Predicting treatment response for childhood attention-deficit/hyperactivity disorder: Introduction of a heuristic model to guide research

Efficacious treatments for childhood attention-deficit/hyperactivity disorder (ADHD) have been clearly documented in the extant literature. However, significant challenges remain in delivering these treatments to the children and families they were developed to benefit. With the aim of better understanding the obstacles that impede delivery of treatments for ADHD, this paper reviews what is known regarding predictors of treatment acceptance, adherence, and success among families of children with ADHD. We identify several gaps in this literature, including the need for a strong, theoretically-driven model that encompasses parental cognitive variables in understanding the treatment experiences of these families.     

Early understanding of perception as a source of knowledge

Two studies investigated preschool children's ability to infer another person's knowledge or ignorance on the basis of that person's recent perceptual experience. In Experiment 1 children were questioned about their own and a puppet's knowledge of a hidden object's color and about their own and the puppet's ability to see the hidden object. Three- and 4-year-olds attributed knowledge and perceptual experience to the person (either themselves or the puppet) who had viewed the hidden object, but not to the person who did not view it. Experiment 2 further investigated 3-year-olds understanding of perception as a source of knowledge. Children were asked to indicate which of two puppets, one who had viewed a hidden object and one who had not, would be able to tell them the object's color. Children chose the correct puppet more often than would be predicted by chance. The results of these experiments suggest that understanding of perception as a source of knowledge is present by the age of 3 years.     

DIMENSIONS AND CORRELATES OF THE PERSONNEL AUDIT AS AN ORGANIZATIONAL ASSESSMENT TOOL

This study analyzes the measurement properties of the personnel audit as an organizational assessment tool and the extent to which audit results relate to important organizational criteria. The findings reported here indicate that nine dimensions can effectively summarize 37 audit measures. The composite factor scores for these dimensions predict executive perceptions of "overall organizational performance" and "overall contribution of Personnel Function," employee "overall satisfaction with personnel services," and to a lesser extent, "profitability per capita." The personnel budget allotted per capita is in turn related to executive perceptions of Personnel's contributions.     

The self-perceptions and attributions of attention deficit hyperactivity disordered and nonreferred boys

Compared the self perceptions and attributions of attention deficit hyperactivity disordered (ADHD) and control boys. The ADHD boys viewed themselves as no worse than control boys on self-perceived competence and global selfworth, especially when internalizing symptomatology was taken into account statistically through covariance analyses. In terms of attributions, the ADHD boys were more likely to take responsibility for social successes and less likely to take responsibility for social failures than the control boys. Although the ADHD boys scored significantly higher on the Children's Depression Inventory, this difference was no longer significant when items dealing with behavior, school, and social problems were excluded. The results are discussed in terms of their implications for understanding how the attributions and selfperceptions of ADHD boys may mediate their performance in challenging academic and social situations.An earlier version of this paper was presented at the 1992 Annual Meeting of the Society for Research in Child and Adolescent Psychopathology, Sarasota, Florida. The first author was supported in part by grants from the National Institute of Mental Health (MH47390 and MH48157) and the Clinical Research Center (MH30915). The second author was supported in part by grants from the National Institute on Alcohol Abuse and Alcoholism (AA06267), the National Institute on Drug Abuse (DA05605), and the National Institute of Mental Health (MH48157). The fourth author was supported by a grant from the College of Arts and Sciences of the University of Kentucky.     

The use of structural equation modeling in generative research: Toward the design of a preventive intervention for bereaved children

Describes a generative study of processes which may lead to symptomatology in children who have experienced the death of a parent. Based on existing literature, four putative mediating variables were identified: parental demoralization, family warmth, negative family events, and positive stable family events. Structural equation modeling techniques were used to compare several potential causal models involving these variables. The results were most consistent with a model in which bereavement was not directly related to the child symptomatology, but rather its effects were transmitted through these four mediational mechanisms. The implications of the results of the structural modeling for the design and evaluation of preventive interventions are discussed briefly.     

Small theory and the strategic choices of prevention research

Our comments on the discussion of mediational screening for prevention research highlight two issues: (a) There are advantages to giving a high priority to theory in a strategic sequence of prevention research studies. (b) Screening to identify a subgroup that is experiencing problems on processes the program is designed to change may be useful in accomplishing specific goals within an overall strategy of prevention research studies.     

Children's understanding of inferential knowledge

The understanding of inference as a source of knowledge for 4- and 6-year-old children was investigated. Children and a puppet were shown 2 toys of different colors. The toys were hidden in separate plastic cans. After the puppet looked into 1 of the cans, 6-year-olds, but not 4-year-olds, usually judged that the puppet knew the color of the toy in the other can as well. The finding that 6-year-olds attributed inferential knowledge to another observer is interpreted as evidence that children begin to understand the role of cognitive processes in knowledge acquisition around the age of 6 years.     

Epistemological development in adolescence and adulthood: a multidimensional framework

Theories of epistemological development are reviewed. A framework describing variations in adolescents' and adults' intuitive conceptions of knowledge is proposed. Within the proposed framework, naive epistemologies are conceptualized in terms of their assumptions concerning (a) the nature of the knowledge acquisition process, (b) the degree of correspondence between knowledge and reality, (c) the certainty of knowledge, (d) the commensurability of knowledge across individuals, (e) the degree to which knowledge forms or inheres in a coherent system of thought, (f) the nature of meaning, (g) the appropriate procedures for evaluating competing beliefs, (h) the nature and role of authorities as sources of knowledge and justification, and (i) the nature of reality. This framework is used to describe possible developmental changes in adolescents' and adults' concepts of knowledge and to suggest how future researchers might address core issues concerning epistemological development.