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Pupillary attributions of college students to happy and angry faces.

As evidence for an hypothesis that pupil size plays an important role in nonverbal communication, Hess (1975) has reported that adults draw in appropriately sized pupils on his happy and angry faces task. However, he did not report a statistical test of his data. In this study, we replicated Hess' research and found congruent with his hypothesis that college students (n = 223) draw in significantly larger pupils on the happy face.

Cues↗

A preliminary characterization of lexical emotional expression in right and left brain-damaged patients.

Disorders in nonverbal communication of emotion have been documented in patients with right hemisphere pathology; lexical expression of emotion is virtually unstudied. In this preliminary investigation, emotionally laden slides were used to elicit discourse from right brain-damaged (RBD), left brain-damaged (LBD), and normal control (NC) subjects. New techniques were developed to examine the ability of these subjects to express emotion in words; formalistic and pragmatic analyses of the discourse were conducted. RBDs, relative to NCs and LBDs, were less successful in using words to convey emotion and produced words of lower emotional intensity. LBD aphasics, despite their linguistic deficits, were comparable to NCs in conveying emotional valence. The data tend to support the speculation that the right hemisphere is dominant for lexical expression of emotion. This study has implications for the neuropsychological investigation of language, emotion, and the brain.

Brain Damage, Chronic↗

Nurse-client perceptions: the double standard of touch.

Because nurses have been cited as being unaware of clients' nonverbal communication as well as their own (Blondis, 1977; Murphy, 1984), the purpose of this descriptive study was to determine if 80 adult surgical clients' and 80 female registered nurses' perceptions about intrusions of hospital territory and personal space differed. Differences according to gender of client were specifically examined. The investigator administered the Territorial Intrusion-Personal Space (TIPS) Scale questionnaire to measure various feelings in response to intrusions. T-tests revealed that male clients generally had higher scores on the personal space subscale than nurses anticipated, whereas female clients had lower scores than nurses anticipated. These results revealed a double standard of touch: Male clients interpreted touch from a female nurse more positively than did female clients; however, female nurses interpreted female clients' behavior as being more receptive to touch and therefore appeared to be more comfortable touching female than male clients.

Female↗

Special report: controlling aggression in hospitals--what security officers must know to avoid physical attacks.

Threats to the safety of security officers by persons they encounter in confrontational or potentially confrontational situations are an ever-present danger. This potential for physical violence can take place in the lobby, cafeteria, halls, elevators, or the parking lot of any corporate entity, not just hospitals. In hospitals, however, this danger is compounded by psychiatric patients and other hospital patients under stress. Hospital security personnel are often called to defuse potentially violent patient situations. Further compounding this risk of violence are increases in cutbacks in hospital personnel. Therefore, programs that teach hospital staff members how to control aggression will become increasingly important. Among the organizations have made a reputation for training security professionals and others in preventing and dealing with violence are R.E.B. Security Training, Inc., Avon, CT, and Wickersty & Associates, Inc., Bladensburg, MD. R.E.B. offers a two-day course in nonverbal communication that is taken by police officers and security directors. According to Ronald W. Ouellette, president, the course has also been attended by nurses, doctors, ambulance drivers, and psychologists. Wickersty & Associates has been conducting "Controlling Aggression" workshops in health care facilities for the past 12 years. According to Dr. Allan Wickersty, more and more hospitals are hiring consultants to teach staff members how to deal with aggressive behavior. But hospital violence remains an underreported problem. "One thing I have noticed is that the type of hospital experiencing violence is changing.(ABSTRACT TRUNCATED AT 250 WORDS)

Aggression↗

Not by words alone.

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Administrative Personnel↗

The Ethological Approach to the Study of Human Behavior.

Human ethology, which was established on the basis of classical zooethology, can be an inspirational contribution to the study of human behavior. The study of behavior in natural conditions is stimulating as well as the primary interest of ethologists in such behavioral patterns showing evolutionary success and benefits and which are called inborn or innate. The extensive area of human behavior, nonverbal communication, can be investigated also with the application of some ethological knowledge. Human ethology can bring significant insight to the evaluation of the pathology of human behavior in various medical disciplines. An important task of medical prediction (prognosis) can be made more reliable by considering the ethology. A specific attribute of the species Homo sapiens, his culture, is acknowledged and discussed through human ethology.

Journal Article↗

Autistic spectrum disorders in preschool children.

OBJECTIVE: To review existing data on early signs of autistic spectrum disorders (ASD) and on how these disorders can be distinguished from other atypical patterns of development, and to describe a developmental surveillance approach that family physicians can use to ensure that children with these diagnoses are detected as early as possible. QUALITY OF EVIDENCE: MEDLINE was searched from January 1966 to July 2000 using the MeSH terms autistic disorder/diagnosis AND diagnosis, differential AND (infant OR child, preschool). Articles were selected based on relevance to developmental surveillance in primary care and on experimental design, with emphasis on prospective studies with systematic measurement procedures using up-to-date diagnostic criteria. MAIN MESSAGE: Autistic spectrum disorders are characterized by impairments in social interaction and verbal and nonverbal communication, and by preferences for repetitive interests and behaviours. Early signs that distinguish ASD from other atypical patterns of development include poor use of eye gaze, lack of gestures to direct other people's attention (particularly to show things of interest), diminished social responsiveness, and lack of age-appropriate play with toys (especially imaginative use of toys). Careful attention to parents' concerns and specific inquiry into and observation of how children interact, communicate, and play will help ensure that early signs are detected during regular health maintenance visits. CONCLUSION: Family physicians have an important role in early identification of children with ASD. Early diagnosis of these disorders is essential to ensure timely access to interventions known to improve outcomes for these children.

