Frequency of stuttering during challenging and supportive virtual reality job interviews

This paper seeks to demonstrate the possibility of manipulating the frequency of stuttering using virtual reality environments (VREs). If stuttering manifests itself in VREs similarly to the way it manifests itself in real world interactions, then VREs can provide a controlled, safe, and confidential method for treatment practice and generalization. Though many researchers and clinicians recognize the need for generalization activities in the treatment of stuttering, achieving generalization in a clinical setting poses challenges to client confidentiality, safety, and the efficient use of a professionals’ time. Virtual reality (VR) technology may allow professionals the opportunity to enhance and assess treatment generalization while protecting the safety and confidentiality of their clients. In this study, we developed a VR job interview environment which allowed experimental control over communication style and gender of interviewers. In this first trial, persons who stutter (PWS) experienced both challenging and supportive VR job interview conditions. The percentage of stuttered syllables was calculated for both interviews for each participant. Self-reported ratings of communication apprehension and confidence were also obtained, and were not significantly correlated with stuttering severity. Results indicated that interviewer communication style affected the amount of stuttering produced by participants, with more stuttering observed during challenging virtual interviews. Additionally, the amount of stuttering observed during the VR job interviews was significantly, positively correlated with the amount of stuttering observed during an interview with the investigator prior to VR exposure. Participants’ subjective reports of the VR experience indicate reactions similar to those they report experiencing in the real world. Possible implications for the use of VR in the assessment and treatment of stuttering are discussed.

Educational objectives: After reading this article, the reader will be able to—(1) list some of the challenges to treatment generalization; (2) describe how virtual reality technology can assist in alleviating some of these challenges; (3) describe how the frequency of stuttering varies across two different virtual environments.     

‘Necessity’ and ‘provability’ in the later wittgenstein

I present a new interpretation of Wittgenstein's later philosophy of logic and mathematics. This interpretation, like others, emphasizes Wittgenstein's attempt to reconcile platonistic and constructivistic approaches. But, unlike other interpretations, mine explains that attempt in terms of Wittgenstein's position about the relations between our concepts of necessity and provability. If what I say here is correct, then we can rescue Wittgenstein from the charge of naive relativism. For his relativism extends only to provability, and not to necessity.     

How Does Self-Complexity of Identity Moderate the Relationship between Strain and Crime?

Studies are inconclusive as to which characteristics exacerbate or inhibit criminal reactions to strain. This study examines how self-complexity of identity conditions the relationship between strain and crime. Those who are lower in self-complexity, or those with few overlapping identities, should be more likely to respond to strain with crime than those who are higher in self-complexity. This proposition was tested through analyzing a cross-sectional survey of 357 undergraduates at a Southeastern university. Strong support was found for the conditioning effect of self-complexity on serious crime while partial support was found for this effect on property crime.     

Empathic accuracy and accommodative behavior among newly married couples

An established method for assessing empathic accuracy was used to examine the consequences of accurate understanding during the early years of marriage. Structural equation modeling analyses simultaneously examined within–individual and across–partner associations among variables (actor effects and partner effects). During the first year of marriage, actor effects and partner effects were observed for two presumed consequences of empathic accuracy—accommodative behavior and couple well–being. Actor effects, partner effects, or both were observed for three possible determinants of empathic accuracy—commitment level, partner perspective–taking, and psychological femininity. Levels of empathic accuracy reliably declined following the first year of marriage, as did the strength of the above–noted associations with empathic accuracy.     

