Time Course of Treatment Effect of OROS(R) Methylphenidate in Children With ADHD

Objective: The authors evaluated the time course of the treatment effect of Osmotic-Release Oral System methylphenidate (OROS(?) MPH) HCl (Concerta(?), Raritan, NJ) CII in children with ADHD. Method: Data were combined from two double-blind, randomized, placebo-controlled, cross-over, analog classroom studies in children (9-12 years) with ADHD. Participants received an individualized dose of placebo or OROS(?) MPH on two laboratory school days. Permanent Product Math Test and Swanson, Kotkin, Agler, M-Flynn, and Pelham scores were evaluated 0.5 hr before dosing and 1, 2, 4, 10, 11, and 12.5 hr post dose. Analysis used a repeated-measures mixed model. Results: Treatment effects were present at all postdose assessment points (p < .0001 for all comparisons, n = 139). Adverse events were similar to previous reports for OROS(?) MPH. Conclusion: A robust treatment effect occurred with OROS(?) MPH; onset was at 1 hr and persisted for at least 12.5 hr after dosing.     

Barriers to Adherence to Child Assessment Recommendations

We conducted a one-year follow-up study of child psychoeducational assessment cases to examine whether and how the assessments were helpful to families. The current report focuses on parents’ views of their child’s assessment as well as the parents’ adherence with the written recommendations provided to them following their child’s assessment. Fifty-one of 72 eligible parents whose child received an assessment in an urban, Midwest university clinic participated. Based on semistructured interviews with the parents about the assessment recommendations, we grouped the recommendations and any barriers to adherence the parents mentioned into categories, and we also rated the clarity and complexity of the recommendations. Findings showed that, on average, parents identified the assessment process as useful and attempted or fully adhered to 71.5?% of recommendations. Parents reported the lowest adherence when referrals were recommended for their child to be seen by other professionals such as a pediatrician or psychiatrist; and they cited significantly more stigma barriers for recommendations to seek counseling/therapy or psychotropic medication than for recommendations pertaining to changes at home or school. Higher parental compliance was predicted by a combination of parents reporting fewer barriers and receiving more home based recommendations. The results support the utility of psychological assessments from parents’ perspectives and suggest ways in which psychologists may increase the likelihood that parents will adhere to their recommendations.     

ERP evidence for the time course of graphic, phonological, and semantic information in Chinese meaning and pronunciation decisions

Two words that varied in their relationship were presented sequentially to Chinese readers who made meaning and pronunciation decisions. In the meaning task, they decided whether the words had the same meaning. In the pronunciation task, they decided whether the words had the same pronunciation. In both tasks, the word pairs represented 1 of 4 relationships: graphically similar, homophonic, semantically related, or unrelated. Event related potentials (ERP) recordings made from the onset of the 2nd word suggested a temporal unfolding of graphic, phonological, and semantic effects. Specifically, graphically-related pairs produced a smaller P200 in the pronunciation task and a smaller N400 in the meaning task. Homophones produced reduced N400 component with bilateral sources in the meaning task.     

Book reviews

Campbell, B. A., Hayne, H., & Richardson, R. (Eds.) (1992). Attention and information processing in infants and adults. Perspectives from human and animal research. Hove: Lawrence Erlbaum Associates. Pp. viii + 360. ISBN 0-8058-0782-9. £54.95 (Hbk).

McFarland, D. (1993). Animal behaviour: Psychobiology, ethology and evolution (2nd ed.). Harlow: Longrnan Scientific and Technical. Pp. xiv + 585. ISBN 0-582-06721-9. £23.99 (Pbk).

Ward, J. P., & Hopkins, W.D. (Eds.) (1993). Primate laterality: Current behavioral evidence of primate asymmetries. New York/Berlin: Springer-Verlag. Pp. xii + 356. ISBN 0-387-97961-1 13-540-97961-1. £34.50 (Pbk).

Zentall, T. R. (Ed.). (1993). Animal cognition. A tribute to Donafd A. Riley. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc. Pp. xiv + 369. ISBN 0-8058-1 184-2. £22.95 (Pbk); ISBN 0-8058-1 183-4. £53.50 (Hbk).

