An indigenous community mental health service on the Tohono O'odham (Papago) Indian reservation: Seventeen years later

The status of a fully indigenous mental health program serviced and controlled by the Tohono O'odham (Papago) Indian tribe is reviewed from the perspective of its 17-year history. The program functions in large measure in a crisis intervention model, with suicidal or acutely disturbed cases being most frequent. However, a whole range of disorders and ages are seen. Traditional Medicine Men and Women are often used as consultants, as are some professionals. In recent years child sex abuse and abuse of drugs among youth are prominent problems. The program experienced problems of obtaining services off reservations for patients in need, and in establishing credibility of the Indian Mental Health workers with the outside service providers.     

The Effects of Flavor-Aversion Learning on Instrumental Performance

Two experiments investigated the role of lithium-mediated environmental conditioning on instrumental performance. Experiment 1 demonstrated that a novel taste consumed in one arm of a T maze prior to lithium-induced toxicosis reduced performance in this environment whereas similar aversions conditioned in the home cage failed to alter maze performance. Experiment 2 showed that maze performance in a straight alleyway was decremented during extinction only in a group that actually traversed the alley prior to drinking saccharin and receiving lithium injections. This demonstrated that the instrumental decrement observed in Experiment 1 was due not only to the presence of an unpalatable flavor in the goalbox during the test.

     

Trading relations in the perception of speech by 5-year-old children

Five-year-old children were tested for perceptual trading relations between a temporal cue (silence duration) and a spectral cue (F₁ onset frequency) for the “say-stay” distinction. Identification functions were obtained for two synthetic “say-stay” continua, each containing systematic variations in the amount of silence following the /s/ noise. In one continuum, the vocalic portion had a lower F₁ onset than in the other continuum. Children showed a smaller trading relation than has been found with adults. They did not differ from adults, however, in their perception of an “ay-day” continuum formed by varying F₁ onset frequency only. The results of a discrimination task in which the two acoustic cues were made to “cooperate” or “conflict” phonetically supported the notion of perceptual equivalence of the temporal and spectral cues along a single phonetic dimension. The results indicate that young children, like adults, perceptually integrate multiple cues to a speech contrast in a phonetically relevant manner, but that they may not give the same perceptual weights to the various cues as do adults.     

Young infants’ perception of liquid coarticulatory influences on following stop consonants

Phonetic segments are coarticulated in speech. Accordingly, the articulatory and acoustic properties of the speech signal during the time frame traditionally identified with a given phoneme are highly context-sensitive. For example, due to carryover coarticulation, the front tongue-tip position for HI results in more fronted tongue-body contact for a /g/ preceded by /l/ than for a /g/ preceded by /r/. Perception by mature listeners shows a complementary sensitivity—when a synthetic /da/-/ga/ continuum is preceded by either /al/ or /ar/, adults hear more /g/s following HI rather than Irl. That is, some of the fronting information in the temporal domain of the stop is perceptually attributed to /l/ (Mann, 1980). We replicated this finding and extended it to a signaldetection test of discrimination with adults, using triads of disyllables. Three equidistant items from a /da/-/ga/ continuum were used preceded by /al/ and /ar/. In the identification test, adults had identified item ga5 as “ga”, and dal as “da”, following both /al/ and /ar/, whereas they identified the crucial item d/ga3 predominantly as “ga” after /al/ but as “da” after /ar/. In the discrimination test, they discriminated d/ga3 from dal preceded by /al/ but not /ar/; compatibly, they discriminated d/ga3 readily from ga5 preceded by /ar/ but poorly preceded by /al/. We obtained similar results with 4-month-old infants. Following habituation to either ald/ga3 or ard/ga3, infants heard either the corresponding ga5 or dal disyllable. As predicted, the infants discrimi-nated d/ga3 from dal following /al/ but not /ar/; conversely, they discriminated d/ga3 from ga5 following /ar/ but not /al/. The results suggest that prelinguistic infants disentangle consonant-consonant coarticulatory influences in speech in an adult-like fashion.     

The aggression-coercion cycle: Use of seclusion and restraint in a child psychiatric hospital

The widespread use of seclusion and restraint in child psychiatric hospitals to manage aggression and noncompliance is based on the assumption that coercive consequences reduce the frequency of undesirable behaviors exhibited by the patients. We report a study of the use of seclusion and restraint in a public child psychiatric hospital during a 3-year period. Twenty-eight percent of the patients had been secluded or restrained a total of 1670 times. About 25% of these patients had been secluded more than five times during their hospitalization, and 32% had been placed in restraints more than once. Behaviors that typically resulted in repeated seclusion included physical aggression toward staff, verbal aggression toward peers, non-compliant or oppositional behavior, and self-harm. Variables that predicted patients most at risk for repeated seclusion included age, gender, and psychiatric diagnosis. The predictor variables for those most at risk for repeated restraint included age, property destruction, and self-harm. The high rates of use of seclusion and restraint suggest that these methods for controlling the behavior of children and adolescents in this child psychiatric hospital may not have been therapeutic. We suggest that staff in such hospitals engage in a pattern of behavior characterized by an aggression-coercion cycle, in which increasingly aggressive and coercive behaviors are exhibited by both patients and staff.     

Perceptions of maternal and paternal solicitude by birth children and adoptees: Relevance for maternal bonding theory

This study emanated from the long-standing question of whether a maternal bonding process similar to other mammalian species occurs in humans. The perceptions of adult adoptees and a matched sample of non-adoptees about their parents' behaviours towards them were compared on an original Parental Solicitude Scale. As hypothesized, birth children perceived their mothers as the more solicitous parent, but ratings of adoptive mothers showed a unilateral decline. Further, the differential ratings for birth and adoptive mothers occurred mostly for the factors labelled benignity vs abuse and tolerance vs control, rather than caretaking vs neglect, which was congruent to reported effects in prior studies of lack of mother-infant contact during the sensitive period for bonding. An alternative explanation of the data was also tested but not substantiated.