The effect of classroom environment on problem behaviors: A twin study

Children's behavior problems, both internalizing and externalizing, are a function of both genetic and environmental influences. One potentially important environmental influence is the classroom environment. This study of 1941 monozygotic twin pairs examined whether children whose parents rated them as similarly high or low on a number of problem behaviors were rated in the same way by teachers when they were together versus separated in their classrooms at school. Results showed that twins in the same classrooms were rated by their teachers more similarly on each dimension of problem behavior than were twins who were separated into different classrooms, suggesting that the classroom environment is important in predicting differences between twins in terms of problem behaviors at school. In addition, parents' ratings of problem behaviors were lower for twins placed in the same classroom versus twins in different classrooms. Thus, there is reason to consider whether, at least during the early school years, parents should be allowed to make the decision to not separate twins at school.     

The Effects of Health Threat Seriousness and Personal Efficacy upon Intentions and Behavior1

Eighty dental patients were pretested with a scale measuring health locus of control and then exposed to a persuasive communication designed to manipulate their beliefs about the seriousness of periodontal disease and their susceptibility to it. The high seriousness condition increased feelings of fear, concern, and threat as well as intentions and reported compliance with recommended oral hygiene procedures. However, patient's perceived personal efficacy in performing the recommended behavior was the most important predictor of subsequent behavior. The implications of the results for Roger's protection motivation theory are discussed.     

Training parents as behavior modifiers: self-recording of contingent attention

Two mothers of deviant young children were instructed to count their episodes of attention to appropriate child behavior in their homes, using wrist counters. Attention and appropriate child behavior were defined before counting began. Independent observations of parent-child interactions showed that, for each mother-child pair, the percentage of maternal attention given following appropriate child behavior increased, as did the child's appropriate behavior. Removal of the counters did not produce a reversal of the behaviors; instead the increased level stabilized. One mother was then instructed to count her attention to inappropriate child behavior and to decrease it. This instruction had little effect on her attention, and her child's behavior did not change. When both parents were again instructed to count their episodes of attention to appropriate behavior, further improvements in both mothers, and in their children resulted. These results were obtained despite inaccurate parent self-recording. Follow-up observations made over the next five months showed these behavioral gains to be durable. A third parent and his child were unaffected by this training procedure. Thus, there are instances in which self-recording may function as an effective and economical parent-training technique for effecting improvements in child behavior.     

Suicide attempts in twins whose co-twins' deaths were non-suicides

Familial similarity for suicidal behavior has been interpreted by psychosocially oriented researchers as reflecting extreme grief following loss. This view would anticipate a higher frequency of attempted suicide among bereaved MZ than DZ twins (regardless of cause of death), given their generally increased social closeness. Alternatively, support for a genetic influence on suicidal behavior has been provided by findings of greater concordance among monozygotic (MZ) than dizygotic (DZ) twins, and among biological than adoptive relatives. This approach predicts that the occurrence of suicidal attempts among bereaved MZ and DZ twins whose co-twins deaths were non-suicides should not differ and should be low in frequency, given an absence of predisposing genetic factors. Attempted suicide was compared in 166 MZ and 79 DZ twins whose co-twins' deaths were non-suicides. Suicidal attempts (during the first two months following the loss) were recalled by 3 MZ twins (1.8%) and by 3 DZ twins (3.7%), a difference that was not significant. The present study, together with previous twin and adoption studies, supports the view that concordance for suicide among family members reflects a common genetic predisposition to suicidal behavior.     

Infant twins’ social interactions with caregivers and same-age siblings

The study of twin behavior offers the opportunity to study differential patterns of social and communicative interactions in a context where the adult partner and same-age peer are equally familiar. We investigated the development of social engagement, communicative gestures, and imitation in 7- to 25-month-old twins. Twin dyads (N = 20 pairs) participated in 10-min, semi-structured play sessions, with the mother seated in a chair completing paperwork for half the session, and on the floor with her children for the other half. Overall, twins engaged more with their mothers than with their siblings: they showed objects and imitated speech and object use more frequently when interacting with their mothers than with their siblings. When the mother was otherwise engaged, the twins played with toys separately, observed each other's toy play, or were unengaged. These results demonstrate that adult scaffolding of social interactions supports increased communicative bids even in a context where both familiar peers and adults are available as communicative partners.     

