Targeting Insight in First Episode Psychosis: A Case Study of Metacognitive Reflection Insight Therapy (MERIT)

One aspect of schizophrenia contributing to its complexity is the lack of insight individuals often have into their illness. While poor insight is prevalent throughout the course of the illness, more severe levels are associated with first-episode psychosis (FEP). Interventions addressing insight are necessary but current treatments have been shown to have limited effectiveness. Thus, a novel intervention, Metacognitive Reflection and Insight Therapy (MERIT), is being studied for its efficacy of improving insight in individuals with schizophrenia spectrum disorders. MERIT is an integrative metacognitive therapy consisting of eight elements to assist clients in improving their ability to form complex ideas about themselves and others and to use this knowledge to respond to psychological problems. The present study is a case illustration of the implementation of MERIT to improve insight in FEP. Clinical outcomes were assessed and results showed that the client improved in both metacognition and insight. With replication, these results suggest that integrative metacognitive psychotherapy may serve as an intervention that improves insight in FEP, which marks an important step toward improved interventions for individuals with psychosis.     

Do Parent and Teacher Report of ADHD Symptoms in Children Differ by SES and Racial Status?

Parent and teacher reports of symptoms of Attention Deficit Hyperactivity Disorder (ADHD) in children often differ from each other. These informant report differences may occur in systematic ways that vary by child socioeconomic status (SES) and race, but little is known about how SES and race together relate to parent and teacher report of ADHD symptoms in school-aged children. We examined the relationship between child SES, child race and parent and teacher reports of ADHD symptoms in two samples of school-aged Caucasian and African American children being evaluated for ADHD (N = 1056; N = 317). Multivariate regression was used to predict parent and teacher reports of ADHD symptoms from child SES, race, age, gender and interaction terms. The Wald test of parameter constraints was used to test the contrast between the predictors of interest and parent and teacher report of symptoms. In the second sample, we also examined observer report measures of ADHD symptoms during one-to-one testing and in the classroom. In both samples, lower SES was associated with higher levels of inattention symptoms, as reported by teachers, but not by parents. Lower SES was also associated with higher levels of hyperactivity/impulsivity symptoms, as reported by both teachers and parents. African American race was associated with higher levels of inattention and hyperactivity/impulsivity symptoms reported by teachers than reported by parents. Observer report measures showed a different pattern of associations with SES and race. Investigating how children’s SES and race influence cross-informant agreement on ratings of children’s behavior might lead to the development of better assessment practices and more accurate diagnoses for diverse child populations.     

Eye movements reveal no immediate "WOW" ("which one's weird") effect in autism spectrum disorder

Autism spectrum disorder (ASD) and typically developed (TD) adult participants viewed pairs of scenes for a simple "spot the difference" (STD) and a complex "which one's weird" (WOW) task. There were no group differences in the STD task. In the WOW task, the ASD group took longer to respond manually and to begin fixating the target "weird" region. Additionally, as indexed by the first-fixation duration into the target region, the ASD group failed to "pick up" immediately on what was "weird". The findings are discussed with reference to the complex information processing theory of ASD (Minshew & Goldstein, 1998 ).     

A Preliminary Investigation of Supplemental Computer-Assisted Reading Instruction on the Oral Reading Fluency and Comprehension of First-Grade African American Urban Students

This preliminary investigation examined the effects of a computerized supplemental reading program on the oral reading fluency, reading growth rates, and comprehension of 8 African American first graders. Participants were selected for this study according to scores within risk categories on the Dynamic Indicators of Basic Early Literacy Skills (DIBELS) oral reading fluency (ORF) winter benchmark, indicating the potential for reading failure. Participants engaged in a supplemental, computer-based reading program designed to improve reading fluency and comprehension. Treatment sessions were conducted 3–4 times per week, for 14–16 weeks. Following the treatment, each participant received the DIBELS ORF spring benchmark as a post-test measure. A pre-intervention/post-intervention analysis showed that all of the participants increased their reading fluency, 5 of the 8 participants reduced their risk status, and 7 of the 8 students increased their reading rate. All of the students improved their comprehension scores. The results support supplementary interventions and computer-based reading programs. The findings are discussed in the context of reading needs and instruction for African American primary-aged students.     

Chunking, rule learning, and multiple item memory in rat interleaved serial pattern learning

Nonhuman animals, like humans, appear sensitive to the structure of the elements of sequences, perhaps even when the structure relates nonadjacent elements. In the present study, we examined the contribution of chunking, rule learning, and item memory when rats learned serial patterns composed of two interleaved subpatterns. In one group, the first interleaved subpattern was a formally simple sequence, whereas in two other groups the first subpattern was formally more complex, containing 2 or 4 violation elements, respectively. In all groups, the second interleaved subpattern encountered was formally simple. Evidence from the study suggests that rats chunked their interleaved patterns into component subpatterns, that is, they cognitively sorted pattern elements to form chunks based on nonadjacent structural relationships that can be characterized as rules. They also learned interitem associations via traditional discrimination learning to use adjacent elements as compound or configural cues for later events in the sequence. Thus, the evidence suggests that rats used chunking, rule learning, and interitem association learning concurrently to master these complex patterns.     

A multilevel study of leadership, empowerment, and performance in teams

A multilevel model of leadership, empowerment, and performance was tested using a sample of 62 teams, 445 individual members, 62 team leaders, and 31 external managers from 31 stores of a Fortune 500 company. Leader-member exchange and leadership climate related differently to individual and team empowerment and interacted to influence individual empowerment. Also, several relationships were supported in more but not in less interdependent teams. Specifically, leader-member exchange related to individual performance partially through individual empowerment; leadership climate related to team performance partially through team empowerment; team empowerment moderated the relationship between individual empowerment and performance; and individual performance was positively related to team performance. Contributions to team leadership theory, research, and practices are discussed.     

Status and the Gender Stereotyped Personality Traits: Toward an Integration

This paper integrates research findings on status and the gender stereotyped personality traits and examines the extent to which women’s lower status than men can account for two components of gender stereotyping in the United States: the belief that women and men have different personality traits and the differences in men’s and women’s perceptions of their own personality traits. In addition, it examines the extent to which status affects the evaluations associated with both genders’ self-perceived traits. Personality traits include the instrumental-assertive and expressive attributes that have been the focus of most theory and research, in addition to the instrumental-dominating, complaining, submissive, and bipolar attributes. Formulations involving the link with status are presented for each of these personality attributes.     

Status, Personality, and Gender Stereotyping: Response to Commentators

Status differences between women and men can explain why they perceive themselves as having different personality traits. The status explanation of gender stereotyping is discussed in relation to two views that have shaped research and theory on gender and personality: the traditional view that men and women are characterized by stable, enduring dispositions and the more recent view that women’s and men’s self-perceived traits vary from one situation to another. Other issues include: status in relation to developmental issues and cross-cultural stereotypes, effect of gender identity on gender stereotyped behaviors and traits, and changes in gender stereotyped traits over time within the larger sociocultural context. Differences between the status explanation of gender stereotyping and personality and the view that gender is the central, determining factor are discussed.