The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

The report from President George W. Bush’s New Freedom Commission on Mental Health (NFC), Achieving the Promise: Transforming Mental Health Care in America(2003), proposes goals and recommendations for improving mental health services. This report has significant implications for the delivery of mental health services through the schools. A focused discussion of the potential opportunities and challenges of implementing NFC recommendations related to school-based mental health is presented. Strategies for addressing five key areas at the intersection of school mental health and the Commission’s recommendations include: stigma reduction, suicide prevention, expansion and improvement of school mental health, and screening and treatment of co-occurring mental health and substance abuse disorders.     

Comparing observational software with paper and pencil for time-sampled data: A field test of Interval Manager (INTMAN)

In this article, we describe the Interval Manager (INTMAN) software system for collecting timesampled observational data and present a preliminary application comparing the program with a traditional paper-and-pencil method. INTMAN is a computer-assisted alternative to traditional paper-and-pencil methods for collecting fixed interval time-sampled observational data. The INTMAN data collection software runs on Pocket PC handheld computers and includes a desktop application for Microsoft Windows that is used for data analysis. Standard analysis options include modified frequencies, percent of intervals, conditional probabilities, and kappa agreement matrices and values. INTMAN and a standardized paper-and-pencil method were compared under identical conditions on five dimensions: setup time, duration of data entry, duration of interobserver agreement calculations, accuracy, and cost. Overall, the computer-assisted program was a more efficient and accurate data collection system for time-sampled data than the traditional method.     

Spatial constraints on visual-tactile cross-modal distractor congruency effects

Across three experiments, participants made speeded elevation discrimination responses to vibrotactile targets presented to the thumb (held in a lower position) or the index finger (upper position) of either hand, while simultaneously trying to ignore visual distractors presented independently from either the same or a different elevation. Performance on the vibrotactile elevation discrimination task was slower and less accurate when the visual distractor was incongruent with the elevation of the vibrotactile target (e.g., a lower light during the presentation of an upper vibrotactile target to the index finger) than when they were congruent, showing that people cannot completely ignore vision when selectively attending to vibrotactile information. We investigated the attentional, temporal, and spatial modulation of these cross-modal congruency effects by manipulating the direction of endogenous tactile spatial attention, the stimulus onset asynchrony between target and distractor, and the spatial separation between the vibrotactile target, any visual distractors, and the participant’s two hands within and across hemifields. Our results provide new insights into the spatiotemporal modulation of crossmodal congruency effects and highlight the utility of this paradigm for investigating the contributions of visual, tactile, and proprioceptive inputs to the multisensory representation of peripersonal space.     

Configuration-specific attentional modulation of flanker- -target lateral interactions

Elements of a contour are often easier to detect when they possess collinearity, with their local orientations matching the global orientation of the contour. We recently reported attentional modulation of such lateral interactions between a central near-threshold target Gabor patch and flanking high-contrast patches (Freeman et al, 2001 Nature Neuroscience 4 1032-1036). Here, we examined whether such attentional effects reflect specific modulation of mechanisms sensitive to collinear configurations, or instead more general modulation of sensitivity to either the global or local orientation-components of the stimulus. Thresholds for detecting a central Gabor target were measured, while observers also judged the Vernier alignment between one pair of flankers and ignored a second flanker pair (when present). Target contrast-thresholds were facilitated only when attending collinear flankers. There was no facilitation when attending flankers that shared only local orientation with the target, or flankers that fell on a global axis aligned with target orientation but having orthogonal local orientation. Ignored collinear flankers had no effect on target thresholds. These results demonstrate strong and specific attentional modulation of contour-integration mechanisms in early vision sensitive to collinear configurations.     

