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A Clinician's Guide to Helping Children Cope and Cooperate with Medical Care

An Applied Behavioral Approach

Keith J. Slifer, Ph.D.

Keith J. Slifer, Ph.D., a pediatric psychologist at the Kennedy Krieger Institute and the Johns Hopkins University School of Medicine, draws on practice and research to help health care practitioners provide better care for children with chronic conditions and children undergoing rehabilitation after traumatic injury or surgery. By better understanding the behavior, emotions, and developmental challenges of children, health care professionals in practice and in training can solve a range of problems, from getting a distressed child to cooperate with a physical examination or diagnostic test, to teaching a child to adhere to medical self-care. More than nine million children in the United States regularly visit health care professionals for treatment of chronic or recurrent health conditions. These children experience multiple doctors’ visits, trips to the Emergency Department, hospital admissions, anesthesia, surgery, medications, needle sticks, wound cleaning, seizures, nausea, vomiting, pain, and fear. While most of these children are developing typically in terms of their intellectual and cognitive functioning, many children with intellectual, developmental, and physical disabilities also require frequent medical care, and as chronic health conditions increase so do the chances of having developmental, learning, emotional, and behavioral problems. A Clinician's Guide to Helping Children Cope and Cooperate with Medical Care will benefit both health care professionals and children as practitioners aim to improve medical care and prevent the children’s behavior from disrupting clinics and distressing and frustrating health care workers and family caregivers. This book is for pediatric psychologists, pediatricians, family medicine practitioners, physician’s assistants, nurse specialists, pediatric subspecialists, and students in these fields—and for family members dedicated to helping their children cope with medical procedures and get the best possible medical care.

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Codes of Conduct

Behavioral Research into Business Ethics

Despite ongoing efforts to maintain ethical standards, highly publicized episodes of corporate misconduct occur with disturbing frequency. Firms produce defective products, release toxic substances into the environment, or permit dangerous conditions to existin their workplaces. The propensity for irresponsible acts is not confined to rogue companies, but crops up in even the most respectable firms. Codes of Conduct is the first comprehensive attempt to understand these problems by applying the principles of modern behavioral science to the study of organizational behavior.

Codes of Conduct probes the psychological and social processes through which companies and their managers respond to a wide array of ethical dilemmas, from risk and safety management to the treatment of employees. The contributors employ a wide range of case studies to illustrate the effects of social influence and group persuasion, organizational authority and communication, fragmented responsibility, and the process of rationalization. John Darley investigates how unethical acts are unintentionally assembled within organizations as a result of cascading pressures and social processes. Essays by Roderick Kramer and David Messick and by George Loewenstein focus on irrational decision making among managers. Willem Wagenaar examines how worker safety is endangered by management decisions that focus too narrowly on cost cutting and short time horizons. Essays by Baruch Fischhoff and by Robyn Dawes review the role of the expert in assessing environmental risk.

Robert Bies reviews evidence that employees are more willing to provide personal information and to accept affirmative action programs if they are consulted on the intended procedures and goals. Stephanie Goodwin and Susan Fiske discuss how employees can be educated to base office judgments on personal qualities rather than on generalizations of gender, race, and ethnicity. Codes of Conduct makes an important scientific contribution to the understanding of decisionmaking and social processes in business, and offers clear insights into the design of effective policies to improve ethical conduct.

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Coethnicity

Diversity and the Dilemmas of Collective Action

Ethnically homogenous communities often do a better job than diverse communities of producing public goods such as satisfactory schools and health care, adequate sanitation, and low levels of crime. Coethnicity reports the results of a landmark study that aimed to find out why diversity has this cooperation-undermining effect. The study, conducted in a neighborhood of Kampala, Uganda, notable for both its high levels of diversity and low levels of public goods provision, hones in on the mechanisms that might account for the difficulties diverse societies often face in trying to act collectively. The Mulago-Kyebando Community Study uses behavioral games to explore how the ethnicity of the person with whom one is interacting shapes social behavior. Hundreds of local participants interacted with various partners in laboratory games simulating real-life decisions involving the allocation of money and the completion of joint tasks. Many of the subsequent findings debunk long-standing explanations for diversity’s adverse effects. Contrary to the prevalent notion that shared preferences facilitate ethnic collective action, differences in goals and priorities among participants were not found to be structured along ethnic lines. Nor was there evidence that subjects favored the welfare of their coethnics over that of non-coethnics. When given the opportunity to act altruistically, individuals did not choose to benefit coethnics disproportionately when their actions were anonymous. Yet when anonymity was removed, subjects behaved very differently. With their actions publicly observed, subjects gave significantly more to coethnics, expected their partners to reciprocate, and expected that they would be sanctioned for a failure to cooperate. This effect was most pronounced among individuals who were otherwise least likely to cooperate. These results suggest that what may look like ethnic favoritism is, in fact, a set of reciprocity norms—stronger among coethnics than among non-coethnics—that make it possible for members of more homogeneous communities to take risks, invest, and cooperate without the fear of getting cheated. Such norms may be more subject to change than deeply held ethnic antipathies—a powerful finding for policymakers seeking to design social institutions in diverse societies. Research on ethnic diversity typically draws on either experimental research or field work. Coethnicity does both. By taking the crucial step from observation to experimentation, this study marks a major breakthrough in the study of ethnic diversity.

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Committed to the Sane Asylum

Narratives on Mental Wellness and Healing

In Committed to the Sane Asylum: Narratives on Mental Wellness and Healing, artist Susan Schellenberg, a former psychiatric patient, and psychologist Rosemary Barnes relate their own stories, conversations, and reflections concerning the contributions and limitations of conventional mental health care and their collaborative search for alternatives such as art therapy. Patient and doctor each describe personal decisions about the mental health system and the creative life possibilities that emerged when mind, body, and spirit were committed to well-being and healing.

