Applying the least restrictive alternative principle to treatment decisions: A legal and behavioral analysis

The least restrictive alternative concept is widely used in mental health law. This paper addresses how the concept has been applied to treatment decisions. The paper offers both a legal and a behavioral analysis to some problems that have emerged in recent years concerning the selection of behavioral procedures used to change client behavior. The paper also offers ways of improving the application of the concept, which involve developing a more behaviorally functional perspective toward restrictiveness.     

Validity of the DSM-III-R personality disorder Clusters

This study assessed the validity of the DSM-III-R personality disorder clusters (i.e., odd-eccentric, dramatic-emotional-erratic, and anxious-fearful) by examining the relationships between self-report measures that tap the core features shared by disorders from each cluster and Cluster scores established via a semistructured interview in a sample of 57 outpatients. Results indicated a high degree of correlation among the DSM-III-R personality disorder Cluster scores. In addition, a series of regression analyses revealed that self-report scores did not account for a significant amount of variance in their respective Cluster scores over and above that accounted for by other self-report measures and other Cluster scores. These results suggest that the current DSM-III-R cluster classification scheme may not be appropriate, and it is recommended that a more empirically justifiable classification of the personality disorders be adopted in DSM-IV.     

Order effects in belief updating with consistent and inconsistent evidence

The current study tests for the presence of differential order effects in evaluation tasks with consistent and inconsistent evidence as predicted by the Hogarth and Einhorn (1992) belief-adjustment model. The results, based on both between-subjects and within-subjects experiments, demonstrate that there were significant recency effects with inconsistent evidence as predicted, larger recency effects when the inconsistent evidence was farther apart in subjective value as predicted, and significant recency effects even when subjects were given training designed to both help them understand the task as completely as possible and to be better able to assess the pieces of evidence. By including a within-subjects design, we were able to demonstrate that the difference in subjective value between two pieces of evidence is the primary factor influencing the magnitude of the recency effect, regardless of whether the evidence is consistent or inconsistent. This latter finding is unique and contrary to previous research and theory.     

Linguistic Phenomena and Language Selection in the REM Dreams of German-English Bilinguals

Sixteen German-English bilinguals were studied in a sleep laboratory for four nonconsecutive nights each. Half were native English speakers living in Zürich, and half native German speakers living in Atlanta. Presleep thought samples were solicited each evening and REM dream reports each night; subjects judged the waking appropriateness of their imagined speech and language phenomena, and also identified waking sources of their dream imagery, the following mornings. Incidences of dreaming and of speech therein generally were similar to those of monolinguals. Whether sessions were conducted in German (two nights) or English (two nights) did directly influence language selection in subjects' dreams. Judged appropriateness of language selection to imagined events was very high for thought samples, and high for REM dreams. Sources for thought samples were generally consonant with the language dominant at study site; for REM dreams this relationship was considerably weaker. Judged waking appropriateness to imagined situations was more strongly related to language selection than was the language reference of the supposed sources of those situations.     

Parental self-esteem and behavior problems in children: Similarities between mothers and fathers

The relationship between parental self-esteem and behavior problems in children was investigated using 1624 married couple's responses from the National Survey of Families and Households. The sample was weighted to be nationally representative in terms of race and ethnicity. It was hypothesized that the existence of behavior problems among children would be associated with low self-esteem among parents and that the parent's gender, child's gender, parents' gender role attitudes, and parental employment would moderate this relationship. The results indicated that parental self-esteem is negatively associated with behavior problems in children. However, none of the moderating variables had a significant impact. This suggests that the relationship between parental self-esteem and behavior problems among children is robust and does not vary appreciably with the gender of the parent, the gender of the child, the attitudes of the parent, or the employment of the parent.     