Perceived rationality,morality, and power of social choice as a function of interdependence structure and social value orientation

The present study examines how individuals with different social value orientations (i.e. prosocial, individualistic, and competitive) construe the rationality, morality, and power of choices in four distinct interdependence structures which systematically differ in the motives that could underlie the most prosocial or least aggressive choice: (a) altruism only, (b) altruism and cooperation, (c) altruism, cooperation, and individualism, and (d) altruism, cooperation, individualism, and competition. Results revealed that rationality ratings, and to a lesser degree morality and power ratings, increased most when the motives that could underlie a choice were part of the perceiver's social value orientation. Overall, the pattern of rationality ratings provided reasonable support for the Goal Prescribes Rationality Principle. Ratings of morality and power suggested a corresponding Goal Prescribes Morality/Power Principle (for prosocials and individualists), but revealed only mixed support for the Might Over Morality Hypothesis. Copyright © 2003 John Wiley & Sons, Ltd.     

Impact of health beliefs, quality of life, and the physician-patient relationship on the treatment intentions of inflammatory bowel disease patients.

The research tested a model of treatment decision making in chronic illness that includes health beliefs, quality of life, and relationship with the physician (shared or not). Inflammatory bowel disease patients (N = 218) reported on their physician-patient relationship, general and disease-specific quality of life, and intentions to take a drug, for which perceived benefits and costs were manipulated. For more symptomatic patients, both costs and benefits predicted intentions; however, for less symptomatic patients, costs played a more important role. Physician recommendation predicted intention primarily among those who shared a decision-making relationship with their physician. Overall, the model accounted for 57.8% of the variance in medication-taking intention. Findings suggest that an integrative consideration of relationship factors, health beliefs, and health status may help explain treatment intentions among the chronically ill.     

Locke's Reply to the Skeptic

Given his representationalism how can Locke claim we have sensitive knowledge of the external world? We can see the skeptic as asking two different questions: how we can know the existence of external things, or more specifically how we can know inferentially of the existence of external things. Locke's account of sensitive knowledge, a form of non‐inferential knowledge, answers the first question. All we can achieve by inference is highly probable judgment. Because Locke's theory of knowledge includes both first order psychological and second order normative conditions, sensitive knowledge can be non‐inferential and less certain than intuitive and demonstrative knowledge.     

Educating Jouy

The feminist charge that Michel Foucault's work in general and his history of sexuality in particular are masculinist, sexist, and reflect male biases vexes feminist philosophers of disability who believe his claims about (for instance) the constitution of subjects, genealogy, governmentality, discipline, and regimes of truths imbue their feminist analyses of disability and ableism with complexity and richness, as well as inspire theoretical sophistication and intellectual rigor in the fields of philosophy of disability and disability studies more generally. No aspect of Foucault's corpus has been more consistently subjected to the charges of masculinism and male bias than his example of the nineteenth‐century farmhand Charles Jouy who, at about forty years of age, engaged in sexual activity with a girl, Sophie Adam, was reported to authorities, and subsequently was incarcerated in Maréville for the rest of his days. My central aim in this paper is to interrupt the momentum of the accepted feminist interpretation of the Jouy case by advancing a feminist perspective on Jouy's identity and the incidents involving Jouy and Adam that takes seriously insights derived from philosophy of disability and critical disability theory and history.     

The effects of preoperative preparation on postoperative outcomes: the moderating role of control appraisals.

OBJECTIVE: To test the proposal that external health locus of control and self-efficacy would moderate the effects of a psychological preparation for surgery on outcomes for surgical heart patients. MAIN OUTCOME MEASURES: Psychological distress, pain, serum cortisol, and tumor necrosis factor alpha. DESIGN: A total of 80 coronary artery bypass graft patients were given standard care plus a psychological preparation or standard care alone using a single-blind methodology with random assignment. Data on psychological and biological functioning were collected at admission (baseline) and discharge. RESULTS: As predicted, external health locus of control and self-efficacy moderated the effect of the preparation on all outcomes. Results indicated that for high external health locus of control, the preparation was related to lower distress for people with high self-efficacy compared with those with low self-efficacy. When external health locus of control was low, the preparation was related to lower distress for those with lower self-efficacy. CONCLUSION: These findings caution against the use of preparations and education for surgical patients without accounting for control appraisals.