Ethnic Match and Treatment Outcomes for Child and Adolescent Mental Health Center Clients

This study investigated the effects of client ethnicity and client‐counselor ethnic match on treatment outcomes (i.e., GAF‐difference [from the Global Assessment of Functioning Axis V rating of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, American Psychiatric Association, 1994] and client visitation) of 1,946 child and adolescent community mental health center clients. After controlling for 7 other variables, no differences were observed after adjustment among client ethnicities, age groups, or ethnic match on the GAF‐difference dependent measure. Ethnically matched African American child and adolescent clients had fewer mental health visits than did their nonmatched counterparts. Implications of these findings are discussed.     

Salience of physical appearance characteristics among young women in Thailand

Our aim in the present study was to identify key components of physical appearance among young Thai women. Free listings, focus groups and pile sorting were used. One-hundred twenty young women generated 78 unique physical appearance characteristics. Ninety-four nursing students validated these characteristics in focus groups and then sorted them into piles that reflected separate domains of physical appearance and labeled them. Salience analysis revealed that facial appearance (e.g., bright facial skin, high nose bridge, big eyes) was the most important domain, followed by body weight and shape, skin color and texture, hair (color, texture, length), and ‘other’ physical appearance (e.g., slender neck, slim fingers). This is the first study to identify aspects of physical appearance that are most salient to young Thai women and that may differ from women in other cultural contexts. These findings could be used to develop culturally grounded measures of physical appearance in Thai women.     

Attention on our mind: The role of spatial attention in visual working memory

The current study shows that spatial visual attention is used to retrieve information from visual working memory. Participants had to keep four colored circles in visual working memory. While keeping this information in memory we asked whether one of the colors was present in the array. While retrieving this information, on some trials a probe dot was presented. When this probe dot was presented at the location of the color that had to be retrieved, participants responded faster than when it was presented at another location. Our findings further elaborate the role of visual attention in working memory: not only is attention the mechanism by which information is stored into working memory, it is also the mechanism by which information is retrieved from visual working memory.     

On the theoretical error bound for estimating psychometric functions

The theoretical limits to the amount of error, or the Cramer-Rao bounds, were derived for estimating psychometric functions. These theoretical error bounds were compared with the variability of psychometric functions estimated from human as well as computer-simulated observers. For the simulated observers, due to the limited efficiency of the sampling strategies, including the placement of the signals and the distribution of the trials, the variances of the estimated parameters are seven times the theoretical bound for threshold and 22 times that for slope. For the human observers, the variance is 18 times the theoretical bounds for threshold and 80 times that for slope. Therefore, a major portion of the variances (60% for threshold and 73% for slope) for the human observers is associated with factors other than sampling strategies. Further improvement of the accuracy for estimating psychometric functions will depend on not only optimizing the sampling strategy, but also better understanding the various sources of error related to the behavior of human observers.     

Driving impairs talking

It is well known that conversation (e.g, on a cell phone) impairs driving. We demonstrate that the reverse is also true: Language production and comprehension, and the encoding of the products of comprehension into memory, are less accurate when one is driving. Ninety-six pairs of drivers and conversation partners engaged in a story-retelling task in a driving simulator. Half of the pairs were older adults. Each pair completed one dual-task block (driving during the retelling task) and two single-task control blocks. The results showed a decline in the accuracy of the drivers’ storytelling and of their memory for stories that were told to them by their nondriving partners. Speech production suffered an additional cost when the difficulty of driving increased. Measures of driving performance suggested that the drivers gave priority to the driving task when they were conversing. As a result, their linguistic performance suffered.     

Training older adults to search more effectively: scanning strategy and visual search in dynamic displays

The authors examined the ability of older adults to modify their search strategies to detect changes in dynamic displays. Older adults who made few eye movements during search (i.e., covert searchers) were faster and more accurate compared with individuals who made many eye movements (i.e., overt searchers). When overt searchers were instructed to adopt a covert search strategy, target detection performance increased to the level of natural covert searchers. Similarly, covert searchers instructed to search overtly exhibited a decrease in target detection performance. These data suggest that with instructions and minimal practice, older adults can ameliorate the cost of a poor search strategy.     

The Interface between Mental Health Providers, Families, and Schools: Parent and Child Attitudes about Information-Sharing

Youth with emotional and behavioral disorders (EBD) are at an increased risk for school problems and negative consequences into adulthood, increasing the need for collaboration between families, school personnel and mental health providers. Current treatment guidelines emphasize the importance of information-sharing between providers and schools, yet few studies have addressed parents’ or students’ attitudes and preferences about this process or about the disclosure of mental health-related information to school professionals. Using a sample of 73 pairs of parents and their adolescents seeking outpatient treatment, this study assessed parental and adolescent attitudes about disclosure of mental health treatment information to school personnel. The majority of parents reported that the school should be informed that their adolescent was receiving counseling or medication for EBD, and that they should be the primary informant, rather than providers. By comparison, adolescents preferred more discretion about their involvement in treatment. Taken together, the study results highlight a number of implications relevant to the therapeutic relation and the process of obtaining and sharing mental health-related treatment information with various school personnel. Future research directions regarding the consultative and collaborative process with school personnel are also discussed.