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Characteristics of preschool children diagnosed as having an atypical pervasive developmental disorder.

Pediatricians and child psychiatrists encounter preschool children who are not autistic, but who have early deficits in both interpersonal and communication skills. Confusion exists over their diagnosis. Eighteen atypical children currently diagnosed as having an atypical pervasive developmental disorder are described. Areas discussed are social relatedness, speech and language, mental status, cognition, behavior, perception, social background, and medical/neurological status. These children constitute a distinct and frequently seen group within the spectrum of pervasive developmental disorders. Their characteristics are not currently captured within a diagnostic category in the Diagnostic and Statistical Manual, Third Edition (DSM-III), of the American Psychiatric Association. A revision of DSM-III, DSM-III-R, is currently being prepared. These children may not be captured within a diagnostic category in DSM-III-R. The distinguishing characteristics are onset before the age of three, language delay with disordered communication, social relationships characterized by variable relatedness, ritualistic or manneristic behaviors, the likelihood of hyperactivity and/or a short attention span, affective disturbances, excessive anxiety, and a thinking disorder or perseverative behaviors.

Affect↗

Evaluation of higher-level auditory function in children with asymptomatic congenital cytomegalovirus infection.

Higher-level auditory/cognitive functions were evaluated in 16 children: eight with asymptomatic congenital cytomegalovirus (CMV) infections and eight children documented not to have asymptomatic congenital CMV infections. Hearing sensitivity was within normal limits in all subjects. Results in both groups were within the normal range on the screening measures of verbal abilities, visual perception, social behavior, and memory span. In contrast, results of the auditory measures revealed abnormal dichotic speech perception, delayed latencies on auditory brainstem evoked responses, and disproportionately slow reaction times in a difficult listening condition (Stroop task). With the exception of dichotic speech perception, however, the pattern of auditory results suggested subtle disorders that were difficult to discern unequivocally with the small subject sample. Further studies are encouraged to determine the status of higher-level auditory/cognitive functions in children with asymptomatic congenital CMV infections.

Child↗

Current transition of the physician's professionalism and doctor-patient relationship.

In recent years, the physician's professionalism seemed to be facing or experiencing a phase of change. To investigate this phenomenon, social perception and attitude toward physicians were surveyed and analyzed. The subjects consisted of three types of sample group, namely, the general public, physicians, and medical students. Data were collected through interviews, mailing, and self-administered questionnaire surveys to each sample, respectively. The results of analysis showed us that social evaluation of physicians in Korean society exhibited ambivalent perceptions toward physicians. The physician's occupational status was generally evaluated by the three samples as being in a higher stratum in the social structure. But there were great gaps between their perceptions of the change in the physician's occupational status. While the general public perceived that the physician's status might improve in the future, physicians and medical students predicted an absolute declination of the status. Although the general public sympathized with the physician's characteristics as a professional group, an apparent tendency to assume the attitude of a fairly equal relationship toward physicians has increased. The transitional change in the physician's professionalism could be observed through the ubiquity in the perception of the patient's rights in doctor-patient relationships. Such phenomena are believed to have caused physicians to think that not only has their status declined in recent years but also that this declination of social status would continue in the future.

Attitude↗

The sex-->aggression link: a perception-behavior dissociation.

Four studies suggest that priming may yield directionally different effects on social perception and behavior if perceptual and behavioral experiences with the stimulus diverge. This seems true for sex and aggression: Men are more likely to behave aggressively than women, whereas women are more likely to perceive aggressive behavior than men. Using a sequential priming paradigm, Study 1 demonstrates that a basic semantic link between sex and aggression exists for both genders. This link, however, has opposing behavioral and perceptual consequences for men and women. Studies 2 and 3 demonstrate that sex priming facilitates aggressive behavior only for men. Study 4 shows that only women perceive the ambiguously aggressive behavior of a male target person as more aggressive after sex priming. Thus, the perceptual and behavioral responses to sex priming are consistent with the experiences men and women typically have with sex and aggression.

Aggression↗

Determinants of perceived consistency: the relationship between group entitativity and the meaningfulness of categories.

