Can Attention Deficit Hyperactivity Disorder and Fetal Alcohol Spectrum Disorder be differentiated by motor and balance deficits?

There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7–10 years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study.     

What Does Diffusion Tensor Imaging Reveal About the Brain and Cognition in Fetal Alcohol Spectrum Disorders?

Over the past 5 years, Diffusion Tensor Imaging (DTI) has begun to provide new evidence about the effects of prenatal alcohol exposure on white matter development. DTI, which examines microstructural tissue integrity, is sensitive to more subtle white matter abnormalities than traditional volumetric MRI methods. Thus far, the available DTI data suggest that white matter microstructural abnormalities fall on a continuum of severity in Fetal Alcohol Spectrum Disorder (FASD). Abnormalities are prominent in the corpus callosum, but also evident in major anterior-posterior fiber bundles, corticospinal tracts, and cerebellum. These subtle abnormalities are correlated with neurocognitive deficits, especially in processing speed, non-verbal ability, and executive functioning. Future studies using larger samples, increasingly sophisticated DTI methods, and additional functional MRI connectivity measures will better characterize the full range of abnormalities in FASD. Ultimately, these measures may serve as indices of change in future longitudinal studies and in studies of interventions for FASD.     

National Study of School Psychologists’ Use of Evidence-Based Assessment in Autism Spectrum Disorder

This study aimed to better understand predictors of evidence-based assessment practices for autism spectrum disorder (ASD). Nationwide, 402 school psychologists were surveyed for their knowledge of and training and experience with ASD on assessment practices, including reported areas of training needs. The majority of school psychologists reported that they did not engage in comprehensive assessment of ASD, which was defined as assessments that consider all areas of development in addition to the use of ASD-specific instruments. Results from logistic regression revealed that experience and training, working with young children with ASD, and geographic location predicted use of evidence-based assessment practices. Experience and training with ASD was the strongest predictor of evidence-based assessment. No differences in training needs were indicated by school psychologists whose practices were consistent with evidence-based assessment and those whose practices were not. Overall, the results identified gaps between best and current practices by school psychologists and highlight areas of need for additional training and professional development.     

Why Ask,Why Tell? Teaching and Learning about Lesbians and Gays in Family Therapy

The article by J.K. Long (1996) in this issue of Family Process helps puncture the conventional secrecy around homosexuality, challenging the silence of many supervisors. In this commentary, I will expand on the themes raised by Long and offer some tangible steps we can take to teach and learn about lesbians/gays in couples and families.     

The Utility of MMPI–2–RF Scale Scores in the Differential Diagnosis of Schizophrenia and Major Depressive Disorder

This study was designed to determine whether scores on selected Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI–2–RF) scales could be used to differentiate between individuals diagnosed with schizophrenia (SCZ) and major depressive disorder (MDD). The sample was drawn from 2 psychiatric inpatient hospitals and included data from 199 individuals with SCZ and 808 individuals with MDD. A series of multivariate analyses of variance, analyses of variance, and odds ratios were calculated to determine which MMPI–2–RF scales provide the best differentiation between individuals presenting with these 2 disorders. Results indicated scales assessing internalizing dysfunction, including Emotional/Internalizing Dysfunction (EID), Restructured Clinical Scales Demoralization (RCd), Low Positive Emotions (RC2), Suicidal/Death Ideation (SUI), and Self Doubt (SFD) best discriminated MDD from SCZ. Scales assessing thought dysfunction, incluidng Thought Dysfunction (THD), Restructured Clinical Scales Ideas of Persecution (RC6) and Aberrant Experiences (RC8), and Psychoticism-Revised (PSYC-r) were demonstrated to best identify SCZ. Comparisons of the examined MMPI–2–RF scales to MMPI–2 scales assessing similar constructs suggested scales from the MMPI–2–RF perform similarly to their MMPI–2 counterparts in detecting MDD or SCZ, but might have increased ability to discriminate SCZ from other conditions. Overall, results of this study suggest that scores on the examined MMPI–2–RF scales provide important information about the differential diagnosis of MDD and SCZ to clinicians working in inpatient settings.     

Immigrant Families’ Perception of the Causes,First Manifestations,and Treatment of Autism Spectrum Disorder

Compared to families from their host country, families from immigrant backgrounds who have a child with autism spectrum disorder (ASD) tend to experience greater difficulties in accessing, using, and complying with intervention services for their child. This disparity may be partially accounted for by cultural differences in how families perceive the causes and symptoms of ASD as well as their treatment priorities. The present study sought to document these perceptions in immigrant families living in a Canadian city. Forty-five parents from Latin America, Africa, Western and Eastern Europe, the Caribbean, East Asia, and the Middle East participated in a semi-structured interview. These data were examined qualitatively through thematic analysis to first document all parents’ perceptions, then to contrast mothers’ and fathers’ responses, and finally to examine common themes as a function of country of origin. The most frequently mentioned causes of ASD were environmental factors such as vaccines and diet. Moreover, some participants did not know the cause of their child’s ASD. The majority of parents cited the absence of speech as one of the first symptoms noted in their child. Priorities for intervention varied: mothers tended to prioritize speech therapy, whereas fathers favored support in school. Taken as a whole, these findings highlight the need to implement informational programs for these families.     

