CLINICAL BEHAVIORAL PHARMACOLOGY: METHODS FOR EVALUATING MEDICATIONS AND CONTINGENCY MANAGEMENT

We evaluated methods for comparing the effects of dextroamphetamine (Dexedrine), thioridazine (Mellaril), and contingency management in the control of severe behavior problems. A reversal design was used in which medications were systematically titrated and assessed in unstructured as well as structured settings with three clients. Subsequently, behavioral procedures including timeout, differential reinforcement of other behavior, and visual screening, were used in a multiple-baseline design across settings. The assessment and design methods were useful in comparing the interventions. Dextroamphetamine decreased inappropriate behaviors and improved academic behaviors in one client, but no reliable effects were observed in the other two clients. Thioridazine was variable across clients, settings, behaviors, and dosages. Contingency management produced consistent decreases in inappropriate behaviors and small improvements in academic performance.     

Stability of the Kaufman Assessment Battery for Children for a sample of Mexican-American children

Test-retest stability of the Kaufman Assessment Battery for Children (K-ABC) was investigated over a 5$\text{1}\text{2}$-month interval for 42 Mexican-American preschool/kindergarten children. The results indicated that the stability coefficients for K-ABC Global scales and subtests were generally of adequate magnitudes (e.g., .70s and .80s), providing some evidence that the K-ABC is a relatively stable instrument for the sample. The results are discussed in the context of a test-retest study reported in the K-ABC Manual. Global scale stability coefficients were found to range from .76 to .90, and for the subtests the coefficients ranged from .26 to .89. The patterns of gain scores were very similar to the patterns reported in the stability investigation in the K-ABC Manual.     

Aggression in toddlers: Responses to the assertive acts of boys and girls

Sex Roles - Forty-eight toddler boys and girls, 18 to 36 months of age, were observed in play groups. The assertive acts of each child and the responses of peers and teachers were recorded. The...     

The relation between classroom social status and classmate likability,compromising skill,temperament, and neighborhood social interactions

Classmate likeability, compromising skill, and temperament (n = 135) and after-school patterns of social interaction (n = 101) were examined for third through seventh grade children who were identified by a binomial probability model as popular, rejected, neglected, or average in the classroom setting. Significant effects were obtained for each type of score. Compared to the other social status groups, popular children were the best liked and rejected children were the least liked; neglected and average children fell between these two extremes. Popular children had higher compromising scores than either rejected or average children, and neglected children had higher scores than rejected children. Compared to average children, rejected children had higher attention and rhythmicity temperament scores. Finally, popular and average children had more neighborhood friends than either rejected or average children, and meglected children had more younger neighborhood friends than did average children. Results are discussed in terms of models of peer social status.     

Unresolved grief

This paper has reviewed the literature on bereavement and, with particular emphasis on the authors' own work, describes three syndromes which seem to be related to the nonresolution of distinct phases of the grief process. The possibility of unresolved grief should receive a high index of suspicion for the patient with otherwise unexplainable depression, chronic illness behavior, or symptoms similar to those of a deceased relative or friend. When any of these syndromes are identified, it is useful to ask the patient who he has lost, how he has lost them, how he felt about the loss, whether he felt that he grieved, whether he still cries or feels the need to cry, and whether he has adjusted. The answer to these questions--both verbal and nonverbal--will help identify unresolved grief, when present, and may be a guide to specific interventions. On the other hand, our studies have suggested that unresolved grief is a somewhat overly simplistic concept. Most, if not all, people never totally resolve their grief; significant aspects of the bereavement process go on for years after the loss, even in otherwise normal patients. For some, identification syndromes continue. Others may continue to feel the presence of the deceased or have daily visions of him or her. Still others may feel pain, anger, and guilt for years after the death. It is still unclear at what point and to what degree these behaviors and symptoms become medical or psychiatric concerns and become pathological or predispose to serious medical, psychological, or social complications. Investigations into these unreported areas have been initiated and, we trust, will lead to clinically useful answers.     

Iterative least squares estimates of communality: Initial estimate need not affect stabilized value

A common criticism of iterative least squares estimates of communality is that method of initial estimation may influence stabilized values. As little systematic research on this topic has been performed, the criticism appears to be based on cumulated experience with empirical data sets. In the present paper, two studies are reported in which four types of initial estimate (unities, squared multiple correlations, highestr, and zeroes) and four levels of convergence criterion were employed using four widely available computer packages (BMDP, SAS, SPSS, and SOUPAC). The results suggest that initial estimates have no effect on stabilized communality estimates when a stringent criterion for convergence is used, whereas initial estimates appear to affect stabilized values employing rather gross convergence criteria. There were no differences among the four computer packages for matrices without Heywood cases.     

Combinatorial data analysis: Association and partial association

A combinatorial data analysis strategy is reviewed that is designed to compare two arbitrary measures of proximity defined between the objects from some set. Based on a particular cross-product definition of correspondence between these two numerically specified notions of proximity (typically represented in the form of matrices), extensions are then pursued to indices of partial association that relate the observed pattern of correspondence between the first two proximity measures to a third. The attendant issues of index normalization and significance testing are discussed; the latter is approached through a simple randomization model implemented either through a Monte Carlo procedure or distributional approximations based on the first three moments. Applications of the original comparison strategy and its extensions to partial association may be developed for a variety of methodological and substantive tasks. Besides rank correlation, we emphasize the topics of spatial autocorrelation for one variable and spatial association between two and mention the connection to the usual randomization approach for one-way analysis-of-variance.     

Self-labeling by educably mentally retarded high school students in their mainstream and special education classes

Educably mentally retarded (EMR) students and nonhandicapped students from their mainstream classes completed semantic differential ratings of a stereotypic popular teen-ager, juvenile delinquent, and special education student. Subjects also rated their global self-concepts and situation-specific self-concepts within the mainstream and the special class settings. Ratings were done at the beginning (Time 1) and the end (Time 2) of a semester. Results showed that mainstream classes did not "de-label" EMR students. Within the mainstream class, the number of EMR students who saw themselves as similar to a special education student significantly increased over time. Moreover, at Time 2, EMR students were more likely to think of themselves as similar to a special education student in their mainstream class than in their special education class. However, EMR subjects' global self-concepts did not change. Implications for mainstreaming are discussed.     

Changes in self-stimulatory behaviors with treatment

For four of six autistic children who underwent intensive behavioral treatment, the nature of their self-stimulatory behavior changed from initial lowlevel motor behaviors (such as rocking, spinning, twirling) to differing kinds of higher-level behaviors (such as lining of objects, echolalic speech, and preoccupation with spelling and numerical values). The children who changed to the highest levels of self-stimulatory behavior also showed the largest gains in treatment (as determined by IQ scores, school placement, etc.). The changes in self-stimulatory behaviors were attributed to the intense teaching of appropriate social behaviors and the explicit therapeutic suppression of low-level, self-stimulatory behaviors. The long-term therapeutic effects of changing from lower-to higher-level forms of self-stimulatory behavior were discussed.This study was supported by a grant from the National Institute of Mental Health (grant MH 11440). We want to express our thanks to the parents who allowed us to study their children. We gratefully acknowledge the assistance of Maria Audero with the design of the weighted measure, and Tracee Parker with the collection of the data.