RITALIN VS. RESPONSE COST IN THE CONTROL OF HYPERACTIVE CHILDREN: A WITHIN-SUBJECT COMPARISON

A within-subject comparison was made of the effects of methylphenidate (Ritalin) and response cost in reducing the off-task behavior of two boys, 7 and 8 years of age, who had been diagnosed as having an attentional deficit disorder with hyperactivity. Several dosages of Ritalin (5 to 20 mg/day) were evaluated with the results indicating varying effects of the drug for both children. Response cost (with free-time as the reinforcer) was superior to Ritalin in raising levels of on-task behavior and in improving academic performance.     

TRAINING FAMILY THERAPISTS: AN EXPERIMENTAL ANALYSIS

This study implemented and evaluated a training program (a written manual, videotaped models, rehearsal, role plays, and performance feedback) designed to teach five subjects the skills to become effective family therapists. The study examined the therapists' use of three target behaviors: instructing, informing, and praising. The therapists, each paired with a parent and a preschool-aged child (2 1/2–4 1/2 yr old), were trained in the clinic to use, and to teach to the parents, several behavioral skills (e.g., praising, planned ignoring, and time-out) relevant to teaching children compliance to parental instructions. A multiple-baseline design across triads (therapist/parent/child) demonstrated that after the training program was instituted, the therapists increased their rates of instructing, praising, and informing the parents; all parents increased attention to compliance, decreased attention to noncompliance, and increased rates of praise to their children; and all children increased their compliance and decreased their noncompliance.     

On the search for meaning

The author demonstrates heuristic ways to differentiate healthy from pathological meanings in life. He argues that no one can tackle such a task without first detecting the purpose of life. To find it, one must recognize that, ultimately, life does not belong to anyone, and this on two accounts: First, it is received through parental union, and second, it is only temporal and must thus be given back. Life is a loan that must be returned through death. These two polar realities, it is here believed, inform the whole of existence and guide us toward healthy growth (positive existential mental health).     

In defense of monotheistic father religion

Many questions are currently being raised, by women especially, regarding the religious, social, and psychological effects of the emphasis on God as father in Western religion. Viewed in the light of key insights from developmental psychoanalysis, patriarchal monotheism does indeed seem to confront us with a dilemma. However, a resolution of this dilemma does not appear to lie in a move toward androgyny or matriarchy. Evaluated from the point of view of its overall capacity to mediate a meaningful, unified, personal religious reality to both sexes, monotheistic father religion is still the preferable ultimate symbolic configuration.     

Truth telling and terminal illness: A Jewish view

The focus of this paper is a Jewish view of truth telling and the dilemma of revealing to a terminal patient his imminent demise. Directions are given to physicians, medical personnel, and children of the patient on how to deal with truth telling. Attitudes reflected in Jewish thought suggest that the welfare of the patient is primary, and any information that will upset his psychological state is clearly prohibited. Physicians may not reveal to patients their terminal state. Children and family are obligated to withhold information of a patient's terminal state, even if the latter demands to be told. Hope is seen as a central feature of truth telling even during the period of confession. This view contrasts with the liberal attitude of truth telling in some Western countries, where it is the patient's right to know of his imminent demise.     

Religious faith and adjustment to long-term hemodialysis

This study examines religious faith as associated with adjustment to end-stage renal failure and its treatment regimen of maintenance hemodialysis. Both quantitative and qualitative data were collected initially and after a three-year interval in order to observe changes over time. The variable of the patient's perception of the import of religious faith was found to be positively related to interactional behavior and sick role behavior and to be inversely associated with alienation. Content analysis of qualitative responses for the item of perceived import of religious faith revealed a pattern of increasingly more positive patient attitudes occurring over time.     

The religious physician

In order to understand what it means to be a physician, we must, according to Dr. Edmund Pellegrino, analyze four words that capture the essence of the medical enterprise: profession, patient, compassion, and consent. The resultant model provides a rational and secular basis upon which the Jewish or Christian physician can then build an understanding of medicine in its peculiarly religious form. This religious form is likewise characterized by four words: vocation, neighbor, love, and covenant. An analysis of these words provides a model of and for the religious physician.     

Stimulus discriminability in free-operant and discrete-trial detection procedures.

Six pigeons were trained to discriminate different light intensities in four experimental procedures. Experiment 1 compared stimulus discriminability in a yes-no signal-detection task with discriminability measures obtained from two free-operant procedures. Discriminability estimates were significantly lower in the detection procedure. Experiment 2 showed this lowered discriminability to be a function of the delay between stimulus presentation and the availability of the choice-response keys in the standard detection task. In addition, reinforcement sensitivity was lowest when correct choice responses were intermittently, rather than continuously, reinforced.     

Human performance on conjunctive fixed-interval fixed-ratio schedules

Eighteen young adults performed a lever-pulling task for money. Subjects were initially exposed to a fixed-interval 80-second schedule and subsequently to one of three conjunctive schedules in which the added fixed-ratio requirement was set at either 10, 80, or 120 responses. Three fixed-interval response patterns emerged: high constant rate, intermediate rate, or low rate, with most subjects displaying the last. Conjunctive performance was related to the subjects' prior fixed-interval patterns and the conjunctive ratio requirements. Low-rate subjects tended to optimize reinforcement (maximum reinforcers for minimum responses) on conjunctive schedules. Response rate was directly related to ratio requirements. Subjects' performance closely corresponded to their verbal statements of the contingencies.