Help-agents' views about clinical interactions with acting-out children

A scale to measure nonprofessional child-aides' views about, and practices in, working primarily with acting-out children is described. The scale was used as part of an overall evaluation of a program to teach the aides Ginottian limit-setting approaches for work with such children. A prior study had shown that the training was followed by significantly more favorable treatment outcomes. Compared to 44 nontrained child-aides, the 19 trained aides had significantly higher postprogram scale scores on opinions and beliefs about acting-out children, changes in feeling about working with them, and actual observed changes in their playroom behaviors. Item analysis indicated that, following training, aides felt more comfortable with and had a richer repertoire of techniques for dealing with acting-out children. Specifically, they found it easier to set limits and to deal with overtly aggressive behaviors. Those changes may be key factors in explaining the significantly greater effectiveness of the trained aides working with acting-out children.This study was supported by a grant (MH-11427-02) from the NIMH Experimental and Special Training Branch, for which the authors express sincere appreciation. Thanks also to Mary Boike, Michael A. DeStefano, and Alice B. Wilson for their contributions to the data analyses.     

Conceptualization and Treatment of Social Withdrawal in the Schools

Social withdrawal represents a class of behavior problems that are not as frequently referred by teachers in school settings as are disruptive, acting-out behaviors. Approximately 15% of all children referred to school psychologists and other mental health professionals in the schools are socially withdrawn. This paper provides several definitions of social withdrawal from a social skills perspective and presents a four-fold classification system of children's social skills deficits. Assessment procedures for identifying socially withdrawn children are briefly reviewed. Four social skills training strategies (i.e., modeling, coaching, peer-mediated interventions, and group contingencies) are reviewd and the relative efficacy of each are evaluated. Several commercially-available social skills training curricula designed for school settings are described at the conclusion of this paper.     

Multimethod Psychoeducational Intervention for Preschool Children with Disruptive Behavior: Two-Year Post-Treatment Follow-up

This paper describes the 2-year post-treatment follow-up of preschool children identified as having high levels of disruptive behavior at kindergarten entry. They were assigned to four treatment conditions: A no-treatment group, parent-training only, treatment classroom only, and the combination of parent training with the treatment classroom. Interventions lasted the entire kindergarten academic year. Initial post-treatment results reported previously indicated no effects for the parent-training program but some efficacy for the classroom intervention program. For this report, the disruptive behavior (DB) children were subdivided into those who did (n = 74) and did not (n = 77) receive the treatment classroom. Two-year post-treatment follow-up results indicated no differences between the classroom treated and untreated DB groups. These groups also failed to differ in the percentage of children using available treatments across the follow-up period. The DB children in both groups had significantly more symptoms of ADHD and ODD than a community control group (N = 47) at follow-up. They also received higher ratings of externalizing problems on the parent Child Behavior Checklist, more severe ratings of behavior problems at home, and ratings of more pervasive behavior problems at school, and had poorer academic skills. Results suggested that early intervention classrooms for DB children may not produce enduring effects once treatment is withdrawn, and that better approaches are needed for identifying those DB children at greatest risk for later maladjustment.     

Social environmental predictors of children's adjustment in elementary school classrooms

Relationships between qualities of the perceived social environment and children's adjustment were examined in 30 second- to fourth-grade classrooms. Based on Moos' conceptual framework, social environment was assessed from both teachers' and children's perspectives. There was little agreement between the two views. Nine teacher- and peer-rated adjustment variables were used as criterion measures in multiple regression analyses which controlled for the potential confounding influence of grade level and family income. The main substantive findings were that peer sociometric ratings were more positive at lower grade levels and in classes rated by children as high in Order and Organization; teachers rated less acting-out behavior in classes seen by children as high in Affiliation, Teacher Control, and Task Orientation; and teachers rated children as more likeable in classes seen by Children as high in Teacher Control and Competition. Implications of the study's findings for future primary preventive efforts to engineer health-promoting classroom environments are discussed.     

