Establishing the feasibility of direct observation in the assessment of tics in children with chronic tic disorders

Behavior analysis has been at the forefront in establishing effective treatments for children and adults with chronic tic disorders. As is customary in behavior analysis, the efficacy of these treatments has been established using direct-observation assessment methods. Although behavior-analytic treatments have enjoyed acceptance and integration into mainstream health care practices for tic disorders (e.g., psychiatry and neurology), the use of direct observation as a primary assessment tool has been neglected in favor of less objective methods. Hesitation to use direct observation appears to stem largely from concerns about the generalizability of clinic observations to other settings (e.g., home) and a lack of consensus regarding the most appropriate and feasible techniques for conducting and scoring direct observation. The purpose of the current study was to evaluate and establish a reliable, valid, and feasible direct-observation protocol capable of being transported to research and clinical settings. A total of 43 children with tic disorders, collected from two outpatient specialty clinics, were assessed using direct (videotape samples) and indirect (Yale Global Tic Severity Scale; YGTSS) methods. Videotaped observation samples were collected across 3 consecutive weeks and two different settings (clinic and home), were scored using both exact frequency counts and partial-interval coding, and were compared to data from a common indirect measure of tic severity (the YGTSS). In addition, various lengths of videotaped segments were scored to determine the optimal observation length. Results show that (a) clinic-based observations correspond well to home-based observations, (b) brief direct-observation segments scored with time-sampling methods reliably quantified tics, and (c) indirect methods did not consistently correspond with the direct methods.     

Building bridges for disengagement: The transition process for individuals and teams

Abstract

A general dircwion for understanding the process and impact of disengagement and uansition on individual athletes and teams is presented. Disengagement is presented as a process within athlete and team development. The disengagement of athletes from a team and the impact on the team ue examined. Two models of change are described as is a model of group development. Examples of a team in transition are provided and suggestions for sports psychologists' work with athletes and teams in transition an offered. The focus of these suggestions is on work with teams.     

The Experience of Another Body on Our Body in Psychoanalysis: Commentary on Paper by Jon Sletvold

The current challenge of complexity requires that we overcome the mind–body dichotomy in order to find a more holistic way to explore human experience. Contemporary relational psychoanalysis tries to get past the overemphasis placed on language, and to include the development and promotion of a greater awareness of the bodily experience of the patient and analyst, with respect to their “bodies as they relate to each other.” We especially agree with Sletvold about the notion that psychoanalysis has a great deal to learn from the performing arts in terms of engaging in emotional communication and therefore of training the body to express emotions. This is true in particular for the “arts of time”: music, dance, acting. Unlike Sletvold, we keep the relational standpoint as a point of departure rather than as a point of arrival of processes. According to us, imitation is not the result of induction; rather it is a process whereby we discover and rediscover, that is, we find again the remains of the effects of another body on our body. In clinical praxis we should learn how to allow an ongoing dialectic between the implicit and the explicit. Finally, we underscore that we find the training program proposed by Sletvold original, innovative, and stimulating.     

Development of a Screening Instrument for Early Language Delay in Hong Kong Chinese: A Preliminary Study

Having language delay—one of the common neurodevelopmental difficulties during childhood—does not only imply an impairment in communication in the 1st few years of life. Previous studies have suggested that language problems have long-term implications for social, emotional, and intellectual development. Researchers have found that early identification and intervention of speech and language delay yields better treatment effects. However, unlike most of the motor developmental assessment tools, language assessment tools are not readily transferred across cultures because of the different linguistic features and the developmental stages of such features in a particular language or dialect. The present study presents an empirical example of the initial development of a culturally sensitive screening protocol, using vocabulary size as the indicator to minimize the effect of linguistic differences.     

Phenomenal evidence and factive evidence

Perceptions guide our actions and provide us with evidence of the world around us. Illusions and hallucinations can mislead us: they may prompt as to act in ways that do not mesh with the world around us and they may lead us to form false beliefs about that world. The capacity view provides an account of evidence that does justice to these two facts. It shows in virtue of what illusions and hallucinations mislead us and prompt us to act. Moreover, it shows in virtue of what we are in a better epistemic position when we perceive than when we hallucination. In this paper, I develop the capacity view, that is, the view that perceptual experience has epistemic force in virtue of the epistemic and metaphysical primacy of the perceptual capacities employed in perception. By grounding the epistemic force of experience in facts about the metaphysical structure of experience, the capacity view is not only an externalist view, but moreover a naturalistic view of the epistemology of perceptual experience. So it is an externalist and naturalistic alternative to reliabilism. I discuss the repercussions of this view for the justification of beliefs and the epistemic transparency of mental states, as well as, familiar problem cases.