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.     

Effect of fatigue on double pole kinematics in sprint cross-country skiing

The aim of the present study was to examine the effect of fatigue (physiological, mechanical, and muscular parameters) induced by a sprint simulation on kinematic parameters (cycle, phases, and joints angles) of the double pole technique. Eight elite skiers were tested for knee extensor strength and upper body power both before and after a three-bout simulation of sprint racing. They were video analyzed during the final part of the test track of bouts 1 and 3 using a digital camera. Results showed that skiers were in a fatigue state (decrease of the knee extensors voluntary force (-10.4+/-10.4%) and upper body power output (-11.1+/-8.7%) at the end of the sprint. During bout 3, the final spurt and cycle velocities decreased significantly (-7.5+/-12.3%; -13.2+/-9.5%; both p<.05). Angular patterns were only slightly modified between bouts 1 and 3 with trunk, hip, and pole angles being significantly greater for the third bout. The decrease of hip and trunk flexion and the lower inclination of the pole during the poling phase suggested a reduced effectiveness of the force application which could lead to a decrease in the cycle velocity.     

New Mandates and Imperatives in the Revised ACA Code of Ethics

The first major revision of the ACA Code of Ethics in a decade occurred in late 2005, with the updated edition containing important new mandates and imperatives. This article provides interviews with members of the Ethics Revision Task Force that flesh out seminal changes in the revised ACA Code of Ethics in the areas of confidentiality, romantic and sexual interactions, dual relationships, end‐of‐life care for terminally ill clients, cultural sensitivity, diagnosis, interventions, practice termination, technology, and deceased clients.     

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.     

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.     

Serving the mental health needs of families with children under three: A comprehensive program

This paper describes a pregnancy and infant/parent program that was developed to provide comprehensive mental health services to families with children under 3 years of age. Because either the infant or parent can be the identified patient, we are able to treat families who define their problems in a variety of ways. The program has four basic premises: (1) the mental health of all family members should be addressed, (2) treatment of family members should be provided with minimum fragmentation of services, (3) the treatment plan must be individualized for each family, and (4) modes of therapy must be changed as the needs of the family change over time. This paper presents the rationale and techniques necessary for integrated services to families with children under 3 years of age. Two cases are presented: one with the infant as the identified patient, and one with the mother as the identified patient.