THE EFFECTIVENESS OF REINFORCEMENT,RESPONSE COST,AND MIXED PROGRAMS ON CLASSROOM BEHAVIORS1

Six elementary school children served as subjects in an experiment comparing the relative effectiveness of (1) token reinforcement, in which children received tokens for attending and for correct arithmetic performance; (2) response cost, in which children received “free” tokens at the start of a period but lost them for inattention and for arithmetic performance below a specified level; and (3) a combination of both token reinforcement and response cost. During training, the six subjects received all three procedures in counterbalanced sequence. The effects of the three procedures were assessed by a within-subject comparison divided into three phases: (i) baseline, (ii) training, (iii) withdrawal of tokens. Introduction of the three token procedures markedly increased the two dependent measures. However, there were no differences across the procedures in the amount of change produced in either attending behavior or arithmetic performance. During baseline, the subjects averaged 29% attending behavior and 6.4 correct problems. These levels increased to 85% for attending behavior and 11.4 correct problems for arithmetic performance during training. Removal of all token procedures significantly decreased attending behavior (to an average of 65%), but produced a nonsignificant reduction in arithmetic performance (to an average of 7.6 correct problems). There was evidence that this lack of differential effects of the three token procedures was not due to an inability to discriminate among them. Furthermore, the subjects were evenly divided in their preference for the three procedures.     

Helping contacts between nonprofessional child aides and young children experiencing school adjustment problems

The present studies examine several within-session measures of helping interactions involving nonprofessional child aides and young maladapting school children referred to a preventively oriented school mental health program. The studies' three main criterion measures were: (1) estimates of children's predominant mood state at the beginning, during, and end of a session; (2) judgments about a child's predominant within-session moded of expression; and (3) aides' ratings of session satisfaction. Both predominant mood and mode of expression differed for children with different initial referral problems. Both also related to differential aide judgements about session satisfaction. Aide satisfaction related to structural aspects of the session, including its length and whether it was thought to deal with significant problems.     

Egocentrism and classroom adjustment

This study examined the relationship between persistent egocentrism and adjustment status in normal school children. Fifty-three fourth-graders (33 males, 20 females) were administered measures of egocentrism and peer sociometric status, and indices of classroom adjustment were obtained from teachers. Degree of egocentrism was shown to correlate with classroom adjustment for both boys and girls and with peer group status for boys. The pattern of correlations suggested that the negative consequences of persistent egocentrism were different for the two sexes, with high egocentrism associated with shy, anxious behavior for girls and acting-out and learning difficulties for boys.The authors wish to thank Michael Chandler for his invaluable assistance. Gratitude is also expressed to Jeffrey Frost, Rana Gordan, Joyce Kramer, Peter Moshbach, Katie Pelz, Robert Rosen, Jane Scheibel, and Harley Sobin for their help in the collection of the data, and to the administration, staff, and pupils of the Paddy Hill Elementary School, Greece, New York.     

Longitudinal Study of Mild Delinquency and In-School Problem Behaviors During Junior High School1

This research investigates repetitive problem behavior (in-school problems and mild delinquency) in Japanese junior high school students from their first to third year (12–15 years old) and examines the risk factors for repetitive problem behavior among parent–child relationships, school, individual, and lifestyle factors. An analysis of the longitudinal data of 470 students (Data Set 1) found that repeated problem behavior in school was affected by low self-control, poor relationships with teachers, and lack of parental monitoring. Repeated mild delinquent behavior was affected by parental violence, poor relationships with mothers, less sleep duration, and not belonging to club activities. Some students exhibited both mild delinquency and in-school problems. Students who experienced problem behavior 10 times or more in their second year had often experienced some problem behavior (1–9 times) in their first year. Analysis of the longitudinal data of 368 students (Data Set 2) showed that in many cases, students who exhibited repeated delinquent behavior in their second year continued to exhibit problem behavior after they became third-year students. Though the number of students with repetitive mild delinquency that was totally remedied in their third year was small, a low incidence of parental violence was seen as an antecedent factor for students who did not commit mild delinquency in their third year in spite of a high frequency of delinquency in their second year.     

