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 problem of creating habits: establishing health-protective dental behaviors.

We describe three experiments testing treatments to promote the performance of health-protective dental behaviors. Subjects included 55 women from an introductory psychology course (Experiment 1), 45 men and women (Experiment 2), and 81 older-than-average students identified as at risk for gum disease (Experiment 3). The interventions, derived from social cognitive theory, included health education, skills training, and self-monitoring. In each study, we examined the contribution of additional treatment components, including social support (Experiment 1), intensive contact (Experiment 2), and flexible goal setting (Experiment 3). Across experiments, the behavioral results were remarkably similar: Subjects exhibited excellent adherence while in the study but, at follow-up, reported behavior that differed little from baseline. We discuss parallels between attempts to promote health-protective dental behaviors and other health-promotion programs, and we describe different perspectives from which to address the problem of creating healthy habits.     

HOW TO TALK TO YOURSELF OR KRIPKE's WITTGENSTEIN's SOLITARY LANGUAGE ARGUMENT AND WHY IT FAILS

Abstract: In Wittgenstein on Rules and Private Language, Kripke's Wittgenstein argues that it is possible for individuals in communities to speak a language and otherwise follow rules, but impossible for a single, conceptually isolated individual to do so. I show that the roots of the argument lie in his general account of the legitimacy of practices, and that he actually argues for two distinct conclusions: (a) solitary individuals cannot have useful practices of rule‐following and (b) solitary individuals cannot place substantive restrictions on their own behavior. I show that if it is, in fact, possible for individuals in communities to use language and follow rules, then both of Kripke's Wittgenstein's anti‐solitary language arguments fails; and, furthermore, that his general account not only fails to exclude the possibility of solitary language‐use and rule‐following, it actually guarantees their possibility.