Evaluation of an islandwide screening,assessment and treatment program

This article reports on the effectiveness of the Islandwide Screening, Assessment, and Treatment Program of the Child Development Project in Bermuda. From 1982 to 1984, approximately 1100 families with 2-year-old children were screened for children's cognitive and language delay, for behaviour management problems and for other home characteristics that put children at risk for later school failure. Children who failed the screening and subsequent assessment procedures (of whom random samples received treatment) and samples of others who passed screening and assessment were evaluated from 1984 to 1986 at 4 years of age. This article focuses on the results of the cognitive and language programs; the more problematic behaviour management analyses were reported elsewhere (Miller and Scarr, 1988). The screening procedures and assessment measures developed for this project were themselves evaluated and adjusted to maximize efficiency and costeffectiveness. The screening and assessment procedures proved effective in bringing to the attention of the Child Development Project those families and children who need developmental services, and in not overidentifying normal children as potentially delayed in development. Two kinds of treatment services were compared: The Mother-Child Home Program (MCHP), administered by paraprofessional toy demonstrators, and other interventions tailored by professionals to the language and cognitive problems of the child (called ‘tailored programs’). Children who were not extremely delayed or disturbed were randomly assigned either to the MCHP or to a tailored program. Neither intervention program was preferable to the other. Even though improved, the 4-year-olds identified as developmentally delayed at 24 months still lagged behind children who passed all parts of screening and those who failed screening but passed assessment 2 years earlier. The screening and assessment procedures were very effective in the early identification of children with developmental problems, but the treatment programs failed to bring most children to normal levels of cognitive and language functioning.     

The time course of learned helplessness, inactivity, and nociceptive deficits in rats

Four experiments are reported which explore the nature of the effects of inescapable shock on subsequent shuttlebox escape learning. The first experiment demonstrated that shuttle escape deficits dissipate within 48 hr after treatment with inescapable shock. Experiment 2 showed that exposure to inescapable shock suppressed unlearned activity in the shuttlebox and that this activity deficit recovered within 48 hr. Experiment 2A demonstrated that this shuttlebox crossing decrement was at least partly attributable to the inescapability of the shocks. These results suggested that activity factors might partly mediate the shuttle escape learning deficit reported in Experiment 1. Experiment 3 explored the possibility that activity and shuttle escape learning deficits are subserved by the effects of inescapable shock on pain sensitivity. The results supported this notion. It was found that rats were less sensitive to painful stimulation 24 hr after inescapable shock and that this analgesic tendency also dissipated within 48 hr after pretreatment. The implications of these results were discussed.     

Specificity of memory representations for spoken words

Many theories of spoken word recognition assume that lexical items are stored in memory as abstract representations. However, recent research (e.g., Goldinger, 1996) has suggested that representations of spoken words in memory are veridical exemplars that encode specific information, such as characteristics of the talker’s voice. If representations are exemplar based, effects of stimulus variation such as that arising from changes in the identity of the talker may have an effect on identification of and memory for spoken words. This prediction was examined for an implicit and explicit task (lexical decision and recognition, respectively). Comparable amounts of repetition priming in lexical decision were found for repeated words, regardless of whether the repetitions were in the same or in different voices. However, reaction times in the recognition task were faster if the repetition was in the same voice. These results suggest a role for both abstract and specific representations in models of spoken word recognition.     

Cuban Mothers' Schemas of ADHD: Development, Characteristics, and Help Seeking Behavior

Parents play a crucial role in the diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD), one of the most prevalent developmental disorders of young children We report the findings of a qualitative study of Cuban-American mothers of 7 to 10 year old children with ADHD. Results suggest that mothers lacked a cultural model for ADHD and held a cultural model of normal child development which hampered their development of a schema of ADHD. Development of ADHD schemas were motivated by perplexity at their children's behavior and by the high value mothers ascribed to academic achievement. Although the schemas developed by the mothers were labeled as ADHD, their behavioral characterizations of their children, their attributions for the condition and for its causes, and their management strategies were not always in agreement with those of the biomedical model for the condition. However, once mothers classified their children's behavior as atypical, they actively sought assistance from the professional sector.     

Psychometric properties of the children's atypical development scale

The Children's Atypical Development Scale (CADS) is a 53-item rating scale designed to measure unusual behaviors in children. Principal-factor analysis on a clinic-referred and pediatric sample of 474 children resulted in a four-factor solution: Communication Deficits, Lability, Social Relatedness Deficits, and Preoccupation. The CADS is internally consistent and has adequate temporal stability. CADS factor scores were differentially associated with parent and teacher rating scales, IQ, and Continuous Performance Test errors. The scale shows promise as a clinical and research tool for assessing atypical behaviors associated with pervasive developmental disorder and other neurobehavioral disorders.This research was supported in part by a grant from the Smart Family Foundation. The authors are grateful to James P. O'Donnell, Catherine Lord, and Frank A. Zelko for their comments on an earlier draft.     

Women’s Income-generating Activity and Experiences of Economic Intimate Partner Violence in Rural Bangladesh

Sex Roles - Economic coercion is a form of intimate partner violence (IPV) that is distinct from but often co-occurs with physical, psychological, and sexual IPV. Women’s experiences of...     

A systematic review of physical guidance procedures as an open‐mouth prompt to increase acceptance for children with pediatric feeding disorders

This article reviews behavioral treatments of pediatric feeding disorders using physical guidance procedures as an open‐mouth prompt (i.e., jaw prompt, finger prompt, Nuk prompt, side deposit) to increase food acceptance. We identified 9 articles containing 35 systematic evaluations. We coded participant and study characteristics and assessed the experimental rigor, quality, and outcomes of each evaluation. Of the high‐quality research present, the finger prompt variation and side deposit reliably increased acceptance. We found mixed results on the efficacy of the jaw prompt, although it was the most widely researched procedure. Further, authors reported interobserver agreement for 100% of the participants, procedural integrity for 60%, social validity for 80%, fading for 5%, and follow‐up for 55%. Based on the invasive nature of physical guidance, we provide recommendations for researchers and clinicians to increase the quality of their treatment evaluations. We discuss limitations, implications for practice, and future research.     

Using behavior contracts to improve behavior of children and adolescents in multiple settings

Research has shown that behavior contracts, a form of contingency management, can promote a wide range of behavior changes for individuals in varied populations; however, relatively few studies have been conducted in nonacademic settings. In the context of two service projects, we evaluated the extent to which behavior contracts improved problem behavior for 11 children and adolescents in residential treatment facilities and foster homes using nonconcurrent multiple baseline across participants’ designs with three or more tiers and supplemental statistical analysis for each tier. Practitioners in each setting implemented individualized behavior contracts for 5 to 59 weeks. Results show that behavior improved substantially for six participants but was relatively unchanged for the other five participants. We discuss the limitations of this clinically driven study, as well as clinical implications of our mixed findings.     

Maladaptive Emotional Schemas and Emotional Functioning: Evaluation of an Integrated Model Across Two Independent Samples

Journal of Rational-Emotive & Cognitive-Behavior Therapy - Recent advancements in emotion theory propose that emotional schemas—individualized conceptualizations and beliefs about...