Predicted and Recommended Behavior of a Woman as a Function of Her Inferred Helplessness in the Dowry and Wife-Beating Predicaments

Two experiments, using hypothetical situations, examined predictions and recommendations regarding a woman's behavior in the dowry and wife-beating predicaments as a function of her perceived helplessness. The dowry experiment described the situation of a stimulus person who has to decide whether to marry a boy under the dowry condition and had a 2 (subject's sex) × 2 (stimulus person's attractiveness) × 2(stimulus person's age) × 3 (stimulus person's socioeconomic status) factorial design, with estimated likelihood of marrying and recommendation to marry as the two dependent measures. The wife-beating experiment described the situation of a battered stimulus person who has to decide whether to leave her violent husband and had a 2 (subject's sex) × 2 (stimulus person's economic independence) × 2 (stimulus person's having children) × 3 (stimulus person's socioeconomic status) factorial design, with estimated likelihood of leaving the husband and recommendation to leave the husband as the two dependent measures. The subjects of the two experiments were undergraduate or graduate students of Bombay University, with 15 subjects per cell in the dowry experiment and 13 subjects per cell in the wife-beating experiment. Female subjects gave a stronger recommendation against marrying under the dowry condition and in favor of leaving the husband than did male subjects. The economically independent women was perceived as more likely to leave the husband than the dependent woman. Results of the wife-beating experiment suggested greater social constraints, under some conditions, on the middle class woman as compared to upper and lower class women in India.     

An on-line assessment of causal reasoning during comprehension

Fletcher and Bloom (1988) have argued that as readers read narratives, clause by clause, they repeatedly focus their attention on the last preceding clause that contains antecedents but no consequences in the text. This strategy allows them to discover a causal path linking the text's opening to its final outcome while minimizing the number of times long-term memory must be searched for missing antecedents or consequences. In order to test this hypothesis, we examined the reading times of 25 subjects for each clause of eight simple narrative texts. The results show that: (1) causal links between clauses that co-occur in short-term memory (as predicted by the strategy) increase the time required to read the second clause; (2) potential causal links between clauses that never co-occur in short-term memory (again as predicted by the strategy) have no effect on reading time; and (3) reinstatement searches are initiated at the end of sentences that are causally unrelated to the contents of short-term memory or that contain clauses that satisfy goals no longer in short-term memory. These results support the claim that subjects engage in a form of causal reasoning when they read simple narrative texts.     

INCREASING COMPLEX SOCIAL BEHAVIORS IN CHILDREN WITH AUTISM: EFFECTS OF PEER-IMPLEMENTED PIVOTAL RESPONSE TRAINING

Two children with autism were taught to engage in a variety of complex social behaviors using peer-implemented pivotal response training (PRT), a set of procedures designed to increase motivation and promote generalization. Typical peers were taught to implement PRT strategies by modeling, role playing, and didactic instruction. After training, peers implemented the procedures in the absence of direct supervision in a classroom environment. After the intervention, both children with autism maintained prolonged interactions with the peer, initiated play and conversations, and increased engagement in language and joint attention behaviors. In addition, teachers reported positive changes in social behavior, with the largest increases in peer-preferred social behavior. Further, these effects showed generality and maintenance. Implications of these findings are discussed.     

Wishes, Motives, Goals, and Personal Memories: Relations of Measures of Human Motivation

ABSTRACT The purpose of this study was to compare measures of explicit and implicit motives. One hundred and one participants completed six measures of motivation, including Thematic Apperceptive stories, autobiographical memories, three wishes, personal striving lists, the Personality Research Form, and self-ratings. Stories, memories, wishes, and strivings were content-analyzed using Winter's (1989) system. Although overall correlations did emerge among explicit measures within the same motive, there were numerous correlations among methodologically similar measures of different motives. In general, explicit measures did not correlate with thematic measures of the same motives. Although correlations among measures were similar for men and women, explicit measures of power converged with thematic measures of power only for men. Exploratory factor analysis identified three factors: explicit achievement, explicit affiliation, and power. Implicit achievement motivation loaded negatively on the affiliation factor. Implications for research on implicit and self-attributed motivation are discussed.