Assessing Culturally Different Students for Attention Deficit Hyperactivity Disorder Using Behavior Rating Scales

Behavior rating scales are commonly used in the assessment of attention deficit-hyperactivity disorder (ADHD). However, there is little information available concerning the extent to which scales are valid with culturally different students. This study explored the use of the ADHD-IV Rating Scale School Version with male Caucasian (CA) and African American (AA) students from ages 5 to 18 years. Teachers rated AA students higher on all symptoms across all age groups. LISREL analysis indicated that scale does not perform identically across groups. This was supported by the results of multidimensional scaling with suggested that there is a different relation between items across groups. Implications for research and practice are discussed.     

“To Err is Human”: An Examination of the Effectiveness of Error Management Training

This research explores how the effectiveness of word-processing training is impacted by a trainee's goal (learning vs. performance) and whether the training program is designed to encourage or discourage errors (error management vs. error avoidant). Ninety-four trainees were randomly assigned to one of four word processing training programs. Results indicated several beneficial effects of both error management training and learning goals including enhanced performance, increased intrinsic motivation, and decreased frustration. Results are discussed in terms of how error management principles might be implemented as well as which worker groups might be most responsive to this type of training.     

A Comparison of Computer-Assisted Psychotherapy and Cognitive-Behavioral Therapy in Groups

This study is the first independent, randomized controlled study in a clinical setting of a computer-assisted therapy program (Therapeutic Learning Program; TLP) developed to permit individualized therapy in a group setting. This software differs from other computer-assisted approaches in that targets for change are chosen by the patient rather than determined by the software. TLP was compared to a standard cognitive-behavioral treatment in 109 patients with 6-month follow-up. Although both treatments were associated with a significant reduction in symptoms of anxiety and depression at posttreatment and follow-up, no differences were found between treatments with respect to patient-rated satisfaction and effectiveness, clinician ratings of improvement, and scores on measures of anxiety and depression. At treatment midpoint patients tended to give more neutral ratings of satisfaction and treatment effectiveness of the TLP treatment, perhaps suspending judgment about this more novel treatment until its completion. It is concluded that at least one form of computer-assisted psychotherapy is as effective and acceptable to patients in a clinical setting as standard short-term cognitive-behavioral therapy conducted by experienced clinicians.     

Development of the Critical Elements of Genetic Evaluation and Genetic Counseling for Genetic Professionals and Perinatologists in Washington State

We present a method for the development of consensus documents describing the components of genetic evaluation and genetic counseling for various diagnoses. These documents were developed to encourage consistency among genetic professionals in Washington State. Other possible uses of these documents are to provide information regarding genetic evaluations for health care practitioners and payers, and to assist in quality assurance and genetic training programs. A working group of six genetic professionals developed two templates for the critical elements of genetic evaluation and genetic counseling, for clinical (nonprenatal) and prenatal patients. The working group then completed prototype templates for several specific genetic disorders. The templates and prototypes were sent to interested genetic professionals and perinatologists who submitted a total of 76 draft critical elements (CE's) to the working group. At two statewide meetings, participating practitioners modified and unanimously approved the CE templates, then unanimously approved the 21 draft CEs that had been finalized in small group discussions. Approved CE's were distributed to genetic professionals and perinatologists within the state.     

Counseling Older Japanese American Clients: An Overview and Observations

Older Japanese American clients bring a unique set of historical and cultural characteristics to the counseling setting. Several important aspects of providing counseling to this group are discussed, including ethical issues based on cultural differences and nontraditional approaches to counseling.     