Interwoven patient/doctor narratives explain conventional care, highlight critical steps in healing, and explore varied perspectives through conversations with experts in psychiatry, feminist approaches, art, storytelling, and business. The book also includes reproductions of Susan’s mental health records and dream paintings.

This book will be important for consumers of mental health care wishing to understand the conventional system and develop the best quality of life. Rich personal detail, critical perspective, clinical records, and art reproductions make the book engaging for a general audience and stimulating as a teaching resource in nursing, social work, psychology, psychiatry, and art therapy.

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The Company of Strangers

A Natural History of Economic Life

Paul Seabright

The Company of Strangers shows us the remarkable strangeness, and fragility, of our everyday lives. This completely revised and updated edition includes a new chapter analyzing how the rise and fall of social trust explain the unsustainable boom in the global economy over the past decade and the financial crisis that succeeded it.

Drawing on insights from biology, anthropology, history, psychology, and literature, Paul Seabright explores how our evolved ability of abstract reasoning has allowed institutions like money, markets, cities, and the banking system to provide the foundations of social trust that we need in our everyday lives. Even the simple acts of buying food and clothing depend on an astonishing web of interaction that spans the globe. How did humans develop the ability to trust total strangers with providing our most basic needs?

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The Complete Retirement Handbook

The Most Authoritative Guide Available

Forest J. Bowman

If you are 20 or 30 years of age and just starting out in a career, this book can serve you as an excellent road map for your future retirement. If you are 40 to 50 years of age, this book can become the life-saver that can make your shortly-to-come retirement more full. If you are over 50 years of age, you need to rush out and get this book to keep from suffocating during your impending retirement. In other words, this book is an excellent volume for anyone who is in the American work force.

The author begins the book with the basic premise that everyone who works for a living will one day retire, if that individual lives long enough. As a result, each person has a right to have a say in his or her retirement. Accepting that premise, the writer discusses the reason for a healthy attitude of looking forward to retirement. He points out that simply looking forward is not enough. One must consider whether to remain in one's locale or to move to a more favorable climate; Bowman discusses the pros and cons of the issue.

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Compulsive Acts

A Psychiatrist's Tales of Ritual and Obsession

Elias Aboujaoude

In this compelling book, we meet a man who can't let anyone get within a certain distance of his nose, two kleptomaniacs from very different walks of life, an Internet addict who chooses virtual life over real life, a professor with a dangerous gambling habit, and others with equally debilitating compulsive conditions. Writing with compassion, humor, and a deft literary touch, Elias Aboujaoude, an expert on obsessive compulsive disorder and behavioral addictions, tells stories inspired by memorable patients he has treated, taking us from initial contact through the stages of the doctor-patient relationship. Into these interconnected vignettes Aboujaoude weaves his own personal experiences while presenting up-to-date, accessible medical information. Rich in both meaning and symbolism, Compulsive Acts is a journey of personal growth and hope that illuminates a fascinating yet troubling dimension of human experience as it explores a group of potentially disabling conditions that are too often suffered in silence and isolation.

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The Concept of Development

An Issue in the Study of Human Behavior

Dale Harris

The Concept of Development was first published in 1967. In the various disciplines which make up the behavioral sciences, the concept of development plays a useful and significant role. The need has existed, however, for more unity of thought regarding the meaning of the concept, and this volume represents a long step ahead toward that goal.The book contains a series of 17 papers by as many contributors from the fields of psychology, philosophy, the natural sciences, medical science, social science, and the humanities. The chapters are arranged in five sections: Issues in the Study of Development, Biology and Growth, The Development of Human Behavior, The Concept of Development in the Humanities and Social Sciences, and Social Applications of the Developmental Concept.

The contributors are Dale B. Harris, Ernest Nagel, John E. Anderson, Viktor Hamburger, J. P. Scott, T. C. Schneirla, Howard V. Meredith, Heinz Werner, Robert R. Sears, Wallace A. Russell, Norman J. DeWitt, Herbert Heaton, Robert F. Spencer, John A. Anderson, M.D., Hyman S. Lippman, M.D., John C. Kidneigh, and Willard C. Olson.The book is especially appropriate for text use or collateral reading in courses in psychology, education, sociology, or child development.

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The Concept of Expression: A Study in Philosophical Psychology and Aesthetics

Alan Tormey

Defining expression as the expression of intentional states, Alan Tormey describes the general conditions under which human conduct may be considered expressive, and then analyzes this conduct as it is manifested in behavior, language, and art.

Originally published in 1971.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

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Concepts of Alzheimer Disease

Biological, Clinical, and Cultural Perspectives

edited by Peter J. Whitehouse, M.D., Ph.D., Konrad Maurer, M.D., Ph.D., and Jesse F. Ballenger, Ph.D.

As the essays in this volume show, conceptualizing dementia has always been a complex process. With contributions from noted professionals in psychiatry, neurology, molecular biology, sociology, history, ethics, and health policy, Concepts of Alzheimer Disease looks at the ways in which Alzheimer disease has been defined in various historical and cultural contexts. The book covers every major development in the field, from the first case described by Alois Alzheimer in 1907 through groundbreaking work on the genetics of the disease. Essays examine not only the prominent role that biomedical and clinical researchers have played in defining Alzheimer disease, but also the ways in which the perspectives of patients, their caregivers, and the broader public have shaped concepts.

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