External Validity of Conduct and Oppositional Defiant Disorders Determined by the NIMH Diagnostic Interview Schedule for Children

We administered the Diagnostic Interview Schedule for Children (DISC) two times to a group of youth (222 boys, 147 girls) entering residential care, once at their time of entry and once 1 year later. We then compared their DISC outcomes on Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD) against changes in independent direct observations of diagnostically relevant behavior obtained over the course of that year. Results from hierarchical linear modeling analyses showed significant discriminative relationships between results from the DISC and the independent observations. Specifically, observations of symptomatic behaviors (CD or ODD) decreased for youth who met diagnostic criteria at the first administration of the DISC but not at the second, increased for youth who did not meet criteria at the first administration but did at the second, and did not change for youth who met criteria at both administrations. These results extend the data on the validity of the DISC and support continued research efforts to determine its clinical utility.     

ASSESSING AND IMPROVING CHILD CARE: A PERSONAL APPEARANCE INDEX FOR CHILDREN WITH AUTISM

An index of children's physical appearance and personal care was developed and used to assess youngsters with autism who lived (a) at home, (b) in an established group home, (c) in new group homes, and (d) in a large institution. Subsequently, a multiple baseline design across participants documented major changes in personal appearance and cleanliness when children moved from an institution to community-based, family-style group homes. Finally, data-based feedback generated by the appearance index was used as a training tool enabling group home staff to further improve child appearance. This research demonstrates how an evaluation instrument can be used to obtain comparative data, measure some effects of different residential placements, and provide ongoing feedback to caregivers to promote high standards of personal care among persons with severe developmental disabilities.     

Short versus long term gains of a cognitive-behavioral social skills program targeting the giving and receiving of criticism

Seventy-four university undergraduates (40.2% male and 59.8% female) reporting difficulty in giving and receiving criticism were randomly assigned to either a training group consisting of cognitive behavioral criticism skills including behavior rehearsal, modeling, coaching, cognitive restructuring, or to a control group. Dependent measures were given at pre-test, post-test, and one year follow-up. Included were self-report measures consisting of Fear of Negative Evaluation (FNE), Criticism Concerns Scale (CCS), Criticism Self-Esteem Giving and Receiving Scales, and behavioral role-play measures consisting of judges’ global ratings of subject’s verbal and nonverbal criticism behaviors in role-play scenarios with a live actor. Results for the self-report measures, FNE, and Criticism Self-Esteem Receiving showed both training program and control groups improved at post-test, but only the training program group maintained gains at one year follow-up. For the CCS and Criticism Self-Esteem Giving, the training program group improved over time, yet was only significantly different from control group at post-test. Results were discussed in terms of the pro-active nature of giving criticism versus the more reactive nature of receiving criticism.     

AN EXTENSION OF INCIDENTAL TEACHING PROCEDURES TO READING INSTRUCTION FOR AUTISTIC CHILDREN

In an extension of incidental teaching procedures to reading instruction, two autistic children acquired functional sight-word reading skills in the context of a play activity. Children gained access to preferred toys by selecting the label of the toy in tasks requiring increasingly complex visual discriminations. In addition to demonstrating rapid acquisition of 5-choice discriminations, they showed comprehension on probes requiring reading skills to locate toys stored in labeled boxes. Also examined was postteaching transfer across stimulus materials and response modalities. Implications are that extensions of incidental teaching to new response classes may produce the same benefits documented in communication training, in terms of producing generalization concurrent with skill acquisition in the course of child-preferred activities.