HOME ACCESS MODIFICATIONS: EFFECTS ON COMMUNITY VISITS BY PEOPLE WITH PHYSICAL DISABILITIES

We examined the effects of access modifications to home entrances of people with physical disabilities on their reported community outings. An interrupted time-series design was used, in which the introduction of ramps was staggered across the homes of 6 people with moderate to severe mobility impairments. Four participants reported increases in weekly outings following installation of ramps at their entrances, and 2 reported a small decrease. These findings suggest that reducing the response requirements of access to and from the residence of people with mobility impairments may increase community visits, but may be insufficient given other environmental barriers in the community.     

Addressing Weight Suppression to Improve Treatment Outcome for Bulimia Nervosa

Cognitive behavioral therapy (CBT) is regarded as the gold-standard treatment for bulimia nervosa (BN), yet despite impressive empirical support for its effectiveness, over 50% of patients fail to achieve abstinence from binge eating and purging by the end of treatment. One factor that may contribute to reduced efficacy rates in CBT is weight suppression (WS; the difference between a person's highest weight ever at their adult height and current weight). A growing body of research indicates that WS in patients with BN may have a clinically significant effect on symptomatology and prognosis. However, the current cognitive behavioral framework for BN does not explicitly acknowledge the role of WS in the onset or maintenance of BN symptoms and does not provide guidance for clinicians on how to address WS during treatment. The relationship between WS, biological pressure to regain lost weight, and the maintenance of BN symptoms suggest that current cognitive behavioral models of BN may be improved by considering the role of WS and exploring needed treatment modifications. Indeed, a reconceptualization of existing models may offer insight into potential strategies that can be used to reduce the susceptibility to treatment dropout, nonresponse, and relapse. It is therefore necessary to consider whether, and how, clinicians' consideration of WS during case conceptualization and treatment planning could serve to improve CBT outcomes. The current review explores ways in which high WS could contribute to poor CBT outcomes, provides preliminary clinical recommendations for incorporating WS into existing cognitive behavioral treatments based on extant data and clinical wisdom, and proposes suggestions for future research needed in this domain.     

Exploring priming effects of social and non-social attention getters on older infants’ preferences for infant-directed speech

In infant research, various auditory/visual events are often used as attention getters to orient infants to a screen and alert them to upcoming information for their detection, discrimination, and/or recognition. Importantly, the influence of attention-getters on infants’ performance has rarely been systematically evaluated, even though these attention cues could be affecting subsequent information processing. This study investigated whether specific attention-getters could prime infants’ preferences for infant-directed speech (IDS) compared to adult-directed speech (ADS). Both a non-social and a social prime were chosen with the prediction that the social prime would strengthen infants' attention to IDS on a subsequent trial, but the non-social prime would have no differential effect on subsequent attention to either speech type. A total of 20 12- to 18-month old infants were presented with either a nonsocial (rotating form + chimes) or social (smiling female + voice) prime in an infant-controlled, speech preference procedure with both IDS and ADS speech types. Given previous research, we predicted that infants would show significantly more attention on trials during which looking produced IDS, but that this preference would be significantly augmented for infants in the condition receiving a social attention-getter before each trial. Results did not bear out this prediction, although we found a consistent, robust preference for IDS. The results will be discussed in terms of why these attention getters did not affect subsequent processing of two very different speech types, and what future modifications may be necessary in order to examine roles of attention getters in affecting experimental outcomes in infancy research. A secondary benefit of the findings is that we empirically established a growing preference for IDS in infants as old as 18-months of age.     

The influence of infant-directed speech on 12-month-olds’ intersensory perception of fluent speech

The present study examined whether infant-directed (ID) speech facilitates intersensory matching of audio–visual fluent speech in 12-month-old infants. German-learning infants’ audio–visual matching ability of German and French fluent speech was assessed by using a variant of the intermodal matching procedure, with auditory and visual speech information presented sequentially. In Experiment 1, the sentences were spoken in an adult-directed (AD) manner. Results showed that 12-month-old infants did not exhibit a matching performance for the native, nor for the non-native language. However, Experiment 2 revealed that when ID speech stimuli were used, infants did perceive the relation between auditory and visual speech attributes, but only in response to their native language. Thus, the findings suggest that ID speech might have an influence on the intersensory perception of fluent speech and shed further light on multisensory perceptual narrowing.     

Making the body (w)hole: A semiotic exploration of body modifications

Abstract

Cultural norms of attraction are dynamic and fluid, and are psychologically intertwined with acts of corporeal modification that use the body as signifier. These norms are expressed in various ways by individuals, but can be seen most plainly when they are worn on the body, such as with body piercing and tattooing. An intertextual understanding of how body modifications play a role in the integration of psyche and soma appears to motivate understanding of how individual choices are reflections of cultural mores. Psychodynamic and semiotic processes from case examples are provided to illustrate how individuals may move between affect and expressiveness as well as how reading the body as text can generate new understandings of an individual's decision to modify, thus allowing clinicians to better work with their modified clients.     