Effects of teacher attention on attending behavior of two boys at adjacent desks

The effects of teacher attention on the attending behavior of two boys seated at adjacent desks were investigated. Baseline records were obtained of the appropriate attending behavior of two boys who were described as the most disruptive pupils in a second-grade classroom of a poverty area school. During the first experimental phase, the teacher systematically increased the amount of attention for appropriate attending in one of the pair, Edwin. This resulted in a dramatic increase in his attending rate and a lesser, though significant, increase in attending behavior of the second boy, Greg. During the second experimental phase, systematic attention for attending was instituted for Greg and was discontinued for Edwin. This resulted in further increases in attending by Greg and a reduction in attending by Edwin. A brief withdrawal of reinforcement for attending in both Greg and Edwin reduced attending levels for both. Following this reversal appropriate attending for both boys was systematically reinforced and attending returned to high levels.     

THE GOOD TOOTHBRUSHING GAME: A SCHOOL-BASED DENTAL HYGIENE PROGRAM FOR INCREASING THE TOOTHBRUSHING EFFECTIVENESS OF CHILDREN

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the “Good Toothbrushing Game.” Each day four children from each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design (Hersen & Barlow, 1976, pp. 228–229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. The treatment terminal level for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0, and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.     

INCREASING SPONTANEOUS PLAY BY SUPPRESSING SELF-STIMULATION IN AUTISTIC CHILDREN1

Appropriate play with toys was studied in two autistic children with high occurrences of self-stimulatory behavior. Each child participated in the experimental sessions in an A-B-A design, where “A” refers to baseline sessions and “B” refers to self-stimulation suppression sessions. It was found that: (a) during the baseline sessions, the children exhibited low levels of play and high levels of self-stimulatory behavior; (b) the per cent of unreinforced, spontaneous, appropriate play increased when self-stimulatory behavior was suppressed; and (c) when the suppression of self-stimulation was discontinued, the per cent of self-stimulation and that of appropriate play approached their presuppression levels. These results seem particularly significant because they identify a set of conditions under which spontaneous appropriate behavior, uncommon in autistic children, occurs at an increased level.     

Nondirective prompting and noncontingent reinforcement in the treatment of destructive behavior during hygiene routines.

The escape-maintained destructive behavior of a girl with mental retardation persisted during hygiene routines with directive prompting, differential reinforcement for compliance, and extinction as treatment. Using nondirective prompting and noncontingent reinforcement, destructive behavior was reduced to near-zero levels during the hygiene routine.     

THE CONCEPTUAL DOMAIN OF INTERPERSONAL COMMUNICATION BEHAVIOR: A FACTOR-ANALYTIC STUDY

A provisional taxonomy of interpersonal behavior, ordered as a circumplex, was empirically derived from both the phenomenological and public communication ratings of subjects. At both levels, ratings were most prominently influenced by a Control dimension, made up of the perceptions of socially undesirable behaviors. The circular arrangements of the variables showed that a gap existed in the active and passive affective quadrants. It was suggested that revision of the IBI incorporate the affective dimensions associated with the findings of interpersonal competence research and that communication researchers give appropriate emphasis to the affective domain of interpersonal behavior.     

Two sets of twins with selective mutism: neuropsychological findings.

Neuropsychological data are reviewed from two sets of dizygotic twins presenting with selective mutism characterized by situation specific anxiety, extreme passive behavior, lack of responsivity, lack of peer interaction, and a chronic course of selective mutism. Both sets of twins had a history of prematurity and delayed speech development. One set of twins presented with normal intelligence and normal receptive language skills but with expressive language and oral motor sequencing difficulties. The second set of twins presented with Verbal IQ deficits and significant receptive and expressive language deficits. A summary of current conceptualizations regarding etiology and treatment of selective mutism is provided.     

School Context and Genetic Influences on Aggression in Adolescence

Genetic and environmental contributions to variation in aggression were examined using adolescents' self-reports of aggressive behavior. The National Longitudinal Study of Adolescent Health provided a sample of 1,515 pairs of adolescents in five genetically informative groups (i.e., monozygotic twins, dizygotic twins, full siblings, half siblings, and unrelated siblings reared together). The analysis, a DeFries-Fulker regression within a hierarchical linear model, yielded findings on individual-level heritability (h2), shared environmental effects (c2), school-level effects, and school-level moderation of h2 and c2. The estimate of h2 for aggression in the full sample was .32, and c2 was .05. In the moderating effect, h2 increased and c2 decreased with greater school-level family warmth. Two effects on school means were found: Those schools with greater ethnic-racial heterogeneity had higher mean levels of aggression, and schools where students perceived greater family warmth had lower mean levels of aggression.     

