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.     

It's never too late to change: A group psychotherapy experience for older women

Group psychotherapy in a mixed gender group is seen as useful for treatment of the unique existential and emotional problems of the older woman. This article describes the first year of a psychotherapy group for older adults, four women and three men in their early fifties to late sixties. Some issues discussed unique to this age group were loss, isolation, changing body image, and changed political views. There were differences in reactions between the men and women. The major value of group psychotherapy for older women is seen as providing a safe arena for exploring current issues, integrating a sense of self, enhancing self-worth, and overcoming isolation and despair.     

The helping process in group therapy: A review and discussion

The essential activity of group therapy consists of members taking an interest in each other by asking questions, showing concern, and conveying understanding. When members have not done this it has often been taken as a sign of resistance. A review of the research on helping suggests that there are four social factors that affect assistance giving in groups: 1) ambiguity-often people fail to give help because they are uncertain about who should give it, what should be done, and how it should be done; 2) often help is not given because of the way in which problems are presented; 3) the social comparisons that individuals make affect help-giving; and 4) there are costs associated with providing assistance. This discussion suggests that leaders can facilitate interaction among group members as teachers who clarify and as indirect helpers who redirect concerns back to group members.     

An exploratory study of videotapes of long-term group psychotherapy of outpatients with major and chronic mental illness

This study explored patterns emerging in videotaped sessions of group psychotherapy with seven outpatients of a large mental health facility. The 22 sessions spanned the 12th to 27th months of the group's existence. Group members had long histories (25–50 years) of symptoms characteristic of schizophrenia. Each session was rated on the Group Environment Scale. One session from a group in its earlier stages was also rated on the same instrument to give some indication of baseline patterns. Analyses of changes across the 15 months were not statistically significant. However, some GES subscales, including Cohesion, Independence, and Self-Discovery, showed relatively high mean levels across the 15-month period. These elevations are discussed as suggesting the codevelopment of orientations that have sometimes been viewed as incompatible and unattainable for schizophrenics. Interpreted clinically, the GES patterns help to elaborate recent findings about the relatively good success of long-term group therapy with such populations. The study, although merely suggestive, illustrates the potential for gleaning solid and clinically useful data from group psychotherapy research.The authors would like to thank Drs. Jill Rierdan, Nina Fieldsteel, Joseph Christy, and an anonymous reviewer for their suggestions, Kendra Bryant for serving as the reliability rater, and Janet Eltinge for her skilled videotaping.     

Psychologists' evaluations of individual assessments: A comparison on the basis of graduate training and professional affiliation

Recent research on individual psychological assessments for personnel decision-making purposes has indicated a great deal of variability in practice. This study compared the responses of psychologists who evaluated the same set of assessment protocols on the basis of graduate training and professional affiliation. Results indicated few differences in evaluations of those assessed or in the way assessments were conducted. Concerns about training for and the practice of individual assessment are discussed.     

An evaluation of a brief integrity test user orientation program

The purpose of this pilot study was to assess the effectiveness of a brief test user orientation program on increasing service station managers' familiarity with a few key employment testing issues, including their familiarity with theModel Guidelines for Preemployment Integrity Testing Programs. The obtained results reveal that even a brief orientation program was able to significantly increase the managers' stated degree of familiarity with testing issues.     

Family reunions: Visionary encounters with the departed in a modern-day psychomanteum

A poignant feature of many near-death experiences is a visionary encounter with deceased loved ones. Over the centuries, researchers have sought safe ways to replicate near-death and related experiences, hoping to induce the powerful aftereffects of these events. The ancient Greeks contructed psychomanteums, or oracles of the dead, where seekers could consult spirits of the deceased. I describe a modern attempt to recreate the psychomanteum. Like near-death experiences, visionary encounters in this modern psychomanteum are experienced as real and not as hallucinatory, and have profound personal aftereffects. This novel experimental technique may permit the scientific study of phenomena that previously occurred only spontaneously and under uncontrolled circumstances.     

Stories and tales in logotherapy with Urban-Appalachian families

In this article the authors describe and illustrate the use of stories and tales for metaphorical communication in family logotherapy with the Urban-Appalachian family. In this logotherapy approach, stories and tales are used to help the Urban-Appalachian family bring repressed meanings and meaning potentials to the conscious level of family awareness.James Lantz, Ph.D, and Karen Harper, Ph.D, are staff members at the Urban-Appalachian psychotherapy project and associate professors at the Ohio State University, Columbus, Ohio.     

Comparison of simultaneous prompting and constant time delay procedures in teaching sight words to elementary students with moderate mental retardation

Simultaneous prompting (a type of antecedent prompt and test procedure) and constant time delay were compared with four students with moderate mental retardation learning expressive sight words. A parallel treatments design across word sets and replicated across students was used. For acquisition, the simultaneous prompting procedures required fewer trials, sessions, and training time to criterion and resulted in fewer student errors during daily probe and training sessions. However, maintenance data indicated mixed results across the two procedures. Reliability data (both dependent and independent variables) revealed no differences between the two procedures in terms of the teacher's accuracy in recording student responses and implementing each procedure. Future research issues are discussed.