Frontal lobe functions in attention deficit disorder with and without hyperactivity: A review and research report

We review 22 neuropsychological studies of frontal lobe functions in children with attention deficit disorder with and without hyperactivity (ADD/+H,ADD/-H). Some measures presumed to assess frontal lobe dysfunctions were not reliably sensitive to the deficits occurring in either form of ADD. Tests of response inhibition more reliably distinguished ADD/+H from normal children. Where impairments were found on other tests between ADD and normal subjects, they were highly inconsistent across studies and seemed strongly related to age of the subjects and possibly to the version of the test employed. Other methodological differences across studies further contributed to the discrepant reports. The co-morbidity of other disorders, such as learning disabilities (LD) and conduct problems, with ADD may be an additional confounding factor in some, though not all, of these studies. In a separate study, children with ADD/+H (n=12) were then compared on frontal lobe tests to three other groups: ADD/-H (n=12), LD but no ADD (n=11),and normal children (n=12) statistically covarying for differences in conduct problems across groups. Most measures did not distinguish among these groups. Both ADD groups made more omission errors on a Continuous Performance Test (CPT) than the normal group. All three clinical groups performed more poorly on the word and interference portions of the Stroop Test. Thus, while both types of ADD share some apparent similarities in deficits on a few frontal lobe tests in this study, the totality of existing findings suggests an additional problem with perceptual-motor speed and processing in the ADD/-H group.This research was supported by NIMH grant MH41464 and by funds from the Department of Psychiatry, University of Massachusetts Medical Center. The authors are grateful to Judy Tessier and Ellen Mintz-Lennick for their assistance with some of the data collection and scoring. The comments of Virginia Douglas on an earlier draft of this paper are greatly appreciated.     

School Counselors and Consultants: Legal Duties and Liabilities

This article provides an overview of legal issues and problems salient to school counselors who provide direct services to students or indirect services through consultation. Among legal issues addressed are privacy, confidentiality, and privilege—conceptually distinct topics that in practice often overlap. Also covered are legal duties pertaining to handling student records, conducting research projects, reporting child abuse, and testing and placing students. Among the legal liabilities discussed are those arising from contract, tort, and criminal law and from violations of federal constitutional and statutory rights.     

A Comparison of Feminist and Nonfeminist Women's and Men's Reactions to Nonsexist and Feminist Counseling: A Replication and Extension

In Study 1 the authors examined the reactions of 159 feminist and nonfeminist college women to videotaped versions of nonsexist-humanistic, liberal feminist, and radical feminist approaches to counseling. College women rated all counselors similarly on the dimensions of attractiveness, expertness, and trustworthiness and on other measures of counselor preference. Feminist counselors, however, were rated as more likely than were nonsexist counselors to pursue various feminist goals. In Study 2 the authors used the same methods to examine the reactions of 123 men to nonsexist, liberal, and radical feminist counselors. In general, men's responses were similar to those of women.     

Conservatism and Perceptions of Poverty: An Attributional Analysis1

Attribution theory was used to relate causal explanations for poverty to affect and behavioral intentions. In Experiment 1, student subjects rated 13 causes of poverty on importance, the attribution of controllability, blame, affects of pity and anger, and judgments of help-giving (personal help and welfare). Two individual differences, conservatism and the belief in a just world, were also assessed. A principal components analysis categorized the causes into three types: individualistic, societal, and fatalistic. Conservatism correlated positively with a belief in the importance of individualistic causes, controllability, blame, and anger, and it correlated negatively with perceptions of the importance of societal causes, pity, and intentions to help. No systematic effects of the belief in a just world emerged. A structural equation analysis revealed that personal help is emotionally determined, whereas welfare judgments are directly related to attributions of responsibility and political ideology. Experiment 2 revealed a similar pattern of results using a nonstudent sample.     

Teaching the History of Counseling: Training the Next Generation

The authors describe a teaching activity using a poster-session format to teach first-year counseling psychology doctoral students the history of counseling. Evaluative data suggest that the format was an effective and powerful tool to teach beginning counseling psychology students the history of the profession. The implications of the evaluative feedback are discussed in terms of teaching and preparing the next generation of counselors.     

Caring for a Family Member With Cancer: Past Communal Behavior and Affective Reactions1

An important recent development in the caregiving literature is an increased focus on the role played by the interpersonal relationship between caregiver and care recipient. In this study, a prediction derived from communal relationship theory (Clark & Mills, 1979, 1993; Mills & Clark, 1982) was tested in a sample of patients with recurrent cancer and their family caregivers. Specifically, it was hypothesized that if a relationship had been communal in the past (i.e., characterized by mutual demonstrations of concern for and responsiveness to one another's needs), positive feelings about helping one's partner should continue even when one partner's needs far outweigh those of the other. Consistent with this hypothesis, results indicated that caregivers whose relationship with the patient before illness onset had been characterized by relatively infrequent communal behaviors evidenced more symptoms of depression that did those whose relationship had been characterized by more frequent communal behaviors. In addition, the effects of prior communal behavior on depressed affect were both mediated and moderated by feelings of burden. Caregivers who recalled relatively few communal behaviors in their past relationship felt more burdened by their caregiving role, and burden in turn predicted greater depressive symptomatology. Implications for early identification of caregivers at risk for becoming distressed are discussed.     

The Effect of Client Demeanor Upon the Verbal Responses of School Counselors

In a study of counselor verbal behavior as a function of client stimulus input, a counseling paradigm was employed using 4 client-actors and 30 counselors. Independent variables were hostile or friendly client behavior, amount of counseling experience, counselor sex and client sex. The dependent variable of counselor verbal behavior was measured by a revision of the Bales Interaction Process Analysis Categories. Analysis of variance led to the finding that all of the independent variables had a statistically significant effect upon the counselors' verbal responses, but the number of response categories affected varied from 1 to 7 depending on the variable involved. Significant interaction effects were also found. From the data, it was concluded that client demeanor and client sex significantly influenced counselors' verbal responses, but counselor experience and counselor sex were relatively unimportant in their effect upon the counselors' behavior.