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.     

The child verbal competence effect in court: a comparative study of field investigative interviews of children in child sexual abuse cases

The purpose of this study is to compare field investigative interviews of children (FIIC) with three different legal outcomes in child sexual abuse cases: (i) insufficient evidence to proceed (IEP); (ii) convictions; or (iii) acquittals by the court. One hundred FIIC were divided into one of the three outcome possibilities. Amongst the female interviewees older than 10 years, there were no cases of acquittals and the convicted cases were over-represented. The children's response to open questions was found to be the main difference between the three FIIC outcomes. The responses to these open questions were 1.9 and 2.3 times longer in the convicted cases compared to acquittals and IEP. Possible explanations for the result are discussed. Copyright © 2009 John Wiley & Sons, Ltd.     

Medical ethics in Norway: Modern medicine — Traditional morality

In Norway, by tradition a Lutheran country, the puritan ethics of a “moral minority” has a strong influence on the development and manifestations of medical ethics. Those who exert this influence are found primarily among politicians, the clergy, and, last but certainly not least, among nurses and doctors. The focus of interest is not so much on problems of bioethical moral theory or the teaching of bioethics to students, but very much on attitudes and policies with regard to substantive issues traditionally regarded in Norway as burning bioethical issues, such as: medical research ethics, abortion, prenatal diagnosis, euthanasia, definitions of death, and reproductive technologies.     

The ratio principle holds over a million-to-one range of illumination

Infant sensitivity to kinetic information specifying three-dimensional object shape was assessed using computer-generated random-dot displays. Four-month-old infants were habituated to displays of an object oscillating about two different axes on alternating trials. Following habituation, the infants were tested for recovery from habituation to a display of the same object and a novel object. Both test displays employed a new axis of rotation. The infants generalized habituation to the same object and increased their looking to the new object. These results provide evidence that infants are sensitive to motion-carried information specifying three-dimensional object shape, since the random-dot displays minimized static information that differentiated the two objects. These findings suggest that, at least by 4 months of age, infants can detect subtle differences in shape from purely kinetic information.     

Digital daydreaming: Introducing the spontaneous smartphone checking scale

Smartphones are a ubiquitous part of many people's lives, but little is known about their impact on everyday thought processes. Here we introduce the spontaneous smartphone checking scale (SSCS)—which measures the tendency to direct attention toward one's smartphone, unpreceded by external prompts (e.g., notifications, or alerts) and with no specific conscious goal in mind, as a parallel to mind-wandering directed toward internal thoughts. The SSCS showed good psychometric properties and construct validity. It separated from measures of daydreaming and mind-wandering by not loading on dimensions related to self-consciousness, reflection, and rumination, but instead loading highly on a factor associated with other aspects of digital communication and concerns about public appearance on social media. This suggests that spontaneous smartphone checking serves different mental and social functions than internally generated spontaneous thought processes. We discuss possible long-term effects of spontaneous smartphone checking taking up time for internally generated spontaneous thoughts.     

The knower and the known

This paper is a presentation and discussion of Spinoza's view on the knower, or the mind, as an agent. The knower is on his view to be regarded as an active or generative complex cognitive experience. Imagination, reason and intuition are the cognitive principles. On account of their intrinsic relation to “the first law of nature”, that of selfpreservation, together with the thesis of the mind as constituted by ideas or knowledge, these principles function at the same time as moral principles. Consequently, it makes sense to speak of an individual's moral attitude toward everything be knows. A discussion of imagination, reason and intuition mainly as cognitive principles is followed by some concluding remarks on the cognitive and moral relation between human beings: To know another human being is to know his knowledge. The moral attitude of individuals to each other is a function of their mutual knowledge of knowledge.     

Is visual attention automatically attracted by one’s own name?

Subjects were presented with briefly exposed visual displays of words that were common first names with a length of four to six letters. In the main experiment, each display consisted of four words: two names shown in red and two shown in white. The subject’s task was to report the red names (targets), but ignore the white ones (distractors). On some trials the subject’s own name appeared as a display item (target or distractor). Presentation of the subject’s name as a distractor caused no more interference with report of targets than did presentation of other names as distractors. Apparently, visual attention was not automatically attracted by the subject’s own name.     

Art therapy in transcultural family therapy

The increased existence of foreign culture patterns in the child population calls for transcultural comprehension in child psychiatry. This case report describes transcultural aspects in the therapy of an 11 year-old Moslem girl admitted to a child psychiatric department. Her symptoms were abdominal pain, headache, anxiety, and pretended fever. A family therapeutic approach was used together with elements of art therapy and individual therapy in a successful treatment. The family therapeutic approach was based on art therapy as a part of the communication where cultural symbols were an important part. An interpreter was not used. The cultural context where it is acceptable to overstep the borderline between reality and fantasy is seen as an important healing capacity.I would like to acknowledge my debt and my appreciation to Ebba Ernst, psychologist of the department and supervisor in the therapy of the S. family. I would also like to thank professor Kai Tolstrup and child psychiatrist Torben Marner for stimulating support in the process of writing the article. A grant from Enkefrue Hermansens Mindelegat made the participation in the Krakow Congress possible.