THE SECOND SPHERE AND THE STORY OF NO STORY

The author discusses Roy Schafer's ideas of the second self and second reality, as well as his consistent theme of storyteller and story. The latter theme is also explored in the context of more recent psychoanalytic influences, such as Bionian thought, trauma theory, the French approach, and the interpersonal perspective. To illustrate the idea of the nonstory in today's clinical encounters, the author presents two clinical vignettes.     

Predictors of Response and Mechanisms of Change in an Organizational Skills Intervention for Students with ADHD

The purpose of the study was to evaluate predictors of response and mechanisms of change for the Homework, Organization, and Planning Skills (HOPS) intervention for middle school students with Attention-Deficit/Hyperactivity Disorder (ADHD). Twenty-three middle school students with ADHD (grades 6–8) received the HOPS intervention implemented by school mental health providers and made significant improvements in parent-rated materials organization and planning skills, impairment due to organizational skills problems, and homework problems. Predictors of response examined included demographic and child characteristics, such as gender, ethnicity, intelligence, ADHD and ODD symptom severity, and ADHD medication use. Mechanisms of change examined included the therapeutic alliance and adoption of the organization and planning skills taught during the HOPS intervention. Participant implementation of the HOPS binder materials organization system and the therapeutic alliance as rated by the student significantly predicted post-intervention outcomes after controlling for pre-intervention severity. Adoption of the binder materials organization system predicted parent-rated improvements in organization, planning, and homework problems above and beyond the impact of the therapeutic alliance. These findings demonstrate the importance of teaching students with ADHD to use a structured binder organization system for organizing and filing homework and classwork materials and for transferring work to and from school.     

Immediate Feedback Assessment Technique Promotes Learning and Corrects Inaccurate first Responses

The Psychological Record - Multiple-choice testing procedures that do not provide corrective feedback facilitate neither learning nor retention. In Studies 1 and 2, the performance of participants...     

Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials.

CONTEXT: Evaluating the efficacy of pediatric weight loss treatments is critical. OBJECTIVE: This is the first meta-analysis of the efficacy of RCTs comparing pediatric lifestyle interventions to no-treatment or information/education-only controls. DATA SOURCES: Medline, PsycINFO, and Cochrane Controlled Trials Register. STUDY SELECTION: Fourteen RCTs targetting change in weight status were eligible, yielding 19 effect sizes. DATA EXTRACTION: Standardized coding was used to extract information on design, participant characteristics, interventions, and results. DATA SYNTHESIS: For trials with no-treatment controls, the mean effect size was 0.75 (k = 9, 95% confidence interval [CI] = 0.52-0.98) at end of treatment and 0.60 (k = 4, CI = 0.27-0.94) at follow-up. For trials with information/education-only controls, the mean ES was 0.48 (k = 4, CI = 0.13-0.82) at end of treatment and 0.91 (k = 2, CI = 0.32-1.50) at follow-up. No moderator effects were identified. CONCLUSIONS: Lifestyle interventions for pediatric overweight are efficacious in the short term with some evidence for extended persistence. Future research is required to identify moderators and mediators and to determine the optimal length and intensity of treatment required to produce enduring changes in weight status.     

GENERALITY AND SIDE EFFECTS OF OVERCORRECTION1

The effects and side effects of overcorrection for self-stimulatory behaviors of two children in a specialized day-care program were evaluated. For one child, a “hand” overcorrection procedure involving arm and hand exercises was introduced contingent upon inappropriate hand movements and later contingent upon inappropriate foot movements. After “hand” overcorrection was withdrawn for inappropriate foot movements, a “foot” overcorrection procedure involving foot and leg exercises was introduced contingent upon inappropriate foot movements. For a second child, the “hand” overcorrection procedure was introduced contingent upon inappropriate hand movements during a free-play period, and later contingent upon inappropriate vocalizations at naptime. “Hand” overcorrection was withdrawn and then re-introduced sequentially for both behaviors. Several concurrent behaviors were measured to assess multiple effects of treatment. Results for both children indicated the “hand” overcorrection procedure suppressed inappropriate hand movements and inappropriate behaviors that were topographically dissimilar. In addition, inverse relationships were observed between the second child's inappropriate hand movements and appropriate toy usage during free play and between his inappropriate vocalizations and inappropriate foot movements during naptime. Results suggest that overcorrection procedures that are effective for one behavior can be used to reduce the frequency of topographically different behaviors. This finding is discussed in terms of its practical implications for therapists.     

Oral overcorrection: side effects and extended applications.

Experiment 1: In a specialized daycare program the use of oral overcorrection (contingent toothbrushing with an oral antiseptic) to suppress one child's thumbsucking at Language Time was found to suppress the behavior of another child who was not treated but who witnessed the target child's treatment. Experiment 2: The main effects of oral overcorrection were replicated. Contingent overcorrection threats (warnings), used independently, were then shown to suppress thumbsucking behavior that had returned to its baseline level. These effects were maintained one month after the threats were discontinued, but they did not generalize to other activity periods, particularly Nap Time. Experiment 3: Contingent threats were found to suppress the persistent nap-time thumbsucking of the child from Expt 2. Increments in certain other (nonoral) inappropriate behaviors were correlated with the suppression of thumbsucking. Threats to use oral overcorrection contingent upon nonoral misbehaviors at Nap Time were not effective. However, the actual use of oral overcorrection for these categories of nonoral misbehavior served to suppress these behaviors. Experimental controls combined treatment reversal and multiple baseline single-subject designs.     

The effect of directed forgetting on the time to remember

A recognition memory task was used to determine whether the search set is reduced by cueing subject to forget a part of the input. Correct recognition reaction time was used to infer the size of the search set. The principal results were that RT on forget trials was faster than RT on remember trials and that RT was fastest when the forget cue was presented at the outset of the trial rather than after the material had been presented. These findings are generally consistent with the hypothesis that selective search is responsible for the enhancement of recall produced by forget instructions in earlier studies.     

The time it takes to make veridical size and distance judgments

Two experiments measuring the time it takes to make veridical size judgments under normal (unreduced) conditions of viewing showed that RT tended to increase with increases in viewing distance between 122 and 305 cm, even for targets subtending the same visual angle at all distances. Two experiments measuring the time it takes to judge distance under the same conditions did not reveal any difference in RT as a function of the extent-of-distance judged. Established accounts of size perception do not suggest an explanation of these findings.