Assessment and treatment of automatically reinforced self‐induced emesis

Frequent emesis can cause substantial deleterious effects to a child's health and environment. We conducted a functional analysis of a 3‐year‐old girl's self‐induced emesis and confirmed that emesis was maintained by automatic reinforcement. In a reversal design, we evaluated the efficacy of implementing response blocking at 100% and 50% treatment integrity levels on both attempts and successful production of emesis. One hundred percent blocking, but not 50% blocking, was successful in reducing attempts and emesis below baseline levels.     

A new vision of a classical question: How to become a mother?

Abstract

This article offers a reflection on conception, pregnancy, and the first mother–infant relationships of mothers with motoric and sensory disabilities. Based on more than 13 years of experience with women with motoric and sensory disabilities who had a desire for a child, the author analyzes this unusual situation from three different points of view: the medical help to procreate, meeting a partner for the mother, and the link with the initial maternal family, i.e. the mother’s mother. The last part concerns the possibility of the development of a mother–infant relationship when bodily function is lacking.     

An exploratory study of psychodynamic therapists’ working with people with multiple sclerosis

There is little published on working psychodynamically with chronic illness and even less on the clinical insights of therapists working with people with multiple sclerosis. The objective of this study was to consider therapists’ reflections on the impact of multiple sclerosis on the internal worlds of clients with multiple sclerosis. I would also like to think about the challenges multiple sclerosis presents and how these challenges are worked with therapeutically. Finally, the impact of my multiple sclerosis diagnosis upon the research interviews was considered. Twelve counsellors / psychotherapists who had experience of working with clients with multiple sclerosis were interviewed. Data was analysed thematically and the findings revealed a number of significant themes. Denial appeared significant both for those with multiple sclerosis and those therapists working with them. Therapists also identified that people with multiple sclerosis hold a range of conscious and unconscious feelings in relation to their multiple sclerosis. Also, the meanings and impact of multiple sclerosis are broad and idiosyncratic. Therapists also faced a number of challenges in their work with people with multiple sclerosis: powerful countertransference feelings which could disable the therapy, embodied countertransference, the tendency to make generalisations, the physical reality of multiple sclerosis and its impact upon continuity, therapists’ unconscious phantasy and associations which if unaddressed could impact their ability to work with illness and the pressure multiple sclerosis placed on therapeutic boundaries. Therapists within the study recognised the need to work with both the physical reality of multiple sclerosis, as well as its psychological impact while at the same time keeping themselves open to powerful countertransference feelings and using them in the service of the therapy. The study has implications for theory, practice and future research.     

“Our Fellow Creatures”

This paper defends “moral individualism” against various arguments that have been intended to show that membership in the human species or participation in our distinctively human form of life is a sufficient basis for a moral status higher than that of any animal. Among the arguments criticized are the “nature-of-the-kind argument,” which claims that it is the nature of all human beings to have certain higher psychological capacities, even if, contingently, some human beings lack them, and various versions of the idea that there is a special form of life that all human beings share but of which no animal can be a full participant. The paper concludes that none of these arguments succeeds in demonstrating that there are moral reasons to permit animals to be treated less well than members of our own species whose psychological capacities and potential are no higher than those of the animals.     

儿童社会生活适应量表的编制与应用

本研究编制的儿童社会生活适应量表具有较高的信度和效度,该量表包含五个因素:亲社会行为、居家、生活自我管理、情绪监控和社会交往。我国儿童的社会生活适应总体上存在显著的性别差异,具体体现在亲社会行为、居家、生活自我管理、情绪监控方面,女生显著高于男生。从年级的发展趋势看,儿童社会生活适应总体上呈上升趋势,他们的社会生活适应能力在不断增强。     

Intellectual arrogance and intellectual humility: correlational evidence for an evolutionary-embodied-epistemological account

Abstract

We outline an evolutionary-embodied-epistemological (EEE) account of intellectual arrogance (IA), proposing that people psychologically experience their important beliefs as valued possessions – mental materialism – that they must fight to keep – ideological territoriality – thereby disposing them toward IA. Nonetheless, IA should still vary, being higher among people taking a hostile and domineering epistemic stance (rejecting reality, resisting evidence) than among those taking an open and deferential one (embracing reality, respecting evidence). Such variations can be predicted from people’s standing on the communion-agency circumplex at multiple levels of analysis (i.e. from their social inclusion and status; dispositional warmth and competence; and behavioral amiability and assertiveness). Using pre-validated indices of mental materialism and ideological territoriality, and an argument evaluation task permitting the quantification of rational objectivity and egotistical bias, we obtained consistent correlational evidence that, as hypothesized, IA is the highest when agency is high and communion low, validating the EEE account.     