Incremental exercise, plasma concentrations of catecholamines, reaction time, and motor time during performance of a noncompatible choice response time task

The primary purpose was to examine the effect of incremental exercise on a noncompatible response time task. Participants (N=9) undertook a 4-choice noncompatible response time task under 3 conditions, following rest and during exercise at 70% and 100% of their maximum power output. Reaction and movement times were the dependent variables. Maximum power output had been previously established on an incremental test to exhaustion. A repeated-measures multivariate analysis of variance yielded a significant effect of exercise intensity on the task, observation of the separate univariate repeated-measures analyses of variance showed that only movement time was significantly affected. Post hoc Tukey tests indicated movement time during maximal intensity exercise was significantly faster than in the other two conditions. The secondary purpose of the study was to assess whether increases in plasma concentrations of adrenaline and nor-adrenaline during exercise and power output would act as predictor variables of reaction and movement times during exercise. Catecholamine concentrations were based on venous blood samples taken during the maximum power output test. None of the variables were significant predictors of reaction time. Only power output was a significant predictor of movement time (R2 = .24). There was little support for the notion that peripheral concentrations of catecholamines directly induce a central nervous system response.     

Ignoring famous faces: category-specific dilution of distractor interference

The extent to which famous distractor faces can be ignored was assessed in six experiments. Subjects categorized famous printed target names as those of pop stars or politicians, while attempting to ignore a flanking famous face distractor that could be congruent (e.g, a politician's name and face) or incongruent (e.g., a politician's name with a pop stars face). Congruency effects on reaction times indicated distractor intrusion. An additional, response-neutral flanker (neither pop star nor politician) could also be present. Congruency effects from the critical distractor face were reduced (diluted) by the presence of an intact anonymous face, but not by phase-shifted versions, inverted faces, or meaningful nonface objects. By contrast, congruency effects from other types of distracting objects (musical instruments, fruits), when printed names for these classes were categorized, were diluted equivalently by intact faces, phase-shifted faces, or meaningful nonface objects. Our results suggest that distractor faces act differently from other types of distractors, suffering from only face-specific capacity limits.     

ON THE EFFECTS OF NONCONTINGENT DELIVERY OF DIFFERING MAGNITUDES OF REINFORCEMENT

We conducted a parametric analysis of response suppression associated with different magnitudes of noncontingent reinforcement (NCR). Participants were 5 adults with severe or profound mental retardation who engaged in a manual response that was reinforced on variable-ratio schedules during baseline. Participants were then exposed to NCR via multielement and reversal designs. The fixed-time schedules were kept constant while the magnitude of the reinforcing stimulus was varied across three levels (low, medium, and high). Results showed that high-magnitude NCR schedules produced large and consistent reductions in response rates, medium-magnitude schedules produced less consistent and smaller reductions, and low-magnitude schedules produced little or no effect on responding. These results suggest that (a) NCR affects responding by altering an establishing operation (i.e., attenuating a deprivation state) rather than through extinction, and (b) magnitude of reinforcement is an important variable in determining the effectiveness of NCR.     

Abstraction and Individual Style in Syllogistic and Heterogeneous Reasoning

Syllogistic reasoning can be modelled with mental models. Heterogeneous reasoning brings together propositional and visual information, and in the Hyperproof logic-teaching system, the visual can act as a model for the propositional. Both mental models notation and Hyperproof’s visual representations allow abstractions of a limited kind. Individual differences in reasoning performance have been found in both domains. We suggest that at least some of the differences can be attributed to students’ differing ability to manipulate abstractions.     

Distinguishing genetic from nongenetic medical tests: Some implications for antidiscrimination legislation

Genetic discrimination is becoming an increasingly important problem in the United States. Information acquired from genetic tests has been used by insurance companies to reject applications for insurance policies and to refuse payment for the treatment of illnesses. Numerous states and the United States Congress have passed or are considering passage of laws that would forbid such use of genetic information by health insurance companies. Here we argue that much of this legislation is severely flawed because of the difficulty in distinguishing genetic from nongenetic tests. In addition, barring the use by insurance companies of a genetic test but not a nongenetic test (conceivably for the same multifactorial disease) raises issues of fairness in health insurance. These arguments suggest that ultimately the problems arising from genetic discrimination cannot be solved by narrowly focused legislation but only by a modification of the entire health care system.