Assessing Client Satisfaction with Mental Health Treatment among French-Canadians

La présente étude fournit des résultats à verser au dossier de validation de la version française "Client Satisfaction Questionnaire" (CSQ): une courte échelle en 18 items créée pour mesurer le degré de satisfaction de l'utilisation de différents aspects des services de santé mentale. L'échantillon comprenait 89 anciens patients (en secteur) d'une clinique psychologique universitaire. Les résultats montrent la fidélité et la validité factorielle du CSQ dans le contexte franco-canadien. De plus, comportant des similitudes avec les observations anglaises, espagnoles et hollandaises, ils représentent un important premier pas pour fonder l'équivalence inter-culturelle de la version franco-canadienne de l'échelle.
The present study provides data for the cross-cultural validity of the French version of the Client Satisfaction Questionnaire (CSQ); a short 18-item scale which was designed to assess degree of satisfaction with different aspects of mental health services. The sample consisted of 89 former outpatients of a University Psychology Clinic. Results supported the reliability and factorial validity of the CSQ in a French-Canadian context. In addition, the results were similar to those observed for English, Spanish and Dutch versions and represent an important first step towards the cross-cultural equivalence of the French-Canadian version of the scale.     

Why does placing the question before an arithmetic word problem improve performance? A situation model account

The aim of this paper is to investigate the controversial issue of the nature of the representation constructed by individuals to solve arithmetic word problems. More precisely, we consider the relevance of two different theories: the situation or mental model theory (Johnson-Laird, 1983; Reusser, 1989) and the schema theory (Kintsch & Greeno, 1985; Riley, Greeno, & Heller, 1983). Fourth-graders who differed in their mathematical skills were presented with problems that varied in difficulty and with the question either before or after the text. We obtained the classic effect of the position of the question, with better performance when the question was presented prior to the text. In addition, this effect was more marked in the case of children who had poorer mathematical skills and in the case of more difficult problems. We argue that this pattern of results is compatible only with the situation or mental model theory, and not with the schema theory.     

Biphasic ERK1/2 activation in both the hippocampus and amygdala may reveal a system consolidation of contextual fear memory

There is accumulating evidences to suggest that memory consolidation in some conditions involves two waves of neuronal plastic change. Using two fear conditioning procedures in male C57BL/6J mice, we have recently shown that consolidation of the foreground contextual fear memory required two waves of ERK1/2 activation in hippocampal CA1, while consolidation of cue conditioning was only associated with the early phase of activation. The present experiment further showed that this bi-phasic pattern of ERK1/2 activation was not restricted to hippocampal CA1, but could also be observed in other fear memory-related brain areas. The unpaired conditioning procedure (context in foreground) induced two waves of ERK1/2 activation in hippocampal CA1 and CA3, as well as in the LA and BLA nuclei of the amygdala. In contrast, the paired conditioning procedure (context in background) led to a transient early phase only in hippocampal CA1 and LA. In addition, ERK1/2 phosphorylation in the hippocampus was found to correlate with that in the amygdala nuclei specifically after the unpaired procedure. Taken together, our data suggest that the observed biphasic pattern of neuronal plastic events may reflect the interplay between hippocampal and amygdala activity-dependent plasticity critical for the system consolidation of contextual fear memory.     

Rotational kinematics influence multimodal perception of heaviness

Perceived heaviness has been shown to be specific to an object’s rotational inertia (I ), its resistance to rotational acceleration. According to the kinematic specification of dynamics (KSD) principle, we hypothesized that I is optically specified by rotational kinematics. Using virtual depictions of wielded objects, we investigated whether the visually detected rotational kinematics of wielded objects would influence perceived heaviness in a manner consistent with the inertial model of heaviness perception. We scaled the virtual object’s movement so that it rotated more or less than its wielded counterpart, specifying lower and higher I, respectively. Perceived heaviness was inversely related to the rotational scaling factor, consistent with a KSD interpretation of the inertial model.     

