Brief functional anlaysis and treatment of elopement in preschoolers with autism

As a result of the impact of functional analysis methodologies in identifying maintaining variables of problem behavior, considerable research has been devoted to tailoring the methodologies to be practical for an outpatient setting. The purpose of this study was (a) to use brief functional analysis (BFA) methodologies to empirically demonstrate the function of elopement exhibited by two preschoolers diagnosed with autism and (b) to develop function‐based interventions derived from the results of the BFA. In phase one, a BFA consisting of 5‐min sessions with multiple repetitions of each condition was conducted with each participant. In phase two, the efficacy of function‐based interventions was assessed using a pairwise design. Both participants' rates of elopement were differentially lower during the implementation of the function‐based intervention relative to baseline. Collectively, these results demonstrated that brief functional methodologies could be applied successfully to the assessment and treatment of elopement. Moreover, the application of BFA and the ensuing treatment in an outpatient setting extend the existing research on functional analysis. Copyright © 2008 John Wiley & Sons, Ltd.     

Allergic to People: Building Bridges in a Ripped Psychic-Soma

An exploration of the use mind/body metaphors in a woman whose physical, environmental and psychoneurotic trauma culminated in an irreversible colostomy. She lived in a world of concrete symbols, her primary process damaged such that she could not create generative symbols to process her trauma. She regressed to a state of infantile megalomania, recoiling from the external reality of subjective others. Her introjective disorder mirrored her digestive disorder as she could absorb neither good objects nor good nutrients. The analytic situation has been an auxiliary fecal container and we work to bridge her mind body split with mind/body metaphors. As she reclaims lost development mastery, she displays a symbolized sphincter. As her capacity to form symbols grows, she rages and mourns for the loss of her fantasized ideal parents and her ideal body.     

Visual and tactile action effects determine bimanual coordination performance

Effect-based models of motor control assign a crucial role to anticipated perceptual feedback in action planning. Two experiments were conducted to test the validity of this proposal for discrete bimanual key press responses. The results revealed that the normally observed performance advantage for the preparation of two responses with homologous rather than non-homologous fingers becomes inverted when homologous fingers produce non-identical visual effects, and non-homologous fingers produce identical visual effects. In the second experiment the finger homology effect was strongly reduced when homologous fingers produced non-identical tactile feedback. The results show that representations of to-be-produced visual and tactile action effects both contribute to action planning, though possibly to a varying degree. Implications of these results for effect-based models of motor control are considered.     

Imagination equally influences false memories of high and low plausibility events

To examine the effects of event plausibility on people's false beliefs and memories for imagined childhood events, subjects took part in a three‐stage procedure. First, subjects rated how confident they were that they had experienced certain childhood events. They also rated their memories of the events. Second, 1 week later, subjects imagined one high, one moderate and one low plausibility event. Third, 1 week later (and 2 weeks after their initial ratings), subjects rated their confidence and memory a second time. Imagining the events made subjects more confident that they were genuine experiences and gave subjects clearer and more complete memories. Plausibility did not affect subjects' confidence but it did affect their memories. Subjects developed clearer and more complete memories for high, followed by moderate, followed by low plausibility events regardless of whether those events were imagined. We use a nested model of plausibility, belief and memory to discuss our findings. Copyright © 2008 John Wiley & Sons, Ltd.     

Gender and Ethnic Differences in Obesity-Related Behaviors and Attitudes In a College Sample

This study looked at gender and Black/White differences for a number of variables related to attitudes toward obesity in a sample of 650 college students. The overall stereotypes of overweight persons were both negative and unrelated to subjects' own degree of obesity, although individuals reported that their personal views were less negative than those of others.
Women indicated greater concern with obesity than men in several ways, and the societal stereotype of an overweight woman was seen as more negative than that of an overweight man. Men were more concerned about a date's weight than women, and White women's weight (unlike that of other subgroups) was negatively related to their likelihood and frequency of dating. Although Blacks, particularly Black females, were heavier than Whites, they were more satisfied with their body shape. Black males were less likely than White males to have refused to date someone because of her weight, and Blacks personally considered overweight women to be more attractive, sexier, less ugly, and less sloppy than did Whites. The findings suggest that both gender and ethnicity should be considered when discussing people's attitudes towards obesity and the consequences of such attitudes.     

The perceptual similarity of mirror-image acoustic patterns in speech

Prevocalic and postvocalic (unreleased) occurrences of a stop consonant differ in acoustic shape, but are not unrelated. In particular, the formant transitions taking place at release of a stop consonant approximately mirror in time the formant transitions occurring during closure, assuming that the vowel is the ~same. Several experiments have been performed using brief two-component tone burst approximations to the second and third formant transitions’ that occur in prevocalic and postvocalic allophones of/b, d, g/in order to determine whether such mirror-image acoustic patterns are perceptually related. Listener judgments of similarity within triads of these stimuli indicate that mirror-image patterrts representing the same place of articulation are less similar to each other than to patterns representing different places of articulation. Implications for the child who is acquiring language of the fact that mirror-image patterns in speech do not have inherent perceptual similarity are discussed.     

Using source cues and familiarity cues to resist imagination inflation

To investigate whether people can resist imagination inflation--the imagination-induced increased confidence that fictitious childhood events really happened--we gave them different types of cues. In a three-stage procedure, participants: (1) rated their confidence that a list of childhood events had happened to them, (2) imagined some of these events, and (3) made confidence ratings a second time. Subjects received either no cues about the source of the imagined event, an additional source cue (perspective), an additional familiarity cue (a plausibility questionnaire), or both cues. Only subjects who had both types of cues resisted imagination inflation. These results suggest that additional cues can sometimes safeguard people from becoming more confident that fictitious events were genuine experiences.     

Genetic Evaluation and Counseling of Couples with Recurrent Miscarriage: Recommendations of the National Society of Genetic Counselors

The objective of this document is to provide recommendations for genetic evaluation and counseling of couples with recurrent miscarriage (RM). The recommendations are the opinions of the multidisciplinary Inherited Pregnancy Loss Working Group (IPLWG), with expertise in genetic counseling, medical genetics, maternal fetal medicine, internal medicine, infectious disease, cytogenetics, and coagulation disorders. The IPLWG defines RM as three or more clinically recognized consecutive or non-consecutive pregnancy losses occurring prior to fetal viability (<24 weeks gestation). These recommendations are provided to assist genetic counselors and other health care providers in clinical decision-making, as well as to promote consistency of patient care, guide the allocation of medical resources, and increase awareness of the psychosocial and cultural issues experienced by couples with RM. The IPLWG was convened with support from the March of Dimes Western Washington State Chapter and the University of Washington Division of Medical Genetics. The recommendations are U.S. Preventive Task Force Class III, and are based on clinical experiences, review of pertinent English-language published articles, and reports of expert committees. This document reviews the suspected causes of RM, provides indications for genetic evaluation and testing, addresses psychosocial and cultural considerations, and provides professional and patient resources. These recommendations should not be construed as dictating an exclusive course of medical management, nor does the use of such recommendations guarantee a particular outcome. The professional judgment of a health care provider, familiar with the circumstances of a specific case, should always supersede these recommendations.