Infant state in relation to its environmental context

Two neonatal intensive care units (NICU) were observed every 15 minutes for at least 72 consecutive hours. Although infants on both NICUs were exposed to considerable amounts of stimulation, there were differences between the units for each environmental measure in the amount of stimulation and/or the pattern of circadian periodicity. The two NICUs also differed in the amount of time infants spent in various states and in the pattern of state periodicity. In general, the diurnal rhythms of the infant states were associated with the diurnal rhythms of different environmental events; furthermore, the patterns of association were not the same on the two NICUs. The results point to potential problems in depicting a “typical” NICU. More importantly, they suggest that the environmental of NICUs has a recognizable influence on aspects of their inhabitants' behavior and that the nature of influence is different from NICU to NICU. The effects are potentially significant for physical, social, and cognitive development.     

“Chaotic soup of politics:” a Native American Indian mental health perspective

Through a grounded theory process, tribal politics emerged as a core theme from interviews with mental health providers (MHPs) and Native American Indian people experiencing persistent mental illness (PMI). Interviews were conducted over a four-year period with 13 Indian MHPs and administrators, and 18 persons experiencing PMI. Symbolic Interactionism was the informing framework. Findings indicate that reservation life promotes a high immersion in Eurocentric politics, which negatively affects the person with PMI in their maintenance of a healthy spirit balance. To be effective, MHPs need immersion in; the oneness of culture, spirituality, and politics of the community; knowledge of the tribal history; and communication with elders/spiritual leaders. This personal growth could facilitate provision of culturally responsive care needed for a client's navigation of intergovernmental regulations. MHPs should work for adequate funding policies of human service centers while supporting the establishment of indigenous governing practices through tribal sovereignty.     

The judicial dialogue

A variety of theoretical positions are emerging to explain the judicial process from such perspectives as hermeneutics, semiotics, critical theory and argumentation/rhetoric. They ask such questions as these: What is the source of judicial authority? How do judges arrive at their decisions? By what logic are decisions to be tested? In this essay I argue that a focus on decisions and their justifications alone masks the broader process in which judges, along with all the other relevant groups, engage in a continuing and evolving dialogue to structure their normative universe through the complementary processes of dialectic and rhetoric. Contemporary concepts of argumentation can serve to analyze this process critically.     

A review and critique of honesty test research

This paper reviews and critiques research pertaining to the three most commonly used honesty tests. Honesty tests, sometimes called integrity tests, purportedly predict theft by employees. Secondary analyses were performed to remove the effect of faking good from validity coefficients with various self-report criteria, and to supplement other analyses. The honesty tests were found to have: (a) virtually no foundation in personality or attitude theory, (b) a corrected average correlation of 0.08 with objective indices of theft (95′/0 confidence interval: 0.03 < r < 0.14), (c) a Taylor-Russell utility of approximately 1% above base rate of success, and (d) a false positive rate of 0.44 if only nontrivial thefts are considered. The honesty tests reviewed are of such marginal validity (less than 1% of the criterion variance accounted for) that their continued use in preemployment settings is seriously questioned. The comparability of these review results with those of other reviewers is discussed along with the social and legal implications of honesty testing.     

Musiktherapie bei Kindern mit Migräne

Migraine in childhood is a serious health problem with a tendency for chronification. According to the bio-psycho-social model migraine is considered as a disorder generated by multiple factors and requiring an interdisciplinary treatment concept consisting of both medical and psychotherapeutic interventions. Music therapy as a nonverbal, creative arts therapy is especially apt for the treatment of children. A specific treatment concept in music therapy for children with migraine, to be applied within a multidisciplinary framework, and its theoretical background are presented in this article. Music therapy is firmly established within the context of stationary infant psychiatric care. Also, it is presently used as a method of outpatient psychotherapy mainly for children and adolescents. Additionally, music therapy finds frequent use in medical care, special needs education and curative education for children. This article will be limited to the presentation of music therapy as artistic psychotherapy.     

Meta-interpretive reliability of computer-based test interpretations: the Karson Clinical Report.

Meta-interpretive reliability is a new method to evaluate the accuracy with which personality trait scores are communicated via interpretive statements in a computer-based test interpretation (CBTI). The prototypic experimental design is based on a two-way repeated measures analysis of variance (ANOVA); the two effects are personality traits and randomly chosen CBTI protocols. In this application, 101 psychologists read four examples of the Karson Clinical Report (KCR, Karson & O'Dell, 1975) and estimated the original trait scores from the Sixteen Personality Factor Questionnaire (16PF; Cattell, Eber, & Tatsuoka, 1970) on which the KCR is based. Estimated trait score variance was significantly related to the Trait x Protocol interaction and the main effects for personality trait and differences among protocols (omega 2 = .55). The total effect size corresponded to a multiple correlation of .74, suggesting that the KCR had acceptable meta-interpretive reliability. The protocol effect denoted a context effect created by the juxtaposition of several interpretive statements. Additional analyses showed that individual differences among raters contributed to less than 1% of the estimated standard ten (sten) score variance. Meta-interpretive reliability is proposed as an index of the upper limit of validity for CBTIs.     

Assessing the validity of computer-based test interpretations: rating reliability and individual differences among raters

Three studies were conducted to assess the role of individual differences among raters participating in validation studies for computer-based test interpretations (CBTIs) and to assess the reliability of ratings. Studies centered on two CBTIs for the Sixteen Personality Factor Questionnaire (16PF). The first study involved 54 students who rated the accuracy of the Human Resource Development Report (HRDR) in an experimental context. The second study involved 73 students who rated the HRDR in a nonexperimental context. The third study involved 28 students who rated the Narrative Score Report (NSR) in a nonexperimental context. Results taken together indicate that (a) shrewdness may influence ratings of CBTI accuracy in an experimental context; (b) self-sufficiency, emotional stability, dominance, or abstract thought may influence ratings in a nonexperimental context, depending on the specific report involved: (c) test-retest reliabilities for accuracy ratings were .74 for HRDR and .81 for NSR; and (d) test-retest reliabilities for usefulness ratings were .75 for HRDR and .54 for NSR.     

Wiederkehrende,primäre Kopfschmerzen im Jugendalter

Background

Recurrent pain, especially primary headache, is a serious health problem in adolescents. Music therapy in the treatment of children with migraine has already been evaluated. The aim of this pilot study was to adopt this treatment manual for adolescent patients with recurrent primary headache in preparation for the main randomized controlled trial.

Patients and methods

In this pilot study two different modes of treatment (standard and compact treatment) were tested in an outpatient setting with 19 patients. Frequency and intensity of headache symptoms were evaluated using pain diaries for 8 weeks in a pre-post design.

Results

The pilot study showed good feasibility of both treatment conditions in outpatient practice. Patients reported a reduction of pain frequency and intensity in both groups. The evaluation of the clinical relevance of these effects remains the objective for the main trial.

Conclusions

The music therapeutic treatment plan for children with migraine is even feasible in the treatment of adolescents with recurrent, primary headache. Further evidence questioning the effectiveness of the treatment under controlled conditions is needed.