The concept of entitativity was developed by Campbell (1958) to refer to the extent to which a group is perceived as a coherent whole or entity. This concept is relevant to research in both social perception (e.g. the categorization effects approach to the study of social stereotyping) and social influence (e.g. the consistency attributed to minority groups in theories of minority influence). On the basis of previous research, four variables were expected to play a role in group entitativity judgements. These were intra-group variability, group size, diversity (or variety) and extremity. In two empirical studies it was found that entitativity decreased as variability and diversity increased and that it increased with group size. These effects and interactions between group size and extremity, size and diversity, and variability and extremity are consistent with the idea that entitativity is a function of how meaningful a stimulus pattern is. This is in turn (in part) a function of how unlikely the pattern is.

Adolescent↗

Perceptions of a fluid consensus: uniqueness bias, false consensus, false polarization, and pluralistic ignorance in a water conservation crisis.

A 5-day field study (N = 415) during and right after a shower ban demonstrated multifaceted social projection and the tendency to draw personality inferences from simple behavior in a time of drastic consensus change. Bathers thought showering was more prevalent than did non-bathers (false consensus) and respondents consistently underestimated the prevalence of the desirable and common behavior--be it not showering during the shower ban or showering after the ban (uniqueness bias). Participants thought that bathers and non-bathers during the ban differed greatly in their general concern for the community, but self-reports demonstrated that this gap was illusory (false polarization). Finally, bathers thought other bathers cared less than they did, whereas non-bathers thought other non-bathers cared more than they did (pluralistic ignorance). The study captures the many biases at work in social perception in a time of social change.

Baths↗

Responses of juvenile bonnet macaques to social stimuli presented through color videotapes.

Twelve juvenile bonnet macaques (Macaca radiata), 6 males and 6 females, were presented with color videotape recordings of 3 types of social stimuli. The stimulus animals, all unfamiliar adult conspecifics, consisted of a passive female, a passive male, and a threatening male. Subjects were observed in the presence of their mother and 1 other juvenile-mother dyad. The juveniles showed the highest scores for contact with mother when presented with the threatening male stimulus. Similarly, subjects lipsmacked significantly more to the male threatening male stimulus than to either the passive male or female. The female stimulus was approached significantly more than either the passive or threatening male. Results suggest that juvenile macaques will respond to social stimuli presented through color video recordings in a socially appropriate manner. This technique provides a new tool in the investigation of social perception in nonhuman primates.

Animals↗

A randomized trial of the effect of ritonavir in maintaining quality of life in advanced HIV disease. Advanced HIV Disease Ritonavir Study Group.

BACKGROUND: The aim of treatment for HIV disease is prolonging survival and improvement in health-related quality of life. Ritonavir is a potent, orally bioavailable HIV protease inhibitor with demonstrated impact on surrogate endpoints, AIDS-defining disease, and mortality. OBJECTIVES: To evaluate the effect of ritonavir combined with reverse transcriptase inhibitor therapy on patient functioning and well-being. METHODS: An international, multicenter randomized placebo-controlled clinical trial of ritonavir was conducted in HIV-infected patients with CD4 cell counts < or = 100 x 10(6)/l. A total of 1090 patients were randomized to ritonavir and continued treatment with as many as two nucleoside agents (n=543) or placebo and continued treatment with as many as two nucleoside agents (n=547). Health-related quality of life was measured at baseline and after 3 and 6 months of treatment using the Medical Outcomes Study HIV Health Survey (MOS-HIV) and HIV-related symptoms scale. MOS-HIV contains 10 subscales and two summary scores (physical health and mental health). RESULTS: The two treatment groups were comparable on baseline CD4 cell counts, demographic characteristics, and MOS-HIV and HIV symptom subscale scores. After 3 months, statistically significant differences (P < 0.03) favoring the ritonavir-treated patients were seen on the physical health summary, mental health summary, and general health perceptions, social function, mental health, and energy/fatigue subscales. After 6 months of ritonavir therapy, significant differences were observed on physical health and mental health summary scores (P < 0.001), and on measures of general health perceptions, physical function, role function, social function, cognitive function, mental health, health distress, energy/fatigue, and overall ratings of quality of life (P < 0.01). Ritonavir-treated patients reported fewer fever symptoms and neurologic symptoms than the placebo group after 6 months of treatment (P < 0.005). CONCLUSIONS: Ritonavir therapy, combined with other antiretroviral treatments, significantly contributes to maintenance of functioning and well-being over at least 6 months in patients with advanced HIV disease.