Treating boys with low school achievement and behavior problems: comparison of two kinds of intervention

Children with low school achievement frequently have behavior problems and interpersonal difficulties that pose a risk for psychosocial maladjustment. 39 boys were assessed and randomly assigned to one of two group treatment conditions: (a) interpersonal cognitive problem-solving for whom training was provided through oral and written language activities that met children's social and academic needs and (b) a language workshop, during which only academic difficulties were treated. Parents of children in both groups received group attention. Posttreatment assessments indicated that boys in both conditions showed significant improvements on school achievement and behavior problems, as they were measured by behavior scales reported by mothers and by an academic achievement test. Children in the problem-solving group improved significantly more than the other group on most measures. These results suggest that work with interpersonal cognitive problem-solving skills combined with reading and writing activities is a useful means to produce improvements in child behavior and school achievement.     

Early rejected status and later social adjustment: A 3-year follow-up

Sociometric measures and rates of social interaction were obtained from 186 kindergarten children. Subjects were classified into popular, rejected, and average status groups on the basis of sociometric data. Teachers' ratings on the Bristol Social Adjustment Guides were obtained when the children were in grade 2 and again in grade 3. Analyses of variance showed rejected children to be significantly more acting-out than popular or average children by grade 3. Rejected children were rated as less physically attractive, doing less well in reading and in arithmetic. Negative peer nomination in kindergarten was more predictive of later acting-out in grades 2 and 3 than rate of interaction.Research was funded by Alberta Mental Health Advisory Council, and Alberta Advisory Committee for Educational Studies. I wish to thank Steven Asher for his helpful comments on earlier drafts of this paper.     

Assessment of peer rejection and externalizing behavior problems in preschool boys: a short-term longitudinal study

We examined the longitudinal stability of measures of negative peer status and aggressive-disruptive behavior in preschool boys. Subjects were 53 white 4- to 5- year- old boys from low-income family backgrounds. Peer sociometric measures of rejection and behavioral deviance were assessed in the fall and spring of the preschool year. Complementary measures were also obtained from teachers at both assessment points. Half of the boys designated as rejected on the basis of peer nominations maintained this status at the end of the preschool year. Teachers and peers did not agree on their selections of socially rejected children, but had good agreement concerning the identification of children with externalizing-type behavior problems. Finally, teacher and peer classifications of aggressive-disruptive children were highly stable throughout the preschool year. These findings indicate that peer-rejected children can be identified at very young ages, and that preschoolers can be reliable informants about the social maladjustment of peers.We thank the Head Start children, parents and staff who participated, and Karen Lifgren for her help with data collection.     

Bender-Gestalt emotional indicators and acting-out behavior in young children.

This study was designed to investigate the relationship between 15 emotional indicators on the Bender-Gestalt Test and acting-out behavior in young children. The subjects were 93 children ranging in age from five to 12 years. Each was administered the Bender. A measure of each subject's overt acting-out behavior was then obtained by having teachers rate each student on a Behavioral Rating Scale. Subjects' records were then divided into groups on the basis of both sex and age. Results indicated that neither the total number of Bender indicators nor any of the individual Bender indicators were correlated significantly with total scores on the rating scale. Use of the Bender as a projective device to measure acting-out behavior was seriously questioned.     

