Description of a Behavioral Intervention to Reduce Substance Use and Related Risk and Increase Positive Parenting among Urban Mothers with Alcohol and Other Drug Problems

The abuse of alcohol and other substances by mothers raising adolescent children has serious adverse effects on family functioning and youth outcomes, and on mothers’ own health and adaptation. Mothers who are also HIV-infected face additional challenges. In the present report, we describe a multi-session intervention conducted in individual sessions for mothers with alcohol and other substance use problems who are raising adolescent children. We outline the primary components of the intervention and include case studies and examples of exercises and tools. We found that engagement with the intervention and high rates of attendance were facilitated by tapping into mothers’ desires to improve their relationships with their adolescent children, the use of a harm reduction approach toward substance use, and intensive outreach. We also discuss lessons learned in the course of implementing and evaluating the intervention.     

Assessing the Ethics of Medical Research in Emergency Settings: How Do International Regulations Work in Practice?

Different ethical principles conflict in research conducted in emergency research. Clinical care and its development should be based on research. Patients in critical clinical condition are in the greatest need of better medicines. The critical condition of the patient and the absence of a patient representative at the critical time period make it difficult and sometimes impossible to request an informed consent before the beginning of the trial. In an emergency, care decisions must be made in a short period of time, and the more time is wasted, the more the risk of death or severe tissue damage and incapacity increases. Consent requests take time, and so the time period before treatment might put the patient’s life in jeopardy. Not requesting consent before a trial is also contradictory. A person should not be forced to participate in a trial against his or her will. Due to the dark history of medical research previously, international declarations and conventions have set up ethical principles for medical research. They emphasize the autonomy of the research participant—or his or her legal representative—to give a free and informed consent prior to the initiation of research. In the case of a critical emergency, the unconscious state of the patient, the emotional stress of family members or the lack of time to start life-sustaining measures may often restrict the possibilities of communicating with the patient or his/her representative. Therefore, written informed consent is difficult to achieve, and its voluntariness in emergency situations is, at best, open to question. The mortality of patients is high without clinical interventions in emergency research. Random selection of patients is difficult and requires extra work from personnel in the emergency rooms. Recruitment, information and asking for consent may also take time, postpone the initiation of treatment and increase the risk of death and irreversible tissue and organ damage, and therefore be risky for the patient. It is therefore essential that the health care professionals recruiting suitable research participants are well motivated and well trained. Medical research in an emergency setting should always be regarded as an exceptional situation requiring special provisions. Only such research should be done as cannot be done in other conditions. An independent body must approve the research protocol and the ways in which the consent of the participant or proxy are to be sought. In addition, the trial must be expected to result in direct and significant benefit for the research participants. If research without prior consent is not approved, the development of emergency care is threatened. On the other hand, if prior consent is not required, a person could be recruited into a clinical trial against his or her will. Doing good and avoiding harm, and respecting the autonomy of the patient are in conflict in the context of emergency medical research. To develop better medicines for patients experiencing acute medical emergencies, research into such conditions should be allowed. Research participants should have the possibility to participate or refuse to participate in research that may benefit them and other patients. The risk of irreversible damage occurring as the consequence of time delays for seeking consent is unacceptable. A prior wish about participation in clinical trials should be respected, if known. The conditions under which medical research in emergencies can be considered acceptable can be determined and agreed upon nationally and internationally. An earlier version of this paper was presented at The 7th International Conference on Bioethics on “The Ethics of Research in Emergency Medicine”, held on June 2, 2006, Warsaw, Poland.     

叙事语篇中时间表征的评定差异研究

为了探讨时间表征在多大程度上影响人们对叙事属性的判断,让66名博士生被试对12篇删除了明显时间概念词的叙事语篇（创造性与非创造性叙事各6篇）进行时间表征方面的评定,从而检验了“过去”、“现在”、“将来”等时间概念在叙事语篇中的时间表征意义,以及存在的性别、年龄等差异。     

时间变量对大学新生人格特质的影响

以台湾地区某大学新生,从1998至2003共六届3141人为对象,分析人格改变情形,统计结果发现13项人格特质的赖氏人格量表中达显著差异的有6项,包括社会外向、攻击性、变异性、神经质、自卑感及虚伪性。性别分析达显著差异的共7项,包括活动性、客观性、协调性、攻击性、变异性、自卑感及神经质;男学生显著高于女学生的有活动性及攻击性,女学生显著高于男学生的有客观性、协调性、变异性、自卑感及神经质。结果显示在时间变量中,大学新生的人格的确发生了转变。     

