Greetings

Pretraining work behavior was investigated as a composition variable for group psychotherapy. The work behavior of sixty-six outpatients in nine pretraining groups was measured. Six of the pretraining groups were recomposed into either high or low work therapy groups on the basis of the pretraining scores. The other three groups entered therapy intact. Audiotapes from the first six months were analyzed to assess therapy process. Outcome measures were administered before therapy and after six months of therapy. Hypotheses concerned the effects of composition on process and outcome and the relationship between pretraining work behavior and outcome. The results suggest that pretraining work behavior has merit as a composition variable and may have promise as a selection variable. Therapeutic uses of pretraining are discussed.     

A comparative study of family therapy in the treatment of opiate users in a London drug clinic

This study presents the results of a randomized treatment trial of family therapy and two control treatments for 119 outpatient opiate users. All treatments were combined with a methadone reduction programme. The control treatments were: (1) a 'standard' treatment (supportive psychotherapy) and (2) a 'low contact' intervention. Treatment outcome was evaluated six and twelve months after the initial assessment. Both the family therapy and minimal intervention groups had a significantly higher number of drug–free days at six and twelve months, compared to the standard treatment, despite receiving fewer treatment sessions. Across all treatments there was evidence for a gender difference in response to therapy in users who were in a couple relationship. In couples where both partners were using drugs women did significantly better than men. Men living with a non–drug–abusing partner fared better than men living with a drug–using partner. Across the treatment groups diminution in drug use was accompanied by improvements in psychosocial functioning. Unemployment, sharing needles and injecting drugs were predictive of poor outcome.     

Training elementary aged peer behavior managers to control small group programmed mathematics

The effects of a training procedure and two maintenance contingencies on consequence-dispensing behavior were investigated. Four peer behavior managers were trained to supervise small groups of subjects (four to six per group) working in programmed math materials and were compared with a teacher skilled in the use of social and point reinforcement and response cost. Manager training was differentially effective in accelerating manager's rates of appropriate social and point dispensing. Having manager reinforcement contingent upon manager consequence-dispensing resulted in moderately higher rates of appropriate social and point dispensing for three of four subjects than did having manager reinforcement contingent upon group study behavior. Two managers exposed to the group performance contingency before the manager performance contingency increased inappropriate social and point-dispensing behaviors to pretraining baseline levels. Subsequent change to the manager performance contingency was effective in reducing the inappropriate dispensing behavior of only one of the two managers.     

The effects of perceptual pretraining on concept identification and preference

The effects of perceptual pretraining on preferences and concept identification performance in five- and eight-year-old Ss were investigated. The results indicated that perceptual pretraining facilitated performance on a concept identification task with a non-preferred relevant cue for the five-year-olds, but not for the eight-year-olds. However, perceptual pretraining did not affect preference in either age group and Ss were as consistent in their preference responding before and after perceptual pretraining as was a control group that had not received perceptual pretraining. Preferences were highly consistent in both age groups over a one week period. Perceptual pretraining was interpreted to increase the usability of the less preferred dimensions for the younger Ss, and to leave the affective preference response unaltered in both groups.     

Accounting for self-selected drinking goals in the assessment of treatment outcome

Many treatment outcome studies are abstinence-based and rely on achieved abstinence as an indicator of success, making the implicit assumption that participants have an abstinence goal. However, it is often the case that participants self-select controlled drinking goals, even in the context of an abstinence-based treatment. The current study explored the use of an outcome variable, percent weeks meeting goal (PWMG), which takes into account individual goal choice at baseline. The sample consisted of 57 women who participated in a cognitive-behavioral therapy treatment for alcohol dependence and were followed for 18 months after baseline. Twenty-two (39%) women self-selected controlled drinking goals, and 35 (61%) self-selected an abstinence goal at baseline. A repeated measures analysis of variance with PWMG as the dependent variable revealed that both goal groups were equally successful in meeting their goals during the 6-month treatment period. After treatment, participants with a goal of abstinence had more PWMG than did participants with a self-selected controlled drinking goal, but the difference was significant at a trend level. The two goal groups did not differ in outcome when the authors compared them using more traditional measures of outcome, percent days abstinent and percent heavy drinking days.     

