Parent-Child Interaction Therapy for ADHD: A Conceptual Overview and Critical Literature Review

ABSTRACT

Attention-Deficit/Hyperactivity Disorder (ADHD), a chronic disorder beginning in childhood, is identifiable and diagnostically valid during the preschool years. Compared to school-aged children, preschoolers have not received as much attention in the literature. Parent-Child Interaction Therapy (PCIT) is an empirically-supported parent training program for young children with disruptive behaviors that may also be effective in treating ADHD. The purpose of the current article was to explore the theoretical rationale for utilizing PCIT with this population and to conduct a literature review of published PCIT treatment outcome studies that measured ADHD symptoms. The literature demonstrates that children with ADHD have been included in PCIT research and evidence suggests that PCIT may be effective for young children with ADHD. However, future research is needed to specifically examine the effects of PCIT on ADHD.     

Decreasing Self-Injurious Behavior in a Student with Autism and Tourette Syndrome through Positive Attention and Extinction

This case study was conducted with a student diagnosed with autism and Tourette syndrome who displayed severe self-injurious behavior (SIB). We conducted a functional behavioral assessment which indicated that SIB was maintained by multiple functions using an ABAC design to determine the effect of positive social attention and extinction. Results show a considerable decrease in SIB incidents, particularly when session duration was reduced from 10 minutes to 5 minutes during the second intervention phase. Thus, the combination of contingent social attention formulated from the functional assessment and extinction was successful in bringing about significant decreases in SIB. This combination holds great promise as a nonintrusive positive strategy for SIB.     

Illegitimate concept equating in the partial fusion of construct validation theory and latent variable modeling

There has come to exist a partial fusion of construct validation theory and latent variable modeling at the center of which is located a practice of equating concepts such as construct, factor, latent variable, concept, unobservable, unmeasurable, underlying, hypothetical variable, theoretical term, theoretical variable, intervening variable, cause, abstractive property, functional unity, and measured property. In the current paper we: a) provide a structural explanation of this concept equating; b) provide arguments to the effect that it is illegitimate; c) suggest that the singular reason for the presence of construct in the literature of the social and behavioral sciences is to mark an allowance taken by the social and behavioral scientist to obliterate the concept/referent distinction that is foundational of sound science.     

Perinatal Posttraumatic Stress Disorder: Implications for Occupational Therapy in Early Intervention Practice

The purpose of this article is to present literature regarding perinatal posttraumatic stress disorder and to describe the implications of research findings for occupational therapy screening and treatment in early intervention practice. Changes in legislation regarding early intervention practice and family centered care are presented as a rationale for including maternal mental health screening as a standard practice in the field of early intervention. A case study illustrates symptoms of perinatal posttraumatic stress disorder and the effect on maternal-infant co-occupational engagement. The Model of Human Occupation is used to guide clinical reasoning about potential occupational therapy interventions.     

Relevant dimensions of cyberbullying — Results from two experimental studies

Cyberbullying is a prevalent problem of adolescents. However, several conceptual and measurement questions, regarding its defining characteristics and relevant dimensions in comparison to conventional bullying, remain unanswered. To this end we conducted two studies with experimental methods. Study I shows that power imbalance in terms of perceived popularity is relevant for the affective, cognitive, and behavioral experience of cyberbullying. Cyberbullying by a popular bully is more distressing than cyberbullying by an unpopular bully. Study II shows that factors unique to cyberbullying are also relevant for the experience of cyberbullying, namely the media and the type of cyberbullying. For example, different types of cyberbullying are related to different patterns of relevant coping strategies. Therefore, cyberbullying seems both a unique phenomenon and closely related to conventional bullying.     

Choice as a Moderator of Placebo Expectation Effects: Additional Support From Two Experiments

Two experiments investigated the hypothesis that treatment choice enhances placebo treatment efficacy. In Experiment 1, prior to a pain task, participants were given either an expectation that two (inert) products could reduce pain or no expectation. In addition, participants either selected between the two products or were assigned a product to use. Participants given both the placebo expectation and treatment choice reported the lowest pain. Experiment 2 conceptually replicated this finding using a placebo paradigm with aversive auditory stimuli. Additional control conditions indicated that a choice availability (rather than choice restriction) explanation best accounted for these results.     

Personality consistency: Eminent architects 25 years later

One hundred and twenty‐four American male architects representing three levels of eminence and creativity were studied by Donald W. MacKinnon and his collaborators in 1958–1960. The present report is based on a follow‐up of 70 of the 83 (78%) surviving architects (mean age 71 years, with a range of 62–88). The architects were individually interviewed at their place of residence between 1983–1984 and received several of the same tests they had received 25 years before, including the Adjective Check List (ACL) and the California Psychological Inventory (CPI). The present study offered the architects a chance to look back at lifelong careers, and it allowed the researchers to establish that the distinct personality characteristics of the three groups of architects remained remarkably stable, and were at least partially responsible for moderating longevity and achievement. Opportunities for full‐time practice were radically different for the three groups after age 65. The interview data suggested that factors that are responsible for successful productivity in old age include: (a) commitment and drive; (b) overlearned skills; (c) aesthetic sensitivity; (d) ability to be a good salesman; and (e) ability to delegate responsibility. The continuing impressive creativity of the architects can be best explained by Simonton's (1984) constant probability of success model.     

The fading affect bias across alcohol consumption frequency for alcohol-related and non-alcohol-related events

The Fading Affect Bias (FAB) is the tendency for unpleasant emotions to fade more over time than pleasant emotions (Walker, Vogl, & Thompson, 1997). The FAB is negatively related to dysphoria (Walker, Skowronski, Gibbons, Vogl, & Thompson, 2003), which led researchers to suggest that the FAB is a healthy coping mechanism that improves the overall positivity of life (Walker, Skowronski, & Thompson, 2003). The FAB may also reinforce certain maladaptive behaviors, such as drinking alcohol, as the unpleasant emotions associated with those behaviors quickly fade from memory, and increase the likelihood of those behaviors in the future. If the FAB increases the likelihood of maladaptive alcohol consumption, the FAB should be greatest for ordinary events at low alcohol consumption levels, whereas the FAB should be greatest for alcohol events at high alcohol consumption levels. The results of two studies provided support for the hypotheses. The implications are discussed.     

Gender Specific Effect of Psychological Stress and Cortisol Reactivity on Adolescent Risk Taking

The purpose of this study was to evaluate how psychological stress, gender and cortisol response to stress relate to risk behavior among 132 14–18 year old adolescents. Participants completed a laboratory based risk task prior to and immediately after a computerized psychological stress task, and salivary cortisol was collected from pre-stress to 60 min following initial stress exposure. Results indicate that adolescent boys (n?=?59) and girls (n?=?73) demonstrate different patterns of risk taking (RT) in response to stress, such that boys evidenced an increase in RT following stress exposure, whereas girls evidenced a decrease in RT. In addition, a gender by cortisol interaction demonstrated that for boys, both a smaller total cortisol output (AUCg) and peak cortisol response to stress (PC) was associated with greater stress-induced RT. Both cortisol measures were unrelated to stress-induced RT among girls. Taken together, data suggest that among boys, a blunted cortisol response to stress underlies an increase in risk taking in the context of psychological stress. Further research with an additional behavioral stress task is needed prior to drawing conclusions regarding the relation between female gender, cortisol response to stress, and risk taking in the context of psychological stress.