Effects of behavioral training on the functioning of a profoundly retarded microcephalic teenager with cerebral palsy and without language or verbal comprehension: A case study

In previous investigations (Jacobson, Berger, Bergman, Millham and Greeson, 1971; Jacobson and Greeson, 1972), it was reported that as a result of the use of a behavior modification program, preschool children from poverty backgrounds demonstrated rapid conceptual acquisition. In addition, the Ss increased from the dull-normal to the normal range of intellectual functioning within approximately 20 hr of program participation. Since the increases in IQ found were most pronounced for children of lowest IQ (IQs = 46–83), the investigators hypothesized that the program would prove to be useful with Ss of greater cognitive and behavioral deficits than the initial population investigated.The present study reports the use of a variant of the conceptual acquisition program with an institutionalized, profoundly retarded microcephalic teenager with chronic brain syndrome and cerebral palsy. Prior to the study the boy demonstrated neither language nor an ability to comprehend and follow verbal directions.     

Psychological reactivity to discrepant events: Support for the curvilinear hypothesis

80 male and 60 female infants were observed under 5 a priori judged levels of discrepancy to assess whether sustained attention was linearly or curvilinearly related to degree of discrepancy from an experimental standard. Following habituation, $\text{7}\text{1}\text{2}$-month-old infants were exposed to either the repetition of the standard, a minimal, first- or second-level moderate discrepancy, or a novel stimulus having no relation to the standard. The related stimuli, varying in elongation, were sphere, pear, club, and cylinder-shaped objects; the novel stimulus was a different colored, tooth-like object. 80 infants observed the sphere as the standard and the cylinder as the second-level moderate discrepancy; 60 infants were exposed to the reverse order with the cylinder as the standard. The use of different stimuli at each discrepancy level controlled for specific stimulus effects. Habituation and recovery of responding were observed in an operant paradigm. Lever pressing, fixation, and vocalization increased most to the second-level moderate stimuli and decreased most to the familiar and novel objects; fretting was highest to the redundant stimuli and lowest to the moderate objects. There were no stimulus main effects or interactions. The results support the hypothesis of a curvilinear relation between stimulus discrepancy and sustained attention, excitement, and preference.     

Behavioral marriage therapy. III. The contents of Gurman et al. may be hazardous to our health

This paper was written as a reply to a critique of behavioral marital therapy (BMT) by Gurman, Kniskern, and Knudson (6, 7). The reply is divided into four sections. First, the paper addresses the critics' comments on the conceptual model put forth by BMT, correcting and clarifying various misconceptions, and restating some of the basic ideological principles in the behavioral model. Second, the paper discusses behavioral change techniques and technology, along with extratechnological treatment considerations. Again, misrepresentations of BMT are corrected. Third, an analysis of the literature investigating the therapeutic efficacy of BMT is reviewed, and the conclusion is reached that BMT is demonstrably effective, at least for a substantial number of mildly to moderately distressed couples. Criticisms are made of the analysis of the same literature conducted by Gurman et al. We conclude that, contrary to the spirit of the paper by Gurman et al., BMT is a viable framework for conceptualizing and treating relationship problems and that the commitment of its adherents to experimental investigation promises continued evolution, refinement, and improvement.     

Crossed aphasia: analysis of four cases

Data from the Rehabilitation Institute of Chicago was used to contrast a sample of 358 aphasics with data from a Boston aphasia and aging study (L. Obler, M. Albert, H. Goodglass, and F. Benson, Brain and Language, 6, 318–322, 1978). Unlike the females, Chicago males showed remarkable similarity to the Boston male sample for the Broca, Wernicke, and Global groups with ratios of approximately four Broca's to every two Wernicke's and Global aphasics. Similar to the Boston Sample, Wernicke's aphasics were 11.6 years older (p < .001) than Broca's aphasics.     

