Maintaining disulfiram ingestion among outpatient alcoholics: a security-deposit contingency contracting procedure

Disulfiram is frequently prescribed to alcoholic patients as a deterrent to drinking. Although ingestion of ethanol by a disulfiram patient quickly results in an intense dysphonc reaction, the drug is not generally credited with significant value in alcoholism treatment (Mottin, 1973). It is suggested that most alcoholics simply stop taking the medication (Gerrein et al., 1973). and review articles conclude that motivation for abstinence is the crucial variable involved in successful disulfiram treatment (Ditman, 1966: Mottin, 1973).Motivation may be a characteristic of environmental contingencies rather than of individuals. If so, environmental contingencies should permit one to design into a disulfiram treatment progrim the requisite motivation to achieve therapeutic success. Contingency management procedures supporting disulfiram ingestion reported to date (Liebson et al., 1973: Haynes, 1973) have been of the sort to be imposed upon difficult populations rather than offered to general treatment applicants. Contingency contracting may represent a technique for supporting disulfiram ingestion appropriate to the broader general population of voluntary alcoholism treatment applicants. Contingency contract treatment (Homme, 1969; Stuart, 1971) is a procedure in which client and therapist mutually agree to establish an incentive for the client to achieve a behavioral goal. Contingency contracts can be viewed as a form of self-control therapy, and have been applied in a wide variety of problem areas, including school problems (Homme, 1969: Cantrell, et al., 1969). delinquency (Stuart, 1971),weight control (Mann, 1972). smoking reduction (Elliott and Tighe, 1968: Winett, 1973), drug abuse (Boudin, 1972), and alcoholism (Miller, 1972).Frequently contingency contracting involves the client's posting of a financial security deposit to serve as his incentive for achieving the agreed-upon therapeutic goal (Tighe and Elliot, 1968). This security deposit can be earned back consequent upon achieving specific goals, or sacrificed consequent upon failure. Controlled studies by Mann (1972) and by Winett (1973) have demonstrated this security-deposit procedure to be effective in enhancing weight loss and smoking reduction, respectively.We report here on our experience with application of the security deposit contracting procedure to maintaining routine disulfiram ingestion among outpatients in an alcoholism treatment program.     

Cognitive processing and cognitive ability: A multivariate validity investigation

What are the underlying sources of cognitive ability differences and of cognitive growth? Recent attention has focused on the experimental isolation of cognitive processing factors in the explanation of performance differences on complex tasks, and a number of research studies show a substantial relation between processing parameters and ability differences. Several validity issues—convergent process measures, differential ability prediction, and multiple levels of analysis—have not been addressed empirically, and these concerns are the focus of this study. Sixty eighth graders (30 F, 30 M) and 60 adults (30 F, 30 M) participated in verbal and spatial assessments, and in six experiments over two sessions. Three experiments were designed to estimate memory retrieval processing and three to estimate mental rotation processing. Two strategy parameters were derived also from these experiments. Within the processing tasks, there was modest convergence for eighth graders but negligible convergence for adults. More importantly, relationships between the processing parameters and the ability indices failed substantially to conform to the theoretically predicted convergent/discriminant pattern. Regression analyses also provided support for these disconforming patterns. The viability of explaining developmental and/or individual] differences using cognitive processing variance is explored.     

Training referential communication skills: The limits of success

We explored why an effective speaker-training technique failed to generalize to listener skills by comparing the relative effectiveness of speaker and listener training. Our hypotheses were that: either listening tasks utilize different skills than speaking tasks (thus one should not expect transfer), or the acquisition of listener skills precedes the acquisition of speaker skills (thus the transfer patterns tested in our previous research—speaker to listener—violated the normal developmental sequence), or there is no spontaneous transfer between tasks in different modalities (even though such tasks require the use of some of the same skills). This research utilized a referential communication paradigm. Five-year-olds received either speaker training, listener training, or both speaker and listener training. Children were tested for transfer on speaking and listening task after a 1-week delay. The results suggest that although speaking and listening tasks appear to require, at least in part, certain of the same skills, preschoolers do not exhibit spontaneous intermodality transfer. Theoretical implications for the relationship between speaker and listener skills are discussed.     

