A motivational environment for behaviorally deviant junior high school students

A contingency management program was established in a junior high school to better manage and educate students having histories of severe misconduct. School administrators selected 46 eighth-graders having multiple suspensions for misbehavior. Students (N=32) in two of the schools remained in traditional programs, serving as controls, whereas students (N=14) in the third school participated in a token reinforcement program. Reinforcers provided in the afternoon were contingent upon achievement and discipline during morning academic periods. Home-based reinforcers were established to support school behavior. Compared with the control group, significant reductions in negative school behavior as well as greater increases in academic achievement were obtained for the treatment group, thus supporting the efficacy of contingency management for adolescent school misbehavior.Valuable assistance in developing the reinforcement program and curriculum materials was provided by William Brown, principal of the Anne Arundel County Learning Center. Thanks are also due: Dottie Dpwling and Joe Gentile, the teachers in the program; John Jedlicka, principal of Stemmers Run Junior High; and Donnie Williams, research assistant.     

Focused videotape feedback psychotherapy: An integrated treatment for emotionally and behaviorally disturbed children

This controlled study describes the development and therapeutic effectiveness of Focused Videotape Feedback Psychotherapy. FVFP integrates parent-training, family therapy, and psychodynamically-oriented therapy as a treatment for children with emotional and behavioral disorders. Of the 105 children and their families, ages 4-10 years, referred for the study, only 40 met the strict diagnostic, research, and randomisation criteria for inclusion in one of the three research groups: FVFP, Psychodynamically-oriented, or Control. Evaluation was at pretreatment, 8 weeks, 16 weeks, and 20th week follow-up. Both treatment procedures were effective. FVFP produced more positive behavioral and affective changes at follow-up and was more time and cost effective.     

Distinguishing between conduct-problem and emotionally disturbed students in elementary school: a five-instrument discriminant analysis.

Five instruments, the Children's Manifest Anxiety Scale, Differential Test of Conduct and Emotional Problems, Personality Inventory for Children, Piers-Harris Children's Self-concept Scale, and Revised Behavior Problem Checklist, were employed to effect differentiations between 44 conduct-problem and 31 emotionally disturbed students placed in public elementary school classes for the severely emotionally handicapped. Discriminant analysis of each test's rate of classification germane to both a preassessment categorization as conduct-problem vs emotionally disturbed and a postassessment classification as no problem vs conduct-problem vs emotionally disturbed vs combined problem is presented. The analysis indicated that the Differential Test of Conduct and Emotional Problems, Personality Inventory for Children, and Revised Behavior Problem Checklist can, with variable effectiveness, significantly classify groups using such pre- and postassessment information.     

Distinguishing between conduct problem and emotionally disturbed students in secondary school: a five-instrument discriminant analysis

Five instruments, the Differential Test of Conduct and Emotional Problems, Louisville Behavior Checklist, Personality Inventory for Children, 16 PF Test, and Tennessee Self-concept Scale, were given to differentiate between 50 conduct problem and 48 emotionally disturbed students assigned in public school to secondary level classes for the severely emotionally handicapped. Discriminant analysis of each test's rate of classification germane to both a pre-assessment categorization as conduct problem vs emotionally disturbed and a post-assessment classification as no problem vs conduct problem vs emotionally disturbed vs combined problem is presented. The analysis indicated that the Differential Test of Conduct and Emotional Problems, Louisville Behavior Checklist, and Personality Inventory for Children can, with variable effectiveness, significantly classify adolescents into groups using such pre- and post-assessment information.     

A study of the intensity and frequency of crisis intervention for students enrolled in a school for the severely emotionally disturbed

The present study explored the characteristics of students with a marked need for disciplinary crisis intervention (a modified time-out procedure). The study's sample consisted of 62 adolescents enrolled at a school serving the severely emotionally disturbed. Data on student background characteristics (IQ, academic achievement), behavioral adjustment, and sociometric ratings were gathered and related to intensity and frequency of crisis intervention. Data were subjected to correlational and multiple regression statistical procedures. One noteworthy finding is that students with a pronounced need for crisis intervention were rejected by their peers, yet indicated having positive perceptions of them. However, the central finding is that students with strong crisis intervention needs displayed a range of behaviors that can be characterized as a disturbance in conduct. Thus, this study supports the use of therapeutic interventions aimed at enhancing behavioral control for these students.     

The effects of anger management groups in a day school for emotionally disturbed adolescents

Drawn from a day school for emotionally disturbed adolescents, seven students who scored in the clinical range on the Conduct subscale of the Conners Teacher Rating Scale took part in an anger management program. The program included psychoeducation, anger discrimination training, logging incidents of anger, and training in prosocial responses to anger. Pre-post assessments provided evidence of positive effects. The adolescents showed significant improvement on both the teacher (p<.03) and the parent (p<.04) versions of the Conduct subscale. They also exhibited a trend toward fewer incidents of physical aggression (p<.06). The implications of these findings for future research are discussed.     