“Why Am I so Anxious?” A Study of Attention Bias in Obsessive Compulsive Disorder

Previous research investigating attentional bias has produced intriguingly equivocal results. The present large-scale study explored attentional bias in subjects diagnosed with obsessive-compulsive disorder (OCD) and in a control group (n = 80) using the Emotional Stroop Test. Results clearly indicated poorer performances across the board amongst patients diagnosed with OCD compared to the control group, particularly in the case of anxiety-related stimuli. This paper discusses, in the light of current models of attentional bias towards threat in anxiety disorders, the processes whereby attentional bias towards anxiety stimuli might play a vital role in the causation and maintenance of OCD.     

Why Do You Ask? The Effects of Perceived Motives on the Effort that Managers Allocate Toward Delivering Feedback

Journal of Business and Psychology - Although people are generally motivated to perform well at work, there is often ambiguity regarding whether they are meeting their organization’s...     

Why Not Community? An Exploration of the Value of Community in Cohen's Socialism

Res Publica - The work of prominent analytical Marxist G. A. Cohen provides a vision of socialism which has distributive justice and community at its core. While Cohen's view of distributive...     

On the Lack of Direction in Rayo’s The Construction of Logical Space

Abstract

I argue that Agustín Rayo’s symmetric ‘just is’ statements cannot be defined in terms of notions like essence, grounding or metaphysical truth-conditions. I go on to argue that one of these latter notions, which allow us to express an asymmetric relationship between facts, is needed to do some of the work that Rayo intends ‘just is’ statements to do, such as stating reductionist claims.     

Why a common commemoration of the Reformation?

This article provides information about the fact that today any commemoration of the Reformation can only be celebrated in ecumenical communion. In contrast to earlier Reformation jubilees, the commemoration of the Reformation in 2017 is taking place, for the first time, in an ecumenical era. The year 2017 refers back to the year 1517, that is, to a time when the break with the Catholic Church had not yet happened. Martin Luther himself did not intend the division of the Church, nor did he visualise the founding of a new church, but the renewal of all Christendom. This failed in his time. Therefore one should regard the ecumenical search for the restoration of unity as the – indeed very belated – success of the Reformation. The commemoration of ??a reformation is an ecumenical opportunity, if it is committed to living the triad of gratitude for the reformation’s positive aims, of repentance for the sins of division and subsequent confessional wars, and of hope for a greater unity between Lutherans and Catholics.     

Logical and psychological partitioning of mind: Depicting the same map?

The aim of this paper is to demonstrate that empirically delimited structures of mind are also differentiable by means of systematic logical analysis. For the sake of this aim, the paper first summarizes Demetriou’s theory of cognitive organization and growth. This theory assumes that the mind is a multistructural entity that develops across three fronts: the processing system that constrains processing potentials, a set of specialized structural systems (SSSs) that guide processing within different reality and knowledge domains, and a hypercognitive system that monitors and controls the functioning of all other systems. The second part of the paper focuses on the SSSs, which are the target of our logical analysis, and it summarizes a series of empirical studies demonstrating their autonomous operation. The third part develops the logical proof showing that each SSS involves a kernel element that cannot be reduced to standard logic or to any other SSS. The implications of this analysis for the general theory of knowledge and cognitive development are discussed.     

Is Gender Identity Disorder in Children a Mental Disorder?

Empirical studies were evaluated to determine whether Gender Identity Disorder (GID) in children meets the Diagnostic and Statistical Manual of Mental Disorders-4th Edition (DSM-IV, American Psychiatric Association, 1994) definitional criteria of mental disorder. Specifically, we examined whether GID in children is associated with (a) present distress; (b) present disability; (c) a significantly increased risk of suffering death, pain, disability, or an important loss of freedom; and if (d) GID represents dysfunction in the individual or is simply deviant behavior or a conflict between the individual and society. The evaluation indicates that children who experience a sense of inappropriateness in the culturally prescribed gender role of their sex but do not experience discomfort with their biological sex should not be considered to have GID. Because of flaws in the DSM-IV definition of mental disorder, and limitations of the current research base, there is insufficient evidence to make any conclusive statement regarding children who experience discomfort with their biological sex. The concluding recommendation is that, given current knowledge, the diagnostic category of GID in children in its current form should not appear in future editions of the DSM.     

Teaching Children with Autism Spectrum Disorder to Mand “Where?”

A modified multiple-baseline design across participants was used to evaluate a procedure for teaching the mand “Where?” to 3 children with autism. The participants were 3 and 5?years old and were participating in an intensive applied behavior analysis program. The participants were able to mand for items they wanted when the items were not in sight but were unable to ask where an item was located. The procedure consisted of a preference assessment for play activities, contrived conditioned motivating operations (CMO’s), prompting the children to mand “Where,” and consequences for correct and incorrect responding. Each contrived CMO consisted of an opportunity for the child to mand “Where” while playing with a selected activity, prompting the child to mand, and reinforcing a correct response by answering the question “Where.” Two of the participants learned to mand “Where” after training with 1 CMO and the mand generalized to novel contrived situations, activities, and the natural environment and was maintained over time (up to 4-weeks), whereas one participant required training with a second CMO before generalization occurred.