Psychosocial treatment of depression and suicidality in adolescents

Depression is a common disorder among adolescents and is associated with a high risk of suicide. Suicide is the third leading cause of death among adolescents in the United States. Currently, there are only two evidence-based psychotherapies for adolescence depression: cognitive-behavioral therapy and interpersonal psychotherapy. Furthermore, psychosocial interventions that specifically target suicidal behavior in adolescents are even fewer in number than treatments for depression. This article will review the psychosocial interventions for depression and suicidality in adolescents and will describe a recently developed treatment that is under study for depressed suicidal adolescents.     

Implicit Motives as a Way to Understand Cognitive Processes

Interest in implicit processes is at an all-time high in psychology. Research on individual differences in implicit motivation has been conducted for decades and offers an important conceptual and empirical foundation for the growing interest in cognitive processes outside awareness. In this article, we review the past findings on the influence of implicit motivation on both basic and complex cognitive processes in the stages of attention and encoding as well as rehearsal, organization, and retrieval. Data from narrative essays as well as experimentally controlled studies demonstrate that individual differences in implicit motives have an influence on each step of learning and memory processes. Implicit motives influence the cognitive processing of motive-related information to facilitate desired affective end states.     

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.     

Basic-level kinds and object persistence

In three experiments, we explored the basis of adults’ judgments of individual object persistence through transformation. Participants watched scenarios in which an object underwent a transformation into an object belonging to the same or a different basic-level kind. Participants were queried about the object’s persistence through the transformation as an individual (indexed by its proper name) and as a member of the original kind (indexed by its basic-level count noun in Experiments 1 and 2, or by its superordinate-level noun in Experiment 3). In all experiments, participants rated objects that were altered in a way that maintained basic-level kind to be less likely to retain their proper name than those that were altered in a way that changed basic-level kind. These findings suggest that shared basic-level kind membership serves as a dimension of similarity over which objects’ unique individual identities are highlighted. We discuss the implications of the results for existing theoretical accounts of adults’ judgments of individual object persistence.     

Common Genetic but Specific Environmental Influences for Aggressive and Deceitful Behaviors in Preadolescent Males

Although both aggressive (AGG) and deceitful behaviors (DEC) are symptoms of childhood conduct problems, few studies have examined common vs. specific etiological influences. Early intervention is encouraged for conduct problems and findings from genetically informative studies can suggest whether interventions should focus on conduct problems in general or groupings of conduct problems more specifically. Twin model-fitting analyses were conducted on same and different teacher ratings of AGG and DEC for 872 9-year old male twin pairs. Common genetic influences were found to underlie the susceptibility for both AGG and DEC. The same teacher ratings resulted in somewhat higher heritability estimates than different teacher ratings. Results also indicated stronger environmental effects for DEC as compared with AGG, with a significant shared environmental component for same teachers and a substantial non-shared environmental component for different teachers. Our data suggest that AGG and DEC share risk genes and environmental factors may differentiate these two types of conduct problems. Characterizing these specific environmental factors may be useful when developing interventions.     

It ain’t over ‘til it’s over: The effect of task completion on the savoring of success

The present research investigated a common yet to date unexamined assumption that individuals are unlikely to savor success when they have not yet fully completed a task. In Study 1 (N = 83), we assessed savoring responses of soccer players who were either winning or were tied at the end of the first half (in progress) and at the end of the match (completed). In Study 2 (N = 121 undergraduates), performance feedback (successful vs. average) and task completion (in progress vs. completed) were manipulated and savoring was assessed. In both studies, successful individuals reported savoring their positive experience less when the task was in progress as compared to completed. Results of a third study (N = 152 undergraduates) showed that lower savoring of success was due to individuals’ focus on and worries about future performance as well as the perception that positive emotions have limited utility. We discuss these findings in terms of the consequences for performance and well-being.     

Focus identification during sentence comprehension: evidence from eye movements

Three eye movement experiments investigated focus identification during sentence comprehension. Participants read dative or double-object sentences (i.e., either the direct or indirect object occurred first), and a replacive continuation supplied a contrast that was congruous with either the direct or the indirect object. Experiments 1 and 2 manipulated focus by locating only adjacent to either the direct or indirect object of dative (Experiment 1) or double-object (Experiment 2) sentences. Reading-time effects indicated that the surface position of the focus particle influenced processing. In addition, Experiment 1 reading times were longer when the replacive was incongruous with the constituent that only adjoined, and particle position modulated a similar effect in Experiment 2. Experiment 3 showed that this effect was absent when only was omitted. We conclude that the surface position of a focus particle modulates focus identification during on-line sentence comprehension.     

Phenomenal Properties as Dummy Properties

Can the physicalist consistently hold that representational content is all there is to sensory experience and yet that two perceivers could have inverted phenomenal spectra? Yes, if he holds that the phenomenal properties the inverts experience are dummy properties, not instantiated in the physical objects being perceived nor in the perceivers’ experiences. In fact, he should probably hold that phenomenal properties don’t exist at all. All there are, as far as phenomenal properties go, are phenomenal property experiences.     

Self-control in hyperactive boys in anger-inducing situations: Effects of cognitive-behavioral training and of methylphenidate

The effects of cognitive-behavioral intervention and methylphenidate on anger control in hyperactive boys were investigated in two studies. The anger-inducing stimuli in both studies involved verbal provocation from peers. Study 1 assessed a brief intervention using self-control strategies, while Study 2 employed a longer training period and a control intervention that focused on enhancement of empathy. Both studies included methylphenidate versus placebo comparisons. Methylphenidate reduced the intensity of the hyperactive boys' behavior but did not significantly increase either global or specific measures of self-control. Cognitive-behavioral treatment, when compared to control training, was more successful in enhancing both general self-control and the use of specific coping strategies. There was no advantage for the combination of methylphenidate plus cognitive-behavioral intervention. Implications for intervention to ameliorate the social and interpersonal difficulties of hyperactive children are discussed.Major support for this study was provided by NIDA grant 01070. This research was also facilitated by a grant from the Spencer Foundation. The many training staff and raters, too numerous to mention individually here, are deserving of our special thanks. We also appreciate the cooperation of Marion Jacobs and the staff of the UCLA Psychology Clinic, where the first study was held, and of Howard Adelman and the staff of Fernald School, where the second study was housed; the clinical and administrative skills of Stephen Alkus, who organized the intervention program for the first study; the talents and diligence of David Neswald, who coordinated much of the videotape scoring; and the ever-present contributions of Doris Finck, who also edited and dubbed the video segments. Medication and placebos were supplied by CIBA-Geigy.