The effects of undergarment type on the urinary continence of toddlers

There is a growing trend toward later toilet training of typically developing children. This trend is a problem for caregivers and professionals who work with young children, because it is associated with a number of costs and health risks in child-care settings. Results of a recent study (Tarbox, Williams, & Friman, 2004) suggest that wearing underwear may facilitate the development of toileting skills. Based on these findings, we examined the effects of wearing disposable diapers, disposable pull-on training pants, and underwear on urinary continence of 5 typically developing toddlers in a child-care setting. Underwear decreased incontinence and increased continent urinations for 2 of the 5 participants, produced no improvement in 2 participants, and when combined with increased fluid intake and longer sitting periods, produced some favorable trends for the 5th participant.     

Caregiver-implemented toilet training procedures for children with autism spectrum disorder

Children with Autism Spectrum Disorder often exhibit deficits in daily living skills, including toileting skills. Previous studies have evaluated components of common toilet training practices, including differential reinforcement, sit schedules, fluid loading, underwear, and wet alarms. The purpose of this study was to replicate and extend previous work by delivering all coaching remotely. Three caregiver-child dyads participated in this study. A researcher coached caregivers on the implementation of the protocol using a modified behavioral skills training approach via telehealth. Caregivers submitted daily toileting data and weekly audio recordings for treatment integrity checks. The sit schedule fading was individualized to meet the needs and preferences of each family. All caregivers implemented the protocol with high integrity. Two participants met the mastery criteria at the 90-min sit schedule and maintained performance at the 1- and 6-week maintenance follow up probes. The third participant, despite an interruption of treatment, also reached mastery.     

Moral Cacophony: When Continence is a Virtue

Contemporary virtue ethicists widely accept thethesis that a virtuous agent's feelings shouldbe in harmony with her judgments about what sheshould do and that she should find virtuousaction easy and pleasant. Conflict between anagent's feelings and her actions, by contrast,is thought to indicate mere continence – amoral deficiency. This ``harmony thesis' isgenerally taken to be a fundamental element ofAristotelian virtue ethics.I argue that the harmony thesis, understoodthis way, is mistaken, because there areoccasions where a virtuous agent will findright action painful and difficult. What thismeans is that the generally accepteddistinction between continence and virtue isunsupportable. This conclusion affects severalwell-known accounts of virtuous action,including those of Philippa Foot and JohnMcDowell. A closer look at Aristotle, however, providesanother way of distinguishing betweencontinence and virtue, based in hiscategorization of goods as noble or base. Iargue that virtue is exhibited when anagent's feelings harmonize with his correctjudgments of value, while discrepancies betweenfeelings and correct judgments of valueindicate continence. This understanding ofcontinence and virtue enables us to accommodatethe problem cases I raise.     

The incontinent analyst

The author describes a group of phenomena that can affect the analyst and become the motivating force that pushes the analyst to break confidentiality. He describes the inevitable dialectic of symmetry and asymmetry in the psychoanalytic dyad during the analytic process, and asserts that, every time the analyst is in symmetry with the emerging material of the analysand, identification will occur. This identification with the material offered by the analysand activates the system of ideals and produces a value judgment. The author explores the anxiety, the loneliness, the narcissistic deficiencies and the symptom of the analyst as phenomena that can force the analyst to rupture the promise of confidentiality given in good faith to the analysand at the beginning of the treatment.     

Kant’s Virtue as Strength

The revival of virtue ethics has been accompanied by an increasing interest in Kant’s theory of virtue. Many scholars claim that virtue plays an important role in Kant’s moral theory. However, some worries and disagreements have arisen within the camp of contemporary virtue ethics concerning the Kantian concept of virtue. Some scholars have pointed out that Kantian virtue is at best nothing more than Aristotelian continence, that is, strength of will in the face of contrary emotions and appetites, and hence not a real virtue. In response to these criticisms and worries concerning Kant’s concept of virtue, this paper examines the question of whether Kant’s account of virtue is only a reformulation of Aristotle’s idea of continence. My analysis focuses on Kant’s concept of inner freedom, his ideas about latitude in the imperfect duties of virtue, and his notion of the perfection of virtue. I thus attempt to provide some evidence of the significant differences between Aristotelian continence and Kant’s virtue as strength. Then I explore the significance of Kant’s virtue as strength. Finally, I argue that Kant’s virtue as strength not only is not Aristotle’s idea of continence but also is located at a much higher level, that is, the state of inner freedom and the mental attitude of a human being’s soul.