Roitblatt, H. L., Herman, L. M., & Nachtigall, P.E. (Eds.) (1993). Language and communication. Comparative perspectives. Hillsdale, NJ : Lawrence Erlbaum Associates, Inc. Pp. xvi + 502. ISBN 0-8058-0947-3. £26.95 (Pbk); ISBN 0-8058-0946-5. £59.95 (Hbk).

Bradshaw, J. L, & Rogers, L.J. (1993). The evolution of lateral asymmetries, language, roo1 use, and intellect. San Diego, CA: Academic Press. Pp. xiii + 463. ISBN 0-12-124560-8. £58.00 (Hbk).

Ten Cate, C., Slater, P. J. B., & Kruijt, J. P. (Eds.) (1993). Song learning and imprinting. An inquiry into mechanisms of behavioural development. Amsterdam: Netherlands Zoology Society. Pp. 234. £13.00 (Pbk).     

What harm can it do?: A discussion of the potential for harm inherent in psychodynamic work

Abstract

This paper examines some of the ethical issues raised by the nature of psychodynamic work. It suggests that both the aims and the process of psychodynamic therapy raise ethical issues which we cannot responsibly ignore, but that if the work is to be effective it cannot be made wholly safe. That, however, does not absolve us from the requirement for taking care, and for thinking about what we are doing and what we are risking.     

A Pilot Study of Culturally Adapted Cognitive Behavior Therapy for Hispanics with Major Depression

The purpose of this study was to evaluate a culturally adapted cognitive-behavioral treatment (CBT) for major depression among Hispanics in primary care. Cultural adaptations were applied based on a range of cultural considerations described in the literature. Fifteen Hispanic primary care patients with major depression were enrolled. All participants received the 12-session intervention and completed baseline, posttreatment, and 6-month follow-up assessments. Four participants (27%) dropped out of the treatment. Analyses focused on changes from baseline functioning using a Wilcoxon Signed Rank Test. Results showed significant reductions in depressive, anxious, and somatic symptoms at posttreatment and 6-month follow-up. Mean reduction of depressive symptoms at posttreatment was 57%. Findings of acceptable treatment retention rates and clinically meaningful reductions in depressive symptoms showed promise for this intervention to treat Hispanics with major depression. Future studies should conduct a more rigorously controlled evaluation of this intervention.     

Attention-Deficit Hyperactivity Disorder: The Medicalization of Misbehavior

During the past decade, there has been an increase in the diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD). This syndrome, typically diagnosed in childhood, is characterized by inattention, hyperactive motor behavior, and distractibility. Current prevalence rates obtained in various countries generally exceed the 3–5% reported by DSM-IV. Reasons for increased ADHD prevalence include changes in diagnostic standards, overlap between ADHD and other externalizing disorders, nonspecific behavioral criteria, and the rapid effects of stimulant medication on cognitive functioning. However, social, cultural, and economic factors may also contribute to increased diagnosis. ADHD has become a common topic in the lay media. Popular discussions of ADHD may serve as a metaphoric expression of social anxieties, particularly with respect to children. At the same time, ADHD has rapidly become incorporated into a medical model, with emphasis on pharmacological treatment. Reductions in mental health and educational services, as well as economic pressures of managed care, may also contribute to medicalization of behavioral problems. Collaboration between psychologists and primary care physicians can lead to more accurate diagnosis and appropriate treatment of ADHD and related disorders.     

Familiarity influences judgments of sex: the case of voice recognition

Two experiments are reported in which subjects made judgments about the sex or the familiarity of a voice. In experiment 1, subjects were fans of the BBC-radio soap opera, The Archers, and familiar voice clips were taken from this programme. Subjects showed a large reduction in response times when making sex judgments to familiar voices, despite the fact that sex judgments are generally much faster than familiarity judgments. In experiment 2, the same familiar clips were played to subjects unfamiliar with the soap opera, and no difference was observed in times to make sex judgments to Archers or non-Archers voices. We conclude that, unlike the case of face recognition, sex and identity processing of voices are not independent. The findings constrain models of person recognition across multiple modalities.