Alcoholic drinking: suppression by a brief time-out procedure

Volunteer chronic alcoholics were given daily access to substantial quantities of alcohol within a residential research setting. Drinking was suppressed to an average of approximately one-half of Baseline levels when 10 or 15 min of physical and social isolation was required as an immediate consequence to receiving each one-ounce drink of 95-proof ethanol. This time-out procedure suppressed the drinking of nine out of ten subjects. Drinking returned to high levels when brief contingent time-out was discontinued. The relevance of such reversible controlling relationships to the treatment of alcoholism is discussed.     

An analysis of speech perception in word deafness

A patient with a rather pure word deafness showed extreme suppression of right ear signals under dichotic conditions, suggesting that speech signals were being processed in the right hemisphere. Systematic errors in the identification and discrimination of natural and synthetic stop consonants further indicated that speech sounds were not being processed in the normal manner. Auditory comprehension improved considerably however, when the range of speech stimuli was limited by contextual constraints. Possible implications for the mechanism of word deafness are discussed.     

Semantic mechanisms in paralexia

This study explores the effects of semantic constraints on the occurrence of paralexic responses in two patients who tend to produce semantic errors in reading aloud. In the first experiment, semantic constraints were provided by using words as proper names (e.g., “brown” vs. “Sam Brown”), and in the second by using short, highly familiar phrases to restrict the meaning of the target word (e.g., the polar bear; green with envy). These constraints were found to be effective in reducing the frequency of paralexic errors.     

Abducted by Bayesians?

This paper discusses the role of theoretical notions in making predictions and evaluating statistical models. The core idea of the paper is that such theoretical notions can be spelt out in terms of priors over statistical models, and that such priors can themselves be assigned probabilities. The discussion substantiates the claim that the use of theoretical notions may offer specific empirical advantages. Moreover, I argue that this use of theoretical notions explicates a particular kind of abductive inference. The paper thus contributes to the discussion over Bayesian models of abductive inference.     

Prediction of serial perpetrator residence: Part I—Induction of models utilising spatio-temporal routing functions and investigative information

This article presents a new framework for the geographic profiling problem which assesses and integrates the travel environment of road networks; beliefs and assumptions formed through the investigation process about the perpetrator; and information derived from the analysis of evidence. Each piece of information is evaluated in conjunction with functions which gather real-time travel information, including both time and distance of likely perpetrator travel, and is then used to update prior beliefs about the potential base of operation of the perpetrator. A novel approach was developed to generate geographic profiles given different amounts of information about the perpetrator: a centrographic strategy for when only the victim dump sites are known; a perpetrator trek strategy for instances where both victim encounter and dump sites are available; and a formal evidence-driven model which leverages and integrates available information and evidence relevant to the case for the development of a geographic profile. A follow-up article will evaluate these models through a comprehensive application to the Yorkshire Ripper investigation (see Part II).     

Dissociations of language function in dementia: A case study

In this report we describe and attempt to characterize the deterioration in semantic knowledge occurring in a victim of a progressive dementing disease. The subject was unable to match even highly familiar naming words with their actual or pictured referents; instead, she consistently overextended verbal labels to closely associated distractors. The alteration in scope of referential meanings suggested by this overextension effect was apparently related to a breakdown in the structure of underlying categories. On a nonverbal match-to-sample procedure, for example, dogs were treated as exemplars of the cat family. Evidence for the breakdown of semantic knowledge was not limited to picture labeling paradigms. Thus, we found that the subject was unable to utilize semantic context in the written disambiguation of spoken homophones but could, at the same time, use even minimal syntactic cues as the basis for proper lexical selection. This last result was consistent with other lines of evidence pointing to the relative preservation of syntactic operations, in marked contrast to the semantic loss. The importance of this dissociation of function in organic pathology is considered from a number of perspectives, including its relevance to models of language organization in the brain.     

Parallel function strategy in pronoun assignment

Subjects completed sentences of the form NP1 aux V NP2 because (but) Pro … (e.g., John may scold Bill because he …) with a reason or motive for the action described. A basic perceptual strategy was hypothesized to underlie the comprehension of these sentences which have a potentially ambiguous pronoun in the subject position of the subordinate clause. It was expected that listeners would interpret the pronoun as being coreferential with the subject NP of the main clause, the NP with the same grammatical function. While this strategy accounted for the major share of the results, semantic factors restricted its use, establishing an interpretation in which the pronoun was coreferential with the object NP of the main clause.