Autistic Disorder↗

Research in infantile autism: a strategy and its results.

Three major causation theories of infantile autism were tested during 12 years of research: (i) "nurture," (ii) "nature," and (iii) "nature-nurture" interaction. Data from major studies are presented showing strong support for the nature causation theory. Aut parents, in comparison to two control groups (normal and nonpsychotic abnormal), were appropriately stimulating and warmly relating to their Aut infants. Aut parents had no greater amounts of psychopathology than control parents. Aut children had: (i) more signs of neurobiological pathology than normal children; (ii) a high preponderance (94%) of IQ's in mentally retarded ranges; (iii) central language disorders which precluded development of normal verbal abstraction ability and creative speech; (iv) visual-motor disorders akin to a dyspraxis interfering with normal acquisition of "body language". With a greatly reduced capacity for acquiring both verbal and nonverbal communication skills, the ability of Aut Children to use other humans as helpful interpreters of the environment was also seriously curtailed. Not finding other humans useful in such interpretation, the phenomenon of social withdrawal was the logical end product in Aut Child.

Autistic Disorder↗

[Psychogenic disorders of stance and gait as seen in videotaping].

Psychogenic disorders of stance and gait were studied in 24 hysterical patients by video review analysis. In 30% of the cases, gait disorders were represented by pseudoataxia (gait with crossed legs or ataxia with sudden sidesteps); gait with dragging leg (sometimes with twisted foot and equino-varus posture); gait with flexed and/or buckling knees. Ancle and hip excess mobility, or hypermobility, proved to be rather typical, as well. The disorder types detected might be constant or first manifested themselves only during complicated gait (closed eyes, tandem walking, running). Fallings were the most frequent posture disturbances. An attention was drawn to phenomena indicative of involving environment of patient in symptom (pushing of furniture, falling on the physician) and to involving the means of nonverbal communications (space-touching hands, flailing arms, suffering facial expression etc). Phenomena revealed as a result of our investigation could be used in diagnostics of psychogenic gait and stance disorders.

Adult↗

[Managing self determination and sexual violence in homes for young adults with mental handicap--report from an ongoing German model project].

This report is based upon a model project financially assisted by a grant from the German Federal Ministry for Families, Senior Citizens, Women and Youth, starting in 1999 and ending at the end of 2003. In cooperation with two disability care residential institutions, a conceptual approach and method to the questions of sexual self-determination and sexualized violence is being developed. Through qualitative methods of research e.g. focus groups, professional helpers of all hierarchies of the institution, including management, and the residents themselves, all had the chance to contribute their own opinions and experiences to the research topic. Specifically, to ensure their voice was heard, the people with mental retardation had an important impact on the questionnaire themselves. All aspects of sexuality were discussed--with notable difficulty arising in particular over the subject of sexual violence. It turned out that nonverbal communication and the interaction between the group members in the residents group were most indicative of their concerns. The staff at the nursing and living areas discussed the following topics: distance and closeness in the interaction between staff and residents, standards, reflections of their own professional attitudes, questions of legality as well as the tense topic of individual needs and tasks of the group. How those questioned described their solutions and ways of coping, and the impressions of the researchers forms the starting point for the compiled work. The initial ideas for the topics and the design of the concept are now laid out.

Adolescent↗

Suggestions for clinicians providing--and residents seeking--feedback.

As a form of verbal or nonverbal communication intended to promote learning, feedback plays an important role in the medical training process. More often than not, however, feedback is given--and received--inappropriately by both clinicians and residents, respectively. This article outlines common types of instructional feedback, their inherent advantages and disadvantages, and suggests ways in which clinicians and residents may incorporate feedback effectively in a residency/training program.

Humans↗

The pathophysiology, medical management, and dental implications of autism.

Autism is a lifelong, severe, developmental disorder that appears initially in infancy and early childhood and impairs the acquisition of some of the most important skills in human life. The disease is characterized by impaired social interactions, verbal and nonverbal communication deficiencies, limited activities and interest, and repetitive behaviors. Often accompanying the disorder are behavioral disturbances, such as self-mutilation and aggression, psychiatric symptoms, and seizures, which necessitate the administration of multiple medications to help the affected individual participate effectively in the educational and rehabilitative process. Dentists caring for these people must be familiar with the manifestations of the disease and its associated features so that they can garner the maximum level of cooperation. They must also be familiar with the medications used to treat the associated features of the disorder because many of these pharmaceuticals cause untoward orofacial and systemic reactions and may precipitate adverse interactions with dental therapeutic agents.

Anticonvulsants↗