Intelligence,classroom behavior,and academic achievement in children at high and low risk for psychopathology: A structural equation analysis

The intelligence, academic achievement, and classroom behavior of 158 children were assessed in a sample that is being followed longitudinally. The sample included children at high risk for mental disorder by virtue of having a parent with a psychiatric diagnosis of schizophrenia or affective disorder, children at moderate risk, and children at low risk, A series of path analyses indicated that in this sample (1) classroom behavior was more likely an affect than a cause of academic achievement, and (2) the influence of parental psychopathology on classroom behavior was mediated by a child's intelligence and academic achievement. We were unable to substantiate an unmediated causal link between parental psychopathology and children's academic achievement or classroom behavior.This research was supported by National Institute of Mental Health Grant MH 24819 to Drs. E. J. Anthony and J. Worland. The authors appreciate the help of the entire Harry Edison Child Development Research Center staff, especially Janet Penniman, Steven Finn, Harriet Lander, Arlene Stiffman, Victor Hesselbrock, Darcy Gilpin, Janice Hensiek, and Crisanne Roberts. Special thanks are expressed to Myra Ferrel and Alice Woods for making arrangements with the schools. Our gratitude is expressed to the principals, counselors, and teachers of the St. Louis area schools and to the children and families who participated in this effort.     

Multidimensional scaling of nominal data: The recovery of metric information with alscal

Multidimensional scaling has recently been enhanced so that data defined at only the nominal level of measurement can be analyzed. The efficacy of ALSCAL, an individual differences multidimensional scaling program which can analyze data defined at the nominal, ordinal, interval and ratio levels of measurement, is the subject of this paper. A Monte Carlo study is presented which indicates that (a) if we know the correct level of measurement then ALSCAL can be used to recover the metric information presumed to underlie the data; and that (b) if we do not know the correct level of measurement then ALSCAL can be used to determine the correct level and to recover the underlying metric structure. This study also indicates, however, that with nominal data ALSCAL is quite likely to obtain solutions which are not globally optimal, and that in these cases the recovery of metric structure is quite poor. A second study is presented which isolates the potential cause of these problems and forms the basis for a suggested modification of the ALSCAL algorithm which should reduce the frequency of locally optimal solutions.     

Interactive similarity ordering

The interactive similarity ordering (ISO) system gathers similarity data that can be symmetric, asymmetric, or rectangular in form. Because the subject makes a very simple judgment and the number of judgments is interactively minimized, this procedure can be used for a relatively large number of stimuli. This system has been programmed on a PDP-11/45 and on a Motorola 6800-based microprocessor. An empirical investigation indicates that the ISO system compares favorably with other large stimulus set procedures.     

The relationship of hemispheric preference,as measured by conjugate lateral eye movements,to accuracy of emotional facial expression

This study investigated the relationship between hemispheric preference and communication accuracy of facial affect. Hemispheric preference was determined by rating conjugate lateral eye movements. Forty right-handed females were classified: 10 right-movers (left hemisphere preference), 15 left-movers (right hemisphere preference), and 15 bidirectionals (no hemispheric preference). Subjects were shown emotionally loaded slides portraying happiness, fear, and disgust and their videotaped facial expressions were independently rated for accuracy. It was predicted that negative emotions involved right hemisphere activity and negative affect involved left hemisphere activity. As expected, it was found that left-movers were significantly better than right-movers at nonverbally communicating disgust and fear; hemispheric preference was unrelated to expression of happiness. The accuracy scores of the bidirectionals generally fell in between those of the left-movers and those of the right-movers. The results were discussed in reference to the differential lateralization of positive and negative emotions.This study was conducted as a senior research project by the first author under the supervision of the second author.     

BEHAVIORAL RESEARCH IN PREVENTIVE DENTISTRY: EDUCATIONAL AND CONTINGENCY MANAGEMENT APPROACHES TO THE PROBLEM OF PATIENT COMPLIANCE

This study examined the effects of reinforcement on compliance with an oral hygiene education program. Patients 18 years of age or older who enrolled in an ongoing program at a periodontal practice received 3–5 sessions of instruction in preventive dental care. Using a between-subjects design, patients who entered the program during alternating months also had a portion of their fees refunded contingent upon improvements in their dental plaque scores. Pre- and posttreatment data showed that all subjects exhibited lower plaque levels following the program, but that greater improvements were seen in patients who were exposed to the fee reduction contingency. Plaque scores taken at a 6-month follow-up revealed some relapse for the Fee Reduction subjects. However, their scores were still substantially better than pretreatment, and better than those of the Education only subjects, whose data differed little from untreated Controls. Methodological and practical issues related to behavioral research in preventive dentistry are discussed.