RELAXATION AS THERAPY FOR HYPERACTIVE CHILDREN

The purpose of this study was to determine the effectiveness of a relaxation therapy program with a sample of hyperactive, learning disabled, male children. The sample of 16 boys aged 8 to 12 years-old, from a private school providing special education, was divided randomly into an experimental and a control group. Relaxation procedures based on the theories of Jacobson and Bruno were done twice weekly for 11 weeks, during 20 minute sessions. All children in the experimental and control groups were pretested and posttested on six outcome measures. The Developmental Test of Visual-Motor Integration, Motor Accuracy subtest of the Southern California Sensory Integration Tests, Abbreviated Parent and Teacher Questionnaires, House-Tree Person test, and Sophistication-of-Body Concept Scale were administered. Significannt levels of differences were reported by most of the outcome measures. It was concluded that relaxation therapy has a direct effect upon the hyperactivity syndrome. Implications for use of relaxation therapy as a component of the occupational behavior frame of reference for the occupational therapist are discussed.     

Brief reaching training with “sticky mittens” in preterm infants: Randomized controlled trial

ObjectiveTo examine whether a brief reaching training with sticky mittens was effective to improve reaching behavior in newly reaching preterm infants.MethodsIn this randomized controlled trial, twenty four 5-month-old (±16-week-old corrected age) preterm infants were randomly allocated into experimental or control groups. Infants were assessed three times in a single session: pretraining (immediately before training), posttraining (immediately after training), and retention (4 min after the posttraining). During training, infants in the experimental group wore open fingers Velcro covered mittens. Training consisted of one 4-minute session of stimulated reaching using Velcro covered toys. Controls did not receive the training. During assessments, infants were placed in a baby chair and toys without Velcro were offered at their midline for 2 min. Number of total reaches, proximal adjustments and distal adjustments of reaching were primary outcomes. Grasping was a secondary outcome.ResultsGroups were similar in the pretraining. In the posttraining, trained infants performed greater amount of total reaches and bimanual reaches than untrained infants. Greater amount of bimanual reaches in trained infants was maintained in the retention test. Distal adjustments and grasping outcome were not influenced by the training.ConclusionsA brief-term training with open fingers sticky mittens benefited reaching behavior and favored retention of increased bimanual reaches in newly reaching late preterm infants. However, it was not sufficient to influence hand openness and early grasping.     

Assessment of Subjective Client Agency in Psychotherapy: A Review

Theoretical accounts of psychotherapy, especially of a constructivist or humanistic sort, often assert the importance of the client's active efforts in “making therapy work.” Psychotherapy research also supports the importance of the client's contribution to therapy outcomes. Research on subjective client agency, defined as a client's expectations for taking an active role in psychotherapy, is limited, however. This review describes and evaluates the psychometric qualities of six measures of this construct and provides recommendations for future research. Three of these measures are particularly suitable for further work by constructivist investigators of therapy process and outcome, a topic too rarely studied in the literature to date. Those studies that exist suggest that agency is positively related to the therapeutic alliance but does not directly affect therapy outcome. Additional process-outcomes studies in this area are warranted and could benefit from placing client agency in a broader framework that views therapy, and even therapy supervision, as an active process of mutual inquiry.     

Young male drivers’ risky driving 15 months after licensure – The role of intervention,attitudes towards accompanied driving,and parents’ risk

An indispensable issue in contemporary research on risk-taking by young drivers is parents’ influence on their offspring’s driving behavior. The current study measures this influence by using a risk index of parents’ driving behavior measured via in-vehicle data recorders together with young drivers’ self-reported answers to a set of questionnaires. Both parents and young drivers participated in one of three intervention program groups to enhance safe driving within a longitudinal study, and the outcome of this intervention was measured 15 months following licensure. The aim of the current study was thus to assess the contribution of parents’ actual driving behavior, participation in the intervention, and teen drivers’ attitudes towards accompanied driving (measured six months after licensure), to the reported risky driving of the young drivers fifteen months after receiving their driving license. The data consist of a sample of 78 parent-young driver dyads who were originally randomly assigned to one of three intervention groups (receiving different forms of feedback) or a control group (with no feedback). Findings indicate that the feedback and training to parents intervention group, as well as parents’ risky driving events rate, were positively associated with the reported proneness to reckless driving and the reckless driving habits of the young drivers. In addition, lower perception of accompanied driving as enabling a sense of relatedness with parents, and higher negative perceptions of this period, were related to higher reported risky driving among young drivers fifteen months after licensure. The results highlight the importance of parents’ behavior and relationships with their offspring as key concepts in moderating risky driving among young drivers. Practical implications for road safety are discussed.     

