Expanding Treatment Options for Children With Selective Mutism: Rationale,Principles, and Procedures for an Intensive Group Behavioral Treatment

Children with selective mutism (SM) experience significant challenges in a variety of social situations, leading to difficulties with academics, peers, and family functioning. Despite the extensive evidence base for cognitive-behavioral interventions for youth anxiety, the literature has seen relatively limited advancement in specialized treatment methods for SM. In addition, geographic disparities in SM treatment expertise and the roughly 6-month duration of some of the supported SM treatment protocols can further restrict the accessibility and acceptability of quality SM care. Intensive group behavioral treatment (IGBT) for SM was developed to expand the portfolio of evidence-based SM treatment options by offering brief, but high-dose, expert SM intervention in a group format for youth ages 3–10 years that can be completed in 1 week. In this article, we outline IGBT for SM program, which has already received initial support in a waitlist-controlled trial. Our presentation is organized around the five main components of the treatment model: (1) individual “lead-in” sessions, (2) camp (i.e., all-day group sessions for children held in a simulated classroom setting, with an emphasis on graduated exposures and structured reinforcement), (3) parent training, (4) school outreach, and (5) booster treatment, as needed. We conclude with a discussion of clinical considerations and future directions for further IGBT refinement and evaluation.     

Enumeration in time is irresistibly event-based

Psychonomic Bulletin & Review - One of the most fundamental questions that can be asked about any process concerns the underlying units over which it operates. And this is true not just for...     

Perceiving personal discrimination: the role of group status and legitimizing ideology

It was hypothesized that relative group status and endorsement of ideologies that legitimize group status differences moderate attributions to discrimination in intergroup encounters. According to the status-legitimacy hypothesis, the more members of low-status groups endorse the ideology of individual mobility, the less likely they are to attribute negative outcomes from higher status group members to discrimination. In contrast, the more members of high-status groups endorse individual mobility, the more likely they are to attribute negative outcomes from lower status group members to discrimination. Results from 3 studies using 2 different methodologies provide support for this hypothesis among members of different high-status (European Americans and men) and low-status (African Americans, Latino Americans, and women) groups.     

On associations between computers and restaurants: Rapid learning of new associations on a conceptual implicit memory test

A novel event-based conceptual implicit memory test was designed to tap the development of new associations between objects and ad hoc categories. At study, participants were presented with a plausible story that linked an incongruous object (computer) with an ad hoc category (restaurant). At test, participants judged whether a given object was typically found in a restaurant. In Experiment 1, judgment time was significantly slower for the incongruous object (computer) when the story had previously linked the computer to the restaurant, relative to when it had not. Experiment 2 replicated this effect and ruled out the alternative interpretation that this interference effect was attributable to a general slowing of responses to all studied items. Unlike in prior studies, this demonstration of associative priming cannot be attributed to perceptual priming or to test awareness in memory-intact participants. The paradigm therefore offers a unique opportunity to study single-trial conceptual learning in memory-intact and memory-impaired populations.     

Exposure with response prevention versus habit reversal in Tourettes's syndrome: a controlled study

The intentional nature of tics provides the opportunity to apply behavioural interventions aimed at tic reduction through interruption of stimulus-response sequences. The aim of this study has been to evaluate the effect of exposure and response prevention (ER) versus habit reversal (HR) in 43 Tourette's syndrome (TS) patients. The three outcome measures were: the Yale Global Tic Severity Scale (YGTSS), 15-min tic frequency registrations monitored at the institute and 15-min home tic frequency registrations. Both treatment conditions resulted in statistically significant improvements on all outcome measures (p < 0.001). No significant differences were found between the treatment conditions on any of the outcome measures, although there was a tendency in favour of ER on the YGTSS (p = 0.05). These results suggest that, at least in the short term, TS tic symptoms can be treated effectively with both types of treatment.     

Age differences in rereading

Younger and older adults read a series of expository and narrative passages twice in order to answer comprehension questions. Reading time was used to index attentional allocation to word, textbase, and situation model processing and to assess shifts in the allocation policy from the first to the second reading. Older readers' comprehension was at least as good as that of younger readers. Analysis of reading times suggested that for both genres, older adults allocated more attention to situation model features than younger adults did on the first reading, whereas young and old allocated attention similarly to this level of representation on the second reading, suggesting that mature readers may give greater priority to situation model construction when first encountering text. Also, for both genres, older adults showed relatively less facilitation than the young in word-level processing in rereading, suggesting that representation at this level is not as firmly established during reading or decays more quickly for older readers. For narrative texts only, this pattern also obtained for textbase processing. Collectively, these data show that age equivalence in text comprehension at the molar level may be accomplished through different processing routes at the molecular level.     

Emergence of joint attention: relationships between gaze following,social referencing,imitation, and naming in infancy

The authors investigated the extent to which the joint-attention behaviors of gaze following, social referencing, and object-directed imitation were related to each other and to infants' vocabulary development in a sample of 60 infants between the ages of 8 and 14 months. Joint-attention skills and vocabulary development were assessed in a laboratory setting. Split-half reliability analyses on the joint-attention measures indicated that the tasks reliably assessed infants' capabilities. In the main analysis, no significant correlations were found among the joint-attention behaviors except for a significant relationship between gaze following and the number of names in infants' productive vocabularies. The overall pattern of results did not replicate results of previous studies (e.g., M. Carpenter, K. Nagell, & M. Tomasello, 1998) that found relationships between various emerging joint-attention behaviors.     

Group identification moderates emotional responses to perceived prejudice

Two studies tested the prediction that group identification (importance of the group in the self-concept) moderates the impact of perceived discrimination on self-evaluative emotions (depression and self-esteem). In Study 1, women low in gender identification experienced less depressed emotion and higher self-esteem if a negative evaluation was due to sexism than when it was not. The self-evaluative emotions of women high in gender identification were not buffered by attributions to sexism. In Study 2, ethnic identification and depressed emotions were positively related when Latino-Americans read about pervasive prejudice against the ingroup but were negatively related when they read about prejudice against an outgroup. Both studies demonstrated that for highly group identified individuals, prejudice against the ingroup is a threat against the self. Thus, the self-protective strategy of attributing negative feedback to discrimination may be primarily effective for individuals who do not consider the group a central aspect of self.     

It's not my fault: when and why attributions to prejudice protect self-esteem

This study tested the hypothesis that awareness of the possibility of being a target of discrimination can provide individuals with a means of self-esteem protection when they are faced with negative outcomes. Men and women contemplated being rejected from a course due to sexism, personal deservingness, or an exclusively external cause. Regardless of gender, participants in the sexism condition blamed themselves less, attributed the rejection less to internal causes, and anticipated feeling less depressed than those in the personal deservingness condition. Furthermore, the more participants discounted the rejection--blamed it more on discrimination than themselves--the less depressed emotions they anticipated feeling. Discounting did not buffer participants from feeling hostility or anxiety. These findings advance our understanding of when and why attributions to prejudice protect emotional well-being.