Assessing preferences of individuals with developmental disabilities using alternative stimulus modalities: A systematic review

The purpose of this systematic review was to identify investigations comparing the efficacy of alternative modality (e.g., pictorial, verbal, video) stimulus preference assessments for individuals with developmental disabilities. We identified articles by searching peer‐reviewed journals using the PsycINFO and ERIC databases, conducting table of contents searches of common behavioral outlets, and conducting ancestral searches of recent reviews and practitioner summaries of preference assessment methodology. A total of 32 articles met our inclusion criteria. These studies were then coded across a variety of features to gain a better understanding of the efficacy of alternative format preference assessments for individuals with developmental disabilities. In addition, we reviewed this literature for the use of prerequisite‐skill assessments and contingent‐reinforcer access to further investigate the relation between these variables and the accuracy of pictorial, verbal, and video preference assessments. A variety of methodological concerns are discussed as well as suggestions for future research.     

Goal-directed aiming under restricted viewing conditions with confirmatory sensory feedback

A substantial body of research has examined the speed-accuracy tradeoff captured by Fitts’ law, demonstrating increases in movement time that occur as aiming tasks are made more difficult by decreasing target width and/or increasing the distance between targets. Yet, serial aiming movements guided by internal spatial representations, rather than by visual views of targets have not been examined in this manner, and the value of confirmatory feedback via different sensory modalities within this paradigm is unknown. Here we examined goal-directed serial aiming movements (tapping back and forth between two targets), wherein targets were visually unavailable during the task. However, confirmatory feedback (auditory, haptic, visual, and bimodal combinations of each) was delivered upon each target acquisition, in a counterbalanced, within-subjects design. Each participant performed the aiming task with their pointer finger, represented within an immersive virtual environment as a 1 cm white sphere, while wearing a head-mounted display. Despite visual target occlusion, movement times increased in accordance with Fitts’ law. Though Fitts’ law captured performance for each of the sensory feedback conditions, the slopes differed. The effect of increasing difficulty on movement times was least influential in the haptic condition, suggesting more efficient processing of confirmatory haptic feedback during aiming movements guided by internal spatial representations.     

Increasing meal consumption in individuals with competing protective equipment

Individuals diagnosed with autism spectrum disorder may engage in self‐injurious behavior that can cause tissue damage. Protective equipment is sometimes used to decrease the severity of tissue damage when self‐injury occurs. However, wearing protective equipment may be incompatible with some forms of adaptive behavior, such as meal consumption. The purpose of the present analysis was to identify a treatment for increasing meal consumption in two adolescent males diagnosed with an autism spectrum disorder who wore protective equipment that interfered with self‐feeding. Three interventions were evaluated: modifying the protective equipment, manipulating the reinforcing efficacy of the meal, and arranging additional positive reinforcement for meal consumption in the absence of protective equipment. Modifying protective equipment and manipulating the reinforcing efficacy of the meal were effective for both participants. Additional positive reinforcement was evaluated and effective for one participant.     

Romantic relationship commitment and the threat of alternatives on social media

Although previous findings suggest a link between adults' use of social networking sites (SNS) and relationship commitment, research has been lacking. This study of 427 emerging and young adults (aged 18–32 years, 71.20% female) indicated that exposure to alternative partners on SNS was indirectly related to relationship commitment through the pursuing of alternative partners on SNS. The more frequently they were exposed to alternative partners on SNS, the more they engaged in pursuing these alternative partners, which negatively affected their relationship commitment. Furthermore, a positive relation between exposure and romantic comparison to alternative partners was found. Gender did not moderate these relations. The discussion focuses on the implications of the findings for relationship development.     