按键位置对手机键盘拇指操作绩效的影响

本研究假设对于同样的手机键盘操作任务,手机各按键的位置不同,在操作绩效上存在差异。该研究实验从被试的客观操作绩效(反应时和正确率)和主观满意度评价两方面证实了该假设的成立:在保持被试自然姿势操作手机键盘的情况下,各按键在手机键盘中的位置确实对操作工效有较大影响。     

The effects of errorless learning and backward chaining on the acquisition of Internet skills in adults with developmental disabilities

An important area in the learning and development of individuals with disabilities is the acquisition of independent, age-appropriate leisure skills. Three adults with autism and mental retardation were taught to access specific Internet sites using backward chaining and most-to-least intrusive prompting. The number of independent steps completed in the task analysis increased following training.     

Reasoning about artifacts at 24 months: the developing teleo-functional stance

From the age of 2.5, children use social information to rapidly form enduring function-based artifact categories. The present study asked whether even younger children likewise constrain their use of objects according to teleo-functional beliefs that artifacts are "for" particular purposes, or whether they use objects as means to any desired end. Twenty-four-month-old toddlers learned about two novel tools that were physically equivalent but perceptually distinct; one tool was assigned implicit function information through a short demonstration. At test, toddlers returned to the demonstrated tool when asked to repeat the task, but, unlike older children, also used it for another task. Results imply that at 24 months, toddlers expect artifacts to have functions and proficiently use a model's intentional use to inform tool choices, suggesting cognition that differs from that of tool-using monkeys. However, their artifact representations are not yet specified enough to support exclusive patterns of tool use.     

Oculomotor and manual indexes of incidental and intentional spatial sequence learning during middle childhood and adolescence

The goal of this study was to examine incidental and intentional spatial sequence learning during middle childhood and adolescence. We tested four age groups (8-10 years, 11-13 years, 14-17 years, and young adults [18+ years]) on a serial reaction time task and used manual and oculomotor measures to examine incidental sequence learning. Participants were also administered a trial block in which they were explicitly instructed to learn a sequence. Replicating our previous study with adults, oculomotor anticipations and response times showed learning effects similar to those in the manual modality. There were few age-related differences in the sequence learning indexes during incidental learning, but intentional learning yielded differences on all indexes. Results indicate that the search for regularities and the ability to learn a sequence rapidly under incidental conditions are mature by 8 to 10 years of age. In contrast, the ability to learn a sequence intentionally, which requires cognitive resources and strategies, continues to develop through adolescence.     

Response preparation with static versus moving hands

This research tested the response inhibition account of the hand-advantage found in the finger pre-cuing task. According to this account, the advantage of preparing two fingers on one hand (represented in one hemisphere) as opposed to preparing two fingers on two hands (represented in two hemispheres) is due, in part, to a response inhibition process that operates more efficiently within than between hemispheres. In this view, supplying extra activation to both hemispheres by moving the hands should decrease the within-hemisphere inhibition advantage. Twelve participants performed the finger pre-cuing task with static and moving hands. As predicted by the response inhibition account, the hand-advantage, present with the hands at rest, decreased with the hands moving.     

Implementation intentions and disengagement from a failing course of action

We explored the consequences of forming implementation intentions that call for action (adjustment of chosen course of action) versus reflection (assessment of the appropriateness of chosen course of action) in situations that activate people's tendency to remain committed to failing courses of action. In Study 1, when negative experiences preceded failure, action and reflection implementation intention participants showed higher rates of disengagement than mere goal intention and no intention participants. However, when positive experiences preceded failure, only action implementation intention participants maintained this high disengagement rate. In Study 2, we observed that time pressure moderated the facilitating effects of action and reflection implementation intentions on disengagement when negative experiences preceded failure. Whereas the effect of action implementation intentions benefited from time pressure, the effect of reflection implementation intentions did not. The present studies construe disengagement as a self-regulation process and highlight the benefits of implementation intentions as a self-regulation tool. Copyright © 2006 John Wiley & Sons, Ltd.