How well do measures of inhibition and other executive functions discriminate between children with ADHD and controls?

The aim of the present study was to evaluate the usefulness of Barkley's (1997a) model of inhibition and executive functioning in describing the deficits associated with Attention Deficit Hyperactivity Disorder (ADHD). Besides group differences, the present study addressed the question of independent effects of inhibition and the other executive functions in discriminating between children with ADHD and controls and how well, in terms of sensitivity and specificity, these measures can classify the children into the correct group. The results showed that children with ADHD differed significantly from controls with regard to measures of inhibition as well as all other executive function measures, except repetition of hand movements. In logistic regression models, three different measures tapping inhibition, working memory and emotion regulation were shown to be significant independent predictors of group membership. The sensitivity for these three variables as a set was 76.2, the specificity was 90.5, with a total of 86% of the sample correctly classified. When excluding the parental rating of emotion regulation, the overall classification rate decreased some, but was still relatively high in comparison with previous studies within this area of research.     

Interaction between mother and pre-term infant at 34 weeks post-conceptional age

The impact of premature birth and perinatal medical status on early mother–infant interaction was assessed in 75 dyads with pre-term infants divided into three groups. Infants' gestational age at birth and need for neonatal intensive care intervention differentiated the groups: group 1, 23–31 weeks with intensive care; group 2, 32–35 weeks with intensive care; group 3, 32–35 weeks with no intensive care. The methodological approach was based on observations of the dyads performed when the infant reached a post. conceptional age of 34 weeks (4 weeks before estimated due date of delivery). The observations were conducted in the neonatal nursery during cleaning, face-to-face and feeding interactions. Significant group differences were found in infant distress, maternal sensitivity to the infant and dyadic behaviours of positive interaction. Group 1 dyads showed higher scores or more desirable performance than dyads of group 3. Group 2 dyads usually achieved intermediate scores and performed better than dyads of group 3, especially during the feeding situation. We suggest that, in addition to a possible emergence of maternal compensatory mechanisms in the higher-risk groups, the amount of dyadic experience after birth affects the quality of mother–infant interaction at this early stage.     

Heart-Rate responses (HRR) to lateralized visual stimuli

Direction of changes in heart-rate responses (HRR) were investigated in three separate experiments as a measure of differential cognitive and emotional specialization of the cerebral hemispheres. Visual stimuli were presented via the visual half-field technique in all three experiments. Slides with different contents were flashed for 200 msec on each trial either to the left or right of a center LED fixation point. The LED went on 5 seconds prior to slide onset. HR changes were scored as second-by-second deviations during 10 seconds after LED onset from pre-LED base line. In the first experiment it was hypothesized that emotionally relevant stimuli initially projected to only the right hemisphere would result in more anticipatory acceleration than when the same stimulus was initially projected to the left hemisphere. A picture of a snake and of a geometric figure were repeatedly briefly flashed to the right of the LED for half of the subjects, and to the left for the other half. There were 25 trials with an intertriai interval of 25–40 seconds. Results showed significant effects of deceleration as a function of the slide stimulus in all groups on seconds 5, 6, or 7 after onset of the center LED. Furthermore, an anticipatory acceleration was observed during the first trial-block on seconds 3 and 4 in the right hemisphere groups only with no differences between the neutral and emotional stimuli. In Experiments 2 and 3, a letter-string of six letters and a complex symmetric pattern were used as stimuli. These stimuli were chosen because previous research has clearly implicated the hemispheres to be differentially specialized in their ability to process verbal and visuo-spatial stimuli. The set-up was identical to Experiment 1, with the exception that differences in response to the two types of stimuli were evaluated on a within-subjects basis. The results from Experiments 2 and 3 showed stimulus-related deceleration, peaking on seconds 5–7 in all groups and an anticipatory acceleration peaking on seconds 3 and 4 in the right hemisphere groups, with decelerations during the corresponding seconds in the left hemisphere groups. The results are discussed in relation to recent findings by Walker and Sandman (1982) about the possibility of hemispheric specialization in psychologic influences on heart rate changes in response to environmental demands.     

Attention demands influence 10- and 12-month-old infants' perseverative behavior

The present study examined the role of attentional demand on infants' perseverative behavior in a noncommunicative looking version of an A-not-B task. The research aimed at clarifying age-related improvements in the attention process that presumably underlies the development of cognitive control. In a between-subjects design, forty 10-month-olds and forty 12-month-olds were assigned to either a distractor or a no-distractor condition as a means of testing the role of attentional load. The authors used an eye tracker to record infants' looking behavior while they anticipated the reappearance of the target of interest as well as continuously throughout the task. The data demonstrated that 10-month-olds show more perseverative looking than do 12-month-olds and that increased attentional demand leads to more perseverative looking. Correct anticipation, however, was not affected by age or distraction. The results also failed to show that 12-month-olds are better than 10-month-olds at handling the increased attentional demand introduced in the distractor condition, in that the effect of the distractor was not larger for the younger infants. Our results are in line with the theoretical view of cognitive control as dependent on a limited attentional resource, which can explain perseverative behaviors in different tasks and at different ages.     

