Contingent electric shock (SIBIS) and a conditioned punisher eliminate severe head banging in a preschool child

We report a case in which a Self‐Injurious Behavior Inhibiting System (SIBIS) device and a conditioned punisher were utilized to decrease and maintain suppression of severe head hitting/banging in a preschool child. After an experimental evaluation conducted at the hospital, SIBIS was implemented at home. The originality of this particular SIBIS case study is that programmed and systematic effort at establishing conditioned punishment was included in the intervention. Results indicate that a zero‐level response was rapidly reached, and that the conditioned punisher (i.e. verbal prompt + movement towards the place where SIBIS was kept) was sufficient to maintain treatment effects. Continuous assessment after treatment and formal observation session at 7 months follow‐up revealed that SIBIS could be removed from the natural environment of the child while maintaining a therapeutic effect. These results were interpreted as the effects of the explicit pairing between the delivery of electric stimulations and previously neutral stimuli, which were initially ineffective to elicit any response, or to suppress SIB. Close and extended monitoring during and after treatment failed to reveal the presence of negative side effects associated with SIBIS, whereas a number of positive effects were observed. Copyright © 2004 John Wiley & Sons, Ltd.     

From “blame by praise” to “praise by blame”: Analysis of vocal patterns in ironic communication

From a communication psychology point of view, irony is not only a rhetorical figure or a cunning linguistic device, but also an articulated strategy for a flexible negotiation of meaning, as well as for establishing and maintaining relations with others. Within the “irony family” phenomena our attention is focused on the sarcastic irony generated in a conflict context (“praise by blame”) and on the kind irony produced in a cooperation context (“blame by praise”). The effects of the variability of contextual cues on the vocal variables (Fo, energy, time) of irony were studied. Through the analysis of the vocal features of standard phrases in a conflict or cooperation context, an ironic dominant pattern has been found consisting of caricatured vocal traits, although differences referring to the two ironic expressions came out. From a subject‐by‐subject analysis, four ironic patterns were obtained: (1) in the cooperation context (a) a rather high and changeable pitch and strong energy (“bantering” joy) were observed, as well as (b) a low and monotone pitch and strong energy (emphatic mark of tenderness); (2) in the conflict context (a) a very high and changeable pitch, strong energy, and slow rate of articulation (“accented banter”) were found, as well as (b) a low and not very changeable pitch, slow rate of articulation, and steadily soft energy (like scorn and cold anger). Following these four vocal patterns, the ironic voice could be defined as a “voice of banter.” In such a way, irony appears as a method used to manipulate the weight of indirect speech, which allows the efficacy of the word and the innocence of silence. Moreover, the ironist can be described as an able director of his own image, able to play with the voice. Within social relationships, in fact, he can use his own voice for calibrating strategically his ways of (un)masking himself to the others.     

The Relationship of Culture and Empathy in Cross‐Cultural Counseling

Empathy has been identified as a core condition for providing counseling. There are numerous articles discussing the components of empathy. However, as the U.S. becomes increasingly ethnically diverse and the world becomes more globalized, there is little discussion on how empathy will be effective with diverse populations. This article discusses the interaction of culture and empathy and suggests guidelines for establishing cultural empathy.     

Obsessive and harmonious passion in physically active Spanish and Hungarian men and women: A brief report on cultural and gender differences

Increased research on passion in exercise calls for direct examination of possible moderating variables, such as culture and gender, that could influence the interpretation of the research results. This study using a nation by gender between‐participants design, examined differences in obsessive‐ and harmonious passion in Spanish and Hungarian physically active individuals. Participants (n = 1002) completed the Passion Scale, reported their gender, age and weekly hours of physical activity. Multivariate analysis of covariance revealed that the experiencing of physical activity‐related obsessive‐ and harmonious passion differed between the 2 countries and Hungarian women scored significantly higher on harmonious and obsessive passion than Spanish women. However, Hungarian men only scored significantly higher on obsessive passion, but not harmonious passion compared to Spanish men. These results suggest that gender and cultural differences are likely to affect the interpretation and generalisation of research on passion and exercise.     

Vanda Shrenger Weiss – the Croatian pioneer between two worlds: Her role in the birth of the Italian Psychoanalytic Society (SPI)

In this paper the author sheds light on Vanda Shrenger Weiss, a forgotten pioneer of the international psychoanalytic movement. Vanda Shrenger was born into a large Jewish family in Croatia (1892), and her life was thoroughly intertwined with the great tragedies of European history: the First World War, the anti‐Semitic persecution within Eastern Europe, which entailed the decimation of her extended family in Croatia. Finally, the introduction of fascist laws in Italy led to her and her husband – Edoardo Weiss, the founder of the Italian Psychoanalytic Society – seeking refuge in the United States of America. During her time spent in Italy (1919–39), Vanda Shrenger, doctor and paediatrician, dedicated herself to psychoanalysis. She played a crucial part in the reconstruction of the Italian Psychoanalytic Society (SPI), whilst also being a founding member of the Rivista Italiana di Psicoanalisi (Rome, 1932). Vanda was the first woman to be a member of the SPI as well as to present a paper for it. This insightful and extensive analysis relating to this pioneer of the psychoanalytic world, has been meticulously accomplished by use of a combination of original archival materials, along with access to previously unpublished documents and personal details, kindly made available to the author by Marianna, the daughter of Vanda and Edoardo Weiss, who still lives in the United States today.     

A microswitch‐based program for promoting initial ambulation responses: An evaluation with two girls with multiple disabilities

We assessed the use of a microswitch‐based program for promoting ambulation responses by two children with multiple disabilities. The goals of the study were to: (a) evaluate the importance of the contingency between the target behavior (forward step) and the programmed consequence (preferred stimuli), (b) measure effects of the intervention on indices of happiness, and (c) assess the social validation of the procedure using 20 physiotherapists as external raters. The intervention involved the automatic delivery of preferred stimuli contingent on forward steps. Results showed that both participants improved their performance (forward steps and indices of happiness) during contingent reinforcement phases compared to baseline and noncontingent reinforcement phases. Moreover, physiotherapists rated the intervention as socially valid.     

Motor Improvement Using Motion Sensing Game Devices for Cerebral Palsy Rehabilitation

The authors aimed to investigate the effects of an intervention based on interactive game set with the movement sensor Kinect on children with cerebral palsy (CP). Twenty-eight participants were recruited. Their age was between 3 and 12 years old, and rated as level I, II, or III on the Gross Motor Function Classification System. They played two games from the Xbox 360 Kinect system and were evaluated using the Gross Motor Function Measure (GMFM) after a period of 8 weeks. The intervention led to significant motor function improvement as increase of the global scores on the GMFM (p < .001). Rehabilitation interventions using the Xbox 360 Kinect interactive games may represent useful tools for children with CP.     

Refugee Trauma: Culturally Responsive Counseling Interventions

This article presents the Multiphase Model of Psychotherapy, Counseling, Social Justice, and Human Rights as a culturally responsive intervention model for working with refugee trauma. The model specifically addresses unique challenges in working with refugees with trauma, taking into account premigration displacement and postmigration adjustment and adaptation brought about by the increased number of global refugees with high rates of posttraumatic stress and psychopathology due to war and conflict.