The use of brief restraint plus reinforcement to treat self-injurious behavior

This study evaluated the use of brief arm restraint plus differential reinforcement of alternative behavior to treat the self-injurious behavior of two residents with multiple handicaps and profound mental retardation. The study took place in a nursing home and sessions were conducted for 15 minutes, Monday through Friday. The design contained both multiple baseline and reversal components. Mean levels of self-injurious behavior and stripping for one client were reduced from 92 to 16% and 81 to 2%, respectively, by the treatment. Her appropriate behavior increased from a mean of 18% in baseline to 100% in treatment. The second client's self-injurious behavior averaged 39% in baseline, but was reduced to a mean of 9% in treatment. His throwing decreased from a mean of 54% prior to treatment to a mean of 2%, while appropriate object manipulation increased from 26 to 99%. These data support the use of brief restraint plus reinforcement for decelerating severe self-injurious behaviors and accelerating appropriate behaviors in adults with profound mental retardation. The advantages of this treatment are that it appears to be less intrusive and to offer more educational benefits than other commonly used techniques.     

An automatic device for toilet training

A chain of subject-initiated toileting behavior was established and maintained in three enuretic and encopretic profoundly retarded adults through the use of an automatic device which both monitored eliminations and dispensed candy reinforcers. When the device reinforced elimination, the incidence of urinations and defecations in clothing was sharply reduced in each subject, while the frequency of appropriate toileting behavior increased. With the device nonoperative (extinction), the behavior relapsed toward pretraining levels. In reconditioning, with the device again functional, post-training levels were re-established. The device was reliable and was seen to eliminate many of the difficulties inherent in toilet training.     

It's not all about me: motivating hand hygiene among health care professionals by focusing on patients

Diseases often spread in hospitals because health care professionals fail to wash their hands. Research suggests that to increase health and safety behaviors, it is important to highlight the personal consequences for the actor. However, because people (and health care professionals in particular) tend to be overconfident about personal immunity, the most effective messages about hand hygiene may be those that highlight its consequences for other people. In two field experiments in a hospital, we compared the effectiveness of signs about hand hygiene that emphasized personal safety ("Hand hygiene prevents you from catching diseases") or patient safety ("Hand hygiene prevents patients from catching diseases"). We assessed hand hygiene by measuring the amount of soap and hand-sanitizing gel used from dispensers (Experiment 1) and conducting covert, independent observations of health care professionals' hand-hygiene behaviors (Experiment 2). Results showed that changing a single word in messages motivated meaningful changes in behavior: The hand hygiene of health care professionals increased significantly when they were reminded of the implications for patients but not when they were reminded of the implications for themselves.     

The effects of verbal operant training and response interruption and redirection on appropriate and inappropriate vocalizations

Past research has shown that response interruption and redirection (RIRD) can effectively decrease automatically reinforced motor behavior (Hagopian & Adelinis, 2001). Ahearn, Clark, MacDonald, and Chung (2007) found that a procedural adaptation of RIRD reduced vocal stereotypy and increased appropriate vocalizations for some children, although appropriate vocalizations were not targeted directly. The purpose of the current study was to examine the effects of directly targeting appropriate language (i.e., verbal operant training) on vocal stereotypy and appropriate speech in 3 children with an autism spectrum disorder. The effects of verbal operant (i.e., tact) training were evaluated in a nonconcurrent multiple baseline design across participants. In addition, RIRD was implemented with 2 of the 3 participants to further decrease levels of vocal stereotypy. Verbal operant training alone produced slightly lower levels of stereotypy and increased appropriate vocalizations for all 3 participants; however, RIRD was required to produce acceptably low levels of stereotypy for 2 of the 3 participants.     

Oral Health-Quality of Life Predictors Depend on Population

In the framework of the development and evaluation of oral health interventions that take into account people’s oral health-related quality of life (OH-QoL), it is important to know what determinants and effects of OH-QoL are. Because the processes involved in the experience of OH-QoL may differ for different populations, this study mapped the relations of general health perception, social factors, dental anxiety and oral hygiene behavior on the one hand with OH-QoL on the other hand, in two different samples that mainly differed on the experience they had with dental care and dental pathology: In 112 patients of the Center for Dentistry and Oral Hygiene and in 339 first year psychology students. The relations of three of the four variables with OH-QoL differed in both samples. Although not all relations could be interpreted unequivocally in this cross-sectional design, the data illustrate that the main difference between both samples (i.e., patients indicated for oral treatment versus students outside treatment) influenced the psychological processes involved in OH-QoL. This implicates that oral health interventions directed at increasing OH-QoL may have to be adapted to populations.     

The use of teachers as behavioral observers

The effect of using teachers as behavioral observers on both student and teacher behavior was examined with eight teachers and 32 elementary school children. The frequency of prompts (but not praise or criticism) to those students observed by the teacher increased significantly from nonobserver to teacher observed experimental phases. In addition, students observed by the teacher showed more change in appropriate behavior than students who were not observed. The significance of these findings for research and therapy is discussed.