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Drug-produced changes in human social behavior: facilitation by d-amphetamine.

The effects of oral d-amphetamine 5-30 mg on human social and verbal behavior were studied using repeated observations within subjects under a time-sampling observation procedure in a residential research ward. d-Amphetamine increased socializing in all three subjects studied, but only increased standing in one of the subjects. In the second experiment throat microphones and voice-operated relays were used to measure automatically quantitative aspects of dyadic verbal interactions during 1-hr daily sessions. Total speaking time showed dose-related increases in 5 of the 7 subjects receiving d-amphetamine. Adjective checklist self-report scores indicating stimulant drug effects were as sensitive and reliable as the speaking measure to the effects of d-amphetamine in these subjects. Speaking time also increased in 2 of the 8 partners who received placebo when the subjects with whom they were paired received d-amphetamine. This represents a socially mediated indirect drug effect. Adjective checklist scores of the partners receiving placebo were not changed when the paired subjects received d-amphetamine. Under controlled experimental conditions the naturalistic human behaviors of socializing and speaking are sensitive dependent variables for behavioral pharmacology research.

Adult↗

Temporal differentiation of response duration in children of different ages: developmental changes in relations between verbal and nonverbal behavior.

Children aged 4.5, 7, or 11 years received an experimental session in which a contingency was placed on button-press duration. Each discrete trial was followed by a brief verbal probe asking a question about the contingency requirement. Other groups of children received an identical task followed by a postexperimental interview. Level of adaptation to the duration contingency tended to increase with age in subjects receiving posttrial verbal probes, but not for those who were interviewed. Eleven-year-olds in the verbal probe condition showed a strong correlation between accurate temporal differentiation and number of verbalizations relating to response duration or timing. The younger subjects, with one exception, showed no association between timing-related verbalizations (which were almost totally absent) and response duration differentiation. This developmental difference occurred even though the younger subjects verbalized after almost every trial. The results suggest that although 11-year-old children apparently produce rule-governed behavior under verbal control as adults do, the behavior of younger children may be controlled directly by reinforcement contingencies even when their verbal repertoires are highly developed.

Child↗

Relationship between nutrition and development in Kenyan toddlers.

The relationship between mild to moderate malnutrition, as measured by food intake and anthropometric status, and developmental outcome was explored in 110 Kenyan toddlers. Developmental outcome was assessed at 30 months of age by the Bayley Mental and Motor scales and by evaluation of play behaviors. Verbalization and play during months 15 to 30 were also evaluated. Family background and home rearing conditions were assessed, and these variables were separated from the correlations between nutrition and outcome by partial correlation methods. Food intake was related to anthropometric status, play behaviors, and total amount of verbalization and play even when the potentially confounding effects of certain family background and home rearing variables were covaried. Food intake was not related to Bayley Mental and Motor scores, but measures of length and weight were, even when family background and home rearing variables were held constant. Mild to moderate malnutrition does appear to affect the child's development adversely even when other environmental characteristics, which also relate to development, are considered.

Anthropometry↗

Evaluations of outcome in mental health consultation in schools.

Outcome evaluation should be a part of every consultation with before-and-after measurements and a control group, if possible. Unfortunately, these are not often available. Eight examples of outcome evaluations are described, for behavioral (child-centered), consultee-centered, and administrative consultations. Evaluation can be statistical or verbal. Behavioral consultations often can have systemic influences. Comparison is made with outcome in a SBHC.

Community Psychiatry↗

B. F. Skinner's Science and Human Behavior: its antecedents and its consequences.

Skinner's Science and Human Behavior marked a transition from a treatment of behavior that took physics as its reference science to one that emphasized behavior as a fundamental part of the subject matter of biology. The book includes what may be Skinner's earliest statement about the similarity of operant selection to Darwinian natural selection in phylogeny. Other major topics discussed in the book included multiple causation, private events, the self, and social contingencies. Among the important antecedents were Skinner's own Behavior of Organisms and Keller & Schoenfeld's Pincinples of Psychology. Current developments in education, behavioral economics, and some behavior therapies can be attributed at least in part to Skinner's seminal work. The effective behavioral analysis of governmental and religious systems will probably depend on elaborations of our understanding of verbal behavior.

