Single and combined effects of methylphenidate and behavior therapy on the classroom performance of children with attention-deficit hyperactivity disorder

Twenty-four boys with attention deficit-hyperactivity disorder (ADHD) participating in an intensive summer treatment program each received b.i.d. placebo and two doses of methylphenidate (MPH, 0.3 mg/kg and 0.6 mg/kg) crossed with two classroom settings: a behavior modification classroom including a token economy system, time out and daily home report card, and a regular classroom setting not using these procedures. Dependent variables included classroom observations of on-task and disruptive behavior, academic work completion and accuracy, and daily self-ratings of performance. Both MPH and behavior modification alone significantly improved children's classroom behavior, but only MPH improved children's academic productivity and accuracy. Singly, behavior therapy and 0.3 mg/kg PMH produced roughly equivalent improvements in classroom behavior. Further, the combination of behavior therapy and 0.3 mg/kg MPH resulted in maximal behavioral improvements, which were nearly identical to those obtained with 0.6 mg/kg MPH alone.The authors gratefully acknowledge the assistance of Patricia Donovan, Michelle Berry, Mary Ingram, Patricia Wells, Beth Gnagy, Karen Greenslade, Mary Hamilton, and the entire staff of the Western Psychiatric Institute and Clinic ADHD Summer Treatment Program.     

Multivariate genetic analysis of specific cognitive abilities in the Colorado adoption project at age 7

A multivariate hierarchical model of specific cognitive abilities was fitted to data from 7-year-old adopted and nonadopted sibling pairs in the Colorado Adoption Project in order to assess differential genetic influence on specific mental abilities. Model fitting results and Schmid-Leiman (Schmid & Leiman, 1957) transformations reveal significant heritable variation for verbal, spatial, and memory factors independent of general cognitive ability for the eight ability tests examined. In contrast, environmental influences are primarily measure-specific. The results suggest genetic effects in middle childhood that differentially influence mental ability scores.     

Soul Healing: A Model of Feminist Therapy

A feminist psychospiritual model of therapy that can be used in working with clients who value the spiritual dimension in their lives is offered. The history, philosophy, and work of Women for a New World, a multidisciplinary team of women representing the areas of psychology, religious education, and the arts is presented. Using examples drawn from the developmental history of our retreat-workshop paradigm and from some of our programs, including a weekend retreat for women and a day of reflection for persons affected by AIDS (including family and friends of those with AIDS), the metaphor of therapy as soul healing is developed.     

The Pinocchio Syndrome: Lying and Its Impact on the Counseling Process

Surprisingly little has been written in the counseling journals on the topic of lying: that is, why some clients consciously choose to be either dishonest with their counselors or deliberately hold back (i.e., keep secrets) important information from their counselors. This article discusses the dynamics of lying and offers suggestions to counselors on how to work with clients who lie.     

Design and implementation of a program for AIDS prevention in female prostitutes

The Companeros model of HIV infection prevention in Ciudad Juarez, Mexico, is presented as conceived by the National Institute of Drug Abuse (NIDA). 518 women who were IV drug users, sexual partners of drug addicts, or prostitutes were requested to participate, and 232 consented. Initial and follow-up AIDS assessments were utilized along with an assessment of sociodemographic variables, including knowledge, sexual behavior, use and abuse of drugs, and previous health history. Educative sessions about AIDs and sexually transmitted diseases (STDs) included group discussions and interaction, video watching, personal experiences, and sociodramas. 61% of prostitutes were 29, 12.6% were 13-19 years old, 31.1% were aged 30-39, and 8.9% were 40. 11% had no formal education, 58% had 6 years of primary and part of 3 years of secondary education, only 18.6% completed secondary education; and 13% had higher education. 19% lived in a hotel or shelter. Family disintegration reached 44%; these women did not live with their children. Only 5.2% thought they had excellent health, 51% said they had good health, 31% stated they had average health, and 12% admitted having had health problems. 14.6% had genital ulcers, 1.3% had herpes, 15% had gonorrhea, and 10% had syphilis. Since IV drug use among these women was almost nonexistent sexual relations constituted the principal risk factor. Responses to a questionnaire showed that the most frequent sexual behavior was vaginal penetration followed by fellatio; anal penetration was less common. 34.9% of the women practiced fellatio without protection, 16.3% had anal intercourse without protection. The proportion of AIDS cases in Mexico in women of reproductive age was growing at an exponential rate, possible because of misinformation about AIDS, a history of STDs, and a low rate of condom use.     

A social-cognitive,attributional model of personal goals: An empirical evaluation

A model of cognitive and affective antecedents and consequences of personal goals, which integrates constructs from social-cognitive and attribution theories, was examined. Data were gathered before and after course examinations in a large university class. Hierarchical and moderated regression analyses supported the model indicating that (1) relationships between self-efficacy, goals, and performance were positive during repeated trials over 4 1/2 months in a naturally occurring setting; (2) the stability dimension of causal attributions moderated the relationship between goal-performance discrepancies and self-efficacy; and (3) the locus of causality dimension of causal attributions moderated the relationship between goal-performance discrepancies and affective responses.We thank Susan Ashford, Jim Austin, Donald Fedor, Ruth Kanfer, Edwin Locke, Paul Nystrom, Donna Randall, Christina Shalley, Masoud Yasai-Ardekani and two anonymous reviewers for their helpful comments on earlier versions of this article. We also thank Eric Dietenberger for his help with graphics.     

Visual hemispheric asymmetries depend on which spatial frequencies are task relevant

Observers classified sine-wave and square-wave gratings on the basis of fundamental frequency (Are the bars wide or narrow?) or on the basis of higher harmonic frequencies (Are the bars sharp or fuzzy?). Stimuli were presented in either the left (LVF) or right (RVF) visual field. When the classification was made on the basis of the fundamental frequencies (1 or 3 c/deg), there was a LVF/right hemisphere advantage. However, when the classification was on the basis of a sharp/fuzzy distinction which involved searching for the higher harmonic frequencies, then a RVF/left hemisphere advantage was found.