Practice-based competencies for accreditation of and training in graduate programs in genetic counseling

In January 1996, the American Board of Genetic Counseling (ABGC) adopted 27 practice-based competencies as a standard for assessing the training of graduate students in genetic counseling. These competencies were identified and refined through a collective, narrative process that took place from January through November 1994, and included directors of graduate programs in genetic counseling, ABGC board members and expert consultants. These competencies now form the basis of the document Requirements for Graduate Programs in Genetic Counseling Seeking Accreditation by the American Board of Genetic Counseling (American Board of Genetic Counseling, 1996). The competencies are organized into four domains and are presented and discussed in this article.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January, 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

Identity matching and oddity learning in patients with moderate to severe Alzheimer-type dementia

Discrimination learning was investigated in patients with moderate to severe Alzheimer-type dementia (AD), comparing their performance with age-matched controls. Four AD patients were trained to criterion on identity matching and then shifted to the same task with novel stimuli. The AD patients showed no savings in learning to match novel stimuli, whereas a comparative group of four control subjects rapidly learned the novel matching discrimination, maintaining criterion performance on the transfer test. A second group of four patients was initially trained on oddity, taking a similar number of trials to reach criterion as the matching group. When these patients were subsequently shifted to the matching task with novel stimuli, they performed substantially worse than the first group of patients who had learned the matching task in the first stage. The lack of positive transfer in the shift between matching to matching suggests that the AD patients solved the identity-matching task on the basis of stimulus-response associations rather than a rule. The presence of negative transfer after shifting from oddity to matching may be explained by a pre-disposition to respond to a novel stimulus that is carried over into the matching task, but this warrants further investigation, as indicated in the discussion.     

MANUAL ACTIVITY DURING SPEAKING IN APHASIC SUBJECTS*

Samples of free conversations were recorded in 6 normal and 12 aphasic subjects. Manual activity during speech was observed. Groups were shown to behave in an opposite way for the verbal and nonverbal measures: while aphasic subjects' verbal behavior is impaired, they produce more speech-related movements than normals. No differences appear concerning other movements (automanipulation, hand-to-hand posture, miscellaneous movements). Analysis of the aphasie group reveals no difference between the fluent and the nonfluent aphasies. Verbal fluency is shown to be a non-critical factor in the explanation of gesture production. Increased gestural production in aphasies may be interpreted according to the hypothesis that gestures are cues for the difficulties the speaker experiences in the verbal encoding process.     

Immobility reaction at birth in newborn infant

Objective

To describe an immobility reaction (IR) that was not previously reported at or immediately after birth in human newborns.

Method

We analyzed 31 videos of normal term vaginal deliveries recorded from Time 0 of birth defined as the as the moment that lies between the birth of the thorax and the pelvis of the infant. We searched for perinatal factors associated with newborn's IR.

Results

IR at birth was observed in 8 of the 31 newborns. The main features of their behavior were immobilization, frozen face, shallow breathing and bradycardia. One of the 8 newborns had sudden collapse 2 h after birth. We found significant relationships between maternal prenatal stress (PS) and IR (p = .037), and a close to significant one between infants’ lividness at Time 0 and IR (p = .053). The first breath of the 31 newborns occurred before and was not associated with the first cry (p < .001).

Discussion

The main features of IR at birth are similar to those of the universal most severe response to severe stress or danger. The relationship with PS suggests that children who had IR at birth might be at risk for similar disorders as those associated with PS. Sudden neonatal collapse of one of the IR newborns needs further research to determine if they are at risk for sudden infant death syndrome.

Conclusion

This first report of an IR reaction at birth in human infants could open up new paths for improving early neonatal care. Further research is needed for maternal PS, stress hormones, umbilical cord blood pH measurements in IR newborns. The challenge of education and support for parents of IR newborns is outlined.     

Differential components of reactivity and attentional control predicting externalizing behavior

The present study examined the contribution of early reactivity and regulation on externalizing behavior in preadolescence. Moreover, subcomponents of attentional control (i.e., attention shifting and attention focusing) and negative reactivity (i.e., sadness and anger) were examined individually to test whether a specific combination of factors uniquely contributed to the outcome. A subset of data were utilized from the ongoing, longitudinal RIGHT Track project (N = 404), in which parents reported on individual factors at age 4 and teachers reported on externalizing behavior at age 10. A hierarchical linear regression analysis revealed a significant interaction between anger reactivity and attention shifting when controlling for early externalizing behavior, where children with high levels of anger and low levels of attention shifting experienced the greatest increase in externalizing behavior over time. An increased focus on specificity is needed in research on the interplay between reactivity and regulation in the prediction of externalizing behavior.