Disorganized Attachment and Inhibitory Capacity: Predicting Externalizing Problem Behaviors

The aim of the present study was to investigate whether attachment insecurity, focusing on disorganized attachment, and the executive function (EF) component of inhibition, assessed at age 5, were longitudinally related to general externalizing problem behaviors as well as to specific symptoms of ADHD and Autism spectrum disorder (ASD), and callous-unemotional (CU) traits. General externalizing problem behaviors were also measured at age 5 to allow for a developmental analysis. Outcome variables were rated by parents and teachers. The sample consisted of 65 children with an oversampling of children with high levels of externalizing behaviors. Attachment was evaluated using a story stem attachment doll play procedure. Inhibition was measured using four different tasks. The results showed that both disorganized attachment and poor inhibition were longitudinally related to all outcome variables. Controlling for initial level of externalizing problem behavior, poor inhibition predicted ADHD symptoms and externalizing problem behaviors, independent of disorganized attachment, whereas for ASD symptoms no predictive relations remained. Disorganized attachment independently predicted CU traits.     

Young People,Sexuality, and HIV Prevention Within Christian Faith Communities in South Africa: A Cross-Sectional Survey

Faith communities exert a powerful influence on the life of their members, and studies are needed about how they may be able to influence young people’s attitudes regarding sexuality and HIV prevention. Data were collected through a self-administered questionnaire from young people (811), aged 15–24 years, affiliated to the Roman Catholic Church, the Lutheran Church and the Assemblies of God. The majority of participants perceived themselves at risk of HIV infection (53 %). Premarital sexual abstinence was the most frequently (88 %) reported prevention message, followed by faithfulness (23 %), HIV testing (18 %) and condom use (17 %). Furthermore, religious affiliation was associated with education on sexuality and HIV in youth groups, with better information given to members of the Lutheran and Catholic churches. Faith communities need to strengthen their capacity to educate young people in a more holistic way about sexuality and HIV prevention.     

ADHD Symptoms and Attachment Representations: Considering the Role of Conduct Problems,Cognitive Deficits and Narrative Responses in Non-Attachment-Related Story Stems

The overall aim of the present study was to investigate ADHD symptoms in relation to attachment representations. We used both attachment- and non-attachment-related story stems, which allowed us to investigate whether problems with narrative production can explain the relation between ADHD symptoms and attachment representations. We also investigated the role of cognitive deficits and conduct problems in these relations. The sample consisted of 89 children (27 % girls) between 6 and 10 years old, with an oversampling of children with high levels of ADHD symptoms. ADHD symptoms and conduct problems were rated by parents and teachers. Cognitive functioning was investigated using laboratory tests of inhibition, working memory and sustained attention. Attachment representations were coded as secure, organized insecure and disorganized categories. Narrative responses to non-attachment-related story stems were coded for incoherence and negative content. Results showed that children in the disorganized attachment category had significantly higher levels of ADHD symptoms compared to those in the secure category. Both ADHD symptoms and disorganized attachment were related to incoherence and negative content. Attachment representations were not associated with ADHD symptoms when controlling for negative content in response to non-attachment-related story stems. These results suggest that the associations between attachment security and ADHD are yet to be fully understood. Importantly, a propensity to envisage negative events seems to characterize children with high levels of ADHD symptoms.     

Vygotsky's Theory of Creativity

In Educational Psychology (1997/1926), Vygotsky pleaded for a realistic approach to children's literature. He is, among other things, critical of Chukovsky's story "Crocodile" and maintains that this story deals with nonsense and gibberish, without social relevance. This approach Vygotsky would leave soon, and, in Psychology of Art (1971/1925), in which he develops his theory of art, he talks about connections between nursery rhymes and children's play, exactly as the story of Chukovsky had done with the following argument: By dragging a child into a topsy-turvy world, we help his intellect work and his perception of reality. In his book Imagination and Creativity in Childhood (1995/1930), Vygotsky goes further and develops his theory of creativity. The book describes how Vygotsky regards the creative process of the human consciousness, the link between emotion and thought, and the role of the imagination. To Vygotsky, this brings to the fore the issue of the link between reality and imagination, and he discusses the issue of reproduction and creativity, both of which relate to the entire scope of human activity. Interpretations of Vygotsky in the 1990s have stressed the role of literature and the development of a cultural approach to psychology and education. It has been overlooked that Vygotsky started his career with work on the psychology of art.