Psychoactive drug effects in a hyperactive child: A case study analysis of behavior change and teacher attention

The effects of methylphenidate on the behavior and teacher interactions of a 9-year-old hyperactive female were analyzed. Observations of the subject's task-related and disruptive behaviors and of interactions between the subject and her classroom teacher were made when the subject received the active drug and an inert placebo. Teacher's ratings of the subject's classroom behavior and measures of her academic performance were also obtained. Results showed that when the subject was receiving methylphenidate she engaged in task-related activities a greater percent of the time, had a higher percent of teacher interactions that were instructional in quality, and received lower behavior ratings by the teacher than when she was receiving a placebo. The results suggest that the use of medication may enable the hyperactive child to profit both behaviorally and academically.     

The identification of resources and constraints influencing plan design in consultation

The present study investigated the effects of consultant verbalizations on consultee verbalizations reflecting consultee resources that might be used in plan implementation and constraints potentially limiting the nature of plans implemented in consultation. Interviews of 50 consultants trained in behavioral consultation and participating in a field experience with public school teachers were analyzed. Plan-tactic-elicitors verbalized by consultants were shown to have a positive effect on the incidence of resources as opposed to responses not reflecting resources or constraints. Other types of consultant elicitors all had a negative impact on resource incidence when compared to the incidence of other types of consultee responses.     

Achievement and adjustment correlates of the matching familiar figures test

To help clarify the relationship between the Matching Familiar Figures (MFF) Test and measures of school achievement and adjustment, 450 children from kindergarten, second, and fifth grades were tested and achievement scores and teacher's ratings of classroom and personal adjustment were obtained. Regardless of grades, MFF latency in most instances did not predict achievement or adjustment. At the kindergarten level the correlations between MFF errors and both achievement and adjustment were significant for most subscales but at second grade correlations were lower and generally nonsignificant except for a few adjustment items. At the fifth grade level the correlations were moderately high but when IQ was partialled out the correlations with achievement and school adjustment dropped to near zero; however, partialling out IQ did not affect the moderate correlations between errors and personal adjustment. The errors score evidencedmore important relationships than the latency scores. The relationship between the MFF and ratings of social and emotional adjustment was consistently higher than the correlations between the MFF and achievement. These results suggest that MFF errors are personalogically relevant and that MFF performance is generally more related to adjustment than achievement.     

Evaluating programs in applied settings through behavioral consultation

A behavioral consultation school psychology service model is presented which provides a vehicle for services and communication of process and outcome measures in program evaluation research. Within the context of the problem-solving perspective of applied behavior analysis, the consultation model (a) promotes process and outcome evaluation across a wide variety of settings, situations, and time; (b) leads to use of an applied research technology with wide applicability in educational settings; and (c) provides a communication technology for the program evaluation process through a four-stage problem-solving strategy. It is argued that the professional behavioral school psychologist can provide technical expertise to function as a system change agent within this evaluation model.     

Flexibility training with educable retarded children

This experiment was designed to test the hypothesis that training in perceptual and cognitive shifts would improve the performance of EMR children on flexibility measures and on the Binet and WISC scales. Twenty-eight children received 42 exercises in cognitive flexibility and were compared to a control group that was matched on mental age. Instruction facilitated performance on variables measuring verbal fluency and concept formation; however, significant improvement was generally limited to those variables which shared content with the training exercises.     

II. The comparability of the WISC-R and WAIS among 16-year-old EMR children

Thirty 16-year-old EMR children were administered the WAIS and WISC-R in counterbalance order to determine the comparability of the two assessment instruments. The WAIS was found to yield significantly higher Verbal, Performance, and Full Scale IQ scores. The comparisons of corresponding subtests indicate that all WAIS subtests were significantly higher than the WISC-R except Picture Completion. Correlations between corresponding WAIS and WISC-R IQ scales and subtests, however, were significant. The results suggest differences between the two instruments among children of subnormal intelligence, thus presenting the possibility that a child may be differentially classified based on the selection of the intelligence test.     

The physician’s role in the protection of human research subjects

Responsibility for the protection of human research subjects is shared by investigators, research ethics committees, sponsors/funders, research institutions, governments and, the focus of this article, physicians who enrol patients in clinical trials. The article describes the general principles of the patient-physician relationship that should regulate the participation of physicians in clinical trials and proposes guidelines for determining when and how such participation should proceed. The guidelines deal with the following stages of the trial: when first considering participation, when deciding whether to enrol patients, when asking patients to participate, when the trial is underway and when it is completed.     

Assessing personality change in psychotherapy with the SWAP-200: a case study

Many studies document the efficacy of psychotherapy for acute syndromes such as depression, but less is known about personality change in patients treated for personality pathology. The Shedler-Westen Assessment Procedure (SWAP-200; Westen & Shedler, 1999a, 1999b) is an assessment tool that measures a broad spectrum of personality constructs and is designed to bridge the gap between the clinical and empirical traditions in personality assessment. In this article, we demonstrate the use of the SWAP-200 as a measure of change in a case study of a patient diagnosed with borderline personality disorder. We collected assessment data at the start of treatment and after 2 years of psychotherapy. The findings illustrate the personality processes targeted in intensive psychotherapy for borderline personality.     

Why two,central REBT hypotheses appear untestable

This article argues that two of REBT's central hypotheses, the core and the primacy of the musts hypotheses, are untestable. One reason that these hypotheses are untestable concerns the interdependence principle that REBT maintains. This principle suggests that cognitions, emotions, and behaviour are part of an interdependent system, and as such, none of the three elements of that system can be measured separately from the others. Due to this interdependence principle, it cannot be established that cognitions are at the core of psychological disturbance and health (the core hypothesis); furthermore, the interdependence principle prevents the primacy of the musts hypothesis from being examined, as well. This hypothesis states that of the four irrational beliefs purported by REBT theory, musts are at the very core of psychological disturbance and the other three irrational beliefs are derived from these musts. Irrespective of the interdependence principle and the core hypothesis, the primacy of the musts hypothesis is also apparently untestable due to the current inability to measure musts adequately.Order of authorship was based upon the flip of a coinOrder of authorship was based upon the flip of a coin