Helping the child with cancer: what school personnel want to know

As more children with cancer survive, the importance of facilitating school reintegration as a part of maximizing the quality of life has become evident. Workshops have been presented to school personnel to acquaint them with the issues facing cancer patients and their families, but there are gaps in our knowledge of what school personnel really need or want to know. In this study, 18 teachers of children with cancer and 15 teachers with no prior contact with students with cancer completed a questionnaire designed to assess needs, beliefs, and priorities with regard to working with cancer patients in the classroom. Significant findings included: (a) a consensus that a certain core of information about medical/psychological issues would be useful, and presentation of such information by psychologists and medical personnel working with such families would be optimal; (b) teachers having cancer patients as students were less likely to see the adaptation of siblings as an important issue; (c) teachers associated working with a student with cancer with less stress and demands on their time than predictable from previous studies; and (d) cancer patients as a whole were rated as having fewer behavioral, emotional, and learning problems than randomly selected students without a major illness, suggesting a "halo effect" or contradiction of some literature. Preliminary findings are detailed and implications are discussed for those attempting to help teachers facilitate students' adjustment to school following diagnosis and treatment of cancer.     

Empirically based assessment of competence to stand trial: Instrument development and preliminary findings

An instrument was designed to assist mental health professionals in objectively assessing competence to stand trial. Items were empirically derived based on input from multidisciplinary teams of mental health professionals experienced in working with forensic patients in a state hospital. Procedures were adapted from Goldfried and D'Zurella's five-stage behavioral-analytic model for the assessment of social competence. The resulting 15-item audiotaped scale assessed both legal and social competence based on reported responding in jail, in interactions with lawyers, and in the courtroom. Interrater reliability on scoring of responses ranged from .68–.96. High correlations between social and legal competence (.56–.82) demonstrated the likelihood of overlap of these constructs and the importance of directly addressing both. A pilot intervention program was designed from the instrument and implemented with three forensic patients. Failure to demonstrate change in these subjects is briefly discussed, and recommendations for future efforts in this area are made.     

Influences on responsiveness: Interactions between mothers and their premature infants

The responsiveness of mothers to their infants has been found to make an important contribution to children's development. Mothers' cognitive ability, emotional state, and life stresses may influence their responsiveness, as may the medical condition of their infants. The patterns of influence may vary between groups of children with different biological risk conditions and should be examined carefully to determine intervention points for different groups. Forty mothers and their 3-month-old (corrected age) infants with intraventricular hemorrhage (IVH) were observed in free play. Mothers' depressive symptoms, cognitive skills, and the degree of infants' IVH were assessed and expected to be influences on mothers' responsiveness. Results indicated that mothers' depressive symptoms and cognitive skills were associated with their responsiveness, but that depressive symptoms were the stronger predictor. Post hoc analyses suggested that socioeconomic status and depressive symptoms may have related effects on mothers' behavior.     

The pediatric emotional distress scale: a brief screening measure for young children exposed to traumatic events

Introduced the Pediatric Emotional Distress Scale (PEDS), which was developed to quickly assess behaviors identified in empirical and theoretical literature as significantly elevated in children after experiencing traumatic events. The 21-item parent-report rating scale includes 17 general behavior items and 4 trauma-specific items. Factor analyses on the 17 items, with 475 two- to ten-year-olds (traumatic event exposure and nontraumatic event exposure), yielded 3 reliable factors labeled Anxious/Withdrawn, Fearful, and Acting Out. Factor and total scores were shown to have good internal consistency, and both test-retest and interrater reliability were at acceptable levels. Discriminant analyses demonstrated the PEDS could distinguish traumatic event exposure and nonexposure groups, although maternal education should be a significant consideration in interpretation. Future research with diverse populations who have documented trauma is needed to enhance the utility of the full PEDS scale.     

Effects of three types of noncontingent auditory stimulation on vocal stereotypy in children with autism

We evaluated the effects of 3 types of noncontingent auditory stimulation (music, white noise, recordings of vocal stereotypy) on 2 children with autism who engaged in high rates of vocal stereotypy. For both participants, the music condition was the most effective in decreasing vocal stereotypy to near-zero levels, resulted in the highest parent social validity ratings, and was selected as most preferred in treatment preference evaluations.     

How do young children deal with hybrids of living and non‐living things: The case of humanoid robots

In this experiment, we tested children's intuitions about entities that bridge the contrast between living and non‐living things. Three‐ and four‐year‐olds were asked to attribute a range of properties associated with living things and machines to novel category‐defying complex artifacts (humanoid robots), a familiar living thing (a girl), and a familiar complex artifact (a camera). Results demonstrated that 4‐year‐olds tended to treat the category‐defying entities like members of the inanimate group, while 3‐year‐olds showed more variability in their responding. This finding suggests that preschoolers' ability to classify complex artifacts that cross the living–non‐living divide becomes more stable between the ages of 3 and 4 and that children at both ages draw on a range of properties when classifying such entities.     

Audience-contingent variation in action demonstrations for humans and computers

People may exhibit two kinds of modifications when demonstrating action for others: modifications to facilitate bottom-up, or sensory-based processing; and modifications to facilitate top-down, or knowledge-based processing. The current study examined actors' production of such modifications in action demonstrations for audiences that differed in their capacity for intentional reasoning. Actors' demonstrations of complex actions for a non-anthropomorphic computer system and for people (adult and toddler) were compared. Evidence was found for greater highlighting of top-down modifications in the demonstrations for the human audiences versus the computer audience. Conversely, participants highlighted simple perceptual modifications for the computer audience, producing more punctuated and wider ranging motions. This study suggests that people consider differences in their audiences when demonstrating action.     

Twelve- and 16-month-old infants recognize properties of mentioned absent things

Absent reference comprehension is a critical achievement of early development, yet little is known about its emergence. In the current study, 12- and 16-month-old infants' recognition of properties of mentioned absent things was used as an index of absent reference comprehension. Infants were presented with displays matching the color and prior spatial location of a mentioned absent object and displays matching the color and prior spatial location of a non-mentioned absent object. Infants could reveal their comprehension of absent reference by directing more looking and gesturing at the display matching the mentioned absent object than at the display matching the non-mentioned absent object. Infants at both ages revealed some tendency to do so, but infants at 16 months revealed more advanced understanding--infants at 16 months, but not at 12 months, coordinated their attention to the display matching properties of the mentioned absent thing with looks to the speaker. Implications for the infants' understanding of communicative intentions are discussed.     

Social audiences can disrupt learning by teaching

To investigate the effect of a social audience on learning-by-teaching, we examined participants' solutions of the 4-ring Tower of Hanoi problem after they demonstrated the 3-ring problem to a social agent (a person) or a non-social agent (a computer). In Introduction, Discussion participants produced less optimal solutions of the 4-ring problem after demonstrating the 3-ring problem to a social agent. An analysis of pointing behavior demonstrated that social highlighting contributed substantially to this effect. Together, these findings indicate that more social highlighting may produce a cost, rather than a benefit, on how deeply the demonstrator encodes the problem solution. Experiment 3 clarified that these results were not simply caused by the disruptions inherent to social highlighting. Taken together, the results suggest that social highlighting does not come for free — producing the highlighting may lead to more shallow encoding of demonstrated actions.