Family Processes and Treatment Outcome in the MTA: Negative/Ineffective Parenting Practices in Relation to Multimodal Treatment

To elucidate processes underlying therapeutic change in a large-scale randomized clinical trial, we examined whether alterations in self-reported parenting practices were associated with the effects of behavioral, medication, or combination treatments on teacher-reported outcomes (disruptive behavior, social skills, internalizing symptoms) in children with attention-deficit hyperactivity disorder (ADHD). Participants were 579 children with Combined-type ADHD, aged 7–9.9 years, in the Multimodal Treatment Study of Children with ADHD (MTA). We uncovered 2 second-order factors of parenting practices, entitled Positive Involvement and Negative/Ineffective Discipline. Although Positive Involvement was not associated with amelioration of the school-based outcome measures, reductions in Negative/Ineffective Discipline mediated improvement in children's social skills at school. For families showing the greatest reductions in Negative/Ineffective Discipline, effects of combined medication plus behavioral treatment were pronounced in relation to regular community care. Furthermore, only in combination treatment (and not in behavioral treatment alone) was decreased Negative/Ineffective Discipline associated with reduction in children's disruptive behavior at school. Here, children in families receiving combination treatment who showed the greatest reductions in Negative/Ineffective Discipline had teacher-reported disruptive behavior that was essentially normalized. Overall, the success of combination treatment for important school-related outcomes appears related to reductions in negative and ineffective parenting practices at home; we discuss problems in interpreting the temporal sequencing of such process-outcome linkages and the means by which multimodal treatment may be mediated by psychosocial processes related to parenting.     

The estimation of reliability when several trials are available

In certain types of experiment it frequently happens that we have a block of data consisting of several trials on the same individuals. Using the methods of estimation provided by the analysis of variance, estimates of reliability are derived for this case, and the conditions under which each is valid are discussed. Various relations between these estimates and the product-moment coefficient of correlation are obtained.From the Laboratory of Physiological Hygiene, University of Minnesota. This work was supported in part under the terms of a contract between the Regents of the University of Minnesota and the Office of Scientific Research and Development. Important financial assistance was also provided by the Nutrition Foundation, Inc.: The U. S. Sugar Cane Refiners Association, N. Y.; the Corn Industries Research Foundation, N. Y.: Swift and Co., Chicago; the National Confectioners' Association; the National Daily Council, Chicago; and the Graduate Medical Research Fund. University of Minnesota. The author is indebted for assistance and encouragement to all the members of the staff of the Laboratory of Physiological Hygiene, and especially to Mr. Harold Guetzkow and Mr. Rich and Seymour.     

Parent and child causal attributions during clinical interviews

Attributions made by children and their parents for the cause of the child's clinical problem were monitored during assessment interviews. Results support previously observed differences obtained through questionnaires, with parents making more attributions than their children to characteristics of the child. This pattern was affected by variations in interview format. Parents and children differed in the locus of their attributions when interviewed individually, but these differences were not present when families were interviewed with both parents and children present. Implications for the methodology of attribution research with child-clinical populations are highlighted.     

Lightness matching for different visual routes through a compound scene

Left and right halves of a visual display were covered with inducing fields (IFs) of different lightnesses. S’s monocular gaze moved over an irreversible route from a neutral Munsell target to a CO series through either the left- or right-side IFs. For the 16 Ss there were 8 different IFs, varying from light to dark. For each of three different gray targets Munsell CO choices varied directly with the lightness of the IFs through which the gaze was routed rather than with the lightness of the total presented display. A replication with modifications is also reported.     

Selective attention in the speeded classification and comparison of multidimensional stimuli

Selective attention was studied when subjects were required to make either speeded classifications of single stimuli or comparisons of pairs of multidimensional stimuli. Experiment 1 established that subjects were able to attend selectively to form when the irrelevant dimension of size or shading varied in a speeded-classification (card-sorting) task. Experiment 2 confirmed this finding in a discrete-trials task. However, subjects werenot able to filter out irrelevant dimensional disparity in a comparably designed simultaneous-comparison (i.e., “same”-“different”) task. Mean “same” reaction time increased monotonically with increases in disparity between the two stimuli on the irrelevant dimension. Experiment 3 also revealed a monotonie increase in “same” RT as a function of irrelevant disparity in a successive-comparison task. These results were discussed in terms of a normalization model proposed by Dixon and Just (1978) in which it is assumed that a subject equates the two stimuli on the irrelevant dimension before deciding that they are the same along the relevant dimension. It was concluded that: (1) although subjects can efficiently filter out irrelevant disparity in a speeded-classification task, interference due to irrelevant disparity is obtained in the comparison tasks, (2) a common process such as normalization does not necessarily underlie performance in the speeded-classification and comparison tasks, (3) the ability to attend selectively to a stimulus dimension may be task determined as well as stimulus determined, and (4) contrary to the Dixon and Just proposal, normalization of irrelevant disparity occurs in a comparison task, even when the relevant dimension is represented as a separate encoding feature.     