Avoidance conditioning as a function of appetitive stimulus pretraining: Response and stimulus transfer effects

Pretrained appetitive discriminative stimuli were used as warning signals in subsequent avoidance learning. In Expt 1 identical responses were required in pretraining and in avoidance learning. An appetitive S+ facilitated avoidance learning in rats in comparison to S? or a stimulus previously uncorrelated with food. In Expt 2, the type of response in pretraining and in avoidance learning was varied. Groups with homogeneous responses in the two situations replicated Expt 1 results, whereas groups with different responses in pretraining and avoidance learning failed to show an advantage when S+ served as warning; in the heterogeneous response groups, S? was as effective as S+. Inhibitory factors in the heterogeneous groups were discussed as an explanation for these results.     

Examining the effects of work externalization through the lens of social identity theory

This study examines whether dissimilarity among employees that is based on their work status (i.e., whether they are temporary or internal workers) influences their organization-based self-esteem, their trust in and attraction toward their peers, and their altruism. A model that is based on social identity theory posits that work-status dissimilarity negatively influences each outcome variable and that the strength of this relationship varies depending on whether employees have temporary or internal status and the composition of their work groups. Results that are based on a survey of 326 employees (189 internal and 137 temporary) from 34 work groups, belonging to 2 organizations, indicate that work-status dissimilarity has a systematic negative effect only on outcomes related to internal workers when they work in temporary-worker-dominated groups.     

A Randomized Community-Based Trial of Behavior Therapy vs. Usual Care for Adolescent ADHD: Secondary Outcomes and Effects on Comorbidity

Though behavior therapy (BT) for ADHD in adolescence is evidence-based, almost no work examines its implementation and effectiveness in community settings. A recent randomized community-based trial of an evidence-based BT for adolescent ADHD (Supporting Teens’ Autonomy Daily; STAND; N = 278) reported high clinician, parent, and youth acceptability but variable implementation fidelity. Primary outcome analyses suggested no significant differences between STAND and usual care (UC) unless the clinician delivering STAND was licensed. The present study reports secondary outcomes for this trial on indices of comorbidity (anxiety, depression, oppositional defiant disorder, conduct disorder) and ADHD outcomes not targeted by the active treatment (social skills, sluggish cognitive tempo). We also examine whether therapist licensure moderated treatment effects (as in primary outcome analyses). Using intent-to-treat and per protocol linear mixed models, patients randomized to STAND were compared to those randomized to UC over approximately 10 months of follow-up. Group × Time effects revealed that, overall, STAND did not outperform usual care when implemented by community clinicians. However, a Group × Time × Licensure interaction revealed a significant effect on conduct problems when STAND was delivered by licensed clinicians (d = .19–.47). When delivered in community settings, behavior therapy for adolescent ADHD can outperform UC with respect to conduct problems reduction. Community mental health clinics should consider: (1) assigning adolescent ADHD cases to licensed professionals to maximize impact and (2) choosing psychosocial approaches when ADHD presents with comorbid conduct problems. There is also a need to reduce implementation barriers for unlicensed clinicians in community settings.     

Family therapy vs. parent groups: Effects on adolescent drug abusers

Abstract

The families of adolescent drug abuse clients who were admitted to six outpatient drug-free (OPDF) treatment programs were randomly assigned to either a family therapy method or a parent group method. It was later found that in 93% of the family therapy families, one or both parents participated (N=85); but that in only 67% of the families assigned to a parent group did one or both parents participate (N=50). This is considered to be an important practical advantage for family therapy. At follow-up evaluation 15 months later (after a 6-month course of treatment and a 9-month follow-up period), the clients and their mothers in both groups reported significant improvement on numerous outcome criteria, including reduction in substance use. There was no significant difference between the two groups in degree of improvement.     

Imitation improves language comprehension

Humans imitate each other during social interaction. This imitative behavior streamlines social interaction and aids in learning to replicate actions. However, the effect of imitation on action comprehension is unclear. This study investigated whether vocal imitation of an unfamiliar accent improved spoken-language comprehension. Following a pretraining accent comprehension test, participants were assigned to one of six groups. The baseline group received no training, but participants in the other five groups listened to accented sentences, listened to and repeated accented sentences in their own accent, listened to and transcribed accented sentences, listened to and imitated accented sentences, or listened to and imitated accented sentences without being able to hear their own vocalizations. Posttraining measures showed that accent comprehension was most improved for participants who imitated the speaker's accent. These results show that imitation may aid in streamlining interaction by improving spoken-language comprehension under adverse listening conditions.     

