DECREASING BURNED CHILDREN'S PAIN BEHAVIOR: IMPACTING THE TRAUMA OF HYDROTHERAPY

We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p < .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed.     

Children's perception of media-portrayed sex roles

The immediate impact on preschool and elementary school children of a televised presentation in which the traditional sex roles of physician and nurse were reversed was examined. After viewing a videotape of a male nurse and a female physician, subjects were asked to identify photographs or names of the physician and nurse. Preschool, first-, and fourth-grade children selected male names or pictures for the physician and female names or pictures for the nurse, thereby reversing genders. Their immediate recall appeared strongly influenced by their stereotypes rather than by the film they had just viewed. Seventh-grade children correctly identified the names of the physician and nurse.The authors wish to thank Dr. Edward F. Meydrech, Assistant Professor, Department of Preventive Medicine and Chief of the Division of Biostatistics, University of Mississippi Medical Center, for his invaluable assistance in the analysis of the data.     

Developmental and sex-related differences in preschoolers' affective decision making

This study investigated developmental and sex-related differences in affective decision making, using a two-deck version of Children's Gambling Task administered to 3- and 4-year-old children. The main findings were that 4-year-old children displayed better decision-making performance than 3-year-olds. This effect was independent of developmental changes in inductive reasoning, language, and working memory. There were also sex differences in decision-making performance, which were apparent only in 3-year-old children and favored girls. Moreover, age predicted awareness of task and the correlation between the latter and decision-making performance was significant, but only in 4-year-old children. This study thus indicates that there is a remarkable developmental leap in affective decision making, whose effects are apparent around the age of 4, which according to our results, also marks the age when the correlation of declarative knowledge and decision-making performance becomes significant.     

An evaluation of strengthening precursors to increase preschooler compliance

We evaluated the strategy of increasing precursors to compliance on the compliance of 2 preschool boys. Modeling and differential reinforcement were used to increase specific responses to his name being called prior to the opportunity to comply with an instruction. The precursors were stopping the ongoing activity and orienting to, making eye contact with, and saying "yes" to the instructor. High levels of precursors occurred during treatment, and increases in compliance also were observed, even though the consequences for compliance and noncompliance did not change.     

Childhood obesity and social stigma: What we know and what we don't know

Evidence for the development of social stigma associated with body build in childhood, specifically obesity, was critically reviewed. Although there is overwhelming evidence to suggest that children hold a positive stereotype toward a mesomorph (normal) build when compared to other builds, and that this preference increases with age, studies have not convincingly shown a negative stereotype toward the endomorph or obese body build. Furthermore, the belief that obese children are generally discriminated against is without empirical verification. Specifically, it is unclear from the various empirical studies that examine self-esteem and body image, that the psychological consequences of obesity are debilitating. Studies which have noted disturbances in self-concept and body image have sampled clinical populations (youngsters seeking medically supervised reduction); and those studies which have examined nonclinical populations have not found psychological difficulties. Finally, potential moderators such as facial attractiveness × body build interactions, situational contexts, and degree of obesity are examined and new research directions are discussed.