Early maladaptive schemas in Finnish adult chronic pain patients and a control sample

Engel (1959) suggested that negative physical or emotional experiences in childhood predispose to the development of chronic pain. Studies have shown that physical and sexual abuse in early life is connected with chronic pain. Emotional adversities are much less studied causes contributing to the development of chronic pain and disability. Early emotional abuse, neglect, maltreatment and other adversities are deleterious childhood experiences which, according to Young's schema theory (1990), produce early maladaptive schemas (EMSs). The primary goal of this study was to examine whether early adversities were more common in chronic pain patients than in a control group. A total of 271 (53% women) first-visit chronic pain patients and 331 (86% women) control participants took part in the study. Their socio-demographic data, pain variables and pain disability were measured. To estimate EMSs the Young Schema Questionnaire was used. Chronic pain patients scored higher EMSs reflecting incapacity to perform independently, catastrophic beliefs and pessimism. The most severely disabled chronic pain patients showed an increase in all the EMSs in the Disconnection and Rejection schema domain, namely Abandonment/Instability, Mistrust/Abuse, Emotional Deprivation, Defectiveness/Shame and Social Isolation/Alienation EMSs. The results of the study suggested that chronic pain patients had suffered early emotional maltreatment.     

Association of the DAT1 genotype with inattentive behavior is mediated by reading ability in a general population sample

Attention deficit hyperactivity disorder (ADHD) and reading disability (RD) frequently co-occur in the child population and therefore raise the possibility of shared genetic etiology. We used a quantitative trait loci (QTL) approach to assess the involvement of the dopamine transporter (DAT1) gene polymorphism in mediating reading disability and poor attention in a general population sample of primary school children aged 6-11 years in the UK. The potential confounding effects of IQ and chronological age were also investigated. We found an independent association between the homozygous DAT1 10/10 repeat genotype and RD that was not accounted for by the level of ADHD symptoms. This finding suggests that the DAT1 gene polymorphism may influence a common neural mechanism underlying both reading acquisition and ADHD symptoms.     

Do Raven's Colored Progressive Matrices function in the same way in typical and clinical populations? Insights from the intellectual disability field

Standardized tests are used widely in comparative studies of clinical populations, either as dependent or control variables. Yet, one cannot always be sure that the test items measure the same constructs in the groups under study. In the present work, 460 participants with intellectual disability of undifferentiated etiology and 488 typical children were tested using Raven's Colored Progressive Matrices (RCPM). Data were analyzed using binomial logistic regression modeling designed to detect differential item functioning (DIF). Results showed that 12 items out of 36 function differentially between the two groups, but only 2 items exhibit at least moderate DIF. Thus, a very large majority of the items have identical discriminative power and difficulty levels across the two groups. It is concluded that RCPM can be used with confidence in studies comparing participants with and without intellectual disability. In addition, it is suggested that methods for investigating internal bias of tests used in cross-cultural, cross-linguistic or cross-gender comparisons should also be regularly employed in studies of clinical populations, particularly in the field of developmental disability, to show the absence of systematic measurement error (i.e. DIF) affecting item responses.     

MD儿童与正常儿童早期数学认知差异的研究

该研究采用测验法,考察数学学习不良(MD)儿童的早期数学认知能力,包括计数、数守恒、时空概念、逻辑、计算和操作等方面。被试为城市幼儿园34名MD儿童和30名正常儿童,平均年龄约6.0岁。结果发现:学习不良儿童早期数学能力在逻辑、计算和空间保持上有缺陷,与Johnson、Ginsburg等人的研究结果一致。与以往研究有所不同的是:在计数能力上,MD儿童与正常儿童间差异不明显;在数守恒能力上,MD儿童明显低于正常儿童;空间保持缺陷表现突出,表现为书写数字时的镜像反应、图形的错误表征等。