Methylphenidate and cognitive therapy with add children: A methodological reconsideration

The present doubleblind study examined the effects of methylphenidate, cognitive therapy, and their combination in attention deficitdisordered (ADD) children. Four treatment groups were compared on measures of attentional deployment and cognitive style, tests of academic achievement, and behavioral rating scales. In contrast to a previous study conducted in this laboratory, children in this study were not receiving medication during posttesting. Results were interpreted to suggest that measurable effects of stimulant medication dissipate rapidly upon discontinuation of pharmacotherapy. The combination of methylphenidate and cognitive therapy was not found to be any more efficacious than either of the treatments studied alone. Discussion suggests that medication status at follow-up is an essential feature of research design.This research was supported in full by U.S. Public Health Service Grant No. MH 37-628 from the National Institute of Mental Health, Psychopharmacology Branch, and by Biomedical Research Award No. RR 0715807 from the National Institutes of Health, each awarded to R. T. Brown. Placebo and methylphenidate were supplied by CIBA-GEIGY, Summit, New Jersey. The authors are grateful to Dr. Rute Medenis and the entire staff at the University of Illinois Pediatrics Clinic for their valuable assistance and kind support throughout the project. The authors would also like to thank Avery L. Spunt, R.Ph., College of Pharmacy, University of Illinois, for his assistance in packaging the medication and monitoring compliance; Arthur I. Neyhus, Ph.D., Coordinator of Child Study Facility, University of Illinois at Chicago, for his assistance in evaluation; and J. Scott Allen, Jimmy Bruce, Robert Miller, Michael Mazius, and Steven Orenczuk, for their assistance in training of the children.The contributions of these authors are equal.     

Proximal postural control mechanisms may be exaggeratedly adopted by individuals with peripheral deficiencies: a review

In quiet stance, it is understood that healthy individuals control their posture primarily by a peripheral mechanism for anteroposterior sway and by a proximal mechanism for medialateral sway. The authors proposed the hypothesis that patients suffering from disease-related deficiencies, at their feet and legs, may exaggeratedly adopt proximal control mechanisms at their hip in the anteroposterior and medialateral axes. They critically reviewed the literature to test the proximal control hypothesis against published findings. The selected articles analyzed postural control mechanisms in individuals with diabetic peripheral neuropathy and in healthy controls. The data selected were kinematic and electromyographic. In the anteroposterior axis, 4 authors had previously tested the proposed hypothesis, but the findings are contrasted. In the medialateral axis, one study failed to validate the tested hypothesis. Overall, the published studies did not conform with the proximal control hypothesis. However, these studies did not specifically or deeply test such a hypothesis. The lack of results is critical because individuals suffering from peripheral disease-related deficiencies may be unstable, in part, because of a change in postural control mechanisms. For improvement of their stability and appropriate interventions, scientific explorations of the proximal control hypothesis should be investigated. Two proposals are made to move forward.     

Electrometric Studies of Sleep

The authors provided a differential test between stimulus-stimulus (S-S) and stimulus-response (S-R) theory predictions in regard to the roles that the constructs of expectancy and of fear play in maintaining classically conditioned fear responding within the context of a human conditioned-avoidance paradigm. After the participants had developed sustained avoidance responding, their shock electrodes and avoidance response apparatus were removed to enhance the cognitive expectancy that the conditioned stimulus (CS) would not be followed by the unconditioned stimulus (UCS). This manipulation of expectancy was successful in 96% of the participants. The study was conducted over a 2-day period and involved 1 experimental group and 3 control groups. During the test trials, the authors used autonomic and self-report indices of fear to assess the presence or absence of fear to the CS. The data disconfirmed the prediction of the S-S theory that fear to the CS would be extinguished. The authors discuss the implications of this finding for S-S theories and for approaches in cognitive behavior therapy.     

The S-S construct of expectancy versus the S-R construct of fear: which motivates the acquisition of avoidance behavior?

The authors provided a differential test between stimulus-stimulus (S-S) and stimulus-response (S-R) theory predictions in regard to the roles that the constructs of expectancy and of fear play in maintaining classically conditioned fear responding within the context of a human conditioned-avoidance paradigm. After the participants had developed sustained avoidance responding, their shock electrodes and avoidance response apparatus were removed to enhance the cognitive expectancy that the conditioned stimulus (CS) would not be followed by the unconditioned stimulus (UCS). This manipulation of expectancy was successful in 96% of the participants. The study was conducted over a 2-day period and involved 1 experimental group and 3 control groups. During the test trials, the authors used autonomic and self-report indices of fear to assess the presence or absence of fear to the CS. The data disconfirmed the prediction of the S-S theory that fear to the CS would be extinguished. The authors discuss the implications of this finding for S-S theories and for approaches in cognitive behavior therapy.     

