Infant clinical assessment procedure: Its applications for diagnosis and treatment in the second and third year

This article reports on some clinical applications in the 9 to 30 month age range of a new structured paradigm. The Infant Clinical Assessment Procedure (ICAP) is not a test, but an assessment technique. It is particularly aimed at the evaluation and ongoing monitoring of problems in the emotional development of infants. Its eight episodes represent a wide array of effective, social, and cognitive stimuli. The primary focus of these episodes is on the infant, with the exception of the mother-infant task that specifically gauges the mother-infant ralationship. It is suggested through case vignettes that the ICAP may be useful for the documentation of the efficacy of treatment.     

Perceptual processing at adjacent locations on a single finger: masking and response competition

When target patterns and nontarget patterns are presented either to the same or to adjacent locations on the distal pad of the index finger, the amount of interference in identifying targets depends on both the shape and the location of the nontarget (Horner, 1997). In the present study, the question of whether such interference is caused by masking (the masker in some way distorts the initial representation of the target) or by response competition (the observer mistakenly responds with the masker, rather than with the target) was investigated. A 4-to-2 paradigm was used (Craig, 1995), in which four stimuli were mapped to only two responses. Targets and nontargets were randomly selected from the set of four stimuli and presented to the same or adjacent locations on the same fingerpad. Both the distal pad and the medial pad of the index finger were tested, because innervation density varies proximodistally on the distal pad, but not on the medial pad. The results indicated that response competition was an important factor limiting perception. Furthermore, perception was affected by varying location on the distal pad, but not on the medial pad. Finally, varying location on the distal pad affected perception only when responses were based on pattern shape, not when responses were based on direction of motion. The results are discussed in terms of differences in innervation density between adjacent locations and possible resultant differences in the spatial filtering properties of the skin.     

A generalized least squares regression approach for computing effect sizes in single-case research: application examples

A new method for deriving effect sizes from single-case designs is proposed. The strategy is applicable to small-sample time-series data with autoregressive errors. The method uses Generalized Least Squares (GLS) to model the autocorrelation of the data and estimate regression parameters to produce an effect size that represents the magnitude of treatment effect from baseline to treatment phases in standard deviation units. In this paper, the method is applied to two published examples using common single case designs (i.e., withdrawal and multiple-baseline). The results from these studies are described, and the method is compared to ten desirable criteria for single-case effect sizes. Based on the results of this application, we conclude with observations about the use of GLS as a support to visual analysis, provide recommendations for future research, and describe implications for practice.     

VALIDATING PREDICTED ACTIVITY PREFERENCES OF INDIVIDUALS WITH SEVERE DISABILITIES

We examined the accuracy of 24 staff members' predictions of activities preferred by 14 individuals with severe disabilities. For each of 144 activities, staff members assigned a client preference rating of “likes a lot,” “likes,” or “dislikes.” Two activities from each category were randomly selected for each individual with disabilities. Pairs of selected activities were presented to the individuals, who were prompted to choose an activity. Staff members' activity preference ratings correctly predicted the choices made by the individuals with disabilities for 78% of the trials. The more divergent the preference ratings of the paired activities, the more likely staff members were to predict correctly the activity selected by a participant.     

Neurocognitive Functioning in Posttraumatic Stress Disorder

This paper reviews the literature on performance on standard neuropsychological tests among individuals with posttraumatic stress disorder (PTSD). Of 19 studies, 16 reported impairment of attention or immediate memory (or both); however, most of these studies included PTSD patients with significant psychiatric comorbidity, so that the extent to which the observed deficits are specifically attributable to PTSD remains unclear. Other potential confounds, including medical illness, substance abuse, and motivational factors, further preclude definitive conclusions at present. Results of structural and functional neuroimaging studies of PTSD are also summarized. Two studies have reported correlations between hippocampal volume and cognitive findings in PTSD patients; functional studies have indicated specific findings in limbic regions, although the relationship of these results to neuropsychological performance remains to be explored.     

Self-injurious behavior: gene-brain-behavior relationships

This paper summarizes a conference held at the National Institute of Child Health and Human Development on December 6-7, 1999, on self-injurious behavior [SIB] in developmental disabilities. Twenty-six of the top researchers in the U.S. from this field representing 13 different disciplines discussed environmental mechanisms, epidemiology, behavioral and pharmacological intervention strategies, neurochemical substrates, genetic syndromes in which SIB is a prominent behavioral phenotype, neurobiological and neurodevelopmental factors affecting SIB in humans as well as a variety of animal models of SIB. Findings over the last decade, especially new discoveries since 1995, were emphasized. SIB is a rapidly growing area of scientific interest to both basic and applied researchers. In many respects it is a model for the study of gene-brain-behavior relationships in developmental disabilities.     

Fairness at the collective level: a meta-analytic examination of the consequences and boundary conditions of organizational justice climate

This article uses meta-analytic methods (k = 38) to examine the relationship between organizational justice climate and unit-level effectiveness. Overall, our results suggest that the relationship between justice and effectiveness is significant (ρ = .40) when both constructs are construed at the collective level. Our results also indicate that distributive justice climate was most strongly linked with unit-level performance (e.g., productivity, customer satisfaction), whereas interactional justice was most strongly related to unit-level processes (e.g., organizational citizenship behavior, cohesion). We also show that a number of factors moderate this relationship, including justice climate strength, the level of referent in the justice measure, the hierarchical level of the unit, and how criteria are classified. We elaborate on these findings and attempt to provide a clearer direction for future research in this area.     

A randomized wait-list controlled analysis of the implementation integrity of team-initiated problem solving processes

Members of Positive Behavior Interventions and Supports (PBIS) teams from 34 elementary schools participated in a Team-Initiated Problem Solving (TIPS) Workshop and follow-up technical assistance. Within the context of a randomized wait-list controlled trial, team members who were the first recipients of the TIPS intervention demonstrated greater implementation integrity in using the problem-solving processes during their team meetings than did members of PBIS Teams in the Wait-List Control group. The success of TIPS at improving implementation integrity of the problem-solving processes is encouraging and suggests the value of conducting additional research focused on determining whether there is a functional relation between use of these problem-solving processes and actual resolution of targeted student academic and social problems.