Preventing conduct problems, promoting social competence: a parent and teacher training partnership in head start

Studied the effectiveness of parent and teacher training as a selective prevention program for 272 Head Start mothers and their 4-year-old children and 61 Head Start teachers. Fourteen Head Start centers (34 classrooms) were randomly assigned to (a) an experimental condition in which parents, teachers, and family service workers participated in the prevention program (Incredible Years) or (b) a control condition consisting of the regular Head Start program. Assessments included teacher and parent reports of child behavior and independent observations at home and at school. Construct scores combining observational and report data were calculated for negative and positive parenting style, parent-teacher bonding, child conduct problems at home and at school, and teacher classroom management style. Following the 12-session weekly program, experimental mothers had significantly lower negative parenting and significantly higher positive parenting scores than control mothers. Parent-teacher bonding was significantly higher for experimental than for control mothers. Experimental children showed significantly fewer conduct problems at school than control children. Children of mothers who attended 6 or more intervention sessions showed significantly fewer conduct problems at home than control children. Children who were the "highest risk" at baseline (high rates of noncompliant and aggressive behavior) showed more clinically significant reductions in these behaviors than high-risk control children. After training, experimental teachers showed significantly better classroom management skills than control teachers. One year later the experimental effects were maintained for parents who attended more than 6 groups. The clinically significant reductions in behavior problems for the highest risk experimental children were also maintained. Implications of this prevention program as a strategy for reducing risk factors leading to delinquency by promoting social competence, school readiness, and reducing conduct problems are discussed.     

A comparison of aggressive and withdrawn children's self-esteem,optimism and pessimism,and causal attributions for success and failure

Aggressive children, withdrawn children, combined aggressive and withdrawn children, and children displaying neither aggressive nor withdrawn behavior were compared on three self-appraisal measures: (a) self-esteem, (b) attributions to ability and lack of ability following success and failure, and (c) optimism and pessimism about one's long-term personal future. From an initial sample of 583 elementary school children, independent and extreme groups were identified by combined ratings of teachers and classmates. Solely aggressive children had higher self-esteem than either solely withdrawn children or children who were both aggressive and withdrawn. The control group of children who were neither aggressive nor withdrawn had the highest self-esteem of all. The control group also attributed success to ability more than the two groups of children with high withdrawal scores but did not differ from the solely aggressive children. There were no significant differences among the groups in attributions to lack of ability following failure or in optimism or pessimism.We wish to thank Elliot Fielstein, Mariellen Fischer, Michael Klein, and Penelope Koburger for their assistance with data collection, and Elliot Fielstein and Matthew Tarran for their assistance with data analysis. We are also indebted to Bruce Compas for his helpful comments on an earlier draft of this paper.     

Main and interaction effects of metallic toxins on classroom behavior

This study investigated the relationships of metal levels and metal combinations to children's classroom behavior. Hair-metal concentrations of lead, arsenic, mercury, cadmium, and aluminum were determined in 80 randomly selected elementary-age children, who were also rated by their classroom teacher on the Walker Problem Behavior Identification Checklist (WPBIC). Parents were interviewed to control for confounding variables that may have affected behavioral development. Regression analysis indicated that the set of metals was significantly related to increased scores on four of the five WPBIC subscales and on the total scale, with lead being a major contributor to four of the six dependent measures. Metal combinations were significantly related to increased scores on the WPBIC subscales measuring acting-out, disturbed peer relations, and immaturity, and on the total scale. A continuing reexamination of metal poisoning concentrations is needed because metal levels and metal combinations previously thought harmless may be associated with nonadaptive classroom behavior.     

Self-control as a correlate of an Internalizing-Externalizing symptom dimension

The construct of self-control was explored as a correlate of the Internalizing-Externalizing symptom dimension.Ss were 11–13-year-old boys including 26 Internalizers with neurotic-like behavior problems, 40 Externalizers with acting-out behavior problems, and 26 normals. Each group was equally divided on the basis of social-class status. Results of measures on delay of gratification, reflection-impuisivity, and foresight and planning indicated that the normals exhibited the greatest degree of self-control and the Externalizers the least, while the Internalizes maintained an intermediate position. Consistent social-class differences were not found, but the factor of social class did heighten the differences within the Internalizers and Externalizers.This study is based on a doctoral dissertation submitted to the Department of Psychology, University of Minnesota. Norman Garmezy gave invaluable advice and guidance at every stage of the project. The research was supported by National Institute of Mental Health Grants MH-06170 and MH-14914 to N. Garmezy, and MH-21154 to S. Weintraub.     

