Parenting stress in parents of children with attention-deficit hyperactivity disorder and parents of children with learning disabilities

Parenting a child with ADHD can challenge parenting resources and coping. Increasingly, researchers are examining the relationship between the behavior of the child with ADHD and family functioning. While studies have shown inceased parenting stress in parents of children with ADHD, these studies have compared children with ADHD to non-disabled children. This study compares reports of parenting stress among mothers of children with ADHD, mothers of children with learning disabilities and mothers of non-referred children. Results showed that parenting stress was highest for mothers of children with ADHD. Increased parenting stress was associated with child characteristics and, in particular, with externalizing behavior problems.     

Psychological and educational characteristics of instruction for people with severe disabilities: Interacting systems of responding

This paper presents a behavioral model which proposes that operants are organized and regulated into systems of responding. Multi-operant theory proposes that operants are organized into response systems that interact to adapt behavior to the complexities of the environment. The operant is the interaction between behavior and the environment which includes the conditions under which responses may occur, the class of behavior that is likely to be effective in producing outcomes, and the antecedent conditions that define the context of behavior. A central feature of this theory is that operants within a repertoire are organized into regulated systems of responding. The mechanisms of regulation are themselves operants that are learned and controlled by processes that are the same as those that govern more overt behavior. Operants stand in relationship to each other in coordinated response systems with some operants directly affecting and organizing the performance of other operants. An important implication of the systemic nature of behavioral repertoires is that bringing some aspect of a behavior class under control of new variables may demonstrate a spread throughout the entire operant system depending on past histories linking the classes.deceased     

See me,hear me: Using film in health-care classes

This essay argues that film deserves a place within the medical humanities curriculum and demonstrates effective strategies for employing it within medical ethics and humanities classrooms. Part One of the article emphasizes how and why medical ethics teachers can utilize documentary and fictional films, such as “Thomas Szasz and the Myth of Mental Illness,” “The Deadly Deception,”Whose Life Is It Anyway? and “Voices From the Front” in their courses. Such films encourage students to move beyond abstract debates and confront the human pain inherent in all ethical dilemmas. Part Two focuses on documentary and fiction film in the medical humanities classroom. In this section, the author details how to incorporates films, such asThe Doctor, The Waterdance andHospital, into the humanities classroom, juxtaposing them with various literary works, such asOther Women's Children, Borrowed Time, andCeremony. Part Three of the essay presents a detailed discussion ofThe Elephant Man andFrankenstein, illustrating how visual and literary texts compliment each other within the humanities classroom. Overall, the author demonstrates how films function as engaging and complex visual texts providing unique insights in the particularities of American health care and, as such, can become valuable components within medical ethics and humanities classrooms.     

The ombudsman for research practice

We propose that institutions consider establishing a position of “Ombudsman for Research Practice”. This person would assume several roles: as asounding board to those needing confidential consultation about research issues — basic, applied or clinical; as afacilitator for those wishing to pursue a formal grievance process; and as aneducator to distribute guidelines and standards, to raise the consciousness regarding sloppy or irregular practices in order to prevent misconduct and to promote the responsible conduct of research. While there are compelling features to this position, many complex issues need to be considered and resolved. We invite readers to respond to questions we raise in the text.     

Prepulse inhibition of the startle eyeblink as an indicator of temporal summation

The inhibition of the human startle eyeblink response was assessed in three experiments in which the duration of the prepulse was manipulated. In all cases, inhibition of startle was more pronounced as prepulse duration increased from 6 to 50 msec. Inhibition of startle amplitude for single prepulses was not significantly different from that for paired prepulses (Experiment 1), but inhibition was more pronounced as prepulse intensity increased (Experiment 3). Varying the interval between prepulse offset and startle-stimulus onset had no significant effect on inhibition (Experiment 2). These data demonstrate the sensitivity of startle inhibition to prepulse duration, and suggest that this response system can be used to evaluate early temporal summation in the auditory system.     

Within-category discrimination of musical chords: Perceptual magnet or anchor?

Recent speech research has begun to evaluate the internal structure of categories. In one such study, Kuhl (1991) found that discrimination was poorer for vowel stimuli that were more representative of the category (prototype, or P, set) than it was for less representative stimuli (nonprototype, or NP, set). This finding was interpreted as indicating that a category prototype may function as a “perceptual magnet,” effectively decreasing perceptual distance, and thus discriminability, between stimuli. The present study examines the function of prototypes in a musical category—another natural, but nonspeech category. Paralleling the Kuhl study, representative (P) and less representative (NP) sets of major triad stimuli were constructed, based on equal temperament. Musically experienced subjects rated the stimuli in each set for goodness as a major triad, with the highest rated stimulus serving as a prototype standard for a subsequent discrimination task. Results from the discrimination task demonstrated better performance in the P context than in the NP context. The current nonspeech results indicate that a prototype functions as an anchor rather than a magnet. In addition to providing a natural, nonspeech standard for comparison with speech findings, the results provide some important insights into the nature of musical categories.     

A behavioral link between the oculomotor and cardiovascular systems

Although the eyes and the heart serve very different purposes, each receives autonomic innervation. Capitalizing on recent theoretical and technological innovations in the understanding and assessment of oculomotor and cardiovascular behavior, three experiments measured behavioral covariation between the oculomotor and cardiovascular systems. Measures of dark focus and dark vergence indexed oculomotor tone, and the spectral decomposition of variations in heart rate indexed cardiovascular control mechanisms. In Experiment 1, individual differences in cardiovascular parameters could predict individuals’ dark vergence (R²=.806) but not their dark focus (R²=.404). In Experiment 2, the same parameters were measured from subjects who experience either panic attacks (n=11) or blood phobia (n=9). Heart rate was positively correlated with dark vergence and the two subject groups were separable based on both oculomotor and cardiovascular variables. Using a within-subjects approach, Experiment 3 found that both dark vergence and dark focus tended to be nearer during sympathetic dominance of the heart than during parasympathetic dominance, within-subjects variations in cardiovascular parameters could predict dark focus, and between-subjects variations in interbeat intervals could predict dark vergence. Shared patterns of autonomic activation may be responsible for this eye-heart link.     

Consciousness: A neurobiological approach

Consciousness and the disorders of consciousness can be more fully understood once they are integrated with the neurobiology of mental events. After a review of animal and human research, we found several anatomical structures in the central nervous system are required for consciousness. Identification of the critical structures, however, depends on what is meant by consciousness. In the general sense of mental responsivity, the reticular activating system must be intact. Consciousness has also been defined as the awareness of the sights, sounds, and feelings of everyday experience. In this sense, the system of sensory inputs and outputs of the anterior temporal cortex, amygdala, and the hippocampus must be functional. There is no neural evidence for “higher” consciousness.