A Comparison of Distractors for Controlling Distress in Young Children During Medical Procedures

Distraction is a strategy that has been shown to be effective and safe in the control of pain and distress. We assessed the utility of two simple distraction procedures for reducing children's pain and distress. Three conditions, control, brief film, and short story, were delivered during repeated medical procedures in a randomized sequence to eight young children with cancer. Scores on the Observational Scale of Behavioral Distress (OSBD-R) as well as observer ratings of overall behavioral distress showed that the short story procedure was more effective than either the control condition or the cartoon film. These results argue for the utility of simple parent–child interactive distraction tasks to ameliorate children's procedural distress.     

Publication trends in 25 years of the Journal of Applied Behavior Analysis

All articles published in the first 25 years of JABA (1968 to 1992) were reviewed to classify the percentage of articles published in the following categories: (a) type of article, (b) subjects, (c) setting, (d) behavior-change agent, (e) target behavior, (f) use of basic principles, and (g) miscellaneous procedures. Overall percentages and trends are reported in each category. Results indicate an increase in the percentage of articles with participants and target behaviors in developmental disabilities and a decrease in the percentage of studies targeting academic behavior, verbal behavior, and other child behavioral excesses. The most frequent setting continues to be a school; however, there is a clear trend towards community and other naturalistic settings. Results also highlight the increasing complexity and multicomponent nature of JABA interventions. Potential implications for future applications are discussed.     

Guidelines for flash card instruction

Flash card drills provide students with a means to memorize information such as sight words, math facts, state capitols, foreign language vocabulary, and equations. Because of the utility of flash cards in educational practice, information on behavioral strategies to increase the effectiveness of their use may be especially valuable to teachers. This article provides guidelines for flash card instruction based on current research. These guidelines are to: a) intersperse known items, b) minimize errors, c) use feedback for correct and error responses, and d) select an instructional arrangement (e.g., group format) that will enhance responding. Future research may refine these guidelines to improve teaching effectiveness.     

The social validation and training of conversational skills

Three reliably measured components of conversation-questioning, providing positive feedback, and proportion of time spent talking-were identified and validated as to their social importance. The social validity of the three conversational behaviors was established with five female university students and five female junior-high students. Each was videotaped in conversations with previously unknown adults. The conversational ability of each girl was evaluated by a group of 13 adult judges who viewed each tape and rated each conversant "poor" to "excellent" on a seven-point rating scale. The average ratings of the girls correlated at r = 0.85 with the specified behavioral measures. These procedures were replicated with additional subjects and judges and yielded a correlation of r = 0.84. The high correlations between ratings and the objective measures suggested that the specified conversational behaviors were socially important aspects of conversational ability. Employing a multiple-baseline design across the behaviors of asking questions and providing positive feedback, an attempt was made to train four girls who used these behaviors minimally to engage in the behaviors in conversations with adults. Adult judges were again employed to rate randomly selected samples of the girls' skills in pre- and posttraining conversations. The average ratings of the girls before training were lower than both the university girls and the junior high-school girls. After training, the girls' conversational abilities were rated substantially higher than those of their junior high-school peers. These rating data validated the benefits of the training and the social importance of the behavioral components of questions and feedback in conversation. The authors suggest that it may be necessary for traditional behavior analysis measurement systems to be supplemented by social-validation procedures in order to establish the relationship between "objectively" measured behaviors and complex classes of behavior of interest to society.     

The moderating role of internalising negative emotionality in the relation of self-regulation to social adjustment in Italian preschool-aged children

The purpose of this study was to examine the moderating role of internalising negative emotionality (i.e., anxious, concerned, and embarrassed displays) in the association between children's self-regulation and social adjustment. Seventy-four Italian children (44 girls, 30 boys; M age?=?35.05 months, SD?=?3.57) were assessed using two self-regulation tasks. Internalising negative emotionality was assessed through observations of children's emotion expressions during the tasks. Teachers evaluated children's social competence and internalising and externalising problems. Results demonstrated that among children who exhibited internalising negative emotionality, self-regulation was positively associated with social competence and negatively related to externalising problems. Our results suggest that self-regulation may play a crucial role for social adjustment when children show emotions such as anxiety and embarrassment during challenging situations.     

An Experiment on the Numerical Modelling of Verbal Ratio Statements

Verbal statements are intuitively attractive for preference elicitation. In the analytic hierarchy process (AHP) the verbal responses to pairwise comparisons of relative importance are converted into real numbers according to the nine-point integer scale. Several alternative scales have been proposed for the conversion, but sufficient empirical evidence has not been produced to support the choice among these scales. We performed a comparative study in which subjects were requested to quantify verbal ratio statements by adjusting the heights of visually displayed bars. Subjects were also asked to employ verbal expressions in pairwise comparisons of areas of figures with different shapes. The principal result of the experiment was that the perceived meaning of the verbal expressions varies from one subject to the next and also depends on the set of elements involved in the comparison. Our results indicate that there are alternative numerical scales which yield more accurate estimates than the usual 1-to-9 scale and reduce the inconsistency of the comparison matrices. Alternative ways of using verbal preference statements are suggested to overcome the difficulties that arise from the context dependence of verbal pairwise comparisons. © 1997 John Wiley & Sons, Ltd.     

Something more than the 'Something more than interpretation' is needed: A comment on the paper by the Process of Change Study Group

A critique is offered of the paper on non-interpretive mechanisms in psychoanalytic therapy by the Process of Change Study Group (Stern et al., 1998a). The attention paid to procedural learning and to the need to attend to implicit relational knowledge is welcomed but a number of the group's assumptions are questioned. In particular, it is argued that the differences between mother-infant and therapist-patient relationships are inadequately considered, that the polarisation of non-symbolic and verbal memory is unhelpful and that the separation of the therapy relationship into three strands is problematic. The assumption that pursuing the goal of intersubjective understanding is in itself therapeutic is questioned. It is suggested that the recognition of the importance of implicit relational knowledge calls for a wider reappraisal of important aspects of theory and practice and that direct means of making such knowledge explicit should be considered.     

Reducing Perceptions of Time Required to Complete Math Assignments by Adding Problems to Assignments: A Synthesis of the Additive Interspersal Research

Results from nine experiments were analyzed to evaluate the relationship between relative problem completion rates (RPCR) and judgments of time involving mathematics assignments. For each experiment, control assignments contained only target mathematics computation or word problems. Matched experimental assignments contained similar target problems with additional, briefer problems interspersed after every third target problem. After working on each assignment for the same amount of time, students selected the assignment that they judged would require the least or most amount of time to complete. Regression analysis revealed a significant linear relationship between RPCR (i.e., PCR on experimental assignments/PCR on control assignments) and time perceptions (r=.97). As RPCR increased, the percentage of students judging the experimental assignments as being less time consuming increased proportionally. Discussion focuses on application of time perception theories to educational settings.