Childhood Choice Making Patterns as a Function of Contingency Shaping Versus Instructional Control

The term contingency shaped refers to any response class governed by its direct consequences (Catania, 1973). In a theoretical paper on problem solving Skinner (1966) discriminated between contingency shaped and rule-governed behavior by stating that no matter how similar in form they may appear each have independent controlling variables and functional properties. In a later analysis (Skinner, 1974) he elaborated on rule-governed behavior by pointing out that one distinct form of rule-governed behavior is instruction following. An instructional episode, however, consists of more than any verbal or non-verbal statement of contingencies, but includes the consequences in question as well (Cerutti, 1989). Given this definition, it is apparent that humans are constantly encountering instructional episodes. As a result, all verbal humans clearly have a socially reinforced repertoire of behavior that is under instructional control by the time they reach an early age. As a distinct class of behavior, instruction following often comes to be highly reinforcing as instructions serve to expedite reinforcement or escape from punishment

Discrimination in Medical Settings and Attitudes toward Complementary and Alternative Medicine: The Role of Distrust in Conventional Providers

This study examines the relationship between racial/ethnic discrimination in medical settings, distrust in conventional medicine, and attitudes toward complementary and alternative medicine (CAM) among a racially/ethnically diverse sample. We also investigate how this relationship differs by nativity. Data are from a 2008 statewide stratified sample of publicly insured adults in Minnesota (N=2,194). Discrimination was measured as self-reported unfair treatment in medical settings due to race, ethnicity, and/or nationality. Outcomes are trust in conventional providers/medicine and attitudes toward CAM modalities. Discrimination in medical settings was positively associated with 1) distrust in conventional providers and 2) favorable attitudes toward CAM. Foreign-born status was associated with more distrust in conventional providers/medicine and more positive attitudes toward CAM. Our findings show that for publicly insured, and especially minority and foreign-born individuals, CAM may represent a response to disenfranchisement in conventional medical settings and resulting distrust

Best Practices in Training Caregivers to Implement Behavioral Interventions

It has been well documented in the literature that behavioral interventions are effective in reducing a wide variety of maladaptive behaviors such as aggression, self-injury and destructive behaviors (Allen & Warzak, 2000; Campbell, 2003). Despite the success of these interventions, they are often implemented in tightly controlled settings with third party individuals that are able to implement procedures with a high degree of integrity (Fryling, 2014). Due to the complexities of the natural environment, caregivers may be less likely to implement behavioral interventions with the same degree of integrity and have limited available time for training on procedures. Therefore, it is important to evaluate efficient and effective strategies for caregiver training. This presentation will review common challenges to caregiver training and outline procedures for caregiver training that are aimed at decreasing the time needed as well as increasing caregiver treatment integrity. Specifically, the advantages and disadvantages of didactics, role play and in vivo instruction will be discussed

Brief Home-Based Data Collection of Low Frequency Behaviors

Data-based decision making, an important component of positive behavior support, can be difficult in brief in-home therapy due to the limited amount of time a therapist has to directly observe the child. This difficulty is exacerbated when problem behavior occurs infrequently. When a therapist cannot reliably observe problem behavior, it is often necessary to rely on parental report. The current study evaluated three approaches for parental report of low frequency problem behavior: antecedent-behavior-consequence records, incident data, and interview. Each method was analyzed with clients in home-based therapy with 2-hour weekly appointments. All clients exhibited low-frequency (i.e., less than daily) and high-intensity (i.e., causes physical harm to self/others, damage to the environment, or severe decrement to family’s quality of life) problem behavior. The treatment goal for all clients was to reduce problem behavior (most commonly aggression, disruption, or self-injury). The number of instances of problem behavior captured by each method of data-collection, quality of the data (i.e., ability to detect treatment effects using the data), and therapist and parent acceptability of each measure were analyzed. Results are discussed in terms of the relative advantages and disadvantages of each measure, clinical application of the methods, and avenues for future research

Differences in the Cognitive Skills of Bonobos and Chimpanzees

While bonobos and chimpanzees are both genetically and behaviorally very similar, they also differ in significant ways. Bonobos are more cautious and socially tolerant while chimpanzees are more dependent on extractive foraging, which requires tools. The similarities suggest the two species should be cognitively similar while the behavioral differences predict where the two species should differ cognitively. We compared both species on a wide range of cognitive problems testing their understanding of the physical and social world. Bonobos were more skilled at solving tasks related to theory of mind or an understanding of social causality, while chimpanzees were more skilled at tasks requiring the use of tools and an understanding of physical causality. These species differences support the role of ecological and socio-ecological pressures in shaping cognitive skills over relatively short periods of evolutionary time

Toward Innovative, Cost-Effective, and Systemic Solutions to Improve Outcomes and Well-Being of Military Families Affected by Autism Spectrum Disorder

