Evaluation of an indirect assessment for identifying tasks for functional analysis

Although a demand analysis is helpful for identifying potential establishing operations for the functional analysis (FA) demand condition, it may not always be practical due to time constraints. A potential alternative is the Negative Reinforcement Rating Scale (NRRS), an indirect assessment tool that may serve as a time efficient alternative to a demand analysis. The experimenter assessed the reliability and validity of the NRRS for 5 individuals with autism spectrum disorder who exhibited problem behavior. Multiple types of interrater reliability were assessed across 2 informants, and NRRS outcomes were compared to a subsequent demand analysis and FA to assess its validity. Reliability was high (M = 84%) for NRRS numerical ratings of categories but low (M = 32.9%) for specific examples provided. NRRS-identified highly aversive tasks yielded better correspondence with demand analysis outcomes than did NRRS-identified less aversive tasks.     

Effects of socially appropriate singing on the vocal stereotypy of children with autism spectrum disorder

This study evaluated the effects of children with autism spectrum disorder engaging in socially acceptable singing on their vocal stereotypy. A multiple‐baseline across four participants with embedded multielement designs was used to assess the effects of the singing intervention upon later occurrence of vocal stereotypy for each participant. Results showed that fewer instances of vocal stereotypy occurred during and after singing intervention sessions. Additionally, two children began to emit appropriate singing after intervention, which suggests that the topography of their vocal stereotypy (e.g., monosyllabic or screeching sounds) was altered to some extent. Overall, results suggest positive implications for teaching appropriate vocal behaviors as functional replacements for vocal stereotypy.     

直肠间质瘤致下消化道大出血1例报告

胃肠道间质瘤是一种发生于消化道的少见的间叶肿瘤,直肠间质瘤更为罕见,在直肠肿瘤中的发生率0．1％以下。直肠问质瘤的临床表现无特异性,与其他直肠肿瘤相似,随肿瘤逐渐增大可表现为排便习惯改变、便血、排便困难等。临床确定诊断困难。手术治疗是能够治愈直肠问质瘤的唯一方法。格列卫作为一线化疗药物对术前降期及改善预后都有良好疗效。本例患者因下消化道大出血入院,肿瘤近肛缘,术中病理考虑为直肠闻质瘤,完整切除肿瘤后行保肛术。术后应用格列卫,随诊3个月无复发、转移。     

A comparison of procedures for unpairing conditioned reflexive motivating operations

This study compared the effectiveness of two procedures to reduce behavior evoked by a reflexive conditioned motivating operation (CMO‐R). Task demands were shown to evoke escape‐maintained problem behavior for 4 students with disabilities. Alternative communication responses were taught as an appropriate method to request escape and this treatment combined with extinction for problem behavior led to decreases in problem behavior for all students. A beeping timer was then arranged to temporally precede the task demand to create a CMO‐R that evoked communication responses. When data showed that the sound of the timer was functioning as a CMO‐R, two methods to reduce behavior evoked by a CMO‐R—extinction unpairing and noncontingent unpairing—were evaluated. Results indicated that noncontingent unpairing was an effective method to reduce the evocative effects of the CMO‐R. Extinction produced unsystematic effects across participants. Results are discussed in terms of abolishing CMOs and the implications of CMOs.     

A paradoxical effect of presession attention on stereotypy: antecedent attention as an establishing, not an abolishing, operation

Previous studies have shown that presession attention for problem behavior can serve as an abolishing operation when attention functions as a positive reinforcer. In the current study, we show that the stereotypy of a child with severe disabilities was undifferentiated during standard analogue functional analysis conditions. However, when noncontingent presession attention was provided, stereotypy occurred for social attention as a positive reinforcer, suggesting that the antecedent manipulation functioned as an establishing operation.     

结直肠癌患者术后寻求中医药治疗的质性研究

为了解结直肠癌术后患者寻求中医药治疗的目的、体验、信念.采用目的抽样的办法,选取18位结直肠癌术后患者进行个人深入访谈.发现结直肠癌术后的患者,选择中医药治疗的目的主要有以下几个方面：减轻放、化疗的不良反应,使身体尽快恢复,提高生活质量,防止复发转移等.随着治疗的进行,患者对中医的认识逐步提高.中医药的疗效主要体现在各种症状及客观指标的改善上,近期良好的治疗体验使患者对实现远期目标更具信心.     

创造活动酝酿期的心理加工机制初探

美国著名心理学家华莱士（Wallas)在研究了大量作家和自然科学家的发明创造的过程后,于1945年提出创造过程四阶段说。华莱士对准备期（Preparation stage)、明朗期（Illumination stage)、验证期（Verification stage)等其它三个阶段的心理机制都有十分明析的论述,唯独对酝酿期（Incubation stage)的描述较为模型。本文试图对创造活动酝酿期的心理加工机制作初步探讨,力图补充华莱士的创造四阶段说,为揭示创造的心理加工机制发表一孔之见。     

样例设计及呈现方式对学习代数运算规则的促进

为了考察"解释法"、"解释-标记法"两种样例设计方法及其"分步呈现"方式对六年级小学生学习代数运算规则的促进作用,以六年级小学生为被试,以"完全平方和"和"平方差"代数运算样例为学习材料,进行了3项实验研究。结果表明:(1)采用"解释法"设计"完全平方和"和"平方差"的代数运算样例,明显提高了代数运算规则的样例学习效果。(2)在"解释法"设计的样例上添加"运算标记"要运用适当,如果运用不当,特别是"运算标记"过多时,容易增加样例学习的认知负荷,从而降低标记的使用效果。(3)对于运算步骤和"运算标记"过多的样例,采用被试自主控制的"分步呈现"运算步骤的样例学习方式,其学习效果显著优于整体呈现样例的学习效果。     

颅内动脉瘤治疗方案选择的多维思考

针对颅内动脉瘤手术治疗和血管内治疗的优缺点,分析不同治疗方式的疗效与经济费用比较,就如何选择治疗方法提出医疗原则,并对医疗原则进行伦理学思考,认为治疗应该体现安全、有效、经济的原则.     

航线飞行员危险态度测量及对驾驶安全行为的影响

为了探讨现代航线飞行员危险态度特点及其与驾驶安全行为的关系,采用文献分析、问卷调查和专家访谈,编制了中国文化背景下航线飞行员危险态度问卷,并对中国南方航空公司257名飞行员进行调查。结果发现,自信、冲动性、男子气概、焦虑、服从性和风险意识等因素能解释飞行员危险态度总体变异的60.275%,同时对驾驶安全行为产生显著负向影响。这一结果表明六维结构模型具有较好的信度和效度,可以作为现代航线飞行员驾驶安全行为评估的预测指标。