An observational study of emotionally disturbed and learning-disabled children in school settings

It has been alleged that populations of learning-disabled (LD) and emotionally disturbed (ED) children are essentially indistinguishable on important intervention-related symptoms. To examine this claim, a direct observation study of social interactions during class, lunch, and recess settings in two public schools was conducted. Teacher ratings of school behavior were also collected. The results indicated that the ED boys exhibited significantly more nonphysical aggression and noncompliance than the LD boys across settings, and that the LD boys had significantly higher rates of physical and non-physical aggression and immature behavior than the LD girls. The correlations between the observations and teachers' ratings were modest but consistent with previous studies. The results are discussed with regard to their assessment and treatment implications.This study was supported, in part, by a grant from the National Institute of Mental Health (MH30058). The authors wish to acknowledge the assistance of the following individuals: Patricia Grayson, James Fogarty, Merrill Zusmer, James Burke, Elizabeth Mulvihill, and the teachers from the Sayville and Premm Learning Centers (L. Fass, J. Gould, K. Jones, C. Lacey, B. Licking, S. Ott, S. Palmer, J. Thorpe, C. Wangenstein, D. Wayne, and L. Wetter). We also wish to thank Michael H. Epstein and Jan Loney for their helpful comments on an earlier draft of this paper.     

Neuropsychological performance of emotionally disturbed students on the LNNB and LNNB-C

A number of researchers have reported an association between neuropsychological impairment and psychiatric disorders. However, there has been relatively little research on the neuropsychological functioning of emotionally disturbed students served in public schools. The purpose of this study was to determine the neuropsychological performance of 65 emotionally disturbed students 8–18 years old on the Luria-Nebraska Neuropsychological Battery: Form I (LNNB) and the Luria-Nebraska Neuropsychological Battery: Children's Revision (LNNB-C). The results indicated that approximately 42% of the younger group (99–154 months) and 38% of the older group (156– 226 months) demonstrated neuropsychological impairment as defined by criterion values for the various scales of the two batteries. On average, the emotionally disturbed students appeared to demonstrate more difficulty on more complex cognitive tasks, such as writing, arithmetic, and intellectual processes, than for less complex tasks, such as motor functions.     

Modification of an impulsive cognitive tempo in emotionally disturbed boys

In order to determine the relative effectiveness of verbal self-instructions and training to delay before responding in modifying an impulsive cognitive style, 15 impulsive emotionally disturbed boys were assigned to one of three groups. The cognitive-training group was given practice in verbal self-instructions, the delay-training group received practice in delaying before responding, and the control group received no training. Posttreatment scores on the Matching Familiar Figures Test showed a significant increase in latencies for both the cognitive and delay-training groups. However, only the cognitive-training group, which had recieved practice in verbal self-instructions, made fewer errors following training. Implications for future research and potential treatment strategies for verbal self-instructions are discussed.     

A prevocational training project for emotionally disturbed adolescents

Adult inpatient populations, trained to develop a repertoire of work-related skills such as tracking and following directions, utilizing emotional controls, relating to the world in a realistic manner, as well as acceptance of supervision, grooming, punctuality, and attendance. These skills eased their transition to the community and assisted in a more positive existence once within that community as compared to their untrained cohort. Additionally, the process of vocational training has been demonstrated to have therapeutic benefits. This project used many of the same adult training principles but applied them to an adolescent inpatient population. A vocational training project using specific behavioral interventions resulted in comparable improvement for adolescent subjects otherwise evidenced in adult patients' work-related skills and abilities. This training project was conducted yearly, 32 h per week for 10 weeks for 4 years. The project combined actual work experience, classroom time and behavioral interventions and rewards. A 16 × 10 analysis of variance was computed to assess improvement in work-related skills and abilities. The analysis yielded and F = 2.57, p < 0.01, suggesting the efficacy of the behavioral interventions when applied to adolescent inpatient populations. © 1997 John Wiley & Sons, Ltd.     

Reflection-impulsivity and academic attainment in emotionally disturbed children

Sixty-five emotionally disturbed children were administered the Matching Familiar Figures Test (MFF) and standard achievement tests. Significant correlations were obtained between MFF errors and achievement and Mental Age (MA) but not between MFF latencies and achievement and MA. Fifteen impulsive and fifteen reflective children, matched on MA and not differing on Chronological Age (CA), did not differ on their levels of academic achievement. However, the reflective group was found to be two grades above the impulsive group in actual grade placement. Results are discussed in terms of possible behavioral differences and their consequences for the individual.     

Reflection-impulsivity and information seeking in emotionally disturbed children

Forty-four emotionally disturbed children were administered the Matching Familiar Figures Test by one examiner after which the 13 most impulsive and 13 most reflective were chosen. A second examiner administered the Fixed Alternatives Question-Asking Game in whichSs sought information by asking questions that could be answered either yes or no. These questions were classified on a developmental basis; reflective children were found to employ more mature questions than did impulsive ones. Indirect comparisons between the present results and those obtained with normalSs were made.     

Psychotropic drug treatment among learning-disabled,educable mentally retarded,and seriously emotionally disturbed students

Psychotropic drug treatment in learning-disabled (LD), educable mentally retarded (EMR), and seriously emotionally disturbed (ED) children and adolescents receiving public school special education services was examined. The findings indicated that while treatment prevalence rates for EMR and ED groups were comparable, the rate for LD students was much lower. In the LD sample, pharmacotherapy was associated with higher ratings of behavioral deviance, longer placement in special education, less social integration, and greater peer rejection, which suggests that symptom severity is an important determiner of pharmacotherapy in this population.