Beyond intuition and instinct blindness: toward an evolutionarily rigorous cognitive science

Cognitive psychology has an opportunity to turn itself into a theoretically rigorous discipline in which a powerful set of theories organize observations and suggest focused new hypotheses. This cannot happen, however, as long as intuition and folk psychology continue to set our research agenda. This is because intuition systematically blinds us to the full universe of problems our minds spontaneously solve, restricting our attention instead to a minute class of unrepresentative “high-level” problems. In contrast, evolutionarily rigorous theories of adaptive function are the logical foundation on which to build cognitive theories, because the architecture of the human mind acquired its functional organization through the evolutionary process. Theories of adaptive function specify what problems our cognitive mechanisms were designed by evolution to solve, thereby supplying critical information about what their design features are likely to be. This information can free cognitive scientists from the blinders of intuition and folk psychology, allowing them to construct experiments capable of detecting complex mechanisms they otherwise would not have thought to test for. The choice is not between no-nonsense empiricism and evolutionary theory; it is between folk theory and evolutionary theory.     

Near-death veridicality research in the hospital setting: Problems and promise

We attempted to conduct near-death veridicality research in the hospital setting, the rationale for which (we presented previously (Holden, 1988).) This paper describes problems, both anticipated and unanticipated, that we encountered. Based on the successes and failures of this undertaking, we present recommendations for future research of this type.At the time of this study, Dr. Holden was a candidate for the Ed.D. degree at the Northern Illinois University Graduate SchoolThis study was funded in part by a Dissertation Completion Award granted to Dr. Holden by the Northern Illinois University Graduate School. The authors also express gratitude to Robert Stromberg, Chaplain of the Lutheran General Hospital CCU at the time of this study, for his assistance in this research.     

The relationship between familial resemblance and sexual attraction: an update on Westermarck, Freud, and the incest taboo

Foundational principles of evolutionary theory predict that inbreeding avoidance mechanisms should exist in all species--including humans--in which close genetic relatives interact during periods of sexual maturity. Voluminous empirical evidence, derived from diverse taxa, supports this prediction. Despite such results, Fraley and Marks claim to provide evidence that humans are sexually attracted to close genetic relatives and that such attraction is held in check by cultural taboos. Here, the authors show that Fraley and Marks, in their search for an alternate explanation of inbreeding avoidance, misapply theoretical constructs from evolutionary biology and social psychology, leading to an incorrect interpretation of their results. The authors propose that Fraley and Marks's central findings can be explained in ways consistent with existing evolutionary models of inbreeding avoidance. The authors conclude that appropriate application of relevant theory and stringent experimental design can generate fruitful investigations into sexual attraction, inbreeding avoidance, and incest taboos.     

Cognitive change processes in psychotherapy

Several types of cognitive-behavioral therapy are now practiced that use different sets of theoretical concepts and propose different kinds of change mechanisms. None, however, is directly grounded in experimental research in cognitive and social psychology, and few address basic issues such as the relevance of conscious versus nonconscious cognitive processes and the validity of the self-report data on which therapy depends. Put forward in this article is a model that describes the conscious and nonconscious processing of emotional stimuli and distinguishes between knowledge that is verbally accessible and knowledge that can only be recovered by exposure to situational cues. Also proposed are three mechanisms of cognitive change that involve altering verbally accessible knowledge, the accessibility of nonconscious situational memories, and self-regulatory strategies. These mechanisms are related to the current practices of behavioral and cognitive-behavioral therapists.     

COGNITIVE RESTRUCTURING AND MENTAL CONTAMINATION: AN EMPIRICAL RE-CONCEPTUALIZATION

The main goal of this article is to propose a cognitive technology for blocking the impact of mental contamination during cognitive restructuring in cognitive-behavioral and rational-emotive therapy, by using fundamental research findings from cognitive psychology. In step 1, after a review of the relevant cognitive and social psychology literature, the authors elaborated several techniques hypothesized to control mental contamination. In step 2—Experiment I—the authors tested the efficacy of these techniques in blocking mental contamination. The three techniques that proved to be effective in controlling mental contamination were: (a) the global restructuring technique; (b) the rational anticipation technique; (c) the incompatible information technique. In step 3—Experiment II—these techniques were adapted and tested in clinical setting using a single case experiment design-multiple baselines across subjects (five subjects with simple phobia). The techniques were shown to be effective in both stimulating the assimilation of new adaptive cognitions (i.e., global restructuring and incompatible information technique) and in preventing relapse (i.e., rational anticipation technique). Future directions for research are discussed. Address correspondence to Daniel David, Ph.D., Department of Psychology and Center for Cognitive and Behavioral Psychotherapies, Babes-Bolyai University, No. 37, Gh. Bilascu Street, 3400, Cluj-Napoca, Cluj, Romania; e-mail: danieldavid@psychology.ro.     

