The Tourette's Disorder Scale (TODS): development, reliability, and validity

To address the lack of a simple and standardized instrument to assess overall illness severity of Tourette's disorder (TD), the authors developed and tested a 15-item scale to measure a broad range of common symptoms including tics, inattention, hyperactivity, obsessions, compulsions, aggression, and emotional symptoms. Independent investigators used the 15-item Tourette's Disorder Scale (TODS) to assess 60 TD patients who were taking part in a double-blind placebo-controlled multicenter 8-week treatment study. Interrater reliability, internal consistency, convergent and discriminant validity, and sensitivity to change were examined. The TODS was associated with good interrater reliability, excellent internal consistency, and favorable levels of validity and sensitivity to change. Individual TODS items showed good convergent and discriminant validity against other measures. The TODS is a simple, efficient way for clinicians and parents to rate the severity of multiple symptoms commonly found in patients with Tourette's disorder.     

Presence and television.

Film and a number of emerging entertainment technologies offer media consumers an illusion of nonmediation known as presence. To investigate the possibility that television can evoke presence, 65 undergraduate students were shown brief examples of rapid point‐of‐view movement from commercially available videotapes on a television with either a small screen (12 inches [30.5 cm], measured diagonally) or a large screen (46 inches [116.8 cm]). Participants' responses were measured via a questionnaire and a computer‐based recording of arousal (electrodermal activity). Viewers of both televisions reported an enjoyable sense of physical movement, excitement, involvement, and a sense of participation. Furthermore, as predicted, participants who watched the large screen television thought the movement in the scenes was faster, experienced a greater sense of physical movement, enjoyed the movement to a greater extent, found the viewing experience more exciting, and were more physiologically aroused. Practical and theoretical implications are discussed.     

Forms, uses and functions of children's favourite objects

In this study, the notion of a favourite object is used as a heuristic concept for things that children are occupied with and absorbed by. According to earlier studies, favourite objects can be grouped into four categories: forerunners of transitional objects, primary and secondary transitional objects, and favourite toys. This initial classification was compared to results of cluster analyses of characteristics of favourite objects among 32 preschool and 30 primary school children, corroborating the initial classification and specifying the typology. The distribution of types of objects was different for the two groups of children, but was not dependent on age within groups or, for the preschool children, on mental development. These results indicate that changes of favourite objects with mental maturation are slow.
The softness of the material of primary and secondary transitional objects and the preference for objects that could be kept close to the body suggest that the comforting character of these favourite objects has its root in the child's self-soothing actions with the object.     

Book reviews

Institutions represent both the conscious and unconscious aspects of the interacting members. Psychotherapists need to address their unconscious position in the institution as well as the conscious aspects of their work. This paper describes the possible relevance that psychotherapy may have at the unconscious level. The notion of the ‘social defence system’ is extremely useful in finding one's way in the engulfing emotional attitudes, and for tolerating the often dismaying sense of irrelevance that psychotherapy appears to attract. The social defence system of a prison and a mental hospital are considered in this light and some thought are devoted to the changing state of the National Health Service at present.     

The Hypothesis Of Ether And Reid's Interpretation Of Newton's First Rule Of Philosophizing

My object is to question a recurrent claim made to the point that Thomas Reid (1710–1796) was hostile to ether theories and that this hostility had its source in his distinctive interpretation of the first of Newton's regulæ philosophandi. Against this view I will argue that Reid did not have any quarrel at all with unobservable or theoretical entities as such, and that his objections against actual theories concerning ether were scientific rather than philosophical, even when based on Newton's first rule. I argue further that Reid's insistence on Newton's rule concerns, not direct observation, but rather the notion of explanation itself.     

Favourite objects of autistic children

Favourite objects (FOs) of autistic children were compared with the FOs of healthy preschool and school children as well as mentally handicapped children. Three clusters of objects were obtained for normal children (comprising primary transitional objects and their forerunners, secondary transitional objects, and non-cuddly toys). When autistic children and mentally handicapped children were included, a fourth cluster of deviant objects was found. Frequency distributions of the two handicapped groups in the clusters were similar. Similarities between the two handicapped groups were also found within each cluster. The occurrence of secondary transitional objects was rare in the handicapped groups. The characteristics of "autistic" FOs reported in earlier case studies (e.g. being hard, often having an exciting effect, not being used in their adequate functions) were typical only of objects in the fourth cluster.     

Some aspects on behavioral teratology research

A compelling question in teratology research is whether the experimental model used allows for extrapolation from laboratory animals to man. Our thesis is that behaviors that are biologically relevant for the animal are more likely to reveal the relationship between the behavior and its substrate than are non-specific behaviors. Applying this reasoning to the study of the ontogenesis of the behavior, we plead for including the use of species-typical behaviors in testing for teratogenic effects. Our further discussion is focussed upon the different levels at which an analysis of teratogenic effects may be carried out. At one level, the analysis is directed towards the behavioral effects of a given treatment; at another level to specify the function that is impaired by the treatment.     

The ontogeny of defensive reactions in the rat: Influence of the monoamine transmission systems

The effects of neonatal treatment of rats with the neurotoxins 5,7-dihydroxytryptamine and 6-hydroxydopamine on the ontogeny of the ultra sound vocalization and the immobility response were studied. The 5,7-dihydroxytryptamine treated rats showed reduced strength of both reactions indicating involvement of the serotonin system in their ontogeny. This hypothesis was supported by experiments with depletion of serotonin by para-chlorophenylalanine followed by replenishment with 5-hydroxytryptophan. The 6-hydroxydopamine treated rats showed normal defensive reactions, but displayed hyperactivity from their second week of age. The role of the dopamine system in the defensive reactions was studied by variations of the dopamine activity level by traditional tools: depletion by α-methyl-tyrosin followed by replenishment by l -DOPA; stimulation or inhibition of the dopamine receptors by apomorphine or haloperidol. The results suggested an inhibitory function of the dopamine system in both defensive reactions, antagonistic to that of the serotonin system.     

Parent training for young Norwegian children with ODD and CD problems: Predictors and mediators of treatment outcome

Participants were 121 children, aged 4–8 years referred for conduct problems, and their mothers. A parent training intervention was implemented in two outpatient clinics in Norway. Treatment responders were defined as children scoring below a cut-off on the Eyberg Child Behavior Inventory, a score below an optimal cut-off for children in day-care and school as reported by teachers, in addition to a 30% reduction or greater in observed negative parenting. Self-reported parenting practices were explored as potential mediators. The results of logistic regression analyses showed that high levels of maternal stress, clinical levels of ADHD, and being a girl predicted a poorer outcome in conduct problems at home, while pretreatment clinical levels of ADHD predicted a poorer outcome as perceived by the teachers. Harsh and inconsistent parental disciplining emerged as significant partial mediators of changes in conduct problems, highlighting the importance of altering parenting practices to modify young children's conduct problems.