Animals↗

[Further clinical evaluations elicited by functional biological investigations in childhood autism].

As childhood autism is usually considered as a developmental disorder, complete assessment of each patient requires non only clinical examination but various biological investigations: EEG and evoked potentials recordings, biochemical dosages and sometimes, cerebral blood flow measures, molecular biologic explorations.... These investigations help to understand neurophysiological dysfunctionings which underly different autistic syndromes. It therefore seems necessary to develop quantified clinical tools which could allow closer matching between clinical evaluations and biological numerical data. These complementary evaluations must be both simple and quick to perform in medical practice, as they are added to an already heavy clinical examination. The main tools used in our bioclinical Department are described here. For each child, psychiatric, pediatric and neurological examination was performed. Different scales were progressively elaborated and validated to complete and precise behavioral parameters. Attention and perception were evaluated by a Behavior Summarized Evaluation (BSE) scale, association and imitation by appropriate scales, language by the Pre-Verbal Behavior Summarized Evaluation (PV-BSE) scale, early symptoms by the Infant Behavior Summarized Evaluation (t-BSE) scale. The main neurophysiological dysfunctionings were grouped in a Behavioral Functional Inventory (BFI). Clinical genetic data were scored in a summarized assessment carrying both on the antecedents and on the somatic abnormalities. The completed clinical data were gathered in a Quantified Multidimensional Assessment (QMA), with four axes: socialization, communication, cognition and neurological observation. These clinical evaluations provide behavioral details that can be integrated into a bioclinical database and give an objective approach to the heterogeneity of autism. They invite both clinicians and biologists to deepen the description of individual profiles which allow better understanding of physiopathological mechanisms in autistic children.

Attention↗

Inpatient management of violent behavior: nursing prevention and intervention.

Psychiatric nurses in inpatient settings play a critical role in the management of potentially violent patients. One of their primary objectives is to ensure the safety of patients and staff 24 hours a day. This requires skillful observation of patients' motor behavior, verbal clues, and change in mental status, which may indicate an increase in agitation or possible aggressive behavior. It requires experience in prevention strategies and skill in acute crisis intervention techniques. To effectively intervene with potentially violent patients, psychiatric nurses must be able to work well under stress and be able to organize and execute a plan of immediate action. After the acute stage of the patient's illness, nurses should focus their work on assisting patients to manage their own behavior and supporting their newly acquired skills.

Hospitals, Psychiatric↗

The influence on patients' pain intensity ratings of antecedent reinforcement of pain talk or well talk.

This study sought to determine whether positive verbal reinforcement for pain talk or well talk could effectively influence chronic pain patients' subsequent ratings of pain intensity. Four female chronic pain inpatients were each exposed over seven consecutive days to two conditions within an alternating treatments design. Inter-rater reliability analysis from the audiotapes on occurrences of pain and well talk, verbal reinforcement and appropriate reinforcement of verbal behavior across conditions resulted in agreement values from 91 to 100%. Findings revealed that subjects' pain intensity ratings were consistently and significantly lower after verbally reinforcing well talk compared with verbally reinforcing pain talk.

Adult↗

ANIMAL COMMUNICATION.

Semiotics and ethology have converged in a new behavioral science, zoosemiotics. Those who are interested in the theoretical analysis of the complex problems of non-verbal behavior that arise where these two disciplines interact aim to treat comprehensively animal communication systems by the aid of representations that have proved illuminating in the study of sentences of human language. Students of zoosemiotics are concerned with codes and messages much as linguists are concerned with competence, or language, and performance, or speech. They thus face the twin tasks of constructing a model for the addresser to specify how a message is encoded and transformed into a signal carried by a variety of channels to the addressee; and of constructing a model for the addressee to specify the ways in which animals utilize their knowledge of their code to recognize the messages they receive. Finally, they assess the context of the communicative event in the hope of dissecting that which is relevant to the selection process from the rest of the background, a program for which there is as yet neither a procedural eliciting technique nor a satisfactory theoretical solution in sight.

