Reducing risky behavior with habit reversal: A review of behavioral strategies to reduce habitual hand-to-head behavior

Habit reversal training (HRT) has been a mainstay of behavior analysts' repertoire for nearly the last 50 years. HRT has been effective in treating a host of repetitive behavior problems. In the face of the current coronavirus pandemic, HRT has practical public health importance as a possible intervention for reducing hand-to-head behaviors that increase the risk of viral infection. The current paper provides a brief review of HRT for hand-to-head habits that is designed for a broad audience and concludes with practical suggestions, based on HRT, for reducing face-touching behaviors.     

A Meta-Analysis of Program Characteristics for Youth with Disruptive Behavior Problems: The Moderating Role of Program Format and Youth Gender

There is high variability in efficacy for interventions for youth with disruptive behavior problems (DBP). Despite evidence of the unique correlates and critical consequences of girls’ DBP, there is a dearth of research examining treatment efficacy for girls. This meta-analysis of 167 unique effect sizes from 29 studies (28,483 youth, 50% female; median age: 14) suggests that existing treatments have a medium positive effect on DBP (g = .33). For both boys and girls, the most effective interventions included (a) multimodal or group format, (b) cognitive skills or family systems interventions, and (c) length-intensive programs for (d) younger children. Boys demonstrated significantly greater treatment gains from group format interventions compared to girls, which is particularly important given that the group program format was the most prevalent format for boys and girls, with 14 studies involving 10,433 youth encompassing this category. This is the first meta-analysis to examine the effect of program characteristics in a sample of programs selected to be specifically inclusive of girls. Given that girls are underrepresented in intervention research on DBP, findings are discussed in terms of gender-responsive considerations and elucidating how key aspects of program structure can support more effective intervention outcomes for youth.     

Anisotropic tracking: evidence for automatic synergy formation in a bimanual task

Investigation of interlimb synergy has become synonymous with the study of coordination dynamics and is largely confined to periodic movement. Based on a computational approach this paper demonstrates a method of investigating the formation of a novel synergy in the context of stochastic, spatially asymmetric movements. Nine right-handed participants performed a two degrees of freedom (2D) "etch-a-sketch" tracking task where the right hand controlled the horizontal position of the response cursor on the display while the left hand controlled the vertical position. In a pre-practice 2D tracking task, measures of phase lag between the irregularly moving target and the response showed that participants controlled left and right hands independently, performance of the right hand being slightly superior to the left. Participants then undertook 4 h 16 min distributed practice of a one degree of freedom etch-a-sketch task where the target was constrained to move irregularly in only the 45 degrees direction on the display. To track such a target accurately participants had to make in-phase coupled stochastic movements of the hands. In a post-practice 2D task, measures of phase lag showed anisotropic improvement in performance, the amount of improvement depending on the direction of motion on the display. Improvement was greatest in the practised 45 degrees and least in the orthogonal 135 degrees direction. Best and worst performances were no longer in the directions associated with right and left hands independently, but in directions requiring coupled movements of the two hands. These data support the proposal that the nervous system can establish a model of novel coupling between the hands and thereby form a task-dependent bimanual synergy for controlling the stochastic coupled movements as an entity.     

Antecedents and reactions to health-related social control

A model of the antecedents and reactions to health-related social control is proposed. This model suggests health behavior characteristics, including type, frequency, and severity of consequences, are social control antecedents. Social control is then thought to elicit better health behavior and emotions. Attributions to explain social control are proposed to effect emotional reactions and behavior. Undergraduates read hypothetical scenarios to test the proposed model. Study 1 found that health-compromising behaviors and behaviors with more severe consequences elicited more social control. Study 2 found that, compared to negative tactics, positive social control tactics elicited more behavior change, and compared to social/appearance concerns, attributions to health elicited positive emotions. Attributions did not moderate the impact of social control on emotions or behavior.     

Dying to be thin: the effects of mortality salience and body mass index on restricted eating among women

Following terror management theory, the authors suggest women's striving to attain a thin physique is fueled in part by existential concerns. In three studies, women restricted consumption of a nutritious but fattening food in response to reminders of mortality (mortality salience; MS). When conducted in private (Study 1), this effect was found among women but not men; when replicated in a group setting in which social comparison was likely (Studies 2 and 3), only women who were relatively less successful attaining the thin ideal (i.e., high body mass index; BMI) restricted eating after MS. In Study 3, MS caused high BMI women to perceive themselves as more discrepant from their ideal thinness; this perceived failure mediated the effects of MS and BMI on eating behavior. Findings are discussed from a self-regulatory framework, which considered in the context of pressures for women to be thin, can shed light on health risk behavior.     

Reliable digit span is unaffected by laboratory-induced pain: implications for clinical use

Reliable Digit Span (RDS) is an indicator used to assess the validity of cognitive test performance. Scores of 7 or lower suggest poor effort or negative response bias. The possibility that RDS scores are also affected by pain has not been addressed thus potentially threatening RDS specificity. The current study used cold pressor-induced pain to investigate the effect of pain on RDS scores. Sixty undergraduate volunteers randomly assigned to one of three conditions (control, simulator, pain) completed the Digit Span subtest from the Wechsler Adult Intelligence Scale-III from which the RDS is derived. No differences in RDS scores were found between the control and pain groups, and neither group scored below 8. Sixty-five percent of the simulator group scored 7 or below. These results suggest that RDS is not affected by pain, and scores of 7 or less in persons with pain can be more confidently attributed to negative response bias.     

A new view on visuomotor channels: the case of the disappearing dynamics

A considerable body of kinematic data supports the proposal that independent visuomotor channels are involved in the control of the transport and grip components of reach and grasp. These channels are seen as having separate perceptual inputs, outputs and internal processing and are thought by some to correspond to independent neuroanatomical pathways. The idea that different groups of muscles and biomechanical structures can be controlled independently is attractive, but this kinematically-inspired hypothesis fails to take into account the complexity of the dynamic relationships and their interactions within the neuromusculoskeletal system. Inertial, viscous, centrifugal, coriolis, gravitational and reflex cross couplings exist between efferent drives to muscles and resulting body movements. Rotation at even a single joint generates a complex set of dynamic reaction forces and requires coordinated activation of many muscles throughout the body to maintain posture and balance. In this theoretical paper we present a new view of independent visuomotor channels in the form of an adaptive neural controller that can compensate for the above interactions and decouple the relationships between efferent drives to muscles and resulting body movements. At the same time, the neural controller renders all the dynamics (linear and nonlinear), other than time delays, of the neuromusculoskeletal system, unobservable in the visuomotor relationships. Using the geometry of nonlinear dynamical systems we show that, providing certain constraints on the structure of time delays within the system are satisfied, there exists a neural controller that can render all the dynamics of the neuromusculoskeletal system (except for time delays) unobservable in the responses. The controller simultaneously decouples all the interactive dynamics so that each of the m independent inputs controls one and only one degree of freedom of the response. This means that each degree of freedom in a multi-joint response can be controlled by an independent component of the visual input, a behaviour that has long been observed in visual tracking experiments. The controller effectively establishes m independent visuomotor channels. However, rather than reflecting separate neuroanatomical pathways, the independent channels result from a neural controller with convergent and divergent connections to compensate for the interactive nonlinear dynamics within the neuromusculoskeletal system. This new view of visuomotor channels has implications for neural control processes involved in the acquisition and adaptability of skilled perceptual-motor behaviour in general, as well as for the design of robotic controllers.