Assessment of repeated relational patterns for individual cases using the SASB-based Intrex questionnaire

Repeated interpersonal patterns are central to case conceptualization and treatment planning in interpersonal and attachment-based approaches to therapy. In this study, raters (133 college students, 165 inpatients) provided data on the Intrex questionnaire (Benjamin, 2000) about self-treatment, relationship with a significant other, and remembered interactions with parents in childhood. Within-subject profiles were inspected for precise behavioral matches conforming to 3 "copy process" (CP) patterns: identification (behaving like an important other), recapitulation (behaving as if the other person is still present and in charge), and introjection (treating the self the way another did). We observed CP evidence in most individual ratings. Consistent with expectation, nonclinical raters tended to copy a securely attached pattern of affiliation, low hostility, and moderate degrees of enmeshment and differentiation. Only patients copied maladaptive behavior at greater than base rate expectation. We discuss implications and provide recommendations for use of Intrex in individual assessment of CP.     

Differential reinforcement of alternative behavior increases resistance to extinction: clinical demonstration, animal modeling, and clinical test of one solution

Basic research with pigeons on behavioral momentum suggests that differential reinforcement of alternative behavior (DRA) can increase the resistance of target behavior to change. This finding suggests that clinical applications of DRA may inadvertently increase the persistence of target behavior even as it decreases its frequency. We conducted three coordinated experiments to test whether DRA has persistence-strengthening effects on clinically significant target behavior and then tested the effectiveness of a possible solution to this problem in both a nonhuman and clinical study. Experiment 1 compared resistance to extinction following baseline rates of reinforcement versus higher DRA rates of reinforcement in a clinical study. Resistance to extinction was substantially greater following DRA. Experiment 2 tested a rat model of a possible solution to this problem. Training an alternative response in a context without reinforcement of the target response circumvented the persistence-strengthening effects of DRA. Experiment 3 translated the rat model into a novel clinical application of DRA. Training an alternative response with DRA in a separate context resulted in lower resistance to extinction than employing DRA in the context correlated with reinforcement of target behavior. The value of coordinated bidirectional translational research is discussed.     

How Master’s Students Document Stability and Change Within and Across Progress Notes

To address a gap regarding how clinicians record progress in therapy, the researchers conducted a qualitative study of de-identified progress notes from a university-based brief therapy training clinic. The researchers described trainees’ stability and change documentation with respect to problem-oriented and solution-oriented talk in their progress notes. The patterns were (a) problem-oriented stability and problem to solution change within first sessions; (b) problem-oriented and solution-oriented stability within last sessions; and (c) stability (e.g., problem to problem) and change (e.g., problem to solution) across first and last sessions. Findings suggest that first session problem and solution outcomes do not necessarily predict last session outcomes (i.e., problem continuation or change to solutions).     

Representing serial action and perception

This article presents a review on the representational base of sequence learning in the serial reaction time task. The first part of the article addresses the major questions and challenges that underlie the debate on implicit and explicit learning. In the second part, the informational content that underlies sequence representations is reviewed. The latter issue has produced a rich and equivocal literature. A taxonomy illustrates that substantial support exists for associations between successive stimulus features, between successive response features, and between successive response-to-stimulus compounds. We suggest that sequence learning is not predetermined with respect to one particular type of information but, rather, develops according to an overall principle of activation contingent on task characteristics. Moreover, substantiating such an integrative approach is proposed by a synthesis with the dual-system model (Keele, Ivry, Mayr, Hazeltine, & Heuer, 2003).     

The effects of prompting,fading, and differential reinforcement on vocal mands in non‐verbal preschool children with autism spectrum disorders

There are few procedures to teach non‐vocal children vocal mands. This study evaluated the effects of prompting, fading, and differential reinforcement on eye contact, pointing, vocal approximations, independent requests and immature mands in three children with Autism Spectrum Disorders who in baseline emitted almost no independent vocal mands. This procedure resulted in a large and socially valid increase in independent vocal mands, other appropriate responses and near elimination of immature mands. Copyright © 2010 John Wiley & Sons, Ltd.     

Behavior Therapy for Tics via Videoconference Delivery: An Initial Pilot Test in Children

Habit reversal training (HRT) has been proven effective for reducing tics in children with Tourette's syndrome (TS). However, the availability of the intervention is limited. Videoconference technology represents a promising mode through which HRT may be disseminated to underserved areas. Using a multiple-baseline across participants design, the current study tested the effectiveness of videoconference-delivered HRT for 3 children with TS. Similar to results from randomized controlled trials studying face-to-face delivered HRT, videoconference-delivered HRT was effective for reducing tics. All three children demonstrated significant tic reduction following videoconference HRT delivery. All participants and their families rated the delivery modality as acceptable and the therapeutic relationship as strong. These results suggest that videoconference delivery may be a promising method for disseminating behavior therapy for tics.     

A dual-route perspective on eye movements of dyslexic readers

This study assessed eye movement abnormalities of adolescent dyslexic readers and interpreted the findings by linking the dual-route model of single word reading with the E-Z Reader model of eye movement control during silent sentence reading. A dysfunction of the lexical route was assumed to account for a reduced number of words which received only a single fixation or which were skipped and for the increased number of words with multiple fixations and a marked effect of word length on gaze duration. This pattern was interpreted as a frequent failure of orthographic whole-word recognition (based on orthographic lexicon entries) and on reliance on serial sublexical processing instead. Inefficiency of the lexical route was inferred from prolonged gaze durations for singly fixated words. These findings were related to the E-Z Reader model of eye movement control. Slow activation of word phonology accounted for the low skipping rate of dyslexic readers. Frequent reliance on sublexical decoding was inferred from a tendency to fixate word beginnings and from short forward saccades. Overall, the linkage of the dual-route model of single word reading and a model of eye movement control led to a useful framework for understanding eye movement abnormalities of dyslexic readers.     

Agreeableness and the prolonged spatial processing of antisocial and prosocial information

Previous research has suggested that highly agreeable individuals value positive social relationships to a greater extent than do individual low in agreeableness. The present investigation sought to extend such individual differences to the cognitive level of analysis. It was hypothesized that individual differences in agreeableness would predict the extent to which either antisocial or prosocial words are selected for prolonged processing. Two studies, involving 90 undergraduates, asked participants to encode prosocial and antisocial stimuli, before measuring the speed with which they could spatially disengage attention from such stimuli. As predicted, individuals low in agreeableness exhibited difficulties disengaging from antisocial stimuli, whereas individuals high in agreeableness exhibited difficulties disengaging from prosocial stimuli. This novel finding isolates a particular set of attentional processes that likely contribute to agreeableness-related outcomes such as anger and aggression.