Two forms of group therapy and individual treatment of work-related depression: a one-year follow-up study

Patients on long-term sick-leave (> 90 days) from white collar work, with a diagnosis of work-related depression, dysthymia, or maladaptive stress reaction were randomized either to cognitive group therapy (CGT), focused psychodynamic group therapy (FGT), or to a comparison group. All patients were interviewed and responded to self-report questionnaires before the start of treatment and at 6 and 12 months. At the 12-month follow-up, 70% of the patients met the criteria for reliable change of the target symptom (depression), and the sample as a whole improved significantly on all measures used. However, there were no differences in outcome between the three treatment groups.     

The effect of the temporal locus of the introtact probe on the hypothesis-testing strategies of kindergarten children

The hypothesis-testing behavior of kindergarten children in discrimination learning was studied in a factorial design with two temporal placements of introtact probes (pretrial and posttrial) and two types of pretraining (unidimensional and multidimensional). Pretrial probes consisting of a request for the child's current hypothesis were administered in a conventional manner at the beginning of each trial with the stimuli in view and prior to the choice response. Posttrial probes were administered also with the stimuli in view, but after the choice response had occurred and feedback information had been provided. Learning-to-learn experience in solving three pretraining problems was given either with unidimensional simultaneous problems or with more complex multidimensional problems like the criterion tasks. The results indicated that posttrial probes produced superior local consistency, win-stay, and lose-shift probabilities, relative to pretrial probes, for both types of pretraining. Posttrial probes, however, facilitated learning and the testing of valid hypotheses only for multidimensional pretraining. These results are consistent with the hypothesis that posttrial probes constrain the child to be locally consistent and therefore improve short-term efficiency in hypothesis testing under both pretraining conditions. However, posttrial probes produce an improvement in long-term efficiency, and therefore in learning, only when other components of a successful strategy are acquired as in multidimensional pretraining.     

Factors affecting hypothesis testing in kindergarten children

In a previous experiment, the authors demonstrated that kindergarten and first-grade children can be trained to test hypotheses sequentially within the context of a discrimination learning task. The present experiment is concerned with delineating various aspects of the pretraining that contribute to the improved hypothesis-testing strategies of kindergarten children (mean CA = 71.6 months). It was found that children who have learned to anticipate an invariant cue-reward relation in such tasks manifest improved hypothesis-testing behavior, as well as improved discrimination performance, whereas children who have been trained to identify and name the various stimulus components of the discriminanda do not perform better than those without such training. It was also found that children who have had practice in shifting from an irrelevant to a relevant dimension perform better than those who have not had such experience. Moreover, children who have been given explicit instruction and training in the use of win-stay and lose-shift rules, as well as in the use of valid hypotheses, manifest strategies superior to those without such training. Finally, extensive pretraining over two sessions, administered on separate days, resulted in a marked reduction in the proportion of children who were dimensionally fixated while solving discrimination problems with two genuine dimensions.     

Gender influences as an impediment to knowledge sharing: when men and women fail to seek peer feedback

Little research has considered how work team characteristics influence feedback-seeking behavior among team members. The authors' aim in this research was to identify central sources of influence on feedback-seeking behavior in a mixed-gender context. They placed men and women in work groups of varying gender composition. The participants then participated in a gender-biased (perceived as either male-oriented or female-oriented) negotiation exercise. Findings indicated that the gender of the participant, the team's gender composition, and the gender orientation of the task influenced feedback-seeking behavior among team members.     

Improving memory performance in the aged through mnemonic training: a meta-analytic study.

The effectiveness of memory training for the elderly was examined through a meta-analysis of pre-to-posttest gains on episodic memory tasks in healthy subjects aged 60 or above. Pre-to-posttest gains were found to be significantly larger in training groups (0.73 SD, k = 49) than in both control (0.38 SD, k = 10) and placebo (0.37 SD, k = 8) groups. Treatment gains in training groups were negatively affected by age of participants and duration of training sessions and positively affected by group treatment, pretraining, and memory-related interventions. No differences in treatment gain were obtained as a function of type of mnemonic taught nor the kind of pretraining used.