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[Verbal interaction between the nursing team and the AIDS patient].

3,336 verbal behaviors between 3 AIDS patients and a nursing team were analyzed. The pattern and priority areas of verbal behaviors which occur, according to the SAVI system, as well as the amount of information transmitted were determined. The results showed that the verbal behaviors ranged from relative ambiguity in terms of message clarity to clean and non-contradictory messages. The interaction tended to move away from stereotypy.

Acquired Immunodeficiency Syndrome↗

Disturbing behaviors in demented elders: a concept synthesis.

This article describes the use of concept synthesis, as defined by Walker and Avant, to extract meaningful syndromes of disturbing behaviors as they are manifested in demented elders. The process resulted in the identification of five distinct behavioral clusterings: Aggressive Psychomotor Behavior, Nonaggressive Psychomotor Behavior, Verbally Aggressive Behavior, Passive Behavior and Functionally Impaired Behavior. These synthesized concepts are an initial attempt at clarifying nursing perspective on disturbing behaviors in dementia.

Aged↗

Social validation of component behaviors of following instructions, accepting criticism, and negotiating.

This study evaluated whether behaviors often taught as part of social skills training are judged favorably by others. Community judges evaluated the performances of people in various situations requiring one of three social skills: following instructions, accepting criticism, and negotiating to resolve conflicts. These skills were displayed in videotaped scenes by actors with and without mental retardation who acted out roles that had different types of authority relationships, and when different components or clusters of behavior (nonverbal, specific verbal, or general verbal behaviors) were performed well or poorly. The highest ratings by judges were of videotaped scenes that depicted correct use of all behaviors, regardless of which skill was being examined, whether or not the actor had mental retardation, or what the relationship was between the two actors. The lowest ratings were of videotaped scenes that depicted poor performance of all behaviors, and intermediate ratings were obtained when only some of the behaviors were performed poorly. These results, as well as the verbal responses of judges to questions, indicated that the different behaviors commonly used in teaching the skills of following instructions, accepting criticism, and negotiating are relevant to judgment of social performance, and are likely to be reinforced and maintained by social contingencies.

Activities of Daily Living↗

Links between social understanding and social behavior in verbally able children with autism.

This study investigated the relations between various measures of social understanding and social interaction competence in verbally able children with autism. Measures of social understanding included measures of verbalizable knowledge (false belief understanding, affective perspective taking), as well as measures of more intuitive forms of social responsiveness (empathy, concern to distress, and initiating joint attention). Two measures of social interaction competence were employed: level of engagement with peers on the playground, and prosocial behavior in a structured laboratory task. For children with autism, initiating joint attention and empathy were strongly related to both measures of social interaction competence. No understanding-behavior links were identified for a language-age matched comparison sample of developmentally delayed children. Several accounts of these understanding-behavior links are considered, including the possibility that for children with autism, more impaired forms of understanding are more closely linked to behavior because they serve as limits on competence.

Adolescent↗

Cognitive therapy of delusional beliefs.

The present article articulates a cognitive theoretical perspective of delusional beliefs. In contrast to the focus of psychoanalytic therapy (theoretically-derived phenomena beyond personal awareness), the cognitive therapist focuses primarily on the conscious cognitive-experiential level in the treatment of delusional beliefs, thereby emphasizing a 'common-sense' level of analysis or reasoning shared by the delusional patient. Unlike noncognitive behavioral approaches, which focus on topographical 'verbal behavior' as such, cognitive therapy directly targets specific delusional beliefs which theoretically give rise to the disordered verbal behavior. In this article, the adaptation of cognitive therapy to the treatment of delusions is described, with special attention to the following issues: special problems in collaboration; difficulties in obtaining conviction ratings; how to avoid and reduce confrontation through the Socratic method; the collaborative design of homework experiments; distancing strategies; interpersonal relationship issues; and the necessity to identify and explore the emotions associated with the various delusions, especially feelings about the possibility that the delusions may be incorrect.

Adult↗

Behavioral assessment for pediatric intensive care units.

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.

Adolescent↗

A behavioral exploration of dependent and independent mildly mentally retarded adolescents and their mothers.