Animal Communication↗

Measurement of staff empowerment within health service organizations.

A measure of empowerment was developed and its psychometric properties evaluated. Employees (n = 52) of two hospitals participated in semistructured interviews and a pilot test of the research instrument. A second study was undertaken with professional, support, and administrative staff (n = 405) of four community hospitals. Psychometric evaluation included factor analysis, reliability estimation, and validity assessment. Subjects responded to questionnaires measuring empowerment, leadership behavior, organizational citizenship behavior and job behaviors related to quality improvement. Factor analysis indicated three dimensions of empowerment: behavioral, verbal, and outcome empowerment. Coefficient alphas ranged from .83 to .87. The three dimensions were positively related to leadership behavior that encouraged self-leadership and negatively related to directive leadership. The three dimensions discriminated between the empowerment level of managers compared to that of nonmanagement staff. Empowerment predicted organizational citizenship behavior and job behaviors related to quality improvement.

Adult↗

Who are the young children for whom best practices in reading are ineffective? An experimental and longitudinal study.

The primary purpose of this study was to identify student characteristics that reliably predict responsiveness and nonresponsiveness to generally effective early literacy interventions. Participants were 104 children, including 7 with special needs and Individualized Education Programs (IEPs), who were tested in kindergarten and first grade. Responsiveness/nonresponsiveness status was determined after 2 years during which children participated in best practice instruction (a) in kindergarten and first grade, (b) in kindergarten only, (c) in first grade only, or (d) in neither year. This facilitated the study of three groups. Always responsive students met responsiveness criteria in both years. Sometimes responsive students met the criteria in only one year. Nonresponsive students did not meet the criteria in either year. Multivariate analysis of variance and discriminant function analysis indicated that the three groups were reliably different from one another on measures of problem behavior, verbal memory, sentence imitation, syntactic awareness, vocabulary, naming speed, and segmentation. A combination of naming speed, vocabulary, sentence imitation, problem behavior, and amount of intervention correctly predicted 82.1% of nonresponsive students, 30.0% of sometimes responsive students, and 84.1% of always responsive students. Fifty students from kindergarten and first grade were tested again at the end of what should have been their third-grade year. All but 1 of the nonresponsive students who received intervention had been identified as requiring special education and had an IEP with reading goals.

Child↗

Science and Human Behavior, dualism, and conceptual modification.

Skinner's Science and Human Behavior is in part an attempt to solve psychology's problem with mind-body dualism by revising our everyday mentalistic conceptual scheme. In the case of descriptive mentalism (the use of mentalistic terms to describe behavior), Skinner offers behavioral "translations." In contrast, Skinner rejects explanatory mentalism (the use of mental concepts to explain behavior) and suggests how to replace it with a behaviorist explanatory framework. For experiential mentalism, Skinner presents a theory of verbal behavior that integrates the use of mentalistic language in first-person reports of phenomenal experience into a scientific framework.

Animals↗

Teaching the medical interview: an intervention study.

To study the effects of teaching specific interviewing techniques on verbal behaviors and on health outcomes, internal medicine residents working in a screening clinic were assigned to either an experimental or a control group. The entire clinic visit was audiotaped, transcribed, and coded according to the Verbal Response Mode (VRM) system. Residents in the experimental group were taught interviewing behaviors (patient exposition and physician explanation) that had been found in previous studies to be associated with patient outcomes. Through telephone interviews, patient satisfaction, compliance, and symptom status were determined for all patients. Two hundred and sixty-eight interviews (156 in the experimental group and 112 in the control group) were included in the study. Training did increase patient exposition and physician explanation, but did not affect health outcomes. Residents' attitudes and behaviors during the training are described.

Communication↗

Long-term nurse-patient interactions: factors in patient compliance or noncompliance to the dietary regimen.

