Some Legal Issues Patients May Face While in Therapy

This article on forensic family therapy touches upon a few of the major germane ethical and legal dicta which regulate and circumscribe psychotherapy practice. Differences between ethical and legal rulings are delineated. Some of the problems which may confront and even engulf individuals, couples, and families during their life cycle and which bring them into the orbit of the legal and/or judicial systems before, during, or after the period of assessment and treatment are explored. Some issues that have received the least coverage in the family forensic literature are highlighted; and some of the areas that have been accorded a great deal of attention elsewhere are mentioned only briefly. A short commentary on the forensic family professionals’ potential role in each arena of practice is provided.     

Effects of a Fluency-Building Program on the Reading Performance of Low-Achieving Second and Third Grade Students

This study evaluated the effects of a fluency-based reading program with 15 second and third grade students and 15 matched controls. Gains in oral reading fluency on untrained CBM probes were evaluated using a matched-pairs group-comparison design, whereas immediate and two-day retention gains in oral reading fluency on trained passages were evaluated using an adapted changing criterion design. Increases in WRCM due to training and number of trainings to criterion were also evaluated as a function of pre-training fluency levels. Results showed statistically significant gains on dependent measures for the treatment group, mean increases of two to three grade levels in passages mastered, and an optimal pre-training fluency range of 41-60 WRCM. Implications for fluency-based reading programs are discussed.     

Speech‐perception‐in‐noise deficits in dyslexia

Speech perception deficits in developmental dyslexia were investigated in quiet and various noise conditions. Dyslexics exhibited clear speech perception deficits in noise but not in silence. Place‐of‐articulation was more affected than voicing or manner‐of‐articulation. Speech‐perception‐in‐noise deficits persisted when performance of dyslexics was compared to that of much younger children matched on reading age, underscoring the fundamental nature of speech‐perception‐in‐noise deficits. The deficits were not due to poor spectral or temporal resolution because dyslexics exhibited normal ‘masking release’ effects (i.e. better performance in fluctuating than in stationary noise). Moreover, speech‐perception‐in‐noise predicted significant unique variance in reading even after controlling for low‐level auditory, attentional, speech output, short‐term memory and phonological awareness processes. Finally, the presence of external noise did not seem to be a necessary condition for speech perception deficits to occur because similar deficits were obtained when speech was degraded by eliminating temporal fine‐structure cues without using external noise. In conclusion, the core deficit of dyslexics seems to be a lack of speech robustness in the presence of external or internal noise.     

Two youths who clutter, but is that the only similarity?

This article describes the clinical profile of two youngsters who clutter. Although both subjects share key characteristics, they differ in other respects. As we gain more systematic information on the nature and symptomatology of cluttering, we may conclude that it is not a homogeneous but a heterogeneous phenomenon.     

Legitimizing the Leader: Endorsement by Male Versus Female Authority Figures

Subjects viewed a videotaped group discussion by a leader and four other group members and evaluated each of them for leadership competence. The leader, either a man or a woman, was either personally endorsed ("legitimized") or unendorsed by either a male or a female authority figure. Legitimation raised both leaders' performance evaluations. Legitimation by the female authority affected the leaders' evaluations, overall, as much as legitimation by a male authority. For the male leader, legitimation by the male and female authority figures produced equal impact. However, legitimation by the female authority figure produced significantly greater impact on evaluations of the female leader's performance than the same legitimation by a male authority figure. The data suggest that female authority figures can be effective legitimizers of both sexes, but male authority's endorsements of a female subordinate may be viewed as suspect.     

Reading,spelling, and vigilance in attention deficit and conduct disorder

A group of 51 male children, average age 9.1 years, presenting at a child psychiatric clinic because of attention and conduct problems were investigated for reading and phonetic spelling ability, vigilance, and intellectual level. Each child was given a DSM- III diagnosis prior to being tested. The Boder Test of Reading and Spelling patterns was used to obtain scores for reading age, number of syllables read correctly in the word list at the child's reading level, and number of phonetically correct syllables spelled in the known and unknown word lists, at and just above the child's reading level. A factor analysis with varimax rotation produced two significant factors, a Reading factor with high loadings for verbal and reading scores, aand a second Vigilance factor. Phonetic spelling ability loaded separately from reading into the Vigilance factor. The Vigilance factor was significantly related to the diagnosis of moderate and severe attention deficit disorder with hyperactivity (ADDH). The correlation of short- term working memory with vigilance in moderate to severe ADDH children is discussed.Fundling assistance was provided by the New South Wales Institute of Psychiatry.     

The relationship among sex roles,living arrangements,and the division of household responsibilities

Twenty couples living together, 10 married and 10 unmarried, were given the Bem Sex-Role Inventory and a questionnaire on the performance of household responsibilities. Findings provided partial support for hypotheses relating more traditional sex roles, living arrangements, and division of household responsibilities. Results also indicated a greater variability in household responsibilities for unmarried males and for males and females who were not traditionally sex typed. The latter results support a model which was formulated relating changes in sex-role attitudes with changes in sex-related behavior. In this model, a period of uncertainty intervenes between the change in attitude and the change in related behavior.     

Effect of conducting behavioral observations and ratings on staff implementation of a paired-stimulus preference assessment

We assessed the effects of trainees observing and rating the accuracy of others implementing a paired-stimulus preference assessment from video on the trainees' subsequent implementation accuracy. These observational experiences increased implementation accuracy with both a confederate and an actual consumer. These results suggest conducting observations and accuracy ratings may prepare staff to implement behavioral procedures without need of a dedicated trainer.