Adult-child interaction during invasive medical procedures.

Adult-child interactions during stressful medical procedures were investigated in 43 pediatric patients videotaped during a venipuncture procedure in the course of cancer treatment. Relations among six adult behavior categories (explain, distract, command to engage in coping behavior, give control to the child, praise, and criticize/threat/bargain) and three child behavior categories (momentary distress, cry/scream, and cope) were examined using correlational and sequential analysis. Results indicated that adult distraction resulted in increased child coping and reduced momentary distress and crying. Adult explanations, although a likely response to child distress and crying, did not result in a reduction of these behaviors. Attempts to give the child control reduced child crying. Implications for clinical interventions during painful medical procedures are discussed.     

Social control by adult preference in operant conditioning with children

During daily sessions four institutionalized retardates and four normal, first-grade children each played a two-choice marble dropping game while an adult experimenter sat beside and watched. When one of two colored lights was presented, two tokens were dispensed as soon as the subject dropped a marble, and when the other light was on, one token was dispensed. During choice trials that were interspersed among single-colored trials the subject was required to choose one of the two different colored holes. After the subject developed a preference for the color that earned two tokens, the experimenter stated a preference for the response that earned only one token (i.e., “I like it better when you put it into the —colored hole.”) Six of the eight subjects immediately switched to the response that earned low magnitude reinforcement when the experimenter stated his preference. Only two subjects switched back to the response that earned high magnitude reinforcement when the experimenter left the room. Subjects complied with the experimenter's preference statement regardless of whether or not it also included a negative component (i.e., what the experimenter did not like). There were no systematic differences between mentally retarded and normal subjects.     

Addressing Relationship Health Needs in Primary Care: Adapting the Marriage Checkup for Use in Medical Settings with Military Couples

The overall objective of this study was to pilot the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency tailored to a military population, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic. The MC was revised to fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-min appointments), and military-relevant material was added to the content. IBHCs working in primary care were then trained to offer the intervention. Thirty participants were enrolled in the study and completed a relationship checkup and one-month follow-up questionnaires. Analysis of post-test and one-month follow-up data showed statistically significant improvements in participants’ marital health compared to pre-treatment. The MC intervention appeared to be well received by both couples and IBHCs.     

Effects of Social Norms Information and Self-Affirmation on Sugar-Sweetened Beverage Consumption Intentions and Behaviors

The separate and combined efficacy of a social norms and a self-affirmation intervention to motivate decreased sugar-sweetened beverage (SSB) consumption was examined in 2 experiments. College students were randomly assigned to receive information about SSB consumption risks, norms, both, or neither. In addition, participants performed either a self-affirmation or control task. Self-affirmation only weakly affected SSB consumption intentions and behaviors. However, participants in Experiment 2 who received risks information, norms information, or both reported greater SSB reduction intentions than did those who received no information. Two weeks later, those who received both types of information reported more frequent behavior change preparations, and it appears this effect may have been partially mediated by the changes in intentions to reduce SSB consumption.     

Effects of mixed reinforcement contingencies on adults' control of children's behavior

Two severely retarded boys, each a member of a different play group, experienced three regimes of reinforcement from adults [contingent, noncontingent, and mixed (contingent and noncontingent)]. The agent of contingent reinforcement acquired stimulus control of the subjects' behavior; the noncontingent agent did not. The agent of the mixed schedule of reinforcement did not gain control, but aspects of his behavior came to function as cues. The mixed adult's withholding reinforcement in the absence of the target behavior (cooperative play) evoked cooperative play, whereas his presenting free reinforcement resulted in the subjects' remaining in their inactive, baseline positions.     

The identity of Brexit: A cultural psychology analysis

In this paper, we propose a culturalist interpretation of the outcome of the Brexit referendum. This interpretation is grounded on the analysis of the U.K.'s cultural milieu, which is part of a more general study of the cultural milieus of several European countries. Specific to the United Kingdom, our analysis is based on a questionnaire carried out on a representative sample of U.K. respondents stratified by sociodemographic variables and geographic region (NUTS1). Responses to the questionnaire were subjected to multidimensional analysis—a combination of multiple correspondence analysis and cluster analysis. Findings about the multicountry analysis show how cultural milieus are characterized by five basic, embodied, affect‐laden, generalized worldviews (defined as “Symbolic Universes”). Four out of five symbolic universes consist of a way of interpreting reality by a specific anchorage (i.e., the ethical norm, the institutional order, the emotional experience interpersonal bond, and the belongingness). One symbolic universe can be viewed as the anomic reaction to the failure of those anchorages. Focusing on Brexit, by means of a discriminant analysis, it is showed how the incidence of the symbolic universes (and of the underpinning basic dimensions of meaning within the 12 U.K. macroregions') enables to identify differentially the macroregions with high proportion of “leave” at the Brexit referendum against those with low proportion. More specifically, the high “leave” macroregion are characterized by higher relevance of cultural forms anchored on local identity/belongingness. Findings are discussed within the wider aims of the project and its implications for a cultural psychology informed policymaking.     

Effects of positive and negative adult-child interactions on children's social preference

The effects of positive and negative interactions on children's performance and preferences for the adults associated with each type of interaction were studied. Five children served as subjects during daily sessions in which each of three adults followed prescribed patterns of social interaction. One adult (positive) dispensed positive comments contingent upon either color-sorting or completion of arithmetic problems; a second adult (negative) mildly reprimanded the child for off-task behavior; and the third adult (extinction or nonreactive) said nothing to the child when he was present. Following each session the three adults reentered and the child chose one of them for an additional period of interaction. Three response measures (frequency, latency, and percent of time on-task) and children's adult preferences were obtained daily. The negative adult affected the most task behavior and had strongest stimulus control; the positive adult, though exerting little control over children's behavior, was the most preferred. Children's adult preferences were not specific to the task setting, but were observed across a variety of contexts.     

Timeout as a reinforcer for errors in a serial position task

After learning to press keys in a predetermined serial position sequence, with timeouts scheduled as a consequence of errors, monkeys developed stereotyped errors. As soon as a new trial started, the animals would make an error. On trial after trial, they pressed the same incorrect key at the first member of the sequence, even though they had previously learned the sequence. First-member errors occurred even when sequences of fully bright keys marking correct choices were presented. When timeout was eliminated as a consequence of one first-member error, subjects switched to an error that did produce the timeout. When all first-member errors failed to produce timeout the monkeys ceased responding. Both prefeeding and reduction in reinforcement density resulted in stereotyped errors occurring earlier in the session.