Depression vulnerability moderates the effects of cognitive behavior therapy in a randomized controlled trial for smoking cessation

Several clinical trials have tested the hypothesis that smoking cessation treatments with a mood management component derived from cognitive behavior therapy (CBT) for depression would be specifically effective for depression-vulnerable smokers, with mixed results. This trial addressed methodological concerns with some of the previous studies to clarify whether depression vulnerability does in fact moderate CBT smoking cessation outcome. The study compared 8-session group CBT with a time-matched comparison group condition in a sample of 100 cigarette smokers randomized to treatment condition. Each treatment group was led by one of 7 American University clinical psychology graduate students; therapists were crossed with treatment conditions. Outcome (7-day point prevalence abstinence) was evaluated 1 month and 3 months after quit date. Baseline self-reported depression vulnerability (sample median split on the Depression Proneness Inventory) moderated treatment response, such that more depression-prone smokers fared better in CBT whereas less depression-prone smokers fared better in the comparison condition. These results may have implications for determining when to use CBT components in smoking cessation programs.     

"认知革命"与"第二代认知科学"刍议

以计算隐喻为核心假设的传统认知心理学以及联结主义心理学均不能克服离身心智（disembodied mind）的根本缺陷,当代认知心理学正面临着新的范型转换．以具身性和情境性为重要特征的第二代认知科学将日受重视,并促使认知神经科学进入新的发展阶段。作者认为在身心关系上应该坚持生理只是心理的必要条件,而非充分条件的赢场,克服生理还原论的危险;应该重新审视基于二元论的生理机制这种说法;心理学传统中的科学主义和人文主义有可能在第二代认知科学强调认知情境性的基础上达成某种融合;第一代认知科学对意识的研究是不成功的,因为对知觉、注意、记忆、思维等心理过程的研究不能代替意识的研究,同时还应避免以意识内容的研究取代心理学研究的倾向、第二代认知科学中的动力系统理论关于变量（因素）之间的偶合（coupling）关系完全不同于变差分析巾的变量之间的交互作用关系,其动力系统模式可能更有助于破解意识的产生（涌现）之谜,并引发心理学研究的方法论的变革新潮,第二代认知科学的兴起将启发人们对身心关系、生理还原论、意识研究在心理学中的地位、人工智能对心智完全模拟的可能性等重夫问题重新思考。     

Cognitive-behavior therapy with children: Developmental reconsiderations

The present paper reconsiders the role of developmental theory in the use of cognitive-behavior therapy (CBT) with children. The implication of Piaget's theory of cognitive development and Selman's social perspectivetaking theory are reviewed briefly in regard to CBT. It is argued that the assessment of both logical/analytical thought structures and social perspective-taking abilities may be useful in planning a course of CBT with children.Andrew Kinney, Ph.D., is an Associate Fellow at the Institute for Rational-Emotive Therapy, New York City. He is an Assistant Professor of Psychology at Mohawk Valley Community College, Utica, NY, and an Adjunct Lecturer of psychology at the State University of New York Institute of Technology at Utica/Rome, NY.     

A corrective note on O'Donohue and Szymanski's study of logical analysis and REBT's use of empirical hypothesis testing as well as logical analysis

This article acknowledges the contribution of O'Donohue and Szymanski's study showing that the logical analysis of irrational beliefs that rational emotive behavior therapy (REBT) favors may be more effective than the empirical hypothesis testing that cognitive therapy (CT) favors. It points out, however, that logical analysis and empirical hypothesis testing include overlapping concepts and procedures. REBT, though favoring logical analysis, actually uses empirical hypothesis testing too.     

On Becoming a Profession: The Growth of Marriage and Family Therapy in India*

The practice of couple and family therapy has a long history in India. This article tracks some of the people, places, and contexts associated with the growth of marriage and family therapy (MFT) as a profession in the Indian context. Two of the authors outline their own introduction to MFT and work within this field in different cities in India in the last two decades. Based on their professional experiences and a pilot study conducted in Chennai, the authors document the needs of providers in the areas of systems-based therapy training and the practice of MFT. The role of the Indian Association for Family Therapy (IAFT) and suggestions for the future growth of the field are also highlighted. Mudita Rastogi, PhD, Professor, Illinois School of Professional Psychology, Argosy University, 1000 Plaza Drive Schaumburg, IL 60173 (MuditaRastogi@hotmail.com). Rajeswari Natrajan, PhD, Assistant Professor, Alliant International University, 2500 Michelson Drive, Suite 250, Irvine, CA 92612-1548. Volker Thomas, PhD, Associate Professor, Purdue University, 1200 West State Street, Fowler Memorial House, Purdue University, West Lafayette, IN 47907-1269. *Portions of this paper are based on Rajeswari Natrajan’s dissertation at Purdue University. **Rastogi and Natrajan share first authorship for this paper.     

