Wrapping community-based mental health services around children with a severe behavioral disorder: An evaluation of project wraparound

During the past two decades there has been a significant increase in community-based mental health and educational services for children and youth with serious emotional and behavioral problems and their families. However, in the vast majority of programs there are no reliable longitudinal data on the adjustment of the children that are served. Project Wraparound was a community-based individualized treatment program which served children and youth with severely maladjusted behavior and their families by providing intensive home and school-based services. The purpose of this paper is to provide a longitudinal analysis of client and family adjustment data. Data on client adjustment within the home and characteristics of the home environment were obtained at intervals of 3 months, 6 months, and 1 year. Data on client adjustment in school was obtained at four points over a period of 2 years. The results from 19 cases indicate that substantial change occurred on measures of the home environment and client adjustment in the home with no significant change in adjustment in the school. Implications of the findings are discussed.     

Maternal gestational stress alters adaptive and social behavior in adolescent rhesus monkey offspring

Data from rodent studies have indicated that stress experienced by pregnant mothers may result in behavioral and biological abnormalities in their offspring. However, few studies have examined the effects of prenatal stress on the offspring beyond the childhood period. In this study, 7 prenatally stressed (PNS) monkeys and 7 monkeys from undisturbed pregnancies were tested under mildly challenging conditions at 4 years of age. Following separation from cagemates and group formation, PNS monkeys showed more locomotion, abnormal and disturbance behavior than controls. Controls showed approximately six times more play than PNS animals. The PNS males showed the most clinging to others and the largest increase in contact with other animals over the period. Group differences were also found when the monkeys were observed as groups or alone in a playroom. Controls showed more explanatory behavior in the playroom, whereas PNS monkeys showed more inactivity. Control animals showed a decrease in distress vocalizations over time in the playroom, whereas PNS animals showed the opposite pattern. Control animals spent more time in proximity to and contact with cagemates than PNS animals. These results indicate that prenatal stress can have effects on adaptive and social behavior that persist into adolescence.     

The Tulving-Wiseman law and the recognition of recallable music

Memory for well-known musical phrases was tested first for recognition in the absence of any specific musical context and then for recall given the preceding musical phrase as a contextual cue. Recognition and recall were found to be largely, but not completely, independent. Moreover, there was no evidence of any greater dependency between recognition and recall than that previously observed in the relation between word recognition and recall, as summarized by the Tulving-Wiseman law. These findings significantly extend the range of applicability of this law.     

Environmental stress and blood glucose change in insulin-dependent diabetes mellitus

Blood glucose (BG) response to psychological stress in insulin-dependent diabetes mellitus (IDDM) patients has not been firmly established. We report a study designed to address the gaps and methodological difficulties reviewed. Subjects with IDDM were exposed to two sessions (12 weeks apart) of two 20-min standardized stressors (active and passive) and a control condition administered in counterbalanced order. To measure BG response, subjects were connected to a glucose/insulin infusion system providing continuous BG measurement. Mood checklist measures were obtained at prestressor, poststressor, and recovery periods. During the first session of testing, the active stressor was associated with significantly more absolute change in BG response than the passive stressor. Results also indicate that IDDM subjects' BG response to this active stressor was idiosyncratic but significantly reliable over time.     

Hemisphere functioning and motor imitation in autistic persons

Previous research has found that a high proportion of autistic individuals exhibit an atypical pattern of hemispheric specialization suggestive of impaired left hemisphere functioning: namely, right hemisphere dominance for both verbal and visual-spatial processing. Studies of brain-damaged persons have suggested that the left hemisphere is specialized for the use of nonverbal gesture. Since a major characteristic of autism is an impairment in the use of gesture, it was predicted that autistic persons would also show atypical hemispheric specialization for motor imitation. To test this hypothesis, hemispheric activation was measured using EEG recordings of alpha rhythm in autistic and matched normal control subjects during four motor imitation tasks. Autistic subjects showed significantly greater right hemisphere activation during the imitation tasks, than normal subjects. This pattern was particularly evident in younger autistic subjects and during oral, rather than manual, imitation tasks.     

Sensation-seeking motivation and social-support moderators of the life stress/illness relationship: some contradictory and confirmatory evidence

The present study examined the relationship between measures of life change and reported physical and psychological symptoms as a function of the person's degree of sensation-seeking motivation (SSM) and of social support. A sample of firefighters was tested and showed that, contrary to previous reports, those relatively high in SSM showed a significantly stronger relationship between life change and illness than did those relatively low in SSM. Social support, however, did act to reduce the relationship between change and illness, in line with the evidence from previous investigations.     

A COMPARATIVE STUDY OF INSTRUMENTAL LEARNING BY PRESCHOOL CHILDREN IN PAPUA NEW GUINEA AND AUSTRALIA1

Instrumental learning of preschool children in Papua New Guinea (PNG) and Australia (AUST) was compared using two tasks (imitative and nonimitative) and two rewards (social and nonsocial). There were no differences between the two groups in the rate of acquisition measure of trials to criterion. PNG children made more late responses during acquisition and, for nil responses, there were group x task and group x reward x task effects. In the extinction phase, there were two main effects for trials to criterion: PNG children were more resistant to extinction than AUST children, and there was greater persistence in responding after social reward regardless of nationality. Reward x group, reward x task, and reward x group x task interactions also were observed in the extinction trials to criterion. In addition, there were three main task effects during extinction for other responses: on the imitative task, more wrong responses were made, and on the nonimitative task, more extra responses and more paired responses were made. A subsidiary analysis compared the two culturally different but educationally similar groups comprising the PNG sample: no major differences were isolated in acquisition or extinction.     

Asymmetrical stimulus control and the mirror-image problem

An analysis of the mirror-image discrimination literature revealed a number of inconsistent and paradoxical results. A unifying conception was proposed and it was argued that lateral mirror-image stimuli constitute a special class of problems on which effective performance is related to the introduction of an asymmetrical event into the task. Some implications were derived and tested in two experiments. First, five different response modes were compared for children required to discriminate two lateral or up-down mirror-image stimulus pairs. Acquisition was significantly faster on the latter problems. On the former, it was shown that responding to just one side of the lateral mirror-image stimuli led to significantly faster learning. Subsequent generalization tests indicated control by one part of the stimulus display for those who responded to one side. Next, Ss unable to learn the problem in Experiment I were given further acquisition trials. Only those children given training designed to promote selective stimulus control learned the problem.