Noncompliance to treatment regimens is a widespread, costly problem. The present study examines nurse-patient interactions as factors in compliance/noncompliance to the hemodialysis dietary regimen. Several research studies have evidenced these interactions to be central to patient compliance. However, no research has been reported that has controlled for the nature of the treatment regimen; rather, practitioners' interactions with patients who are being treated for a variety of disorders have been examined. An interaction-process-analysis technique was used to code the verbal behaviors that occur during treatment between 38 hemodialysis outpatients with chronic renal disease and the nurses who provide their treatment. These verbal interactions were analyzed in relation to levels of dietary compliance/noncompliance of patients and length of nursing tenure. It was found that emotionally positive and negative responses by nurses were both positively associated with noncompliance to the dietary regimen; however, treatment-related responses by nurses were not associated with compliance/noncompliance level. With regard to length of nursing tenure, it was found that emotionally positive and negative responses by patients were positively associated with nursing tenure and that treatment-related questions by nurses were negatively associated with nursing tenure.

Adult↗

Dynamic systems and inferential information processing in human communication.

Research in human communication on an ethological basis is almost obsolete. The reasons for this are manifold and lie partially in methodological problems connected to the observation and description of behavior, as well as the nature of human behavior itself. In this chapter, we present a new, non-intrusive, technical approach to the analysis of human non-verbal behavior, which could help to solve the problem of categorization that plagues the traditional approaches. We utilize evolutionary theory to propose a new theory-driven methodological approach to the 'multi-unit multi-channel modulation' problem of human nonverbal communication. Within this concept, communication is seen as context-dependent (the meaning of a signal is adapted to the situation), as a multi-channel and a multi-unit process (a string of many events interrelated in 'communicative' space and time), and as related to the function it serves. Such an approach can be utilized to successfully bridge the gap between evolutionary psychological research, which focuses on social cognition adaptations, and human ethology, which describes every day behavior in an objective, systematic way.

Biological Evolution↗

Assessing independent and interactive effects of behavioral and pharmacologic interventions for a client with dual diagnoses.

Behavior analytic methods were applied to the assessment and treatment of the problem behaviors of an 8-year-old male classified as having moderate mental retardation and atypical psychosis. Functional assessment procedures demonstrated that verbal behaviors diagnosed as hallucinatory were affected by environmental contingencies. Next, a multi-element/multiple baseline design was used to evaluate the independent and interactive effects of contingency management and pharmacologic interventions on three dependent variables: (1) psychotic speech; (2) aggressive-disruptive behavior; and (3) appropriate speech. Results indicated that contingency management without haloperidol was the most effective treatment for all inappropriate and appropriate behaviors. These results are important in that behavior analytic methods were shown to have utility for: (1) assessing the functional relationship between environmental contingencies and behaviors related to differential diagnosis; and (2) evaluating the independent and interactive effects of behavioral and pharmacologic treatments.

Autistic Disorder↗

Outcome-based doctor-patient interaction anaylsis: I. Comparison of techniques.

Interactional analysis (IA) systems have been devised and applied to doctor-patient dialogues to describe encounters and to relate process to outcomes. Prior work in this area has been typified by the use of a single taxonomy for classifying verbal behaviors and limited outcomes (compliance and/or satisfaction). We applied three different IA systems (Bales, Roter's modified Bales with affective ratings, and Stiles' "Verbal Response Modes") to 101 new-patient visits to a general medical clinic for which multiple outcomes had been determined: several measures of patient knowledge of problems at conclusion of visit; patient compliance with drugs (over the ensuing three months); and patient satisfaction with the visit (perceived technical, interpersonal and communication quality). Within IA systems, cross tabulations and multiple regressions were performed to relate encounter events to outcomes. Across IA systems, multiple regression R2 and R2 adjusted (R2a) for the number of independent variables entering were used to characterize strength of relationships. Roter's IA system showed stronger relationships to outcomes of knowledge (41% R2, 27% R2a) and compliance (44% R2, 28% R2a) than did Bales' or Stiles' systems. R2 for patient satisfaction was identical for Bales and Roter (35%), and greater than R2 for Stiles (14%). We conclude that choice of IA system for research or teaching purposes should be based on behaviors and outcomes of particular interest and importance to the user. Based on audioreview of tapes, Roter's approach is less time-consuming and may perform as well as more complex systems requiring transcript analysis.

Communication↗