A study was conducted on behavioral differences between dependent and independent mildly mentally retarded adolescents and their mothers. Twelve dependent and 12 independent adolescent-mother pairs separately engaged in a videotaped problem solving task. These videotapes were subjected to a behavioral coding system consisting of five domains, i.e., problem solving, positive verbal, negative verbal, positive non-verbal, and negative non-verbal. Differential profiles were not evident between the two groups for either adolescents or their mothers. However, there were notable differences between a more stringently defined subset of dependent and independent adolescents and between their mothers. The subset of independent adolescents were more verbal and active in problem-solving than the dependent adolescents; the dependent subset exhibited a greater rate of negative non-verbal behavior; and mothers of the independent subset presented more positive non-verbal behaviors than did the mothers of the dependent subset.

Adolescent↗

Appearance and self-presentation research in gay consumer cultures: issues and impact.

Individuals present themselves to others through a variety of verbal and non-verbal behaviors. Appearance represents a non-verbal behavior which consumes a significant amount of our time, effort, and thought. We create and monitor our appearances in relation to cultural standards of attractiveness, relying on a wide range of appearance products and services to do so. The purpose of this paper is to examine the impact of appearance and self-presentation among gay consumers, to discuss issues relating to conducting gay consumer research, to discuss implications for marketing strategies, and to suggest recommendations for further research on specific aspects of appearance management as they may affect marketing to gay consumers. Two studies are reported herein. The first study examines differences in perception among homosexual men when viewing a stimulus person dressed in six distinctly different modes of expression. Social impressions of the stimulus person were different on 15 pairs of characteristics, with certain modes of dress resulting in greater consistency of response and others resulting in greater variability of response. The second study explores differences in aesthetic responses between homosexual and heterosexual men with respect to 14 apparel style categories and 3 fragrance categories. It was found that homosexual men had significantly different responses to innovative, trendy variations in 6 categories of dress, while both homosexual and heterosexual men had similar responses for classic, traditional variations in style categories that might constitute a basic college campus wardrobe (jeans, casual shirts, casual pants, underwear, and coats). Scent preferences also differed between the two groups of respondents. Homosexual men preferred floral, sweet fragrance categories and oriental, spicy categories, while heterosexual men preferred woody, green fragrance categories. These studies suggest that different appearance aesthetics may operate for homosexual and heterosexual men, findings that may have implications for marketing strategies and for understanding the importance of appearance in socialization and self-presentation. Issues relating to conducting consumer studies such as these are discussed, including approval from institutional review boards, sample selection and setting, and measurement. Marketing strategies are discussed relative to target market, product, promotion, distribution, and pricing. Finally, recommendations are offered for further research relating to appearance and self-presentation among gay consumers.

Culture↗

Naming, the formation of stimulus classes, and applied behavior analysis.

The methods used in Sidman's original studies on equivalence classes provide a framework for analyzing functional verbal behavior. Sidman and others have shown how teaching receptive, name-referent matching may produce rudimentary oral reading and word comprehension skills. Eikeseth and Smith (1992) have extended these findings by showing that children with autism may acquire equivalence classes after learning to supply a common oral name to each stimulus in a potential class. A stimulus class analysis suggests ways to examine (a) the problem of programming generalization from teaching situations to other environments, (b) the expansion of the repertoires that occur in those settings, and (c) the use of naming to facilitate these forms of generalization. Such research will help to clarify and extend Horne and Lowe's recent (1996) account of the role of verbal behavior in the formation of stimulus classes.

Attention↗

Releasing restraints: providing safe care for the elderly.

To examine the behavioral effects of releasing restraints and the feasibility of caring for patients considered at risk if unrestrained, two patients were continuously videotaped using surveillance cameras for 1 week with and 1 week without restraints. The videotapes were coded and analyzed using nonparametric and parametric statistics. In Patient #1, motor behavioral changes with a decrease of restless behaviors, as well as changes in sleeping position, were observed. There were no changes in verbal behavior. For Patient #2, no changes in motor or verbal behavior were observed. Nursing care showed a non-significant decrease in nursing care time and an increase in the number of nursing contacts. The implications of the findings and the use of videotapes as a method for collecting observational data in the clinical area are discussed.

Aged↗

The speaker as listener.

