TEACHING CHILD-CARE SKILLS TO MOTHERS WITH DEVELOPMENTAL DISABILITIES

The present study identified and remediated child-care skill deficits in parents with developmental disabilities to reduce their risk of child neglect. Eleven mothers with developmental disabilities who were considered by social service and child welfare agencies to be providing neglectful child care were found in baseline to have several important child-care skill deficits (e.g., bathing, diaper rash treatment, cleaning baby bottles) compared to nonhandicapped mothers. Parent training (consisting of verbal instructions, pictorial manuals, modeling, feedback, and reinforcement) resulted in rapid acquisition and maintenance of child-care skills in all mothers. Mean percentage correct scores increased from 58% in baseline to 90% in training and 91% in follow-up (M = 31 weeks). The latter two scores compare favorably to the mean score (87%) of 20 nonhandicapped mothers on the same skills. Where observable, parent training was associated with corresponding benefits to the children (e.g., elimination of diaper rash and cradle cap, increased weight gain, successful toilet training). These results indicate that parent training may be a viable option to the removal of the child from the home when parenting skill deficits place the child's well-being in jeopardy.     

Selective involvement of the auditory-verbal modality in an acquired communication disorder: Benefit from sign language therapy

A 39-year-old female suffered bitemporal infarctions and exhibited an unusual behavioral syndrome of muteness and impaired auditory comprehension, with milder aphasic deficits in reading and writing. The anatomic basis of this modality-selective communication disorder appeared to involve both peripheral perceptual and motor as well as “central” language mechanisms. The patient's ability to communicate was greatly aided by instruction in Amerind and Ameslan Sign Language, in which she learned more than 100 signs. Patients whose acquired language deficits spare modalities of input or output may be ideal candidates for sign language therapy.     

Advocacy,Political Participation,and Citizenship: Lutheran Contributions to Public Theology1

Abstract : Martin Luther never developed a political theory, but his theology does inform the way Christians live in society, making it both public and political. Luther's “two kingdom theory” often has been misinterpreted to justify passivity and obedience toward civil authorities. Under closer examination, however, his theology applies to the everyday practices of politics, economics, and religious affairs. In the context of nation‐building, a Lutheran theology fosters citizenship not only as individual rights and responsibilities, but as active participation in civil society.     

Psychotherapy with an adolescent boy who refused medical treatment

In this paper we describe psychotherapeutic work carried out in a paediatric hospital to illustrate the important contribution of a psychoanalytically-oriented approach in a hospital context. The work concerns an adolescent boy who had undergone several surgical operations with the result that some of his natural orifices were obstructed and artificial ones had to be created. He was referred to us because he refused pharmacological and rehabilitative treatment necessary prior to further surgery and his eventual recovery. The boy's experience of loss of control of his life and the more primitive anxieties of not feeling safely contained in his physical and psychic skin emerged and were worked through in the psychotherapeutic relationship. The parallel work with medical staff reduced the risk of splitting and acting out by the patient and professionals. The approach adopted enabled this boy to resume his medical treatment and his developmental process.     

“I Don’t feel like melting butter”: An interpretative phenomenological analysis of the experience of ‘inorgasmia’

Inorgasmia is under-studied in the domain of sexual health psychology. This study explores women's experiences of inorgasmia and the meanings giving to this experience. Interviews with six inorgasmic women were analysed using interpretative phenomenological analysis (IPA). The analysis showed that the absence of orgasm was experienced as problematic and disturbing. A search for reasons for their condition, and its effects on self-image and self-confidence underpinned the experience of inorgasmia as a problem. The spectrum of meanings surrounding female orgasm demonstrates that, far from being perceived as a merely physical experience, the moment of orgasm takes on relational significance and it has implications for the women's identities. The paper identifies areas for future research and theorising.     

The sensory nature of reward in instrumental behavior

Improvement in the sensory state, or “better-being,” achieved either through obtaining desirable sensations or through escaping undesirable sensations, is considered the essential value which maintains the instrumental behavior. This value may vary depending on such factors as the intensity of the stimulus producing sensations, the effects of its previous occurrence, and the changes in the internal and external environment. Methods of evaluation of sensory “better-being” by means of measuring instrumental, autonomic and EEG responses are discussed.     

Cognitive processing and time perception

When a visual field is presented for 40 or 80 msec and a subject is asked to judge the duration of the stimulus, judged duration is found to be less when the field is blank than when the field contains three letters, but is the same whether the three letters form a word or not. The perceived difference between “filled” and “blank” fields increases when the subject is required to memorize the presented letters. These data are consistent with a theory which assumes,inter alia, that a stimulus is analyzed by a visual information processor and a timer, that attention is shared between these processors, and that temporal judgments are based on the output of both processors.