Maternal expression of communicative intentions and pragmatic fine tuning in early infancy

This study focuses on pragmatic characteristics of infant-directed speech and pragmatic fine tuning during the first 18 months of life. The subjects of the study were a mother–child dyad involved in a longitudinal/observational study in a familial context. Audiovisual recordings were transcribed according to the conventions of the Child Language Data Exchange System ([MacWhinney, 2000] and [MacWhinney and Snow, 1990]). The Ninio and Wheeler's (1988) system for coding communicative intentions was adapted.The results of this research show that most of the communicative exchanges identified at 14, 20 and 32 months by Snow, Pan, Imbens-Bailey, and Herman (1996) appear in mother–child interaction from the beginning, while other communicative interchanges appear later. With respect to speech acts, the results highlight, from an early age, the general tendencies discussed by Snow et al. and some novelties. Interestingly, changes in some pragmatic measures were identified around 8 months of age, and the appearance of new communicative interchanges also took place around this age. These changes are interpreted as maternal adjustments to the child's communicative competence.     

Infant-adult vocal interaction dynamics depend on infant vocal type,child-directedness of adult speech,and timeframe

This study explored the temporal contingencies between infant and adult vocalizations as a function of the type of infant vocalization, whether adult caregivers’ vocalizations were infant-directed or other-directed, and the timescale of analysis. We analyzed excerpts taken from day-long home audio recordings that were collected from nineteen 12- to 13-month-old American infants and their caregivers using the LENA system. Three 5-minute sections having high child vocalization rates were identified within each recording and coded by trained researchers. Infant and adult vocalizations were sequenced and defined as contingent if they occurred within 1 s, 2 s, or 5 s of each other. When using 1 s or 2 s definitions of temporal adjacency, infant vocalizations generally predicted subsequent infant-directed adult vocalizations. A reflexive vocalization (i.e. a cry or a laugh) was the strongest predictor. Likewise, within 1–2 s timeframes, infant-directed adult speech generally predicted infant vocalizations with reflexive vocalizations being particularly predictive. Infant vocalizations predicted fewer subsequent other-directed adult vocalizations and were less likely following other-directed adult vocalizations when considering up to 5 s lags. This suggests an understudied communicative role for infants of non-infant-directed adult speech. These results demonstrate the importance of timescale in studying infant-adult interactions, support the communicative significance of reflexive infant vocalizations and other-directed adult speech in addition to more commonly studied vocalization types, and highlight the challenges of determining direction(s) of influence when using only two-event sequences.     

Sing that tune: Infants’ perception of melody and lyrics and the facilitation of phonetic recognition in songs

To better understand how infants process complex auditory input, this study investigated whether 11-month-old infants perceive the pitch (melodic) or the phonetic (lyric) components within songs as more salient, and whether melody facilitates phonetic recognition. Using a preferential looking paradigm, uni-dimensional and multi-dimensional songs were tested; either the pitch or syllable order of the stimuli varied. As a group, infants detected a change in pitch order in a 4-note sequence when the syllables were redundant (experiment 1), but did not detect the identical pitch change with variegated syllables (experiment 2). Infants were better able to detect a change in syllable order in a sung sequence (experiment 2) than the identical syllable change in a spoken sequence (experiment 1). These results suggest that by 11 months, infants cannot “ignore” phonetic information in the context of perceptually salient pitch variation. Moreover, the increased phonetic recognition in song contexts mirrors findings that demonstrate advantages of infant-directed speech. Findings are discussed in terms of how stimulus complexity interacts with the perception of sung speech in infancy.     

Tonal synchrony in mother–infant interaction based on harmonic and pentatonic series

This study reports the occurrence of ‘tonal synchrony’ as a new dimension of early mother–infant interaction synchrony. The findings are based on a tonal and temporal analysis of vocal interactions between 15 mothers and their 3-month-old infants during 5 min of free-play in a laboratory setting. In total, 558 vocal exchanges were identified and analysed, of which 84% reflected harmonic or pentatonic series. Another 10% of the exchanges contained absolute and/or relative pitch and/or interval imitations. The total durations of dyads being in tonal synchrony were normally distributed (M = 3.71, SD = 2.44). Vocalisations based on harmonic series appeared organised around the major triad, containing significantly more simple frequency ratios (octave, fifth and third) than complex ones (non-major triad tones). Tonal synchrony and its characteristics are discussed in relation to infant-directed speech, communicative musicality, pre-reflective communication and its impact on the quality of early mother–infant interaction and child's development.