Clinically significant but impractical? A response to Hageman and Arrindell

Hageman, and Arrindell [Hageman, W.J., & Arrindell, W.A. (in press). Establishing clinically significant change: increment of precision and the distinction between individual and group level of analysis. Behavior Research and Therapy.] suggest adaptations to the traditional clinical significance model originally developed by Jacobson, Follette, and Revenstorf [Jacobson, N.S., Follette, W.C., & Revenstorf, D. (1984). Toward a standard definition of clinically significant change. Behavior Therapy, 17, 308-311.]. They observe that one must distinguish between analysis at the individual and group level and based upon an alternative decision-making strategy have formulated different procedures for assessing clinically significant change that incorporate the unreliability inherent in testing measures. A comparison of the traditional method with Hageman and Arrindell's suggested approach is conducted utilizing data originally presented by Jacobson and Truax [Jacobson, N.S., & Truax, P., Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.] and implications of this comparison for the method developed by Hageman and Arrindell's method are discussed. Although this revised method has much to recommend it, it seems to yield results at the individual level that are quite similar to those derived from the traditional method. Given the complexity of the revised method, the traditional model developed by Jacobson, Follette, and Revenstorf (1984) still seems to be preferable.     

Perceptual organization and focused attention: The role of objects and proximity in visual processing

The influence of the Gestalt grouping principles of similarity, closure, and proximity on the size of the response-compatibility effect was examined in a focused attention task. In three studies, subjects responded to a centrally located target and attempted to ignore adjacent distractors. The distractors, which served as targets on other trials, could be compatible, incompatible, or neutral with respect to the response of the target. In addition, the distractors and the target could be embedded in the same object, presented in the same color, presented on different objects, or presented in different colors. The typical response-compatibility effect (B. A. Eriksen & C. W. Eriksen, 1974) was found when the target and distractors were embedded in the same object or presented in the same color. Performance was poorer when the target was surrounded by response-incompatible distractors than when it was surrounded by response-compatible distractors. However, the response-compatibility effect was eliminated-w-hen. the target and distractors were embedded in different objects, even when the distance between the items was less than.25° of visual angle. Furthermore, the response-compatibility effect was of intermediate size when the distractors were not grouped strongly with the target or with neutral flankers. The results are discussed in terms of space- and object-based models of visual attention.     

Teaching Strategies for Personality Assessment at the Undergraduate Level

Personality assessment is a crucial component of clinical practice, and the training and proficiency criteria to develop competence are complex and multifaceted. Like many advanced topics, the field of personality assessment would benefit from early exposure in undergraduate classroom settings. This research evaluates how an undergraduate personality course can be enhanced through 2 enrichment activities (self-assessments and a personality project). Students completed several self-assessments of their personality and wrote a comprehensive and integrative personality assessment about themselves. Results demonstrated that these activities increased interest in personality assessment, deepened understanding of course material, and promoted student growth and self-exploration. We discuss the benefits of these enrichment activities for the student, instructor, and field of personality science.     

Rapid automatized naming (RAN) in children with ADHD: An ex-Gaussian analysis

Children with ADHD demonstrate increased frequent “lapses” in performance on tasks in which the stimulus presentation rate is externally controlled, leading to increased variability in response times. It is less clear whether these lapses are also evident during performance on self-paced tasks, e.g., rapid automatized naming (RAN), or whether RAN inter-item pause time variability uniquely predicts reading performance. A total of 80 children aged 9 to 14 years—45 children with attention-deficit/hyperactivity disorder (ADHD) and 35 typically developing (TD) children—completed RAN and reading fluency measures. RAN responses were digitally recorded for analyses. Inter-stimulus pause time distributions (excluding between-row pauses) were analyzed using traditional (mean, standard deviation [SD], coefficient of variation [CV]) and ex-Gaussian (mu, sigma, tau) methods. Children with ADHD were found to be significantly slower than TD children (p < .05) on RAN letter naming mean response time as well as on oral and silent reading fluency. RAN response time distributions were also significantly more variable (SD, tau) in children with ADHD. Hierarchical regression revealed that the exponential component (tau) of the letter-naming response time distribution uniquely predicted reading fluency in children with ADHD (p < .001, ΔR² = .16), even after controlling for IQ, basic reading, ADHD symptom severity and age. The findings suggest that children with ADHD (without word-level reading difficulties) manifest slowed performance on tasks of reading fluency; however, this “slowing” may be due in part to lapses from ongoing performance that can be assessed directly using ex-Gaussian methods that capture excessively long response times.