The Ecological Validity of Delay Aversion and Response Inhibition as Measures of Impulsivity in AD/HD: A Supplement to the NIMH Multimodal Treatment Study of AD/HD

Impulsivity is a primary symptom of the combined type of Attention Deficit/Hyperactivity Disorder (AD/HD). The Stop Signal Paradigm is premised upon a primary deficit in inhibitory control in AD/HD, whereas the Delay Aversion Hypothesis, by contrast, conceptualizes impulsivity in AD/HD, not as an inability to inhibit a response, but rather as a choice to avoid delay. This study compared the ecological validity of the Stop Signal Task (SST) and Choice-Delay Task (C-DT) measure of delay aversion, with respect to their relative utility in discriminating AD/HD children from normal control participants, and their correlations with classroom observations and with ratings of impulsivity and other core AD/HD symptoms on the Conners and SNAP-IV checklists. The tasks exhibited modest discriminant validity when used individually and excellent discriminant validity when used in combination. The C-DT correlated with teacher ratings of impulsivity, hyperactivity, and conduct problems, and with observations of gross motor activity, physical aggression, and an AD/HD composite score. The SST correlated with the observations only. These results suggest that delay aversion is associated with a broad range of AD/HD characteristics whereas inhibitory failure seems to tap a more discrete dimension of executive control     

Examining the Role of Gender in the Relationship Between Use of Condom-Related Protective Behavioral Strategies when Drinking and Alcohol-Related Sexual Behavior

The present research aimed to examine the relationships among gender, condom-related protective behavior strategies (PBS), and condom use during alcohol-related sexual behavior. Heavy drinking, sexually active U.S. undergraduate college students from a large northwest university (N?=?454; 61.7% female) completed a web-survey that included measures of drinking, sexual behavior, and condom-related PBS. MANOVA findings suggested that males were more likely to use condom-related PBS than females. Negative binomial regression results suggested that use of condom-related PBS by both genders was positively associated with condom use during alcohol-related sexual behavior, but especially for women. These results suggest that condom-related PBS may be useful to incorporate in interventions targeting alcohol-related sexual behavior among heavy drinking college students.     

Three preparatory studies for promoting implementation of outpatient schema therapy for borderline personality disorder in general mental health care

ObjectiveThree studies were conducted to prepare for the implementation of Schema Therapy (ST) for Borderline Personality Disorder (BPD) in general mental healthcare settings. Two were surveys to detect promoting and hindering factors, one was a preliminary test of a training program in ST.MethodsIn 2004, a diagnostic analysis of factors promoting and hindering implementation of a new treatment for BPD was conducted among both managers (n = 23) and therapists (n = 49) of 29 Dutch mental healthcare institutes through a written survey (Study 1). Next, a training program, including a set of DVDs displaying the major therapeutic techniques, was developed and tested among eight therapists. The training program was evaluated by the participants. After the training, three independent raters evaluated therapists' adherence and competence, viewing videos of the therapists completing structured role-plays (Study 2). In 2008, a second written survey was conducted in 22 mental health institutes to study factors for future nationwide implementation of ST (Study 3).ResultsBoth surveys indicated that the situation in most institutes was favorable for implementing a new effective treatment, as participants were not satisfied with the existing treatments, had suitable professional backgrounds, worked in settings with (B)PD-oriented care programs, and expressed a need for change. The surveys yielded clear results for promoting or hindering successful implementation of ST. Promoting factors included scientific evidence for the effectiveness of the treatment, structural changes in the patient's personality, rapidly noticeable effects for the patient, low drop-out rates and a favorable cost-effectiveness. Possible barriers included implementation mandated unilaterally by management, choosing ST based on financial or organizational needs, extending implementation over a lengthy period of time and providing telephone support by therapists beyond office hours. The eight-day training program received very positive ratings. After the training, therapists were rated as sufficiently adherent and competent applying ST to treat BPD patients, with peer supervision and supervision recommended as a supplement to the training.ConclusionThis study showed that the situation in 2005 was advantageous to start implementation of ST. Evaluation of the training and the achieved competence scores of trainees concluded that the training program was a good basis for training therapists in ST. Outcome of the survey in 2008 demonstrated that there was a clear interest for implementation of ST for BPD patients in the future.     

The Short-Term Memory of Profoundly Deaf People for Words,Signs, and Abstract Spatial Stimuli

The short-term memory (STM) of 25 deaf and 20 hearing adults fluent in Australian Sign Language (Auslan) was tested using both free- and serial-recall versions of three tasks. On two tasks, where stimuli were presented as either written words or Auslan signs, hearing subjects performed significantly better than deaf subjects. This difference was attributed to the facility of the hearing subjects in translating these two classes of language-based stimuli into phonological codes, which have a preferred status in STM. On the third, language-free task, which was an adaptation of the Corsi Blocks test, the deaf and hearing subjects performed at comparable levels, indicating that differences in their STM became evident only with the introduction of language-based factors. Analyses restricted to the deaf subjects showed that performances on the language-based STM tasks correlated positively with scores on a reading comprehension test. Also, deaf subjects who reported an oral education outperformed their counterparts, who reported a total communication (oral plus signed English) education on the language-based STM tasks. Thus, for this diverse adult deaf sample, proficiency in STM for language-based material, skill in reading, and report of an oral rather than total communication education appear to covary.     

