Parenting and Family Stress Treatment Outcomes in Attention Deficit Hyperactivity Disorder (ADHD): An Empirical Analysis in the MTA Study

Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7–9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD.     

The Social Costs of Treatment Programs

The medicalization of deviance refers to the identification as diseases or illnesses of patterns of behavior that were previously considered in moral terms. Herbert Spencer viewed society as analogous to a living organism. A problem or disease in one part of the organism affects the entire organism. Early sociologists built on this idea and arrived at the conclusion that deviant behavior could be thought of as social disease and social pathology. The early social pathologists were concerned with crime, mental illness, drug abuse, and suicide. There is a tendency to treat such ailments in a hospital or clinical setting. The medicalization of deviance removes responsibility from the individual as well as from the society which continues to produce the problem. Treatment programs give the false impression that something worthwhile is being done about society's behavioral problems and turn the individuals treated back into the same social milieu in which the problem was incubated in the first place. The medicalization of deviance creates a vested-interest industry dependent upon the treatment of individuals. It has constructed a system of individualized microlevel treatment programs that can be beneficial on a limited basis for a few individuals and their families, but it tends to treat only the symptoms but not change the society of which they are but emanations.     

Low-frequency acoustic modulations generated by the high-frequency portion of the cochlea, noninvasively recorded from the scalp of mice (Mus musculus)

Vocalizations often contain low-frequency modulations of the envelope of a high-frequency sound. The high-frequency portion of the cochlear nerve of mice (Mus musculus) generates a robust phase-locked response to these low-frequency modulations, and it can be easily recorded from the surface of the scalp. The cochlea is most sensitive to envelope modulation frequencies of approximately 500 to 2000 Hz. These responses have detection thresholds that are approximately 10 dB more sensitive than auditory brainstem responses, and they are very sharply tuned. These measurements may provide a nontraumatic means of repeatedly assessing cochlear functions involved in sound localization and perception of vocalizations.     

Modality effects and the development of the word length effect in children

Two experiments investigated the development of the word length effect in children aged 4 to 10 years, comparing auditory and visual stimuli. The question addressed was whether word length effects emerged earlier with auditory presentation or visual presentation, or whether they emerged at the same age regardless of presentation modality. Results provided evidence that word length effects emerge earlier with visual than auditory presentation. The implication of our results is that with visual presentation, 4-year-olds engage in some form of verbalization strategy that involves obtaining phonological representations of picture names and mapping them on to articulatory output plans. This strategy is clearly verbal in nature, but is not necessarily characterised as cumulative verbal rehearsal.     

Factorial structure and MMPI correlates of a fear survey schedule in a clinical population

The Wolpe-Lazarus Fear Survey Schedule was administered in a neurotic population and factor analyzed. The largest factor (Tissue Damage/Medical) was uncorrelated with either the MAS or MMPI scales. However, total Fear Survey scores and Factor II (Interpersonal) showed a similar pattern of significant positive associations with both measures. The clinical relevance of global vs. part fear survey scores is discussed.