Co-morbidity of crying and feeding problems with sleeping problems in infancy: Concurrent and predictive associations

The co-morbidity of crying, feeding and sleeping problems at 5 months of age was investigated in a representative sample of 432 infants in South Germany. A crying, sleeping or feeding problem was reported in 32.7% of these infants by their parents and a further 14.6% had two or more of these problems. Little co-morbidity between crying and feeding problems was found. There were moderate to strong associations between crying and sleeping behaviours. Feeding problems showed little relationship to sleeping behaviour, but feeding type and frequency of feeds were related to night waking. Breastfed infants woke much more often at night. Crying and feeding problems at 5 months were poor predictors of sleeping behaviour at 20 or 56 months of age. Later sleeping behaviour was best predicted by infant sleeping behaviour. At 56 months, maternal distress due to sleeping and co-sleeping practices was predicted by maternal distress due to crying and feeding practices at 5 months of age. The predictions were significant but generally weak to modest in strength. Future studies on the consequences of crying or feeding problems should take into account patterns of co-morbidity. So-called ‘post-colicky’ sleep problems are not due to increased crying per se but rather appear to be the consequence of associated infant sleeping problems and parental caretaking patterns for dealing with night waking in infancy.     

The Challenges of Clinical Practice in Small or Rural Communities: Case Studies in Managing Dual Relationships in and Outside of Therapy

Clinicians who practice and reside in small or rural communities face a unique challenge in managing dual relationships which are not experienced by clinicians in large urban areas. Effective clinical practice in small communities requires a unique understanding and flexibility regarding transference and countertransference issues. Most psychotherapy theory and practice techniques do not adequately prepare clinicians for the necessary adaptations they must make when practicing and residing in the same small community. Suggestions regarding procedural, ethical and practice oriented issues for the clinicians in such situations are addressed.     

Applied pluralism in the evaluation of employee counselling

The method and major findings of a complex, 'pluralist' evaluation, which investigated the effectiveness of the counselling provision of an employee support and counselling service in a local authority education department over 22 months, are outlined. Reference is made to the underlying philosophical approach of integrated pluralist evaluation, which may represent a significant step forward from the accepted methods of triangulation. In addition to achieving predicted high satisfaction rates from clients, counsellors and clients both indicated significant improvements in all measures used. These were maintained at follow-up which took place at intervals from 1 to 18 months after counselling had ended. Reduction in absenteeism post-counselling suggested the possibility of very substantial revenue savings. Responses also indicated the acute, and often chronic, need for employee counselling provision in the education system.     

Modeling the Relationship Between Pay Level and Pay Satisfaction

The relationship between pay level and pay satisfaction was modeled in a field study with 456 employees of nursing departments in a large hospital. After controlling for person, job, and pay system characteristics, pay satisfaction variance was better explained by treating pay level as a power function rather than a linear function. This result was expected given the low wage rate relative to the market, the lack of a formal rewards system, and the high level of tenure in the workforce. Implications of this finding for theory, research, and practice were discussed.     

Book reviews

History of Islamic Philosophy Seyyed Hossein Nasr & Oliver Leaman, Editors, 1996 London, Routledge Part I, xx+ 780 pp., Part II, xiv + 428 pp., hb ISBN 0415 05 6675, £120.00

Early Advaita Vedānta and Buddhism: the Mahāyāna context of the Gaudapādiya‐Kārikā Richard King, 1995 Albany, State University of New York Press xii + 341 pp., pb $19.95

Vaisnavism: its philosophy, theology and religious discipline S.M. Srinwasa Chari, 1994 Delhi, Motilal Banarsidass xxxviii + 383 pp., pb Rs. 350

Vaisnavism: contemporary scholars discuss the Gaudiya tradition Steven J. Rosen (Ed.), 1992 Delhi, Motilal Banarsidass, 1994 ix + 354 pp., pb Rs. 160

Cultural Realism: strategic culture and grand strategy in Chinese history Alastair Iain Johnston, 1995 Princeton, Princeton University Press xiii + 367 pp., hb ISBN 0691029962, $39.50

Laughing at the Tao: debates among Buddhists and Taoists in medieval China Livia Kohn, 1995 Princeton, Princeton University Press xii + 281 pp. hb (price not given)

Pantheism. A Non‐theistic Concept of Deity Michael P. Levine, 1994 London, Routledge xii + 388 pp., hb £45 ISBN 0415070643     

Diversity in the Classroom

It is important to appreciate how the battle between multiculturalist and individualist theories of education ahs shaped the pedagogical advice that some institutions of higher learning now give their instructors. In an important sense, that advice invites college and university teachers to pursue conflicting, irreconcilable goals in their teaching. By examining a particular North American example of such advice, I try to explain why the understandable attempt to accommodate both multiculturalism and individualism in the classroom inevitably makes for incoherent pedagogy.     

Externalism and Action-Guiding Epistemic Norms

In his book, Contemporary Theories of Knowledge, John Pollock argues that all externalist theories of justification should be rejected on the grounds that they do not do justice to the action-guiding character of epistemic norms. I reply that Pollocks argument is ineffective -- because not all externalisms are intended to involve action-guiding norms, and because Pollock does not give a good reason for thinking that action-guiding norms must be internalist norms. Second, I consider rehabilitating Pollocks argument by restricting his conclusion to theories that do involve action-guiding norms and providing a better reason to think that action-guiding norms must be internalist norms. But I claim that if Pollocks argument is made strong enough to rule out all externalisms, it rules out too much, namely, any plausible conception of epistemic norms.     

Text representations as reflected in patterns of cognitive distance

Subjects performed a task that involved learning a text and then indicating, for each of a series of pairs of words, whether they belonged to the same sentence of that text. When the principle of argument overlap or causal coherence was the sole integrative factor in a text, negative response times and error rates reflected distances in the network representation predicted by the principle. When the two principles predicted conflicting representations for a text, response times and error rates reflected the predictions of the principle of argument overlap. The results were interpreted as suggesting that network connections predicted by the two principles are both present in the memory representations of texts and that causal connections are recorded at a more abstract level of representation than are argument overlap connections.     

The Investigation of Personality Structure: Statistical Models

This article provides an introduction to a number of statistical techniques for investigating the structure of measures of personality. Each of these techniques is illustrated through its application to a set of 12 items from Snyder's (1974) self-monitoring scale. Approaches are presented for both continuous and dichotomous observed measures and for underlying constructs that are assumed to be continuous as well as those that are assumed to be discrete classes. Our emphasis is on techniques which permit tests of hypothesized structures (with a special focus on confirmatory factor analysis); however, exploratory approaches are also considered. We identify the critical assumptions, limitations, and areas of application of these techniques with an aim toward fostering their critical and appropriate usage.