The burdens faced by military families who have a child with autism are unique. The usual challenges of securing diagnostic, treatment, and educational services are compounded by life circumstances that include the anxieties of war, frequent relocation and separation, and a demand structure that emphasizes mission readiness and service. Recently established military autism-specific health care benefits set the stage for community-viable and cost-effective solutions that can achieve better outcomes for children and greater well-being for families. Here we argue for implementation of evidence-based solutions focused on reducing age of diagnosis and improving access to early intervention, as well as establishment of a tiered menu of services, individualized to the child and family, that fit with the military ethos and system of health care. Absence of this new model of care could compromise the utility and sustainability of the autism-specific benefit

Reducing firearm access for youth at risk for suicide in a pediatric emergency department

BackgroundFirearm-related suicide is the second leading cause of pediatric firearm death. Lethal means counseling (LMC) can improve firearm safe-storage practices for families with youth at risk of suicide.ObjectivesThis study aims to evaluate the feasibility of pediatric emergency department (ED) behavioral mental health (BMH) specialists providing LMC to caregivers of youth presenting with BMH complaints and to test for changes in firearm safety practices, pre-post ED LMC intervention, as measures of preliminary efficacy.MethodsProspective pilot feasibility study of caregivers of youth presenting to a pediatric ED with BMH complaints. Caregivers completed an electronic survey regarding demographics and firearm safe-storage knowledge/practices followed by BMH specialist LMC. Firearm owners were offered a free lockbox and/or trigger lock. One-week follow-up surveys gathered self-reported data on firearm safety practices and intervention acceptability. One-month interviews with randomly sampled firearm owners collected additional firearm safety data. Primary outcomes were feasibility measures, including participant accrual/attrition and LMC intervention acceptability. Secondary outcomes included self-reported firearm safety practice changes. Feasibility benchmarks were manually tabulated, and Likert-scale acceptability responses were dichotomized to strongly agree/agree vs. neutral/disagree/strongly disagree. Descriptive statistics were used for univariate and paired data responses.ResultsIn total, 81 caregivers were approached; of which, 50 (81%) caregivers enrolled. A total of 44% reported having a firearm at home, 80% completed follow-up at one week. More than 80% affirmed that ED firearm safety education was useful and that the ED is an appropriate place for firearm safety discussions. In total, 58% of participants reported not having prior firearm safety education/counseling. Among firearm owners (n = 22), 18% reported rarely/never previously using a safe-storage device, and 59% of firearm owners requested safe storage devices.At 1-week follow-up (n = 40), a greater proportion of caregivers self-reported asking about firearms before their child visited other homes (+28%). Among firearm owners that completed follow-up (n = 19), 100% reported storing all firearms locked at one week (+23% post-intervention). In total, 10 caregivers reported temporarily/permanently removing firearms from the home.ConclusionIt is feasible to provide LMC in the pediatric ED via BMH specialists to families of high-risk youth. Caregivers were receptive to LMC and reported finding this intervention useful, acceptable, and appropriate. Additionally, LMC and device distribution led to reported changes in safe storage practices

Reclaiming the local in EU peacebuilding: Effectiveness, ownership, and resistance

Since the early 2000s, the "local turn" has thoroughly transformed the field of peacebuilding. The European Union (EU) policy discourse on peacebuilding has also aligned with this trend, with an increasing number of EU policy statements insisting on the importance of "the local." However, most studies on EU peacebuilding still adopt a top-down approach and focus on institutions, capabilities, and decision-making at the EU level. This special issue contributes to the literature by focusing on bottom-up and local dynamics of EU peacebuilding. After outlining the rationale and the scope of the special issue, this article discusses the local turn in international peacebuilding and identifies several interrelated concepts relevant to theorizing the role of the local, specifically those of effectiveness, ownership, and resistance. In the conclusion, we summarize the key contributions of this special issue and suggest some avenues for further research

Monomeric and Dimeric CXCL8 Are Both Essential for In Vivo Neutrophil Recruitment

Rapid mobilization of neutrophils from vasculature to the site of bacterial/viral infections and tissue injury is a critical step in successful resolution of inflammation. The chemokine CXCL8 plays a central role in recruiting neutrophils. A characteristic feature of CXCL8 is its ability to reversibly exist as both monomers and dimers, but whether both forms exist in vivo, and if so, the relevance of each form for in vivo function is not known. In this study, using a ‘trapped’ non-associating monomer and a non-dissociating dimer, we show that (i) wild type (WT) CXCL8 exists as both monomers and dimers, (ii) the in vivo recruitment profiles of the monomer, dimer, and WT are distinctly different, and (iii) the dimer is essential for initial robust recruitment and the WT is most active for sustained recruitment. Using a microfluidic device, we also observe that recruitment is not only dependent on the total amount of CXCL8 but also on the steepness of the gradient, and the gradients created by different CXCL8 variants elicit different neutrophil migratory responses. CXCL8 mediates its function by binding to CXCR2 receptor on neutrophils and glycosaminoglycans (GAGs) on endothelial cells. On the basis of our data, we propose that dynamic equilibrium between CXCL8 monomers and dimers and their differential binding to CXCR2 and GAGs mediates and regulates in vivo neutrophil recruitment. Our finding that both CXCL8 monomer and dimer are functional in vivo is novel, and indicates that the CXCL8 monomer-dimer equilibrium and neutrophil recruitment are intimately linked in health and disease