Acceptability of aversive procedures and medication as treatment alternatives for deviant child behavior

The present investigation evaluated the acceptability of alternative treatments for deviant child behavior. Clinical cases of children who displayed severe behavioral problems at home and at school were described along with three different treatments. The treatments, time-out from reinforcement, locked seclusion, and medication, were rated by psychiatric inpatient children and parents in a 3 × 3 replicated Latin-square design. The investigation also evaluated whether acceptability ratings were influenced by the clinical effectiveness of treatment in altering behavior. Although children and parents did not differ overall in acceptability ratings, they differed in their ranking of different treatments. Children viewed medication as the most acceptable treatment, whereas parents viewed time out as the most acceptable treatment. For both children and parents, treatments described as producing marked effects were rated as more acceptable than treatments producing weaker effects. The results indicated that disturbed children and their parents can readily distinguish the acceptability of alternative treatments. The implications of treatment acceptability for clinical applications of treatment are discussed.Completion of this investigation was facilitated by a Research Scientist Development Award (MH00353) and a grant (MH35408) from the National Institute of Mental Health. The author is grateful for the assistance of the clinical research team of the Child Psychiatric Treatment Service, especially that of Irene Heidish, M.A., who assisted with the data analyses.     

Continuities in maternal reports and child behaviors over time in hyperactive and comparison groups

Maternal reports, observations of nursery and elementary school behavior, and teacher ratings of problems were available for hyperactive and control children who had participated in a longitudinal study. This paper examines consistencies in maternal reports and child behaviors over time, and their relationship to teacher ratings in elementary school. Maternal reports of infant sleep difficulties were related to maternal ratings of hyperactivity at 41/2 and 61/2 years. Maternal ratings of activity at 41/2 were predictive of 61/2-year ratings of hyperactivity and conduct problems. In addition, behavior in a research nursery at 41/2 predicted teacher ratings of problems and classroom behavior in grade two. Hyperactive preschoolers who left the table most during structured activities were more often out-of-seat and off-task in school. Controls who were more aggressive in the nursery were more disruptive in the classroom. These data indicate continuities in both maternal reports and child behaviors.Collection of follow-up data were supported by Grant No. MA-4505 from the Medical Research Council of Canada to Dr. Campbell and were collected when she was at McGill University and the Montreal Children's Hospital. Portions of these data were presented at the American Psychological Association, Washington, D.C., September 1976.     

Predictors of Externalizing Behavior Problems in Early Elementary-Aged Children: The Role of Family and Home Environments

As children enter elementary school they display behavioral orientations that reveal potential developmental trajectories. Developmental transitions offer unique opportunities for examining developmental pathways and the factors that influence emerging pathways. The primary goal of this investigation was to examine characteristics of family and home contexts in predicting externalizing behavior problems among children transitioning into elementary school. Dimensions of the family and home environments of maltreated and nonmaltreated children (N = 177) were examined and used to predict externalizing behavior problems. Maltreatment was assessed using case file information, characteristics of the family and home environment were rated by interviewers, and externalizing behavior was assessed by mother's ratings on the Child Behavior Checklist. Relative to nonmaltreated children, the family environments of physically abused children were characterized by higher levels of negative social interactions. Also, in comparison to nonmaltreated children, the home environments of children who experienced neglect were characterized as less organized and clean. Hierarchical regression analyses revealed that physical abuse was the strongest predictor of externalizing behavior. After controlling for the contribution of physical abuse, mother's negative behavior toward the focal child, aggression between siblings, and the lack of an organized and clean home were each predictive of externalizing behavior.