Family-centered intensive case management: A step toward understanding individualized care

New York State's initial attempt at individualizing services occurred within the context of an experiment. We randomly assigned children 5–12 years old who were referred for out-of-home placement in treatment foster care to either treatment foster care, Family-Based Treatment (n=15), or to Family-Centered Intensive Case Management (FCICM) (n=27). FCICM used teams of case managers and parent advocates to provide in-home services. Flexible service dollars, respite care, and behavior management skills training were available to assist teams in individualizing care. Preliminary outcomes indicate that children in FCICM are doing as well or better than children assigned to FBT in their functioning and symptom reduction. Parents of children in FCICM have made gains, although not at a statistically significant level, in behavior management skills and family strengths that allow them to provide care for their children at home.     

Stimulus generalization following extradimensional and intradimensional training in educable retarded children

Five related experiments investigating stimulus generalization following go/no-go discrimination training of educable retarded children are reported. Experiment 1 employed an Extradimensional paradigm in which generalization testing was on the hue dimension following training on an independent (orientation) dimension. Following True discrimination training only 25% of children showed a decremental stimulus generalization gradient on the hue dimension, though all children exhibited flat gradients in Pseudodiscrimination and S+ only control groups. An increase in difficulty of the orientation discrimination in Experiment 2 did not increase the number of decremental gradients. In Experiment 3, children who exhibited decremental gradients in Experiments 1 and 2 underwent further generalization testing with modified stimuli to establish a symmetrical gradient peaked at a hue S+ to be employed in Experiments 4 and 5. In these experiments an Intradimensional paradigm was employed with S+ and S? stimuli drawn from the hue dimension. Excitatory control by S+ and inhibitory control by S? were demonstrated, as were inhibitory consequences of S? such as peak and area shift.     

Effect of effort and latent extinction on resistance to extinction

Sixty-four male Wistar rats were given acquisition training in an enclosed straight-alley runway which could be adjusted for angles of inclination. The 2×2×2 design involved two angles of inclination in acquisition (0° and 40°) and two angles of inclination in extinction (0° and 40°). Between acquisition and extinction, half the subjects were exposed to a latent extinction procedure and half served as controls. Number of responses in a 30-min extinction session was an inverse function of effort required in extinction. Additionally, latent extinction procedures resulted in reduced resistance to extinction, but only when the effort conditions of acquisition and extinction were constant. When the effort conditions of acquisition and extinction were dissimilar, latent extinction procedures resulted in increased resistance to extinction. The results raise questions about the nature of the learning which occurs during latent extinction training.     

A.R. luria's contribution to the study of the verbal control of behavior

Summary This paper examines Luria's contribution to research on the verbal control of behavior, which spanned from the 1930s to 1962. The speechmotor method utilized in the original Soviet experiments is reviewed, and the central methodological issues discussed. The internalization of speech is suggested as a theoretical problem yet to be adequately explained in cognitive or behaviorist theory.     

An investigation of the arousal model of interpersonal intimacy

In a study designed to test Patterson's arousal model of nonverbal intimacy, the heartrate, gaze, smiles, body orientation, and body lean of each of 40 female subjects who interacted with an accomplice were measured. Within a factorial design, subjects were induced to view more or less favorably the accomplice, who subsequently increased or maintained the same level of nonverbal immediacy as she did in an earlier session. It was hypothesized that (1) an increase in the accomplice's immediacy would effect an increase in subjects' arousal (heartrate) which, in turn, (2) would lead to either reciprocal or compensatory nonverbal adjustments by subjects, depending on whether they viewed the accomplice more or less favorably, respectively. The results supported the first but not the second hypothesis. However, interpretation of the results suggests, nevertheless, that they may be consistent with the arousal model.     

The effects of sex and fear level of subjects on the snake approach behaviour of dyads

Dyads, differing in composition in terms of sex and fear level of subjects, were video-recorded whilst interacting with a harmless snake. Approach measures were taken for all subjects in the form of latency of first touch, percentage time in contact with snake and intensity of interaction from no touching at all through to picking up. As hypothesized, ‘fearless’ subjects showed more approach than ‘fearful’, with latency giving the most significant difference. Male and female scores were not significantly different on any measure, although there was a significant interaction on latency between sex and fear level, due to the performance of fearful females. Contrary to hypothesis there was no evidence that males regardless of fear level showed any more approach when paired with a female partner. There was evidence in line with hypothesis that fearless females showed more approach when paired with other females. Fearless males showed more approach when paired with fearful partners and fearful females when paired with fearless partners. These results are discussed in terms of the literature on the laboratory study of human fear and therapeutic modeling.     

Interactive effects of generalized and situational expectancies on the arousal of cognitive and emotional components of social anxiety

This study examined the arousal of social anxiety in an interview setting as a function of anticipated self-disclosure. Of 88 college students who completed the Social Avoidance and Distress (SAD) scale and other measures of social anxiety, self-disclosure, need to affiliate, and interpersonal trust, 24 volunteered for the interview. During the interview, both components of anxiety (worry and emotionality) were affected by expectancy conditions, and emotionality was higher for high- than for low-SAD subjects. The prediction of an interaction between SAD level and expectancy condition on worry was confirmed: only high-SAD subjects exposed to the negative-expectancy condition experienced significant elevations in worry. Though social anxiety and self-disclosure measures correlated negatively, anxiety did not affect self-disclosure during the interview.     

Behavioral assessment of imipramine effects in a depressed child

A 7-year-old boy was diagnosed as suffering from childhood depression by two independent psychiatric evaluators who employed the Research Diagnostic Criteria. Multifaceted behavioral observations were performed on target behaviors which were identified as major problematic areas of functioning related to the child's depression. The behavioral assessment strategy included daily monitoring of on-task and disruptive behavior in the classroom, enuresis, and overall hygienic, social, and compliance behaviors as a means of identifying the specific drug-induced effects of an anti-depressant, imipramine. The assimilation and application of behavioral assessment strategies within child psychiatry have been slow and tenuous. Reasons for the resistance include theoretical differences and misconceptions among psychiatric personnel, who, although open to objective evaluations, may wish to employ nonbehavioral treatments such as pharmacologic agents. The primary purpose of this study was to demonstrate the viability of behavioral assessment as an integral adjunct to pharmacologic treatment in a psychiatric setting as a means of gauging the efficacy of a psychiatric intervention. Issues regarding the role of behavioral assessment in psychiatry and, in particular, pharmacologic interventions with depressed children are examined and discussed.This study was supported, in part, by NIMH Grant MH 30915.