented, along with a review of the major early intervention approaches for autism.     

Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder

Across studies, paying attention to and analyzing one's emotions has been found to be both positively and negatively correlated with depression symptoms. One way of reconciling these seemingly contradictory findings is the possibility that attending to emotions in a skillful manner may help to reduce depression whereas attending to emotions with limited skill may be counterproductive. Dialectical behavior therapy (DBT) is a clinical intervention designed to foster adaptive awareness, expression, regulation, tolerance, and acceptance of emotions. Results of the present report come from a pilot study of a 16-week DBT-based skills training group for treatment-resistant major depressive disorder (MDD) as an adjunctive treatment to pharmacotherapy. Patients were randomized to treatment or a waitlist control group. A significant interaction revealed that increases in emotional processing were associated with decreases in depression symptoms in the DBT-based skills group; however, increases in emotional processing in the waitlist condition were associated with increases in depression. Results offer preliminary support for the idea that participating in DBT-based skills training may help individuals with treatment-resistant MDD to develop skills that facilitate processing emotions in a way that helps to reduce rather than exacerbate depression symptoms.     

the résumé's secret identity: a tool for narrative exploration in multicultural career counseling

The résumé can be a window into the life story of a client and help address barriers to work and life success. Using the résumé as a narrative tool, career counselors can address these barriers and increase clients' employment potential. The strength of this approach is its cultural relevance to clients who may not otherwise seek counseling and as a talking tool within counseling. This article explores the potential for the résumé development and refinement process to enhance the counseling process akin to narrative career counseling. A model and case example are provided to illustrate the application of this approach.     

Learning to label letters by sounds or names: a comparison of England and the United States

Learning about letters is an important foundation for literacy development. Should children be taught to label letters by conventional names, such as /bi/ for b, or by sounds, such as /b/? We queried parents and teachers, finding that those in the United States stress letter names with young children, whereas those in England begin with sounds. Looking at 5- to 7-year-olds in the two countries, we found that U.S. children were better at providing the names of letters than were English children. English children outperformed U.S. children on letter-sound tasks, and differences between children in the two countries declined with age. We further found that children use the first-learned set of labels to inform the learning of the second set. As a result, English and U.S. children made different types of errors in letter-name and letter-sound tasks. The children's invented spellings also differed in ways reflecting the labels they used for letters.     

Gender Differences in the Perception of Prisoner Abuse

We examined gender stereotypes and perceptions of aggression in 743 US psychology students at a northeastern university in the USA. Participants rated a vignette depicting torture of an Iraqi prisoner by an American soldier in which the gender of prisoner and guard were varied. The results showed that female participants viewed torture more negatively than male participants. Additionally, participants perceived the torture and killing of a female prisoner warranted significant compensation to her family. However, participants perceived violent acts by a male guard to be as serious as for a female guard, suggesting a shift in perceptions of gender role stereotypes. Our findings demonstrate a change in the gender role stereotyping for females in the military and suggest a number of future studies.     

Changes in cry acoustics and distress ratings while the infant is crying

Acoustics and distress ratings were examined during four minutes of naturally occurring crying from 20 healthy, 1‐month‐old infants. Two listeners made continuous judgements of infant distress during every 10‐s segment of each cry sample. Dysphonation, number of wails, and pause duration were related to distress ratings across the 4 min of crying. Means and variances of ratings and acoustics, and the predictive value of each acoustic variable to ratings, differed in the first and second halves of the samples. Differences in the pattern of results occurred for individual infants. The results highlight the importance of studying the cry as a dynamic acoustic signal that may provide unique information about an individual infant's level of distress. Copyright © 2009 John Wiley & Sons, Ltd.     

Unfamiliar face recognition in children with autistic spectrum disorders

We investigated unfamiliar face recognition in low‐functioning children with autistic spectrum disorders (ASD) using a ‘part‐of‐face’ method. This method has not previously been used for unfamiliar faces with this population. The ‘part‐of‐face’ procedure provides measures of both face recognition accuracy and of processing style. We compared the performance of the children with ASD with three control groups: children with developmental delay (DD), typically developing (TD) children matched for verbal cognitive ability and TD children matched for chronological age (CA). Compared to the DD group, the ASD group showed similar processing in recognition accuracy and processing style. Compared to the TD children, the ASD group did not show the same level of accuracy as controls of the same CA, instead showing similar performance to younger TD children. However, as both children with ASD and DD showed the same performance, no ASD‐specific deficit was found. Copyright © 2009 John Wiley & Sons, Ltd.     

Healing relationships and the existential philosophy of Martin Buber

The dominant unspoken philosophical basis of medical care in the United States is a form of Cartesian reductionism that views the body as a machine and medical professionals as technicians whose job is to repair that machine. The purpose of this paper is to advocate for an alternative philosophy of medicine based on the concept of healing relationships between clinicians and patients. This is accomplished first by exploring the ethical and philosophical work of Pellegrino and Thomasma and then by connecting Martin Buber's philosophical work on the nature of relationships to an empirically derived model of the medical healing relationship. The Healing Relationship Model was developed by the authors through qualitative analysis of interviews of physicians and patients. Clinician-patient healing relationships are a special form of what Buber calls I-Thou relationships, characterized by dialog and mutuality, but a mutuality limited by the inherent asymmetry of the clinician-patient relationship. The Healing Relationship Model identifies three processes necessary for such relationships to develop and be sustained: Valuing, Appreciating Power and Abiding. We explore in detail how these processes, as well as other components of the model resonate with Buber's concepts of I-Thou and I-It relationships. The resulting combined conceptual model illuminates the wholeness underlying the dual roles of clinicians as healers and providers of technical biomedicine. On the basis of our analysis, we argue that health care should be focused on healing, with I-Thou relationships at its core.     

Object permanence in dogs: Invisible displacement in a rotation task

Dogs were tested for object permanence using an invisible displacement in which an object was hidden in one of two containers at either end of a beam and the beam was rotated. Consistent with earlier research, when the beam was rotated 180°, the dogs failed to find the object. However, when the beam was rotated only 90°, they were successful. Furthermore, when the dogs were led either 90° or 180° around the apparatus, they were also successful. In a control condition, when the dogs could not see the direction of the 90° rotation, they failed to find the object. The results suggest that the 180° rotation may produce an interfering context that can be reduced by rotating the apparatus only 90° or by changing the dogs’ perspective. Once the conflict is eliminated, dogs show evidence of object permanence that includes invisibly displaced objects.