Enhancing Treatment Integrity Maintenance Through Fading with Indiscriminable Contingencies

School psychologists are often asked to develop treatment to remediate students’ academic skills or social behavior problems. When teachers implement treatment recommendations with high levels of treatment integrity, students benefit. Treatment integrity has been enhanced by use of direct training, performance feedback, and negative reinforcement procedures. Still, maintenance of treatment integrity has received limited systematic inquiry. This study investigated maintenance of treatment integrity over time by utilizing a systemic fading procedure with indiscriminable contingencies. The results showed that the teachers continued to implement treatment protocols at a high level after performance feedback was faded. Students also fared better when treatment integrity was high.     

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Abstract

This paper raises a question about one of the principal assumptions of some neo-Thomist approaches to divine action: that it is always inappropriate to conceive of God as one agent among others. To do so, it is claimed, is to reduce God's position from that of Creator to that of a creature. However, this seems an odd position to take in light of the Incarnation. I suggest that after the divine humility displayed in the Incarnation, conceiving God as one agent among others is not as theologically problematic as it is initially represented by some neo-Thomists.     

The naked truth: Positive,arousing distractors impair rapid target perception

Emotional stimuli tend to capture and hold attention more than non-emotional stimuli do. Aversive pictures have been found to impair perception of visual targets even after the emotional information has disappeared. The benefits of such interlinked emotion and attention systems have sometimes been discussed within an evolutionary framework, with a survival advantage attributed to early detection of threatening stimuli. However, consistent with recent suggestions that attention is drawn to arousing stimuli regardless of whether they are positive or negative, the current investigation found that erotic distractors—generally rated as both pleasing and arousing—consistently elicited a transient “emotion-induced blindness” similar to that caused by aversive distractors (Experiment 1). This effect persisted despite performance-based monetary incentives to ignore the distractors (Experiment 2), and following attentional manipulations that reduced interference from aversive images (Experiment 3). The findings indicate that positively arousing stimuli can spontaneously cause emotion-induced deficits in visual processing, just as aversive stimuli can.     

I am going to gag: Disgust cognitions in spider and blood–injury–injection fears

There is mounting evidence that disgust plays an important role in certain anxiety disorders, yet little is known about disgust's cognitive component. The current study introduces a measure of cognitions associated with disgust and contamination to assess the role of disgust-specific primary and secondary appraisals in phobic responding. A multi-modal assessment of blood–injury–injection (BII) and spider phobia was conducted using BII (N=29) and spider (N=30) fearful groups, and a non-fearful control group (N=30). The Disgust Cognitions scale showed good reliability and validity, and distinguished among the groups. For example, relative to the other groups, the spider fear group reported higher disgust cognitions following presentation of a live spider, whereas the BII Fear group reported higher disgust cognitions following a surgery video. Moreover, the scale was associated with multiple phobic indicators (behavioural avoidance, subjective distress, symptom endorsement), suggesting cognitions may be critical to understanding how disgust contributes to anxiety disorders.     

Knowledge of Memory Aging Across the Lifespan

ABSTRACT. The authors examined knowledge of normal and pathological memory aging in a lifespan sample of 198 individuals who ranged in age from 13 to 88 years. Participants completed the Knowledge of Memory Aging Questionnaire (Cherry, Brigman, Hawley, & Reese, 2003). The authors hypothesized that high school students would be less knowledgeable about memory aging issues than college students, middle-aged, and community-dwelling older adults. Consistent with this hypothesis, response accuracy was lower for high school students compared to their older counterparts. Follow-up analyses revealed that high school students’ responses to a subset of questions that tap ageist views of adult cognition were less accurate than the other age groups, implying a response bias toward stereotypical images of memory aging. Implications for research and the design of instructional materials to increase people's knowledge about normative changes in adult cognition are discussed.     

Treatment preference, engagement, and clinical improvement in pharmacotherapy versus psychotherapy for depression

Pharmacotherapy and psychotherapy are generally effective treatments for major depressive disorder (MDD); however, research suggests that patient preferences may influence outcomes. We examined the effects of treatment preference on attrition, therapeutic alliance, and change in depressive severity in a longitudinal randomized clinical trial comparing pharmacotherapy and psychotherapy. Prior to randomization, 106 individuals with MDD reported whether they preferred psychotherapy, antidepressant medication, or had no preference. A mismatch between preferred and actual treatment was associated with greater likelihood of attrition, fewer expected visits attended, and a less positive working alliance at session 2. There was a significant indirect effect of preference match on depression outcomes, primarily via effects of attendance. These findings highlight the importance of addressing patient preferences, particularly in regard to patient engagement, in the treatment of MDD.     

Atheists Become Emotionally Aroused When Daring God to Do Terrible Things

We examined whether atheists exhibit evidence of emotional arousal when they dare God to cause harm to themselves and their intimates. In Study 1, the participants (16 atheists, 13 religious individuals) read aloud 36 statements of three different types: God, offensive, and neutral. In Study 2 (N = 19 atheists), 10 new stimulus statements were included in which atheists wished for negative events to occur. The atheists did not think the God statements were as unpleasant as the religious participants did in their verbal reports. However, the skin conductance level showed that asking God to do awful things was equally stressful to atheists as it was to religious people and that atheists were more affected by God statements than by wish or offensive statements. The results imply that atheists' attitudes toward God are ambivalent in that their explicit beliefs conflict with their affective response.     

Family Environment as a Moderator of the Association between Conduct Disorder and Suicidality

This study examined whether perceived family support and conflict moderate the relationship between conduct disorder (CD) and suicide attempts (SAs) in a sample of 185 psychiatrically hospitalized adolescents, ages 13 to 18, and their parents. Data were collected using the Schedule for Affective Disorders and Schizophrenia for School Aged Children (K–SADS–PL), the Survey of Children’s Social Support Scale–Short Version, and the Conflict Behavior Questionnaire. Binary logistic regression and simple slope analyses were conducted to test study hypotheses. Results suggest that perceptions of family support, but not conflict, moderate the association between CD and SAs. Specifically, adolescents diagnosed with CD were found to be at heightened risk for an SA if they reported lower family support. These results suggest that clinicians who treat adolescents with CD should assess for perceptions of family support. Incorporating family work into treatment could help to prevent SAs.