CLINICAL BEHAVIORAL PHARMACOLOGY: METHODS FOR EVALUATING MEDICATIONS AND CONTINGENCY MANAGEMENT

We evaluated methods for comparing the effects of dextroamphetamine (Dexedrine), thioridazine (Mellaril), and contingency management in the control of severe behavior problems. A reversal design was used in which medications were systematically titrated and assessed in unstructured as well as structured settings with three clients. Subsequently, behavioral procedures including timeout, differential reinforcement of other behavior, and visual screening, were used in a multiple-baseline design across settings. The assessment and design methods were useful in comparing the interventions. Dextroamphetamine decreased inappropriate behaviors and improved academic behaviors in one client, but no reliable effects were observed in the other two clients. Thioridazine was variable across clients, settings, behaviors, and dosages. Contingency management produced consistent decreases in inappropriate behaviors and small improvements in academic performance.     

Effects of speaking upon the rate and variability of concurrent finger tapping in children

Tapping rate and variability were measured as 73 normal, right-handed children in Grades 1–4 engaged in speeded unimanual finger tapping with and without concurrent recitation. Speaking reduced the rate of tapping and increased its variability to a greater extent in younger children than in older children. Developmental changes in variability but not rate were attributable to a greater number of lengthy (>500 ms) pauses in the tapping of younger children. Speaking slowed the right hand more than the left, and the degree of this asymmetry was constant across grade levels. The right-hand effect for tapping rate was not attributable to lengthy pauses. In contrast, asymmetric increases in tapping variability occurred only among children in Grade 1 and only when lengthy pauses were included in the data. The results implicate three mechanisms of intertask interference: one involving capacity limitations, a second involving cross-talk between motor control mechanisms for speech and finger movement, respectively, and a third factor involving occasional diversion of attention from tapping to speaking. These mechanisms are discussed in relation to developmental changes in mental capacity.     

The effects of social motives on behavior in social dilemmas in two cultures

Subjects in Santa Barbara, California, and Groningen, The Netherlands, participated in a seven-person social dilemma game, presented in terms of a conservation of resources problem. Prior to their decision making in the social dilemma game, subject's social motive (altruistic, cooperative, individualistic, competitive) was assessed by means of two different classification procedures. On the basis of previous research findings American subjects were expected to display relatively more competitive social motives, and Dutch subjects relatively more cooperative ones. However, no indications of crosscultural differences were found neither with regard to the distribution of social motives nor with regard to the amount of resources taken for self in the social dilemma game. In both locations, competitive subjects took most resources for self, individualistic subjects took next most, cooperative subjects took less than individualists, and altruistic subjects took the least. In addition to predictive validity, indices of the convergent validity of two social motive assessment procedures were described.     

Expectancy,integration, and interactional processes: Age differences in the nature of words affected by sentence context

Two experiments investigated sentence context effects on the naming times of sentence completion words by third-grade children and college students. Across both experiments, the largest age difference in contextual facilitation was obtained for highly predictable, best completion words. Pronounced age differences in facilitation effects were also present for semantically acceptable target words which were much less predictable in the sentence context than the best completion words. However, age differences in contextual facilitation were negligible for target words which were associatively related to the best completion word, but which were not also semantically acceptable in the sentence context. Thus, the semantic acceptability of the word in the sentence context had a much greater influence on children's as compared to adults' word identification times, both when the word was highly predictable, as well as when it was much less predictable in the sentence context.     

Do children use similar processes to read and spell words?

The use of spelling-sound information in both reading and spelling was evaluated by having children read and spell nonwords and five types of words that differed in terms of their regularity for reading and spelling. The subjects were grade 3 children who had been psychometrically defined as good readers and good spellers (“good”), good readers and poor spellers (“mixed”), or poor readers and poor spellers (“poor”). Results indicated that all children attempted to use spelling-sound correspondences in both reading and spelling, although children in both the mixed and the poor groups had weaker knowledge of these correspondences and were less systematic in their use of them. Furthermore, even though the children in the mixed group had been matched with children in the good group on reading comprehension, the number and type of errors made by the mixed subjects on both the reading and spelling tasks were more similar to those of the poor subjects than to those of the good subjects.     

Three-state models of memory development: A review of advances in statistical methodology

A certain family of three-state Markov processes has been widely used in experiments on children's memory. Although the statistical machinery for these models is well developed in most respects, two shortcomings have been noted in recent literature reviews. First, the parameters of the models are not identifiable. Second, goodness-of-fit tests are laborious to execute and their sampling distributions are unknown. New procedures for dealing with these difficulties are reported.     

Children's preference for novelty in selective learning: Developmental stability or change?

Data relating novelty preference to age for normal children are inconsistent, although a current theory predicts a developmental shift from novelty to familiarity preference in selective learning (D. Zeaman, 1976, in T. J. Tighe & R. N. Leaton (Eds.), Habituation: Perspectives from child development, animal behavior, and neurophysiology (pp. 297–320), Hillsdale, NJ: Erlbaum). Support for this theory, however, has been derived primarily from studies of retardate learning. Normal children's novelty preference was examined within a modified Moss-Harlow (E. Moss & H. F. Harlow, 1947, Journal of Comparative and Physiological Psychology, 40, 333–342) design to compare Zeaman's model with that of S. L. Witryol and W. Wanich (1983, The Journal of Genetic Psychology, 143, 3–8). Each of 16 problems, consisting of three single-stimulus demonstration trials and one two-choice test, was administered to 180 children (mean CA 4, 5.5, and 7 years) in three reward conditions. Novelty was manipulated by varying stimulus familiarization in the demonstration trials. Experiment 1 showed strong preferences for novel over familiar (demonstrated) stimuli at each age. Experiment 2 revealed novelty preference across age levels, two levels of reward contrast, and two levels of task difficulty. It was reasoned that Moss-Harlow tasks designed for normal children typically present a much higher level of difficulty than that intended by researchers. Furthermore, developmental decreases in novelty preference by retardates may derive from (a) transfer of training from prior experiments and (b) specific, repetitive instructions which may have directed attention away from stimulus novelty.     

Energy and psychical pain

Several relationships between energy and psychical pain are developed in this paper. These concepts are a-structural and existential in spirit, although developed in the framework of some analytic formulations on personality. A key concept developed is that the nature of psychical pain is determined, in part, by the manner in which the state of psychical energy associated with the pain departs from a given healthy ideal.     

A reappraisal of Teresa of Avila's supposed hysteria

This essay offers a reassessment of Teresa's severe seizures which were such a characteristic feature of her mysticism. The diagnosis of hysteria is no longer viable, at the very least given its abandonment by clinicians. An alternative analysis is developed by phenomenologically comparing Teresa's seizures to parallel experiences of subjects in LSD-assisted psychotherapy. Using Stanislav Grof's categories, it is argued that Teresa's seizures are perinatal symptoms. As such, they represent the emergence and reintegration of extremely primitive psychological systems and might be described as the growing pains of transpersonal consciousness. They reflect not degenerative psychopathology but progressive movement toward higher states of consciousness.He has published articles in the fields of metaphor and the psychology of mysticism. An earlier version of this paper was presented at the national meeting of the American Academy of Religion in New York in 1982.     

Meaning in life: Discovered or created?

Against the background claims that a meaningful life is more likely to be the product of creation than discovery and that a meaningful life must involve both subjective satisfaction and an objective moral component, three foundations of a meaningful life are discussed. These include the quality of one's relationships, the integrative power of one's goals and projects, and the role of story or stories. Concerning the role of story, the theological challenge is to choose that story or those stories that place life in a genuinely ultimate context.