Self-control revisited: Or why doesn't anyone actually read Skinner anymore?

Self-control continues to develop as a major source of explanatory concepts within cognitive behavior therapy. The recent history of self-control is reviewed, and three related areas of disagreement between radical behaviorists and cognitive behaviorists are discussed. The logical status of self-reinforcement, reciprocity, and private events is examined and evaluated. This review suggests that a radical behavioral approach continues to offer psychology the most effective program for the analysis of behavior.     

认知行为治疗的生物学机制

现阶段认知行为治疗的生物学机制尚不明确。本文将从脑功能、神经电生理、神经内分泌与免疫以及遗传与表观遗传这四个方面对认知行为治疗的生物学机制进行讨论, 综合心理、生理和遗传三方面的结果, 从微观、中间和宏观多层面提出了认知行为治疗生物学机制的整合模型。并进一步对目前研究的局限性进行了讨论, 为未来探究认知行为治疗的生物学机制提供了新的方向。     

Procedural justice and status: status salience as antecedent of procedural fairness effects

The current article explores status as an antecedent of procedural fairness effects (the findings that perceived procedural fairness affects people's reactions, e.g., their relational judgments). On the basis of the literature, the authors proposed that salience of the general concept of status leads people to be more attentive to procedural fairness information and that, as a consequence, stronger procedural fairness effects should be found. In correspondence with this hypothesis, Experiment 1 showed stronger procedural fairness effects on people's relational treatment evaluations in a status salient condition compared with a control condition. Experiment 2 replicated this effect and, in further correspondence with the hypothesis, showed that status salience led to increased cognitive accessibility of fairness concerns. Implications for the psychology of procedural justice are discussed.     

The effects of physostigmine during the acquisition of avoidance behaviour as a function of the intersession interval

Rats were trained and tested on an avoidance task in a shuttle box. The change in the performance of the control rats over two sessions was found to be a U-shaped function of the interval between the sessions. The change in performance of rats injected with physostigmine prior to the second session was also found to be a U-shaped function of the intersession interval, although the drug was shown to impair avoidance behaviour. These results are consistent with those of Hamburg (1967) and of Biederman (1970), and support the general contention that cholinergic mechanisms in the brain are involved in the control of avoidance and escape behaviour in the rat. They do not, however, necessarily support the hypothesis advanced by Deutsch (1969, 1971) to describe a biochemical basis of learning and memory, especially if it is used to explain the effects of cholinesterase inhibitors on avoidance behaviour in the shurtlebox.     

Mediators in psychological treatment of social anxiety disorder: Individual cognitive therapy compared to cognitive behavioral group therapy

According to cognitive-behavioral models of social anxiety disorder (SAD), four of the important maintaining mechanisms are avoidance, self-focused attention, anticipatory processing and post-event cognitive processing. Individual cognitive therapy (ICT) and cognitive behavioral group therapy (CBGT) both have substantial empirical support. However, it is unclear whether they achieve their effects by similar or different mechanisms. The aim of this study was to investigate whether changes in the four maintenance processes mediate clinical improvement in ICT and CBGT for SAD. We analyzed data from participants (N = 94) who received either ICT or CBGT in two separate RCTs. The results showed that ICT had larger effects than CBGT on social anxiety and each of the four potential mediators. More pertinently, moderated mediation analyses revealed significant between-treatment differences. Whereas improvement in ICT was mainly mediated by reductions in avoidance and self-focused attention, improvement in CBGT was mediated by changes in self-focused attention and in anticipatory and post-event processing. These results support the importance of the putative mediators, but suggest that their relative weights are moderated by treatment type.     

Evading conceptual self-annihilation: Some implications of Albert Bandura's theory of the self-system for the status of psychology

There are two cognitive revolutions occuring in psychology. The first in the fields of perception, memory, language and thought uses information processing and computer models of cognition. The second in learning theory and behavioral therapy uses folk psychological concepts of cognition. To test the philosophical compatibility of these cognitive revolutions I examine the implications of Albert Bandura's theory of the self-system for the disputed question of the status of folk psychology. I argue that if the theory of the self-system is correct, then strong eliminative materialist claims about the falsity of folk psychology are disconfirmed, functionalist homunculi hypotheses need modification, and certain constraints are imposed on neurophysiological accounts of the self. Thus I conclude that the cognitive revolution in learning theory and behavior therapy is making its own distinctive contribution to the new philosophical psychology emerging from the cognitive revolution in psychology as a whole.