The pain behavior scale: Modification and validation for outpatient use

The present study investigated the validity of an inpatient pain behavior rating scale modified for outpatient use. A series of 43 consecutive outpatients referred for evaluation of chronic pain was examined using the Pain Behavior Scale (PBS) and other psychometric instruments. Analyses revealed significantly higher Pain Behavior Scale scores for low back and multiple pain-site groups. The results also indicated a high degree of internal consistency of the scale. A multiple regression analysis, predicting observed pain behavior from reported pain behavior, indicated that decreased activity accounted for 32% of the variance in the PBS score. A similar regression for pain experience found that the pain level and the sensory scale score on the McGill Pain Questionnaire accounted for 39% of the PBS variance. Psychological characteristics including disease conviction, self-control, depression, and anxiety explained 45% of the variability in the PBS score. Thus, the scale is related to pain intensity, interference with activities, and a variety of psychological characteristics. The scale provides a measure of observable pain behavior that is also relatively independent of these clinical data sources. The Pain Behavior Scale as modified for outpatient use provides a brief index of pain behavior with potential use in the comprehensive evaluation of the pain patient.     

Correctional Literature and Other Resources

The preceding articles offer many new and exciting ideas in the field of corrections. As counselors, community workers, and educators, you may now have more specific questions regarding an area that is of particular interest to you. There are many new-approaches in penology and widespread manifestations of the old. Presented here is a wide cross section of some of the newest and boldest thinking in the correctional field.     

Risques de la régulation médicale en médecine d’urgence. Analyse des dossiers de plaintes de la permanence des soins ambulatoire au SAMU du Var

Introduction

The non-urgent care requests depending on the continuity of care system have to be regulated by a regulating doctor of a medical emergency service call center. We aim to determine the risk factor of litigations about the regulation of the continuity of care system. So, the cases with friendly complaint and those with litigation have been compared.

The structure of sensory events and the accuracy of time judgments

We investigated how does the structure of empty time intervals influence temporal processing. In experiment 1, the intervals to be discriminated were the silent durations marked by two sensory signals, both lasting 10 or 500 ms; these signals were two identical flashes (intramodal: VV), or one visual flash (V) followed by an auditory tone (A) (intermodal: VA). For the range of duration under investigation (standards = 0.2, 0.6, 1, or 1.4 s), the results indicated that both the marker length and sensory mode influenced discrimination, but no interaction between these variables or between one of these variables and standard duration was significant. In experiment 2, we compared, for each of four marker-type conditions (VV, AA, VA, AV; and standard = 1 s), intervals marked by two 10 ms signals with intervals marked by unequal signal length (markers 1 and 2 lasting 10 and 500 ms, or 500 and 10 ms). As in experiment 1, the results revealed significant marker-mode and marker-length effects, but no significant interaction between these variables. Experiment 3 showed that, for the same conditions as in experiment 2, perceived duration is not influenced by marker length and that the variability of interval reproductions does not depend on the perceived duration of intervals. The results are discussed in the light of a single-clock hypothesis: marker-length and marker-mode effects are presented as being non-temporal sources of variability associated mainly with sensory and memory processes.     

Of a false dilemma and the knowledge of values

Continental Philosophy Review - The work of Gabriel Marcel is retrieved and set in relation to the question of moral epistemology. I begin by surveying Marcel’s long-running critique of a...     

The lifespan of time intervals in reference memory

To further explore how memory influences time judgments, we conducted two experiments on the lifespan of temporal representations in memory. Penney et al (2000, Journal of Experimental Psychology Human Perception and Performance 26 1770-1787) reported that the perceived duration of auditorily and visually marked intervals differs only when both marker-type intervals are compared directly. This finding can be explained by a 'memory-mixing' process, whereby the memory trace of previous intervals influences the perception of upcoming ones, which are then added to the memory content. In the experiments discussed here, we manipulated the mixing mode of auditory/visual signal presentations. In experiment 1, signals from the same modality were either grouped by blocks or randomised within blocks. The results showed that the auditory/visual difference decreased but remained present when modalities were grouped by blocks. In experiment 2, we used a line-segmentation task. The results showed that, after a training block was performed in one modality, the perceived duration of signals from the other modality was distorted for at least 30 trials and that the magnitude of the difference decreased as the block went on. The results of both experiments highlight the influence of memory on time judgments, providing empirical support to, and quantitative portrayal of, the memory-mixing process.