Behavioral assessment of methylphenidate in a child with frontal lobe damage

The assessment and management of inattentive, hyperactive, and impulsive behavior in a 6-year-old girl who experienced frontal lobe damage are described. A multimodel approach combining medical, educational, and behavioral techniques to assess hyperactive behavior, optimal medication level, and medication and psychotherapeutic effectiveness is described. The results of the study suggest that in similar cases, children and adolescents manifesting these behaviors should be given a trial of stimulant medication in a controlled environment to assess if such therapy is indicated. Additional support is given for the increasing need for detanté and cooperation with health-care professionals.     

The interview for antisocial behavior: Psychometric characteristics and concurrent validity with child psychiatric inpatients

The present study evaluated psychometric features and correlates of the Interview for Antisocial Behavior (IAB), a new measure designed to assess antisocial child behavior. Parents of 264 psychiatric inpatients (ages 6–13 years) completed the measure to evaluate antisocial behavior of their children. The investigation evaluated the relation of IAB scores to clinically derived diagnoses and to aggression and externalizing behaviors, as measured by different raters (parents, teachers), across different settings (home, school, hospital), and with different assessment methods (rating scales, behavioral role-play test). The results indicated that the IAB showed acceptable levels of internal consistency. A priori scores (severity, duration, total antisocial behavior) and factor analytically derived scales (Arguing/Fighting, Covert Antisocial Behaviors, Self-Injury) distinguished children with a DSM III diagnosis of conduct disorder, and scores on the IAB were more consistently related to other measures of aggression and externalizing behavior than to measures of internalizing behavior or overall severity of dysfunction. The implications of the results for use of the measure, particularly in relation to evaluation of the overt-covert dimension of antisocial behavior, are discussed.Completion of this research was facilitated by a Research Scientist Development Award (MH00353) and by grants (MH35408, MH39642) from the National Institute of Mental Health and the Rivendell Foundation.     

The case for place: Text arrangement and reading skill

To what extent does the reader integrate visual information from one fixation to the next and derive a spatially extended representation of text? Experimental studies of transsaccadic fusion in reading produce conflicting evidence. The results from work on “stepped-text” presentation, in which words appear in a single physical location, have been used to argue that readers secure no advantage from the spatially extended page and that reading may proceed without the computation of spatial coordinates. It is suggested that this conclusion may be inaccurate. A processing decrement is found for materials above a critical level of complexity when presented in a “stepped” mode. This appears to derive from the reader’s need at times to reinspect parts of previously presented text. Reinspections of this kind, which appear to characterize the fluent reader, demand a degree of spatial coding. Two classical issues in the study of perception come together in the study of reading. First, what segments the continuous stimulus flux into discrete perceptible objects? The second is, what is the nature of the control system for eye movements? - Kolers (1983) This research is supported by a grant from the Economic and Social Research Council.     

Professional training of child psychologists

The present authors address the need for specialized professional training for psychologists who primarily work with the problems of childhood. It is argued that the area of child psychology is an amalgam of selected components of developmental, educational, and clinical psychology, and further that it is sufficiently discrete to warrant specialized training programs for child psychologists. Questions concerning the particular content of such training, and the level at which the training should take place, are raised. Various options regarding the answers to these questions are discussed, and a specific recommendation is presented.     

Selective attention and rehearsal in the auditory short-term memory task performance of poor and normal readers

The performance of poor and normal sixth-grade readers was compared on an auditory short-term memory task in two studies. In the first study, the effects of distraction, list length, and speed of stimulus presentation were investigated to test the hypothesis that the performance of the poor readers is affected by deficits in selective attention. Group differences in performance, however, were obtained for both distraction and no-distraction conditions. The second experiment examined the hypothesis that group differences may reflect differences in the use of rehearsal. In the second experiment, half the reading-disabled children and half the controls were provided with rehearsal training prior to completing the same short-term memory task a second time. Rehearsal training resulted in improved performance relative to children who were not trained; however, there was no rehearsal training x reading group interaction. The poor readers continued to show deficits in performance relative to the performance of control children. The results of these two studies suggest that deficits observed for poor readers on short-term memory tasks may reflect processing difficulties in some area that precedes rehearsal and affects performance under both distraction and no-distraction conditions.The authors wish to express their thanks to the Sachem School District and Betty Gould, Nicholas Opinanate, and Guy Barber for their unlimited cooperation, and to John Neale for very helpful discussions of a number of issues in this paper.     

Telephone counseling and crisis intervention: A review

The empirical research pertaining to the effectiveness of telephone counseling and referral systems personnel was critically reviewed. The assessment was organized according to several evaluation strategies that researchers have utilized to evaluate effectiveness. These strategies included, for example, client self-reports, client "shows" versus "no-shows" following referral, data pertaining to suicide rates, counselor ratings of personal effectiveness, and phone workers' ability to offer empathy to clients. It was concluded that discussions of effectiveness should be constrained by a careful consideration of the specific index of efficacy chosen by investigators as well as methodological issues associated with current research in this area. There is reason to believe that the availability of telephone crisis services may be related to reduced suicide rates among young white females. Also, there is a significant need to empirically associate counseling technique and indices of effectiveness with substantive measures of client outcome in future research. Additional topics reviewed include the probable differential effectiveness of lay workers with various presenting problems of clients, and the role that training and maturity seem to play in successful interventions. Guidelines for the use of evaluation techniques which coincide with service goals are also offered.     

An individualized regression and clustering assessment of the social values of adults and children

Research investigating social values in interdependency situations has generally demonstrated age differences across the 5- to 10-year-old age range. However, the precise nature of these differences is unclear. Further, the differences in the social values of adults and children has not been addressed. The present study examined the social values of undergraduates and children using a measurement technique designed to allow an accurate inference of social values. Ninety-one 6- to 10-year-old children and 100 undergraduates rated the desirability of a set of outcomes which systematically varied with regard to the benefits to themselves and another person. Theoretically specified characteristics of the outcomes were then used to generate a regression equation predicting the desirability ratings separately for each individual. These regression equations were then clustered into groups of individuals who used decision rules characteristic of the major social values. The results indicate that the 8- to 10-year-old children, compared to the 6- to 7-year olds, more often expressed a social value involving equality and tended to less often express a social value involving superiority. Comparison of the social values expressed by the children and adults indicated that the adults more often expressed group-enhancement and individualism social values and less often expressed a social value involving superiority.