Treatment of vocal tics in children with Tourette syndrome: investigating the efficacy of habit reversal

Habit reversal was used to treat vocal tics in 5 children with Tourette syndrome. Vocal tics were reduced in 4 of the 5 children, the untreated motor tics did not increase, and treatment was acceptable to the children's parents.     

A Multiple Baseline Study of the Marriage Contract Game's Effect on Problem Solving and Affective Behavior

In a multiple-baseline design, four relatively untroubled couples were guided by the Marriage Contract Game and related instructions as they negotiated contracts. The results demonstrated generalization from clinic to home, and suggested that problem solving and affection are independent behavior domains. When problem-solving behavior was the target of intervention, the rate of problem-solving behavior increased significantly over baseline during generalization probes. When affective behavior was added as a target of training, the rate of affective behavior increased significantly over previous phases and the rate of problem solving continued to increase. Evidence about the interdependence of marital attitudes and behaviors also emerged. Subjective ratings of problems improved along with the increase in problem-solving behavior; mood ratings improved along with increases in problem-solving and in affective behavior. Training had no effect on ratings of marital happiness.     

Functional Analysis Identified Habit Reversal Components for the Treatment of Motor Tics

This study included brief functional analyses and treatment for motor tics exhibited by two children with Tourette Syndrome. Brief functional analyses were conducted in an outpatient treatment center and results were used to develop individualized habit reversal procedures. Treatment data were collected in clinic for one child and in clinic and school for the other child. Brief functional analysis results were mixed for each child, but provided useful information for informing unique habit reversal components for each child. Treatment results indicated reductions in motor tics for each child. Results are discussed in terms of utility of functional analysis for tics.     

The role of a parent's illness in the emotional experience of a child evidence from Klein's Narrative of a child analysis

Abstract

The analysis of Richard, described by Melanie Klein in Narrative of a Child Analysis, gives us some insight into the effect on a child of threats to the health of his parents. His mother was involved in a road accident when Richard was 2; his father collapsed during the time of the analysis when he was 10. This paper links these events with disturbances in Richard's relation to his father and to his mother, as well as with threats to his own integrity, as demonstrated in the analysis. Richard's reversal of roles with his father and mother is discussed, as are Klein's reaction to Richard's report of finding his father ‘ill and nearly fainting’ and Richard's response to her behaviour. The paper draws attention to the way in which a child's reaction to the ill health of one parent can affect relations with both parents, as well as disturbing his sense of himself.     

The Origins of Walter Benjamin's Concept of Philosophical Critique

Focusing on Walter Benjamin's earliest pieces dedicated to school reform and the student movement, this article traces the basic critical approaches informing his mature thought back to his struggle to critically implement and transform the theory of concept formation and value presentation developed by his Freiburg teacher, Heinrich Rickert. It begins with an account of Rickert's work, specifically of the concept of Darstellung (presentation) and its central role in Rickert's postmetaphysical theory of historical research (which he characterizes as exclusively concerned with the Kantian quid juris). It shows that Rickert develops a speculative but practical theory of value recognition, which nevertheless leaves the status of value itself undetermined. Contra Rickert, Benjamin returns to the ignored quid facti, or origin of value, and shows that a metacritical, postmetaphysical approach such as Rickert's ultimately limits possible experience rather than grounding it. This basic insight, it is argued, is the cornerstone of Benjamin's concept of critique.     

Representation,Presentation and the Epistemic Role of Perceptual Experience

Abstract

In this paper I argue that the representational theory of perception, on which the world is represented as being a certain way in perceptual experience, cannot explain how there can be a genuinely epistemic connection between experience and belief. I try to show that we are positively required to deny that perceptual consciousness is contentful if we want to make its fitness for epistemic duties intelligible. (So versions of the representational theory on which experience has a merely causal purchase on belief are not considered.) But my aim is not just negative. I try to defeat representationalism in such a way as to motivate a robustly presentational theory of perception. According to such a theory, perceptions are relations not between a subject and a content but between a subject and an ordinary object (such that if the relation holds at t, an appropriate subject and object must exist at t, and the object must be presented to the subject). I end by sketching an account of perceptual experience that is meant to show that, contrary to a very popular misconception, there is a way to conceive perceptual consciousness as relational and presentational (not intentional and representational) that does not succumb to the celebrated ‘myth of the Given’.     

Problematic mobile phone use as impulsive choice: Development and empirical verification of a reinforcer-pathology model

Problematic mobile phone use is characterized by its “impulsive” nature; users engage in it despite their negative attitude toward it. From a behavioral-economic perspective, this attitude–behavior discrepancy is generated by competing contingencies that involve smaller-sooner social reinforcers associated with mobile phone use and larger-later prosocial reinforcers potentially compromised by phone use. Based on this conceptualization, the reinforcer-pathology model of problematic mobile phone use is proposed, which posits that such phone use stems from excessive delay discounting of the social and prosocial reinforcers and/or excessive demand for the social reinforcers. A secondary data analysis of previously published studies was conducted, with the novel addition of principal component analysis and hierarchical cluster analysis of these data. The results generated evidence that supports the reinforcer-pathology model proposed in this article. Based on the theoretical analyses and accumulated empirical evidence, theory-driven prevention and intervention strategies for problematic mobile phone use are proposed. Overall, the reinforcer-pathology model of problematic mobile phone use provides a comprehensive framework for understanding and addressing this growing issue.     

Examining the Effects of Incremental Case Presentation and Forecasting Outcomes on Case-Based Ethics Instruction

Case-based reasoning has long been used to facilitate instructional effectiveness. Although much remains to be known concerning the most beneficial way to present case material, recent literature suggests that simplifying case material is favorable. Accordingly, the current study manipulated two instructional techniques, incremental case presentation and forecasting outcomes, in a training environment in an attempt to better understand the utility of simplified versus complicated case presentation for learning. Findings suggest that pairing these two cognitively demanding techniques reduces satisfaction and detracts from the effectiveness of the learning approach. Implications regarding the use of instructional techniques in training programs are discussed.