Development and validation of a Client Problem Profile and Index for drug treatment

The development of the Client Problem Profile and Index are described, and initial concurrent and predictive validity data are presented for a sample of 547 patients in outpatient methadone treatment. Derived from the TCU Brief Intake for drug treatment admissions, the profile covers 14 problem areas related to drug use (particularly cocaine, heroin/opiate, marijuana, other illegal drugs, and multiple drug use), HIV risks, psychosocial-functioning, health, employment, and criminality. Analyses of predictive validity show the profile and its index (number of problem areas) were significantly related to therapeutic engagement, during-treatment performance, and posttreatment follow-up outcomes. Low moderate to high moderate effect sizes were observed in analyses of the index's discrimination.     

DOES SENSITIVITY TO MAGNITUDE DEPEND ON THE TEMPORAL DISTRIBUTION OF REINFORCEMENT?

Our research addressed the question of whether sensitivity to relative reinforcer magnitude in concurrent chains depends on the distribution of reinforcer delays when the terminal-link schedules are equal. In Experiment 1, 12 pigeons responded in a two-component procedure. In both components, the initial links were concurrent variable-interval 40-s variable-interval 40-s, and the terminal links were both 20-s interval schedules in which responses were reinforced by either 4-s of grain in one, or 2-s of grain in the other. The only difference between the components was whether the terminal-link schedules were fixed interval or variable intervals. For all subjects, the relative rate of responding in the initial links for the terminal link that produced the 4-s reinforcer was greater when the terminal links were fixed-interval schedules than when they were variable-interval schedules. This result is contrary to the prediction of Grace's (1994) contextual choice model, but is consistent with both Mazur's (2001) hyperbolic value-added model and Killeen's (1985) incentive theory. In Experiment 2, 4 pigeons responded in a concurrent-chains procedure in which 4-s or 2-s reinforcers were provided independently of responding according to equal fixed-time or mixed-time schedules. Preference for the 4-s reinforcer increased as the variability of the intervals comprising the mixed-time schedules was decreased. Generalized-matching sensitivity of initial-link response allocation to relative reinforcer magnitude was proportional to the geometric mean of the terminal-link delays.     

Resistance to extinction in the steady state and in transition

Three experiments with pigeons explored the constancy of reinforcer omission during extinction conjectured by rate estimation theory. Experiment 1 arranged 3-component multiple variable-interval (VI) schedules with a mixture of food and extinction trials within each session. Reinforcers omitted to an extinction criterion increased with food-trial reinforcer rate. Experiment 2 arranged 3-component multiple VI schedules where components differed in rate or number of reinforcers. Resistance to extinction depended on the training reinforcer rate but not on the number of reinforcers omitted. Experiment 3 replicated the partial-reinforcement extinction effect within subjects in a discrete-trial procedure and found that more reinforcers were omitted in continuous- than in partial-reinforcement trials. A model of extinction based on behavioral momentum theory accounted for all the data.     

Activation of adenosine receptors in the posterior cingulate cortex impairs memory retrieval in the rat

Adenosine A1 and A2A receptor agonists and antagonists have been reported to alter learning and memory. The aim of our study was to investigate the involvement of adenosinergic system in memory retrieval into posterior cingulate cortex (PCC) of Wistar rats. To clarify this question, we tested specifics agonist and antagonists of adenosine A1 and A2A receptors in rats submitted to a one-trial inhibitory avoidance task. The stimulation of adenosine A1 and A2A receptors by CPA and CGS21680, respectively, impaired memory retrieval for inhibitory avoidance task, into PCC. These findings provide behavioral evidence for the role of adenosinergic system in the memory retrieval into PCC.     

Effect of intensive training on auditory processing and reading skills

This study assessed the ability of seven children to accurately judge relative durations of auditory and visual stimuli before and after participation in a language remediation program. The goal of the intervention program is to improve the children's ability to detect and identify rapidly changing auditory stimuli, and thereby improve their language-related skills. Children showed improved accuracy on a test of auditory duration judgement following the intervention without analogous improvements in the visual domain, supporting the assertion that intensive training with modified speech improves auditory temporal discrimination. However, these improvements did not generalize to reading skills, as assessed by standard measures of phonological awareness and non-word reading.     

Factor analysis of the frontal systems behavior scale (FrSBe)

The Frontal Systems Behavior Scale (FrSBe), formerly called the Frontal Lobe Personality Scale (FLOPS), is a brief behavior rating scale with demonstrated validity for the assessment of behavior disturbances associated with damage to the frontal-subcortical brain circuits. The authors report an exploratory principal factor analysis of the FrSBe-Family Version in a sample including 324 neurological patients and research participants, of which about 63% were diagnosed with neurodegenerative diseases (Huntington's, Parkinson's, and Alzheimer's diseases). The three-factor solution accounted for a modest level of variance (41%) and confirmed a factor structure consistent with the three subscales proposed on the theoretical basis of the frontal systems. Most items (83%)from the FrSBe subscales of Apathy, Disinhibition, and Executive Dysfunction loaded saliently on three corresponding factors. The FrSBe factor structure supports its utility for assessing both the severity of the three frontal syndromes in aggregate and separately.     

Attribution processes in mother-adolescent conflict

Attributions reported by 115 mothers and 122 adolescents were examined as they related to family conflict. Subjects completed measures of parent-adolescent conflict (Issues Checklist, Conflict Behavior Questionnaire) and the Mother-Adolescent Attribution Questionnaire. The results revealed that parent-adolescent conflict correlated with mothers' and teenagers' negative attributions. Specifically, self-reported conflict was positively correlated with mothers' and teenagers' beliefs that one another's negative behavior was intentional, selfishly motivated, and blameworthy.     

The flexible boundaried group: format, techniques, and patients' perceptions

The model of a flexible boundaried group was developed to manage the problem of irregular group attendance of chronic mentally ill patients. The central element in the model enables patients to determine, within limits, the frequency with which they will attend sessions. Review of attendance records and patient interviews from one flexible group suggest that members adhere to their contractual agreement and are accepting of irregular attenders. This finding has been supported by experiences in three additional groups composed of chronically ill individuals. These groups, comprised of regular, core attenders and peripheral members, become cohesive and form a viable therapeutic treatment structure.     

Impact of Internal Auditing on Branch Bank Performance: A Field Experiment

We conducted an experiment to assess the contribution of internal auditing to organizational effectiveness. We randomly assigned 224 bank branches to experimental conditions (audited or not audited) and monitored their performance for a year. Performance significantly improved during the half year following the audit in the experimental branches, in contrast to a decline in the control branches due to poor general business conditions. The contribution of auditing to performance is discussed in terms of learning, motivation, deterrence, and process improvement.     

What's in a name: what analyst and patient call each other

Awkward moments often arise between patient and analyst involving the question, "What do we call each other?" The manner in which the dyad address each other contains material central to the patient's inner life. Names, like dreams, deserve a privileged status as providing a royal road into the paradoxical analytic relationship and the unconscious conflicts that feed it. Whether an analyst addresses the patient formally, informally, or not at all, awareness of the issues surrounding names is important.