A standardized behavioral group treatment program for obsessive-compulsive disorder: preliminary outcomes

This paper provides outcome data about the efficacy of a behavioral group therapy program for obsessive-compulsive disorder (OCD). Thirty-six patients completed a 7-week outpatient treatment program which provides: (1) education about OCD and its treatment, (2) instruction in a cognitive and behavioral approach to the self-treatment of OCD and (3) guided behavioral treatment. Significant improvement in obsession, compulsion, and depression scores were observed at completion of the group and at 3 month follow-up. Significant improvement in obsessions and compulsions was observed for both patients taking anti-obsessional medications and those who did not.     

Scaling clinical judgments of symptom pathology by means of the psychophysiological method of magnitude estimation

Summing scores across heterogeneous symptom items without consideration of their differing psychopathological significance has been criticized as producing an inadequate picture of an individual's clinical status. The purpose of this study was to derive symptom item weights representing clinically judged seriousness of each symptom through the application of Stevens's psychophysical method of magnitude estimation. A nationwide sample of 129 clinicians rated the pathological significance of 221 symptom items in a design such that every rater rated 121 items, 21 of which were rated by all raters and 100 of which were rated only by the A or B subgroup to which each rater was randomly assigned. Each item was rated as to the seriousness of the pathology it would represent if manifested by either a boy child, girl child, boy adolescent, or girl adolescent, with one-fourth of the raters assigned to each condition. The results of 211 two-way analyses of variance revealed that age and age and sex in interaction, but not sex alone, significantly influenced the clinical ratings. The resulting magnitude estimation ratings of symptom pathology ranged from 1.0 to 9.9. They were demonstrated to have satisfactory reliability and convergent validity and to have the psychophysical characteristics of a prothetic continuum.A preliminary version of this paper was presented at the 85th Annual Convention of the American Psychological Association, San Francisco, August 1977. The research was supported by HEW grant MH24886. The authors wish to express appreciation to Walter W. Wengel for his work in developing the median quotient ratings used in the study, to Terrance Auger for making available unpublished raw data, and to Merton S. Krause for helpful suggestions regarding the interpretation of results.     

Analysis of variances and covariances is misleading as a guide to a common factor model

The “factor” analyses published by Schultz, Kaye, and Hoyer (1980) confused component and factor analysis and led in this case as in many others to unwarranted conclusions. They used component analysis to develop factor models that were subjected to restricted (confirmatory) maximum likelihood analysis, but the final models for which good fits with the observed correlations were obtained were not common factor models. They were, however, discussed as such and conclusions drawn accordingly. When their correlation matrices are analyzed by the principal factors method, two factors are sufficient to account for the intercorrelations. These two factors generally support the a priori expectation of a difference between intelligence tasks and spontaneous flexibility tasks. They are also quite similar in younger and older subjects, when similarity is judged in terms of factor pattern. Factor loadings for the younger subjects, however, are much smaller than expectations based on the respective ranges of talent in the two groups of subjects or on past experience with similar tests in undergraduate student populations.     

“Sleeper effects” in development: Fact or artifact?

The evolution of the concept of “sleeper effects” is traced from the work of J. Kagan and H. A. Moss (Birth to Maturity. New York: Wiley, 1962) to the present time. The phenomenon was originally inferred, without cross-validation, in the domain of personality, from correlations with early events which were stronger late in development than earlier. More recently it has been extended to account for long-term attainment differences associated with the presence or absence of preschool intervention. It seems possible that the original evidence may have capitalized upon chance fluctuations of few among many correlations. What is more certain, however, is that as currently used the term is imprecise, usually unjustified, and irrelevant to the supposed later effects of brief early intervention.     

FUNCTIONAL ASSESSMENT,CURRICULAR REVISION,AND SEVERE BEHAVIOR PROBLEMS

An adolescent female with multiple handicaps and a long history of severely disruptive behavior participated in a functional assessment linked directly to specific revisions in her school curriculum. During Phase 1, reversal designs were used to test hypotheses pertaining to antecedent and auricular influences on problem behavior. During Phase 2, a multiple baseline across afternoon and morning time periods demonstrated that the auricular revisions were effective in eliminating severely disruptive behavior and increasing on-task responding. Data also showed that inappropriate “psychotic” speech was reduced and appropriate social interactions were increased. Follow-up results showed that the changes were maintained throughout the school year. Questionnaire data provided social validation of the procedures and outcomes. The findings are discussed in relation to their implications for functional assessment, individualized curricula, and positive programming for students with disabilities and serious behavior problems.