This study reports the results of an experiment with 4 female 5-year-old children, in which the verbal behavior of the children (talking to themselves) was studied under two conditions-an anthropomorphic toy condition and a nonanthropomorphic toy condition. The anthropomorphic condition consisted of three-dimensional toys such as dolls, stuffed animals, and figurines. The nonanthropomorphic toy condition consisted of two-dimensional materials such as puzzles, coloring books, and story books. The independent variables were the toy conditions. The dependent variables were verbal-behavior units; these included mands, tacts, intraverbals, autoclitics, and conversational units. The conditions were compared using a multiple schedule design. The results showed that more total units occurred in the anthropomorphic toy condition than in the nonanthropomorphic toy condition and that conversational units occurred in the anthropomorphic condition only. Consistent with Skinner's (1957) hypothesis, the children acted as both speaker and listener when emitting verbal behavior to themselves in the anthropomorphic condition.

Journal Article↗

Effects of intoxication on alcoholics' marital communication and problem solving.

The effects of intoxication on the marital interactions of treatment-motivated alcoholics and their nonalcoholic spouses were studied in eight couples (two of which had an alcoholic wife). In half of the sessions, the alcoholics were given enough alcohol to reach a blood level of 10 mg/dl. Couples engaged in three 10-min conflict-resolution discussions of varying intensity counterbalanced for alcohol and no-alcohol sessions. Couples expressed significantly more positive verbalizations in the alcohol sessions than in the no-alcohol sessions. This was true especially for the nonalcoholic spouses, who doubled their rate of positive verbal behavior when interacting with an intoxicated partner. Alcoholics spoke more and tended to make more problem-describing statements while intoxicated than while sober. The alcoholics made a greater number of problem-solving statements than did their spouses. Alcoholics were significantly more negative and less positive in nonverbal behaviors than were their spouses, but neither self-report of marital satisfaction nor observations of verbal behavior reflected this. The models of both social-learning theory and systems theory for the relationship of marital factors to the etiology and maintenance of alcoholism are supported.

Adult↗

B. F. Skinner and G. H. Mead: on biological science and social science.

Skinner's contributions to psychology provide a unique bridge between psychology conceptualized as a biological science and psychology conceptualized as a social science. Skinner focused on behavior as a naturally occurring biological phenomenon of interest in its own right, functionally related to surrounding events and, in particular (like phylogenesis), subject to selection by its consequences. This essentially biological orientation was further enhanced by Skinner's emphasis on the empirical foundations provided by laboratory-based experimental analyses of behavior, often with nonhuman subjects. Skinner's theoretical writings, however, also have affinity with the traditions of constructionist social science. The verbal behavior of humans is said to be subject, like other behavior, to functional analyses in terms of its environment, in this case its social context. Verbal behavior in turn makes it possible for us to relate to private events, a process that ultimately allows for the development of consciousness, which is thus said to be a social product. Such ideas make contact with aspects of G. H. Mead's social behaviorism and, perhaps of more contemporary impact in psychology, L. Vygotsky's general genetic law of cultural development. Failure to articulate both the biological and the social science aspects of Skinner's theoretical approach to psychology does a disservice to his unique contribution to a discipline that remains fragmented between two intellectual traditions.

Behaviorism↗

Delayed matching to two-picture samples by individuals with and without disabilities: an analysis of the role of naming.

Delayed matching to complex, two-picture samples (e.g., cat-dog) may be improved when the samples occasion differential verbal behavior. In Experiment 1, individuals with mental retardation matched picture comparisons to identical single-picture samples or to two-picture samples, one of which was identical to a comparison. Accuracy scores were typically high on single-picture trials under both simultaneous and delayed matching conditions. Scores on two-picture trials were also high during the simultaneous condition but were lower during the delay condition. However, scores improved on delayed two-picture trials when each of the sample pictures was named aloud before comparison responding. Experiment 2 replicated these results with preschoolers with typical development and a youth with mental retardation. Sample naming also improved the preschoolers' matching when the samples were pairs of spoken names and the correct comparison picture matched one of the names. Collectively, the participants could produce the verbal behavior that might have improved performance, but typically did not do so unless the procedure required it. The success of the naming intervention recommends it for improving the observing and remembering of multiple elements of complex instructional stimuli.

Adolescent↗