Adult↗

Socially anxious adolescents' perception of treatment by classmates.

This study addressed the question if socially anxious adolescents have a negatively biased perception of the way they are treated by their peers. A total of 998 high school students from Grades 8-10 were categorized as socially low, middle, or high anxious on the basis of their SAS-A score. The perceived behavior of classmates was measured using three lists that described class behaviors during oral presentations of students, one list was concerned with the behaviors directed towards the student him/herself and the other two with behaviors directed towards a hypothetical high and low socially anxious peer, respectively. The results indicated that high socially anxious students felt negatively treated by their peers and that the other students too perceived that socially anxious classmates were treated more negatively. This suggests that the perception of the high socially anxious students is not distorted but based on the actual treatment they receive from their classmates.

Adolescent↗

Parents' perception of their children's development, perception of satisfaction, social support and level of depression.

The purpose of this study was to describe how parents and guardians in rural South Africa reported on the development of their children, their perception of social support and satisfaction, their level of depression, and the relationships that exist among the variables. The data from a larger research study were used to answer these questions: Is there a relationship between the child's development status and the parents/guardians level of satisfaction and social support? Is there a difference in the educational level of the parents/guardians and their perception of social support and the level of satisfaction? What is the percentage of parents/guardians working/not working? Is there a relationship between the status of work of the parents/guardians and the level of depression? Is there a relationship between the age of the parents/guardians and their level of depression? A convenience sample of 198 parents/guardians was recruited. Interviews were conducted using a structured interview guide. Relationships and differences were analyzed using Pearson's r correlation index, paired t-tests and regression analysis. The majority (73.7%) of the respondents were unemployed. No significant relationships were found between the child's developmental status and the parents/guardians perceived level of social support and satisfaction. However, the difference between the educational level of parents/guardians and the level of perceived social support was significant. Additionally, as the amount of family strains increased so did the parental level of depression.

Adult↗

[Social support for Puerto Rican adults with cancer diagnosis].

This research presents a descriptive study that attended to explore perceived social support among Puerto Rican adults through the ages of 50-64 with cancer diagnosis. A sample (n = 50) with different types of cancer receiving radiotherapy treatment were surveyed at the Oncology Hospital of the University of Puerto Rico Medical Center at Río Piedras. The Norbeck Social Support Questionnaire (NSSQ) was used for this purpose. The range was distributed equitative by gender (50% male, 50% females) of which 62% (n = 31) were married and 72% (n = 36) lived in the metropolitan area. The mean scholarity was 12 years with a range between 0-19 years. Concerning employment, 44.9% (n = 22) was unemployed. In the social support scale, the most relevant finding was provided by their family and relatives in 88% of the sample who also reported a moderate support perception. Social support offered by husbands and wives (62%) was reported as the second and third most relevant support network (34%). The subjects perceived a moderate feeling of love, respect and admiration from their social support network. The confidence experienced toward their social support network also obtained a moderate perception. As related to "how much did the network agree with the subjects actions or thoughts?", an average of 22.72 points (sd = 13.68) was obtained. This suggests that the subjects agree moderately with their network actions or thoughts. Subjects report that the average levels of help perceived from the network was of 21.92 points (sd = 12.75) meaning a perceived moderate support. The average time knowing the network was more than five years, while the frequency of contact ranged between weekly and daily. Of the subjects surveyed, 68% (n = 34) had not lost an important network during the last year. When the amount of perceived support of the network is described, the indicator "a little" had the most significant result reporting an average of 72%. In conclusion, family and relatives were the main source of support. Nevertheless, the subjects perception of support is moderate as demonstrated by the percentages obtained. This research demonstrated that health professionals do not appear as a significant support source. It is suggested to examine the role of health professionals as a substitute support source and encourage care strategies based in all different dimensions of support (i.e. functional, tangible, network properties, amount of networks, durability and frequency of contacts). It's also recommended the development of instruments that may estimate the quantity and quality of support experienced by patients in all health settings. Finally, efforts must be addressed in terms of public policy to improve the extension and quality of support networks for patients.

Adult↗

Social acceptability of treatments for adolescent idiopathic scoliosis: a cross-sectional study.