On the nonautomaticity of “automatic” activation: Evidence of selective seeing

Early perceptual selection refers to a sequence of perceptual processing in which attentional selection of stimuli occurs before perceptual processing is complete. By contrast, late perceptual selection refers to a sequence in which all stimuli receive complete perceptual processing before selection takes place. An attempt was made to determine if early selection is possible. Three experiments were conducted in which subjects were presented with arrays containing a variable number of red items and a variable number of black items; all array items were randomly positioned around the circumference of an imaginary circle. The subjects task was to report the number of red items. Response time increased with the number of red items, but was essentially independent of the number of black items. The nature of the red and black items was also varied. When the to-be-attended red items were given “Stroop-like” quality (the symbols that were used were directly inconsistent with the correct response for that trial), mean reaction time was increased compared to a baseline condition; when the to-be-ignored black items were given “Stroop-like” quality, mean reaction time was unaffected. These results imply that the relevant (red) and irrelevant (black) items were processed differentially. We conclude that early selection is possible; late-selection models are not supported.     

Circular vection as a function of the relative sizes, distances, and positions of two competing visual displays

In studies where it is reported that illusory self-rotation (circular vection) is induced more by peripheral displays than by central displays, eccentricity may have been confounded with perceived relative distance and area. Experiments are reported in which the direction and magnitude of vection induced by a central display in the presence of a surround display were measured. The displays varied in relative distance and area and were presented in isolation, with one moving and one stationary display, or with both moving in opposite directions. A more distant display had more influence over vection than a near display. A central display induced vection if seen in isolation or through a 'window' in a stationary surrounding display. Motion of a more distant central display weakened vection induced by a nearer surrounding display moving the other way. When the two displays had the same area their effects almost cancelled. A moving central display nearer than a textured stationary surround produced vection in the same direction as the moving stimulus. This phenomenon is termed 'contrast-motion vecton' because it is probably due to illusory motion of the surround induced by motion of the centre. Unequivocal statements about the dominance of an eccentric display over a central display cannot be made without considering the relative distances and sizes of the displays and the motion contrast between them.     

GENERALIZED LANGUAGE LEARNING BY CHILDREN WITH SEVERE MENTAL RETARDATION: EFFECTS OF PEERS' EXPRESSIVE MODELING

In this study, we investigated the conditions that contribute to observational learning of generalized language in children with severe mental retardation. Matrix-training strategies were used to teach 6 children with mental retardation to combine known words into two- or three-word utterances consistent with syntactic rules. Subsequently, the children learned two or more unknown words concurrently, inducing word-referent relations consistent with these word order rules. Generalized learning of responses not taught directly was shown to be under experimental control using a multiple baseline design across submatrices. Expressive modeling of only four or five responses was sufficient to promote recombinative generalization in the expressive and receptive modalities. Thus, 95% to 98% of subjects' learning was attributed to generalization processes. This study demonstrates how the efficiency of language training with children with mental retardation might be enhanced by coupling observational learning and matrix-training strategies.     

A preliminary study of Hare's “Research Scale for the Assessment of Psychopathy” in mentally-abnormal offenders

The abbreviated (15-item) version of Hare's Research Scale for the Assessment of Psychopathy (RSAP) was investigated in a sample of male admissions to Broadmoor Special Hospital (N = 50), along with five MMPI measures relevant to psychopathy (Impulsivity, Sociability, Psychopathic Deviate, Anxiety and Sociopathy). Patients were assigned to one of four clinical diagnostic groups: Personality Disorder, Mixed (personality disorder with schizophrenia), Schizophrenia and Affective Disorder. Results indicated that while both psychopathic groups (Mixed and Personality Disorder) showed high scores on almost all RSAP items, the Affective Disorder group showed low scores on almost all items. Results of a discriminant function analysis indicated that Hare's RSAP was superior to the MMPI measures at discriminating between psychopaths and non-psychopaths. Use of the discriminant function to re-allocate patients to criterion groups showed a high hit rate (94%) for psychopathic patients but a hit rate of only 61% for non-psychopathic patients. Half of the schizophrenic patients were mis-allocated to the psychopathic group. The results support the idea of an affective deficit common to psychopaths and schizophrenics, but suggest that psychopaths additionally show a deficit which may be characterized by a lack of goal-directed behaviour.     

Sensitivity to lexical denotation and connotation in brain-damaged patients: A double dissociation?

Sets of words can be grouped in terms of their denotation (cold and warm both refer literally to temperature) or in terms of their connotation (cold and warm connote remoteness and intimacy, respectively). To assess whether these two facets of meaning are dissociable, unilaterally left- and right-hemisphere-damaged patients were presented with word triads and asked to group together the two words that were closest in meaning. Right-hemisphere-damaged patients showed a preserved sensitivity to denotation, and a selective insensitivity to connotative facets of meanings. In contrast, left-hemisphere-damaged patients exhibited a preserved sensitivity to connotation as well as a selective insensitivity to denotative aspects of meanings. Inasmuch as normal control subjects displayed a flexible sensitivity to both denotative and connotative aspects of meaning, the results suggest that unilateral brain damage selectively curtails use of one or the other major aspect of word meaning.