BALANCING SOCIAL ACCEPTABILITY WITH TREATMENT EFFECTIVENESS OF AN INTRUSIVE PROCEDURE: A CASE REPORT

The debate over social acceptability of intrusive procedures has led some school districts to adopt policies allowing punishment for only the most extreme forms of destructive behavior. We investigated the effectiveness of selectively implementing punishment for only the most severe topographies of aggression and property destruction, while less extreme behaviors were ignored. Results indicated that severe behaviors were reduced to near-zero levels only when both severe and less severe behaviors were similarly punished.     

Assisting At-Risk College Students With Attributional Retraining and Effective Teaching1

Attributional retraining appears to be an effective remedial intervention for college students. However, the potential moderating effects of student and classroom characteristics have not yet been investigated systematically. In two studies, attributional retraining was provided to low- and high-risk students, followed by a videotaped lecture presented by either an ineffective or effective instructor. Attributional retraining enhanced achievement on a lecture-based achievement test only when combined with effective teaching, improving the achievement of students who had previously performed poorly (Experiment l), and of low-achieving externals (Experiment 2). The intervention provided no advantage for previously successful students and low-achieving internals. Moreover, attributional retraining induced a more internal attribution profile in students with an external locus, and increased expectations of future success in both externals and internals, but again only when students also received effective instruction. These results suggest that contextual factors related to the classroom, such as quality of instruction, and individual differences have to be considered when developing attributional retraining programs.     

Book Reviews

F ordham , M ichael . The Making of an Analyst: A Memoir
R edfearn , J oseph . The Exploding Self: The Creative and Destructive Nuckus of the Personality
G ordon , R osemary . Bridges: Metaphor for Psychic Processes
J ackson , M urray and W illiams , P aul . Unimaginable Storms: A Search for Meaning in Psychosis
S tevens , anthony . Jung
W eissman , J udith . Of Two Minds: Poets Who Hear Voices     

ACHIEVING AND MAINTAINING COMPLIANCE WITH THE KETOGENIC DIET

The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.     

The values of science: Empiricism from a feminist perspective

This essay delineates the contributions of feminist critiques of science to contemporary reconstructions of empiricism. I argue that three central tenets arise from feminist attention to the dynamics of gender and oppression in the theories and methods of science: 1) a rejection of the science/politics dichotomy; 2) an acknowledgement of the epistemic import of subjective components of knowledge; and 3) a reconfiguration of the subject of knowledge. These three tenets are illustrated and supported through examples from the history of science.     

Suicide attempts in twins whose co-twins' deaths were non-suicides

Familial similarity for suicidal behavior has been interpreted by psychosocially oriented researchers as reflecting extreme grief following loss. This view would anticipate a higher frequency of attempted suicide among bereaved MZ than DZ twins (regardless of cause of death), given their generally increased social closeness. Alternatively, support for a genetic influence on suicidal behavior has been provided by findings of greater concordance among monozygotic (MZ) than dizygotic (DZ) twins, and among biological than adoptive relatives. This approach predicts that the occurrence of suicidal attempts among bereaved MZ and DZ twins whose co-twins deaths were non-suicides should not differ and should be low in frequency, given an absence of predisposing genetic factors. Attempted suicide was compared in 166 MZ and 79 DZ twins whose co-twins' deaths were non-suicides. Suicidal attempts (during the first two months following the loss) were recalled by 3 MZ twins (1.8%) and by 3 DZ twins (3.7%), a difference that was not significant. The present study, together with previous twin and adoption studies, supports the view that concordance for suicide among family members reflects a common genetic predisposition to suicidal behavior.     

Multiaxial taxonomy of fibromyalgia syndrome patients

Pain, disability, and depression are present in various degrees in patients with fibromyalgia syndrome. Cluster analysis was used in this research to ascertain the existence of subgroups of patients in a fibromyalgia sample based on these variables. Two clusters were defined: one characterized by high levels of pain, disability, and depression (n=51) and another characterized by low levels of pain, disability, and depression (n=67). Multivariate analysis of variance (MANOVA) confirmed differences between clusters on these health status factors and a second MANOVA revealed that the subgroup with a poorer health status reported greater passive coping, helplessness, and stress, and less satisfaction with social support, than the subgroup with better health status. Logistic regression indicated that the best discriminator of subgroup membership was helplessness. These results suggest that different approaches to patient management, particularly intervention strategies aimed at reducing helplessness, may be beneficial for patients with high levels of pain, disability, and depression.     

Challenges confronting cross-sex friendships: “Much ado about nothing?”

This research was an investigation into four challenges purported to confront cross-sex friends. One hundred and thirty eight individuals (females = 86, males = 52) completed two surveys designed to explore the extent to which the sexual, emotional bond, audience, and equality challenges were present in their cross-sex friendships. Over 98% of the participants were heterosexual, 99% were Caucasian, and approximately 5% were Hispanic. Data gathered from the first survey were analyzed using a three-way analysis of variance, with gender, type of friendship, and romantic status as the independent variables, and three of the four challenges as the dependent variables. The first survey also included open-ended questions designed to explore the nature and existence of the challenges. The second survey was in a diary format. Respondents kept a frequency count for three weeks of discussions they had with their cross-sex friend concerning the challenges, and thoughts that they had as individuals concerning those challenges. Results from both surveys indicate that though the challenges exist and have powerful effects on a small percentage of individuals in cross-sex friendships, for the majority of participants the challenges are not perceived as salient.     

Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services, Inc., as the basis for the formal accreditation of college and university counseling programs throughout the United States and Canada. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high-quality services to students.