BACKGROUND: There are no data on social acceptability of scoliosis. Aim. To elicit evidence-based opinions on therapeutic strategies for adolescent idiopathic scoliosis in a sample of families with not affected children, so to understand the social perception of this issue. METHODS: Design. Cross-sectional study. Setting. Secondary schools in 4 northern Italian regions. Participants. Parents of children in the age group at risk of and not affected by scoliosis (Pre-test group = 100, Study group = 3,162). Interventions. Questionnaire: five specific and evidence-based questions regarding scoliosis treatment options and a socio-demographic section. Methodology. "Role-playing" in which it was required to normal people to answer what they would have chosen if they had been in the situation proposed. Main outcome measures. Perception of acceptability of treatments for adolescent idiopathic scoliosis in the general population (social acceptability). RESULTS: The families support the use of screening (94.8%) at school, immediate bracing (76.4%) for scoliosis with a 60% risk of progression, but also therapeutic exercises (86.9%) in cases with a 25% risk of progression. CONCLUSION: There is a growing tendency to consider not only the efficacy, effectiveness and efficiency of treatments, but also their acceptability. This patient-centred aspect is especially more important in areas (like adolescent idiopathic scoliosis) in which there is some evidence on the efficacy of treatments, but not strong and definitive (RCTs). Adolescent idiopathic scoliosis treatments should thus be carefully considered also in the light of their social acceptability.

Journal Article↗

Affective percept and voluntary action: a hypothesis.

I present a hypothesis concerning the neuronal, mental and behavioral effects of all kinds of affective (emotional) stimuli, i.e., of unpleasant and pleasant stimuli. I use the term stimulus in its broad sense. Affective stimuli evoke two associated percepts: "cognitive" and "affective". A food in the mouth, for example, evokes the gustatory percept and the percept of pleasure. However, affective percepts are unstable parts of cognitive-affective compounds. Five types of affective percepts are pain, fear, pleasure, "desire" and appetite in the broad sense of these words. Desire is evoked by inadequate pleasant stimuli. Affective percepts are "lower" or "higher". The latter are not directly associated with bodily needs. Esthetic and social percepts are higher, for example. Although pain and pleasure are essentially innate, they can be modified by sensory experience. Alimentary and esthetic preferences and social values are modifiable, for example. The neurons of pain and fear and of the unpleasant components of desire and appetite motivate four types of voluntary actions. These are, respectively, escape, avoidance, "optimization" and approach actions. All these actions eliminate the motivating displeasure. In addition, avoidance actions protect from the signaled pain, optimization actions increase the existing pleasure and approach actions provide the signaled pleasure. Thus, voluntary actions associated with different percepts occur according to one universal principle. Voluntary actions are "internal" and behavioral. During internal actions a goal and then an action plan are decided. These actions often provide the images of the goal stimuli and of particular movements.

Affect↗

The impact of past relationships on interpersonal behavior: behavioral confirmation in the social-cognitive process of transference.

This study extended research on transference in social perception (e.g., S. M. Andersen, I. Reznik, & L. M. Manzella, 1996) into the realm of social behavior by examining behavioral confirmation (e.g., M. Snyder, 1992) in transference. Each perceiver participated in a brief conversation with a naive target participant, who either did or did not appear to resemble the perceiver's own positively or negatively regarded significant other. Trained judges rated positive affect expressed in targets' behavior. As predicted, targets expressed more positive affect in their behavior when they allegedly resembled the perceiver's own positively versus negatively toned significant other, an effect not found in the control condition. This evidence demonstrates behavioral confirmation in transference, suggesting a means by which present relationships may resemble past ones.

Cognition↗

An integrative, multidisciplinary approach to the study of brain-behavior relations in the context of typical and atypical development.

The study of brain development and that of behavioral development have historically proceeded independently of one another. This is an unfortunate set of circumstances, given that the disciplines concerned with development-for example, developmental psychology, pediatrics, psychiatry, clinical psychology, and the neurosciences-have much to learn from each other. Drawing on recent advances in the developmental brain and behavioral sciences, we illustrate the transdisciplinary approach our group has adopted in the service of uniting the research on brain and behavior in the context of development. We specifically report on our nonhuman primate and human studies that collectively illustrate our "genes to behavior" approach to the study of development. Our goal in summarizing our research in this fashion is to promote discussion about promising templates for how research on brain, behavior, and development might proceed into the 21st century.

Adolescent↗