Interpersonal functioning and depressive symptoms in childhood: Addressing the issues of specificity and comorbidity

Research has supported linkages between depression and social impairment in youngsters, but has often focused on depressive symptoms in isolation. We collected data on depressive, anxiety, and externalizing symptoms in 161 school children. Information about interpersonal competence was gathered from several sources, including children, teachers, and behavioral observations. Depressive symptoms were found to be related to difficulties in multiple areas of competence, including maladaptive social problem-solving styles, conflict-negotiation and affect-regulation deficits, and peer rejection. Comparisons of the relative contributions made by depressive and anxiety symptoms to the prediction of functioning yielded some evidence for a specific relation between depressive symptoms and impairment. Children with cooccurring internalizing and externalizing symptoms generally suffered from the most social dysfunction. If replicated in clinical samples, findings such as these may help to guide intervention efforts with depressed children.We thank Daphne Isenberg, Margie Limon, Leslie Scher, and Jennifer Silverman for their assistance in various aspects of this study. We would also like to express our appreciation to the participating children and teachers and to the UCLA Bruin Kids Day Camp.     

Residence time and choice in concurrent foraging schedules

Five pigeons were trained on a concurrent-schedule analogue of the “some patches are empty” procedure. Two concurrently available alternatives were arranged on a single response key and were signaled by red and green keylights. A subject could travel between these alternatives by responding on a second yellow “switching” key. Following a changeover to a patch, there was a probability (p) that a single reinforcer would be available on that alternative for a response after a time determined by the value of λ, a probability of reinforcement per second. The overall scheduling of reinforcers on the two alternatives was arranged nonindependently, and the available alternative was switched after each reinforcer. In Part 1 of the experiment, the probabilities of reinforcement, ρ_red and ρ_green, were equal on the two alternatives, and the arranged arrival rates of reinforcers, λ_red and λ_green, were varied across conditions. In Part 2, the reinforcer arrival times were arranged to be equal, and the reinforcer probabilities were varied across conditions. In Part 3, both parameters were varied. The results replicated those seen in studies that have investigated time allocation in a single patch: Both response and time allocation to an alternative increased with decreasing values of λ and with increasing values of ρ, and residence times were consistently greater than those that would maximize obtained reinforcer rates. Furthermore, both response- and time-allocation ratios undermatched mean reinforcer-arrival time and reinforcer-frequency ratios.     

Features Resembling Tourette''s Syndrome in Developmental Stutterers

Developmental stuttering (DS) may be related to the extrapyramidal motor system and shares many clinical similarities with Tourette's syndrome (TS), which is widely believed to be associated with extrapyramidal dysfunction. Twenty-two stutterers were examined for neuropsychiatric features commonly seen in TS, including tics, obsessive-compulsive behaviors (OCB), and attention deficit disorders. Eleven stutterers displayed motor tics, and symptoms of OCB were observed at rates similar to those seen in persons with TS. Few stutterers demonstrated significant attentional deficits. Findings are consistent with models suggesting extrapyramidal involvement in DS and raise the possibility that DS and TS are pathogenetically related.     

Cognitive processing therapy for chronic PTSD from childhood sexual abuse: A case study

This paper describes a case of chronic Post-traumatic Stress Disorder (PTSD), as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th edn; American Psychiatric Association, 1994). The client has a long history of childhood sexual abuse (CSA), as well as repeated sexual victimization as an adult and addiction issues. She presented with significant avoidance symptoms, including a highly restricted range of affect and distinct feelings of detachment from others. These symptoms had been greatly reduced by the end of the 17-week therapy including both individual and group modalities. The paper elaborates on theoretical issues, the Cognitive Processing Therapy model (Resick & Schnicke, 1993) as it was adapted for use with survivors of childhood sexual abuse, the various phases of the therapeutic process, and specific examples of therapeutic change with this particularly complicated case.     

Black-white personality differences: another look.

Investigated the meaning of Black-White differences typically discovered on personality instruments by administering a pool of items derived from both the MMPI and California Psychological Inventory, as well as a group form of the Embedded Figures Test, to a sample of 226 black and white junior college students. A cluster analysis of the unexpectedly large number of inventory items significantly differentiating the two races produced reliable and meaningful configurations. Interpretations of race differences on these clusters and the EFT provide a new perspective on the meaning of Black-White personality differences.     

Helping Children Accept Death and Dying Through Group Counseling

This article suggests that the new wave of openness about death in our culture and the elimination of the death taboo will not be completely accomplished without developing a generalized practice in death counseling with children. A brief historical perspective of research confirms the necessity of including children in discussions about death education. A taped counseling session with several preadolescent boys in a rural midwestern school demonstrates the importance of accepting the deep feelings and fears that children must deal with in order to be free from unnatural anxiety about death and dying as adults.     

Sequential precession and diminishing returns in the acquisition of a motor skill

As students progress to higher and higher levels in the acquisition of a skill their number gets smaller and smaller. This article concerns the average length of time it takes the members of these successively smaller groups to complete earlier stages of skill acquisition. In the data presented, which concern Red Cross swimming, the more advanced a group is the less time its members take on the average to complete a preceding stage (sequential precession). The discussion section brings out a second relation in the same data: Namely, the further the same students advance in skill acquisition the smaller the advantage they enjoy over other students at the same level (diminishing returns).     

Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.