Introducing a new age-and-cognition-sensitive measurement for assessing spatial orientation using a landmark-less virtual reality navigational task

Age-related impairments during spatial navigation have been widely reported in egocentric and allocentric paradigms. However, the effect of age on more specific navigational components such as the ability to drive or update directional information has not received enough attention. In this study we investigated the effect of age on spatial updating of a visual target after a series of whole–body rotations and transitions using a novel landmark-less virtual reality (VR) environment. Moreover, a significant number of previous studies focused on measures susceptible to a general decline in motor skills such as the spent time navigating, the distance traversed. The current paper proposes a new compound spatial measure to assess navigational performance, examines its reliability and compares its power with those of the measures of duration and traversed distance in predicting participants' age and cognitive groups assessed by Montreal Cognitive Assessment (MoCA) scores. Using data from 319 adults (20–83 years), our results confirm the reliability, the age sensitivity, and the cognitive validity of the designed spatial measure as well as its superiority to the measures of duration and traversed distance in predicting age and MoCA score. In addition, the results show the significant effect of age cognitive status on spatial updating.     

Enrique Pichon Rivière's conception of reality in psychoanalysis

The author places the subject of his paper in the context of the original views of a school of Argentinian psychoanalysts that differed from traditional conceptions of man and his 1 relationship with the sociocultural context – that is, with reality. These were the analysts who followed Enrique Pichon Rivière and further developed his ideas – namely, Madeleine and Willy Baranger, José Bleger, and David Liberman. The author begins his exposition with a discussion of Pichon Rivière and culture. He then offers an outline of Pichon Rivière's particular conception of man, followed by a section on the Internal Group as the nexus between the psyche and reality. Further sections address the idea of reality in the analytic situation as a dynamic field and the operative definition of the transference; the distinction between perceptual reality and the reading of reality, with a consideration of the notion of ‘critical judgement’; and lastly the issue of health and illness in terms of adaptation to reality. In addition, on the basis of a quotation from Antonio Damasio, the author draws a parallel between these psychoanalytic thinkers’ ‘psychosocial’ approach to man and the findings of contemporary neuroscience as presented by one of its paradigmatic protagonists.     

Fried and Freud on the Acropolis; on duality in the base of psychoanalytic thinking

Freud was conflicted in relation to his religious background. On the one hand, he was very clear on his adherence to a scientific Weltanschauung. On the other, he was fascinated by the Moses figure and one may see a Judaist structure in his way of thinking. The aim of this paper is to reflect on this conflict and the question of faith in psychoanalysis. After looking at object and method in religion and psychoanalysis, the authors go into the concept of ‘psychic reality’ and its change in the history of psychoanalysis. Through an analysis of Freud’s A Disturbance of Memory on the Acropolis and the function of literature, it is claimed that faith may be seen as a condition for the sense of experiential reality.     

Do kinematic metrics of walking balance adapt to perturbed optical flow?

Visual (i.e., optical flow) perturbations can be used to study balance control and balance deficits. However, it remains unclear whether walking balance control adapts to such perturbations over time. Our purpose was to investigate the propensity for visuomotor adaptation in walking balance control using prolonged exposure to optical flow perturbations. Ten subjects (age: 25.4 ± 3.8 years) walked on a treadmill while watching a speed-matched virtual hallway with and without continuous mediolateral optical flow perturbations of three different amplitudes. Each of three perturbation trials consisted of 8 min of prolonged exposure followed by 1 min of unperturbed walking. Using 3D motion capture, we analyzed changes in foot placement kinematics and mediolateral sacrum motion. At their onset, perturbations elicited wider and shorter steps, alluding to a more cautious, general anticipatory balance control strategy. As perturbations continued, foot placement tended toward values seen during unperturbed walking while step width variability and mediolateral sacrum motion concurrently increased. Our findings suggest that subjects progressively shifted from a general anticipatory balance control strategy to a reactive, task-specific strategy using step-to-step adjustments. Prolonged exposure to optical flow perturbations may have clinical utility to reinforce reactive, task-specific balance control through training.     

Relational‐Cultural Theory and Reality Therapy: A Culturally Responsive Integrative Framework

The authors propose an integration of relational‐cultural theory and reality therapy. The authors contend that the traditional assumptions of reality therapy are consistent with the relational aspects of relational‐cultural theory and together provide a culturally responsive approach for diverse clients. The authors also include an overview of the 2 theories as well as highlight the convergences and divergences. In addition, the authors present a case illustration depicting the integration method in practice.