Staff Practices and Social Skill Outcomes in a Sport-Based Youth Program

Staff are key contributors to quality sport-based youth programming. Specific practices leading to positive youth outcomes warrant further investigation. This study examined social skill outcomes resulting from participation in a sport-based youth program, LiFEsports. In addition, relationships among emotional and autonomy supportive staff practices and outcomes were examined. Results pointed to the value of sport-based youth programs for promoting self-control among youth from vulnerable backgrounds and indicated that youth-perceived emotional and autonomy supportive staff practices predicted improvements in perceived self-control but not perceived externalizing behaviors.     

Are Ethics Training Programs Improving? A Meta-Analytic Review of Past and Present Ethics Instruction in the Sciences

Given the growing public concern and attention placed on cases of research misconduct, government agencies and research institutions have increased their efforts to develop and improve ethics education programs for scientists. The present study sought to assess the impact of these increased efforts by sampling empirical studies published since the year 2000. Studies published prior to 2000 examined in other meta-analytic work were also included to provide a baseline for assessing gains in ethics training effectiveness over time. In total, this quantitative review consisted of 66 empirical studies, 106 ethics courses, 150 effect sizes, and 10,069 training participants. Overall, the findings indicated that ethics instruction resulted in sizable benefits to participants and has improved considerably within the last decade. A number of specific findings also emerged regarding moderators of instructional effectiveness. Recommendations are discussed for improving the development, delivery, and evaluation of ethics instruction in the sciences.     

Equine Facilitated Therapy for Children and Adolescents: A Qualitative Pilot Study

Despite recent growth in the use of equine facilitated therapy (EFT), and its potential to be an effective alternative to traditional therapeutic interventions, the literature has not yet provided a convincing explanatory account of the practices implemented within EFT. In this study, the author investigates consistency of clinical practices within the Equine Assisted Growth and Learning Association (EAGALA) model of EFT. Semi-structured interviews were conducted with mental health professionals and equine specialists (N = 10) from six Australian EFT clinics. Thematic analysis of data revealed: an absence of an underpinning theoretical model; variations between clinical practices; lack of parental involvement in therapy for children/adolescents; and inadequate research into perceived mechanisms of change driving EFT. This article concludes with a set of recommendations directed at EFT practitioners in order to increase the rigor of practice and maximize the potential of this intervention.     

Beliefs in Equality for Women and Men as Related to Economic Factors in Central and Eastern Europe and the United States

Do economic indicators predict the general level of support for gender equality? This question was investigated in a sample of countries in Central and Eastern Europe, a region that has been undergoing rapid economic changes since the early 1990s. In this overall sample of male and female college students from ten countries, including the United States as a comparison, the predicted association between stronger beliefs in gender role egalitarianism and positive economic factors was generally supported. Also, consistent with other research, women were more in support of gender equality than men were. There was no support for a predicted trend in less support for gender equality over the time period of the present study.     

Relationships between personal values and reported behavior on ethical scenarios for law students

Lawyers' values might be considered to play some role in the decisions that are made in everyday legal practice. This study aimed to explore the effects of personal value hierarchies on ethical decision making within the context of several ethical dilemmas. A questionnaire was administered utilizing hypothetical situations presented in 11 ethical scenarios and including the Rokeach Value Survey. Logistic regression results suggested that different personal values were significant predictors of reported behavioral choices on respective ethical scenarios. However, the most important values associated with behavior consistent with ethical conduct in scenarios were 'honesty' and 'equality'. The implications of results are discussed in the contexts of ethics education in a tertiary educational environment and in relation to regulation for the professions.     

The relation of knowledge organization to performance of a complex cognitive task

The relationship between organization of knowledge in memory and level of proficiency in the performance of a complex cognitive task was evaluated. Based on their performance in a scenario, 42 Electronic Warfare (EW) technicians were categorized into 3 performance levels. To measure the organization of knowledge, the EWs rated all possible pairs of 24 concepts on degree of relatedness, and a Pathfinder net was created for each subject and for 2 expert EWs. A correlation of 0.40 between performance scores and a concept similarity measure indicates a significant positive association between level of proficiency and knowledge organization. Both high and intermediate performance groups produced nets that were more similar to the expert net than were those of the low performance group. © 1998 John Wiley & Sons, Ltd.