Potentiating group psychotherapy for bulimia with ancillary rational-emotive-hypnotherapy

A rational-emotive-hypnotherapy (REH) treatment was administered to five bulimic females who were concurrently participating in electic group psychotherapy. A within-group time series analysis design was employed to examine subjects' binge and purge symptoms. The combined treatments produced a declining frequency in symptoms for four subjects across three phases of the study. REH was responsible for 4 out of 8 possible treatment effects and appeared to potentiate the group psychotherapy. A theoretical explanation is offered for the REH effects along with recommendations for future REH with bulimics. This study was presented as a paper to the annual meeting of the American Psychological Association, 1982, Washington, DC. Appreciation is extended to Don W. Ball, Ph.D. for editorial and technical assistance in the preparation of this article.     

Teaching simple addition to children with mental retardation using a microcomputer

Computer assisted instruction (CAI) was used for improving the efficiency of simple addition (single-digit without carrying) computation in three children with mental retardation. The training program, conducted on a portable personal computer, consisted of demonstrations and repetitive practices on simple addition presented in a vertical format. A number of behavioral instruction techniques such as direct feedback, corrective demonstration, verbal association, and token reinforcement were also included. To evaluate the effects of the CAI package, a multiple-baseline across subjects design with followup was employed. Results showed that performances of children improved with training and were maintained at 1-week, 4-week, and 12-week followups. Generalization of the learned skills was evident when children were assessed on a paper-and-pencil addition test in a vertical format. The skills were also transferable, with initial prompting, to a computerized addition test in a horizontal format. These findings reaffirmed the applicability of CAI and behavioral techniques for teaching math skills to children with mental retardation.     

Reliability of self-reported service use: Test-retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA)

This paper reports on the reliability of children's responses on the Child and Adolescent Services Assessment (CASA) — a self-report instrument for use with 8– to 18-year-olds that gathers information about services used to address mental health problems. Findings were based on interviews completed by 77 children at a one week test-retest interval. Results showed that reports of lifetime service use were as reliable as were reports of service use in the preceding three months. Children reported restrictive and intrusive services more reliably than services that were provided in their natural environment. Reliability appeared to be associated more strongly with characteristics of the type of service than with characteristics of the child. Children also could report reliably on some details about their encounters with service providers (e.g., length of stay, number of visits, and onset of service use).     

Evaluating children's mental health service systems: An analysis of critical behaviors and events

A lack of studies which evaluate system change by tracking client outcomes is noted in the children's mental health area. This deficit may be a result of the inability of researchers to define outcomes and to draw conclusions about which measures reflect the efficacy of services and service delivery systems. This paper reviews five social validation surveys which examined children's mental health outcome measures. Based on the results of the five surveys, a model of critical behaviors and events is presented. This model will assist evaluators and researchers in understanding which critical events and behaviors should be measured to assess the impact of community-based mental health services for children.     

Psychosocial knowledge and allopathic medicine: Points of convergence and departure

The past 15 years have witnessed a call for allopathic medicine to incorporate psychosocial perspectives into education and clinical practice. While a biopsychosocial perspective has influenced academic medicine in areas such as primary care and psychiatry, its direct impact on clinical medicine has been questionable. One barrier to the incorporation of psychosocial information into medicine which has only recently received attention has been different cultural assumptions which govern medicine versus the social-behavioral sciences. These assumptions are examined in the context of four issues: knowledge paradigms, models of education, acculturation of psychosocial knowledge into medicine, and patient autonomy. This cultural analysis provides a vantage point for understanding similarities as well as points of divergence between psychosocial and biomedical knowledge and practice.     

A systems analysis of the behaviors of schooling

Summary and conclusions Thus, the existing nonsystematic system, and the various vested interests associated with it, targets groups of students rather than individuals. Prior to the advent of a science of schooling, the tutorial approach associated with the privileged or ruling classes did not seem feasible for educating the masses, simply because there was no adequate science of behavior for the individual. Even after that science showed promise for pedagogy, there was still no systems-wide science for applying what was known to groups and organizations in which the individual was pivotal. In order to determine whether behavioral conceptions of schooling work on a larger scale, we must experimentally test whether or not thoroughgoing applications are feasible to educate the masses individually. Findings from 8this research can be used to design and modify systems of schooling that are measurably effective, workable year in and year out, automatically self-correcting, and beneficial to all of the parties involved. CABAS has demonstrated how such a system can work on a small scale; other attempts may show us how to make a large scale system work. We have not yet seen what man can make of man (Skinner, 1971, p. 215).