The Assessment of Limb Apraxia: An Investigation of Task Effects and Their Cause

To test the effects of variations in the structure of tasks used to assess limb apraxia, eight tasks—differing in their modes of elicitation (tactile, verbal, visual, imitation) and/or types of movement elicited (transitive, intransitive, meaningless)—were administered to 25 carefully selected subjects with idiomotor limb apraxia. When standardized scores (based on the performance of 10 nonneurologically impaired control subjects) were used to measure the differences between tasks, no clinically significant task effects were found. Additional investigation was made of two causal hypotheses regarding the processes underlying limb apractic performance. The results of factor analyses and a search for double dissociations among individual subjects were consistent with the (severity) hypothesis that differences in task performances (raw scores) reflect degrees of task difficulty; and they failed to support the (disconnection) hypothesis that posits separate and independent neural/mental processes underlying task performances.     

Improving our understanding of therapeutic failure: A review

This paper argues the need to consider carefully the phenomenon of therapeutic failure in counselling and psychotherapy. The scant literature on therapeutic failure is reviewed, this literature suggests that there are large individual differences in therapists' overall effectiveness. A conceptual model of therapeutic failure is proposed, organized around the assumption that failure results from a therapist's inability to meet the needs of a particular client. Suggestions aimed at reducing the likelihood of therapeutic failure are offered.     

The development of therapeutic consultations in child-focused family work

This paper outlines the theoretical influences that have led to our use of a consultation approach to work with children and families. Winnicott's notion of therapeutic consultation, the narrative approach in family therapy, the use of letters in therapeutic work and the two-plus-one model of therapeutic contact are discussed. A model of the consultation interview and process is presented together with examples of consultation letters responding to typical client expectations of the process.     

Formal and Informal Counselling Help: Students' Experiences

The experiences reported by students who sought help from formal counselling sources were compared with those reported by students who sought assistance from informal helpers. The two groups of students had similar types of problems, but the counselling clients reported (a) higher levels of problem seriousness, (b) lower levels of comfort with the interaction, and (c) higher levels of satisfaction with the help offered.     

Teaching minority high school students to recruit helpers to attain personal and educational goals

Recruiting help from mentors and other potential helpers is a promising strategy for helping disadvantaged and minority youths meet their personal and educational goals. Three African-American high school seniors participated in a project designed to evaluate the effectiveness of training procedures that would allow them to ask for help in attaining educational and other personal goals. A behavioral training procedure that included instructional materials, role-play practice, praise, and feedback was used. Targeted skills included goal setting and 30 responses involved in the process of meeting with a potential helper. Role-play situations were used to evaluate participants' help-recruiting skills before and after training. Participants increased their help-recruiting skills from an average of 38% during baseline, to an average of 75% after training. Self-reported measures of goal attainment suggested that the students benefited from the training. Implications for mentoring programs designed to increase minority students' opportunities to reach educational goals were discussed.     

An analysis of performance by pre-school children on the KRISP and on a length discrimination task

The speed and accuracy of judgements made by pre-school children on the Kansas Reflection-Impulsivity Scale for Pre-schoolers (KRISP - Wright 1971, 1973) and on a two-choice length discrimination task were investigated. If subjects were relatively accurate on the KRISP then correct responses tended to be faster than errors while if subjects were relatively inaccurate errors were the faster. It is inferred that accurate subjects respond asymptotically in terms of a speed-accuracy tradeoff while inaccurate subjects set a less demanding criterion. Accurate subjects showed a tendency to increase inspection time as a function of item difficulty. This relation did not hold for inaccurate subjects.However, groups classified by means of the KRISP did not differ in either the speed of correct responses or accuracy of line length discriminations. For all groups judgement times were significantly related to stimulus differences and to stimulus ratios. There was no evidence that so-called impulsive children engage in less efficient and less detailed processing than other children.It is argued, contrary to the view of Kagan and his co-workers (e.g. Kakan 1966), that speed and accuracy of responding may not reflect a stable trait dimension. Rather children appear to be able to change their strategies according to the particular demands, implicit or explicit, of the task.     

Effect of Level of Challenge on Pressor and Heart Rate Responses in Type A and B Subjects1

The present study examined the relationship between the Type A coronaryprone behavior pattern and the magnitude of cardiovascular response induced by varying levels of environmental challenge. In a 2 × 2 experimental design, Type A and B (noncoronary-prone) subjects (n= 80) were randomly assigned to either high or low challenge instructional conditions for both the cold pressor (CP) and a choice reaction time task (RT). Overall, across both tasks, Type A subjects responded with greater systolic blood pressure (SBP) and heart rate (HR) elevation than Type B subjects. While these differences between the Types tended to be larger in the high challenge condition, some differences were also observed under low challenge. Component analyses of the Pattern revealed that high hostile/competitive Type A's responded to both low and high challenge instructions in the CP and RT tasks with physiologic elevations comparable to that displayed by globally defined Type A's receiving high challenge instructions. The present findings tentatively suggest that (a) high hostile/competitive Type A's respond to even mild challenge with enhanced physiologic response; (b) globally defined A's tend to evidence the physiologic elevations when specifically challenged; and (c) Type B's show much smaller physiologic reactions to such challenges. Consistent with previous research, comparison of Type A assessment techniques revealed that the Rosenman diagnostic interview was a better predictor of physiologic response than other questionnaire methods. Two hypotheses are advanced and future research recommended regarding possible relationships between environment, behavior, physiology, and disease.