Touch and technology: Two paradigms of patient care

Technology violates human dignity only to the extent that its use reduces persons to the moral status of objects. The prevalence of technology in health care is an extension of the scientific paradigm, in which the body is reduced to an object void of subjectivity. The empathie paradigm, in contrast, is based upon the moral primacy of subjectivity. Empathic touch-as distinct from instrumental and philanthropic touch-establishes a clinical relation of intersubjectivity, affirming in patients the dignity and worth that morally distinguish persons from objects.An earlier version of this paper was presented to the 15th Annual Meeting of the American Society for Nursing Service Administrators of the American Hospital Association; San Diego. California, October 27–29, 1982.     

Combining whole-school and targeted programs for the reduction of bullying victimization: A randomized,effectiveness trial

Despite the extensive evaluation of school-based interventions for bullying, victimization remains a significant problem in schools. Bullying victimization is significantly predicted by contextual (school-related) factors. As a consequence whole-school programs have been commonly used to prevent and reduce bullying victimization. Evidence also points to individual risk factors (such as emotional distress) in predicting victimization, yet programs to prevent bullying victimization by changing these individual risks are far less developed. Few studies have approximated “real-world” implementation conditions in their trials. The current effectiveness trial evaluated the combination of a whole-school program designed to prevent bullying perpetration and victimization together with a targeted intervention for at-risk students, teaching them individual and dyadic strategies to reduce their anxiety and manage victimization, allowing schools some latitude to implement programs as they typically would. Students from Grades 3 and 4 (N = 8,732) across 135 schools were randomly assigned to one of four conditions: combined intervention; whole-school intervention only; individual intervention only; and care as usual. Victimization decreased significantly and similarly across all four conditions at 12 and 24 months following baseline. Similar reductions and failure to discriminate conditions were found on other key constructs: anxiety; bullying perpetration; and depression. Possible reasons for the failure to demonstrate victimization prevention differences and lessons learned from this large, effectiveness trial are considered.     

Some fear-potentiating effects of fluprazine hydrochloride in mice

The fear-potentiating effects of fluprazine hydrochloride were explored in a series of five experiments. The drug was found to strongly inhibit entry into a novel open field, exploration of a complex maze, or approach to a novel object placed in the animal's home cage. Time sampling techniques were used to assess drug effects on frequencies of immobility, activity, and grooming and rearing responses prior to and for 70 min after footshock. There were no group differences during the 10 min immediately following shock but the groups diverged steadily in immobility, activity, and grooming for the remainder of the observations. Post-shock activity and grooming responses increased steadily towards baseline values among control mice but remained at low levels or declined among drug-treated mice. Immobility responses declined steadily among control mice but increased substantially among the fluprazine-treated mice throughout post-shock observations. Pairs of male mice treated with fluprazine were also found to maintain greater intermouse distances in a novel linear runway than pairs of undrugged adult males, juvenile males, or male-female pairs. It is suggested that fluprazine hydrochloride both potentiates fear and alters its time course in addition to interfering in some way with normal olfactory processes.     

Jolly fat rats? The effects of diet-induced obesity on territorial fighting

In experiment 1, pairs of young male rats became obese on a palatable and complex diet high in fat, sucrose, and protein. The obese pairs exhibited greater within-group weight variability and, when tested as adults, were significantly more aggressive toward an unfamiliar conspecific than chow-fed controls. The increased aggressivity of obese males was not due to the relatively larger resident-intruder weight disparities in these pairs, since weight-matched pairs of unfamiliar animals were as aggressive toward each other as pairs not matched in body weight (experiment 2). The complex and calorically dense diet may have accelerated the development of the experimental animals, producing subjects whose aggressivity was comparable to that of much older animals.     

Customer experience in coffee stores: A multidisciplinary Neuromarketing approach

Companies in the service retailing industry are constantly looking for strategies to provide a customer experience that improves brand perception and increases customer loyalty. This study provides a deeper understanding of customer experience in two coffee stores in Vietnam by providing a multidisciplinary approach, including a quantitative and a neuromarketing approach. Two-hundred participants participated in the study, combining mystery shopping visits with the Brand Association Reaction Time Test (BARTT). Results from the mystery shopping visits confirm the holistic concept of customer experience. Store atmosphere, employee service, drink quality, price, and previous visits significantly impact customer experience. Empirical results also confirm the impact of customer experience on loyalty. Furthermore, the BARTT analysis shows that in-store customer experience can influence customers' short-term brand perceptions. The national brand is associated with friendly, expensive, globalized, and unique, whereas the local brand revealed significant associations with clean, smells good, welcoming, and unique. From the mystery shopping results and the BARTT, we can infer that customer experience needs multi-methodological capturing of its multifaceted aspects. Our findings are relevant to researchers and practitioners seeking to understand and bolster customer experiences, justifying a multidisciplinary approach and the application of new insightful tools.     

Reducing skin picking via competing activities

This study examined the outcomes of a competing activities intervention to decrease skin picking exhibited by a 9-year-old student with comorbid diagnoses. Results of an ABCBAB design revealed that the use of student-selected manipulatives resulted in reduced skin picking.     

Assessing pain behaviour of low-back pain patients in real time: concurrent validity and examiner sensitivity

Several systems for measuring pain behaviour have been developed for clinical settings. The present study reports on a real-time system for coding five categories of pain behaviour for low-back pain patients: guarding, touching, sounds, words, and facial expression. Unique features of the system are the use of refined measures of facial expression and integration of the measurements with a standardized physical examination. 176 sub-acute and chronic low-back pain patients underwent a physical examination while their pain behaviour was coded. Concurrent measures of subjective pain, medically-incongruent signs, and independent global ratings of pain behaviour were taken. Analyses indicated that the pain behaviours, particularly guarding and facial expression, varied systematically with the alternative measures, supporting the concurrent validity of the behaviour observation system. While pain behaviours, especially use of words and facial expressions, were significantly associated with the examiners' independent ratings, the strength of the associations suggested that, in the absence of direct training, examiners' performance was relatively poor. Implications for training of clinicians in detecting pain behaviour are discussed.     

Morphological representation in an endangered,polysynthetic language

This article presents the results from an initial psycholinguistic study of patterns of morphological representation in Dene Suliné (Chipewyan), an indigenous and highly endangered language spoken in Northwestern Canada. Our investigation focused on how morphological knowledge in this polysynthetic language is affected across various levels of language attrition by employing a morphological segmentation task and an off-line lexical decision task. We discuss the manner in which these tasks target different aspects of morphological ability and then turn to methodological issues associated with conducting psycholinguistic studies with language users that differ in levels of age, education, literacy, and bilingualism (Dene- English). Finally, we report on the challenges of doing psycholinguistic research outside the confines of a university setting and make some recommendations to other researchers who might wish to undertake similar studies.     

Interpersonal identity formation during early adolescence

The purpose of this study was to explore interpersonal identity development during early adolescence. Sixth, seventh, and eighth graders (N = 356) were administered the interpersonal identity scale of the Revised Extended Objective Measure of Ego Identity Status (Bennion & Adams, 1986). Findings revealed that 55% of the sample fell into one of the four discrete identity status categories, with 62% of this group classified as either diffused or foreclosed. Within these two less sophisticated statuses, grade and gender differences were observed. The interpersonal domains of friendship, dating, and sex roles were salient for the young adolescents in this sample, particularly for those classified as diffused and foreclosed. Findings reflect the emergent and/or transitional nature of interpersonal identity development during early adolescence.