Promoting child and family wellness: priorities for psychological and social interventions

In order to foster the well‐being of children and families we propose a shift in the priorities of psychological and social interventions. Following a brief discussion of the concept of wellness, we present a framework for interventions to promote child and family wellness. Psychological and social intervention strategies to promote child and family wellness are then reviewed and interpreted in terms of the framework. Recommendations for changing priorities for programmes and policies are based on the framework and a review of the effectiveness of existing interventions. Copyright © 2000 John Wiley & Sons, Ltd.     

Undercutting and the Ramsey test for conditionals

There is an important class of conditionals whose assertibility conditions are not given by the Ramsey test but by an inductive extension of that test. Such inductive Ramsey conditionals fail to satisfy some of the core properties of plain conditionals. Associated principles of nonmonotonic inference should not be assumed to hold generally if interpretations in terms of induction or appeals to total evidence are not to be ruled out.     

Depression secondary prevention in primary care

In order to analyse efficacy, effectiveness and efficiency of several depression secondary prevention programs, three group interventions were developed in Primary Care Centres: cognitive-behavioral therapy, promotion of one's coping resources therapy (just paying attention to abilities, without training) and social support. The sample was composed by 60 people with from-mild-to-moderate depressive symptoms, who were randomly assigned either to any of the treatments or to a control group (waiting list). Psychopathology, quality of life and attendance to mental health services variables were assessed at pretest, posttest and two follow-up evaluations, 6 and 12 months afterwards. Outcomes: both therapies had more efficacy, effectiveness and efficiency compared to the social support group, and this one was better than the waiting list.     

Dissimilarities as indices of individual perceptual structure

The generality of dissimilarity judgments and of configurations obtained by multidimensional scaling (MDS) as indices of perceptual structure was examined. The Ss made magnitude estimates of dissimilarity of pairs of photos, and MDS configurations were constructed separately for each S. The compatability of dissimilarities (judgments or distances in MDS configurations) with two other tasks Ss performed was then examined. These additional tasks, an “encoding” and a “decoding” task, required the S to first construct a message by making use of a set of four photos and, a week later, to decode the messages. Results obtained were interpreted as indicating a degree of generality of the dissimilarities and supporting a hypothesis of individual differences in perceptual structure for the stimulus set. A “data-purification” hypothesis for MDS was discussed and examined.

     

Evaluation of a break-to-choice chained-schedule intervention for multiply maintained problem behavior

Interventions for multiply maintained problem behavior often involve developing separate treatment conditions to address each function. Although isolating treatment conditions lead to positive outcomes, developing individual treatments for each identified function may be time-consuming. Alternatively, synthesizing treatment procedures may allow for more efficient treatment effects. We extended previous research by evaluating functional communication training (FCT) and chained schedules of reinforcement to treat multiply maintained problem behavior in children diagnosed with autism spectrum disorder. First, we conducted a functional analysis that concluded problem behavior was multiply maintained. Next, we taught functional communication responses (FCRs) and implemented a chained schedule of reinforcement. During the initial link, FCRs for a break resulted in the presentation of a choice menu with the other putative reinforcers in the terminal link. The relevant reinforcer was delivered contingent on the emission of subsequent FCRs. Finally, we systematically schedule thinned to caregiver-informed terminal schedules for each participant. The results of our study demonstrated that FCT, in combination with a sequential compound schedule of reinforcement, effectively decreased multiply maintained problem behavior and increased appropriate alternative responses (FCRs and compliance) even at terminal schedules of reinforcement.