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The role of verbal behavior in human learning: III. Instructional effects in children.

Lever pressing of children from three age groups (2(1/2) to 4, 5 to 6(1/2), and 7(1/2) to 9 years) could produce reinforcers according to a fixed-interval 40-s schedule: (1) Some were instructed to respond at a high rate, others at a low rate, and (2) they were subsequently taught to provide their own spoken self-instructions consonant with the earlier, experimenter-supplied instructions. All subjects who received high-rate instructions responded at a steady, high rate, which was maintained following self-instructional training. The effects of low-rate instructions were directly related to the age of the children. The two older groups produced low-rate patterns, with the oldest children responding at very low rates; effects were least noticeable in the youngest age group. Following self-instructional training, all three groups showed adult-like low-rate behavior and the oldest children showed an improved ability to estimate the interval length. The results provide further evidence of the importance of language as a determinant of human behavior.

Journal Article↗

Agitation and falls in institutionalized elderly persons.

The occurrence of falls and the manifestations of three dimensions of agitation (aggressive behaviors, physically nonaggressive behaviors, verbal behaviors) were recorded in 408 nursing home residents during each of the three nursing shifts. Falls occurred most frequently during the busiest shift (the day shift) and least frequently during the night shift when most residents were sleeping and nursing staff were not as busy, a result that confirms previous reports. In comparison to residents who did not fall, residents who fell manifested significantly more physically nonaggressive behaviors, more aggressive behaviors, more verbally agitated behaviors, and overall, a greater total number of agitated behaviors.

Accidental Falls↗

Doctor-patient communication: a review of the literature.

Communication can be seen as the main ingredient in medical care. In reviewing doctor-patient communication, the following topics are addressed: (1) different purposes of medical communication; (2) analysis of doctor-patient communication; (3) specific communicative behaviors; (4) the influence of communicative behaviors on patient outcomes; and (5) concluding remarks. Three different purposes of communication are identified, namely: (a) creating a good inter-personal relationship; (b) exchanging information; and (c) making treatment-related decisions. Communication during medical encounters can be analyzed by using different interaction analysis systems (IAS). These systems differ with regard to their clinical relevance, observational strategy, reliability/validity and channels of communicative behavior. Several communicative behaviors that occur in consultations are discussed: instrumental (cure oriented) vs affective (care oriented) behavior, verbal vs non-verbal behavior, privacy behavior, high vs low controlling behavior, and medical vs everyday language vocabularies. Consequences of specific physician behaviors on certain patient outcomes, namely: satisfaction, compliance/adherence to treatment, recall and understanding of information, and health status/psychiatric morbidity are described. Finally, a framework relating background, process and outcome variables is presented.

Communication↗

Publication trends in 25 years of the Journal of Applied Behavior Analysis.

All articles published in the first 25 years of JABA (1968 to 1992) were reviewed to classify the percentage of articles published in the following categories: (a) type of article, (b) subjects, (c) setting, (d) behavior-change agent, (e) target behavior, (f) use of basic principles, and (g) miscellaneous procedures. Overall percentages and trends are reported in each category. Results indicate an increase in the percentage of articles with participants and target behaviors in developmental disabilities and a decrease in the percentage of studies targeting academic behavior, verbal behavior, and other child behavioral excesses. The most frequent setting continues to be a school; however, there is a clear trend towards community and other naturalistic settings. Results also highlight the increasing complexity and multicomponent nature of JABA interventions. Potential implications for future applications are discussed.

Journal Article↗

Sexual consent behaviors in same-sex relationships.

Consent is a key issue in defining sexual coercion yet few researchers have analyzed sexual consent attitudes and behaviors and, to date, there has been no published research examining sexual consent within same-sex relationships. The main objective of this study was to identify which behaviors people use to ask for and to indicate sexual consent to their same-sex partner(s). A Same-Sex Sexual Consent Scale was developed to measure both initiating and responding consent behaviors in same-sex relationships. Data were collected using an on-line survey from 257 participants (127 men, 130 women). The participants reported using nonverbal behaviors significantly more frequently than verbal behaviors to indicate consent. Exploratory factor analysis for the Initiating and Responding subscales resulted in four factors for each subscale. The four factors for the Initiating Subscale were nonverbal behaviors involving touch, no resistance behaviors, verbal behaviors, and nonverbal behaviors without touch. The factors for the Responding Subscale were no resistance behaviors, verbal behaviors, nonverbal behaviors, and undressing behaviors. There were no significant differences in the initiating behaviors used by men who have sex with men (MSM) and women who have sex with women (WSW); however, when responding to initiating behavior, MSM reported using significantly more nonverbal signals than did WSW. The scale that was developed in this study should be useful for other researchers who wish to study the topic of sexual consent.

Adult↗

Longitudinal changes in behavioral problems in old age: a study in an adult day care population.

BACKGROUND: Four types of agitation have been identified: physically aggressive behaviors, physically nonaggressive behaviors, verbally aggressive behaviors, and verbally nonaggressive behaviors. These pose a major challenge to caregivers and are sometimes indicators of the emotional state of the older person. Longitudinal changes in these four subtypes of agitated behaviors were examined. METHODS: One hundred and four community-dwelling participants of five senior day care centers (mean age = 79) were followed up for 2 years. Their agitation was assessed, as was their cognitive functioning, affect, and medical functioning. RESULTS: Although physically nonaggressive, physically aggressive, and verbally aggressive behaviors increased significantly over 2 years, verbally nonaggressive behaviors did not show significant changes over time. These patterns can be partially explained by the relationship between the different types of agitation and cognitive functioning. Increases in physically nonaggressive behaviors from start to end of the 2 years were predicted by greater cognitive impairment at baseline and by receiving a smaller number of medications at baseline. Increases in verbally aggressive behaviors and in physically aggressive behaviors during the study period correlated significantly with a greater decline in cognitive functioning and increased depression at baseline. In addition, increases in physical aggression were correlated with greater cognitive impairment at baseline. CONCLUSIONS: The course of change for each type of agitation was unique. The relationships between inappropriate behaviors, cognitive functioning, physical health, and depression over time are complex and vary by type of agitation.

Affect↗