THE FREQUENCY OF REISS SCREEN DIAGNOSES IN A COMMUNITY SAMPLE OF ADULTS WITH MENTAL RETARDATION

One hundred and eighty adults with mental retardation who were actively using community services were assessed with the Reiss Screen for Maladaptive Behavior (Reiss, 1988). The proportion of persons exceeding the cutoff on the 26-item total was 49%. The proportions of persons exceeding cut-off on the eight scales ranged from 8.4% (Avoidant Personality Disorder) to 19.4% (Aggressive Behavior). Multiple diagnoses were found in 27% of subjects. There were no associations with age but a small number of gender differences were observed.     

Applying a Family-Ecosystemic Model to Reunite a Family Separated Due to Child Abuse: A Case Study

Family reunification following the removal of a child due to child abuse is a challenging process. In this case study the authors demonstrate the success of a family-ecosystemic intervention for achieving the reintegration of an adolescent into her family following a court-imposed separation. The SET (Structural Ecosytems Therapy) model was used to: (1) repair family bonds, (2) build collaborations among the agencies involved in overseeing the child's welfare, and (3) build an alliance between the mother and agency personnel. This case study suggests that facilitating such collaborations can be helpful in the evaluation and follow-through of high risk cases.     

Destructive sibling conflict and the development of conduct problems in young boys

Little empirical work has explored the relation between destructive sibling conflict and conduct problems in children. This study used a measure of observed sibling conflict to examine its relations with maternal and teacher report of conduct problems in a low-income sample of 180 five-year-old boys and their close-age siblings. Early report of behavior problems and rejecting parenting were added to the analyses to control for these predictors and to examine interactive effects. The interaction between destructive sibling conflict and rejecting parenting predicted aggressive behavior problems across time and informants such that a rise in aggression scores was evident for children who had high levels of both sibling conflict and rejecting parenting. Sibling conflict was also directly related longitudinally to the Child Behavior Checklist Delinquency factor. Results are discussed in terms of additive risk models and G. R. Patterson's (1984, 1986) theory of coercion.     

Naming Speed Performance and Stimulant Effects Indicate Effortful, Semantic Processing Deficits in Attention-Deficit/Hyperactivity Disorder

This study investigated rapid automatized naming and effects of stimulant medication in school-age children with attention-deficit/hyperactivity disorder (ADHD) with and without concurrent reading disorder (RD). Two ADHD groups (67 ADHD only; 21 ADHD + RD) and a control group of 27 healthy age-matched peers were compared on four variables: color naming speed, letter naming speed, phonologic decoding, and arithmetic computation. Discriminant function analysis (DFA) was conducted to predict group membership. The four variables loaded onto two discriminant functions with good specificity: phonologic decoding, letter naming speed, and arithmetic defined the first function; color naming speed defined the second function. Both ADHD groups were significantly slower in color naming than controls, but did not differ from one another. DFA correctly classified 96% of the control group, 91% of ADHD + RD, and 82% of ADHD only. A subset of children in the ADHD groups participated subsequently in an acute, randomized, placebo-controlled, crossover trial with three single doses (10, 25, 20 mg) of methylphenidate. Methylphenidate selectively improved color-naming speed but had no effect on the speed of naming letters or digits. These findings challenge the tenet that naming speed deficits are specific to RD and implicate naming speed deficits associated with effortful semantic processing in ADHD, which are improved but not normalized by stimulant medication.     

Team approach in mental health services: generalists or specialists?

Psychiatrists, psychologists, and social workers were compared on their assessments of pathology, treatment techniques, and theoretical orientation for a typical hospitalized psychiatric patient. The purpose was to determine the relationship between treatment-team members' professional discipline and their clinical approach to a patient. Clinical discipline was significantly related to assessment, treatment, and theory. Psychiatrists favored medication, hospitalization, support, and brief, infrequent structured treatment focused on the present and external factors with an aim of social adaptation. Social workers were similar, but added types of treatment and longer, more frequent treatment. Psychologists were unique with an emphasis on psychoanalytically oriented psychotherapy aimed at personality change.     

Parental conflict and other correlates of the adjustment of school-age children whose parents have separated

In this study, several factors related to psychological adjustment of schoolage children were examined in a sample of 40 lower-class families in which the parents were separated. It was hypothesized that parental conflict and other indices of family adversity, including maternal depression, income, and the length of time past since parental separation, would be important predictors of children's behavioral adjustment. Parental acrimony was found to be a significant correlate of children's behavioral problems, even when other family variables were taken into account. In addition, independent and additive effects on children's functioning were found for parental discord and maternal depression, with some support found for an additional variable, family income. In contrast to some prior investigations, the length of time since parental separation was unrelated to children's functioning. Results are discussed in terms of Rutter's cumulative stress hypothesis and previous research on parental discord.This research was supported in part by a grant to Robert E. Emery from the William T. Grant Foundation.     

The salience of sex role instructions to mental health professionals

This experiment was concerned with the question of how gender might affect clinical judgment. Mental health professionals (MHP) were asked to rate a protocol (varied for gender) describing a depressed pseudopatient who displayed stereotypically masculine behaviors. The major hypothesis was that, when subjects were aware that the experimental purpose was to measure how patient gender affected clinical ratings, they would suppress bias. If awareness were not present, then bias would be apparent in the ratings. The results failed to support this hypothesis. However, serendipitous results had meaningful relevance for the methodology of gender research. Data from subjects, given a credibility check to determine whether they had guessed the intent of the research, showed that aware subjects were more likely to make incorrect guesses about the study when they rated a male pseudopatient, whereas unaware subjects were more likely to make correct guesses when they rated a female pseudopatient. The interpretation of the data indicated that MHPs differed in their vigilance concerning women's issues. As a result, there may exist a woman's role within the context of psychological experimentation.Thanks to Drs. Tom Morgan, Ed Fischer, and John Turner for their help and support in statistical analyses.     

WIEMAN'S MISUNDERSTANDING OF DEWEY: THE CHRISTIAN CENTURY DISCUSSION

Abstract. An important issue in the development of the American school of philosophy known as critical naturalism was whether the naturalistic vision implied a humanistic or a theistic interpretation of religion. Is the divine a creativity within nature but more than human effort, or is it the human vision of ideal possibilities and the effort to realize them? This issue is clarified through a study of the concept of the divine developed by the leading naturalist John Dewey in A Common Faith, the misunderstanding of this book by Henry Nelson Wieman, and the discussion of this misunderstanding in the pages of Christian Century. The essay concludes that Wieman's misunderstanding of Dewey is instructive in that it reveals unintended possibilities in Dewey's thought.