REARRANGING NATURALLY OCCURRING CONTINGENCIES TO INCREASE DESIRABLE BEHAVIOR IN A TODDLER CLASSROOM

Toddlers often display problem behavior during transitions. We rearranged naturally occurring events in a toddler classroom to promote more desirable classroom behavior during transitions to meals. In the intervention condition, teachers transitioned each child to meals only when that child was seated on a play mat (a requisite for engagement in teacher‐led play activities). In the reversal condition, teachers selected each child to transition when that child was by the barrier to the meal area (a practice commonly observed under natural conditions). The intervention increased the mean percentage of intervals when children were on the play mat and decreased the percentage of intervals when children were by the barrier. Individual child data show positive outcomes for five of six children. Results are discussed in terms of the positive effects of small manipulations to existing contingencies on classroom behavior as well as their potential influence on the adoptability of classroom interventions. Copyright © 2014 John Wiley & Sons, Ltd.     

Is expressive suppression an effective coping strategy? A study of Chinese rescue medical staff following an earthquake

The current study examined the function of expressive suppression among Chinese rescue medical staff following a major earthquake. We administered self‐report questionnaires to (1) a sample of Chinese hospital medical staff (n = 305) who assisted victims of the Sichuan earthquake, and (2) a second sample of Chinese hospital medical staff (n = 149) who had not been exposed to a major stressor. To examine possible interaction effects among differing emotion regulation strategies, we also conducted structured interviews with a subset of rescue medical staff to obtain support for a positive function of expressive suppression and a mediating role of positive reappraisal. Structural equation modelling indicated that expressive suppression was associated with higher levels of job engagement and lower levels of job burnout among the rescue medical staff and that these effects were mediated by positive reappraisal. However, for regular medical staff (not exposed to traumatic stress), expressive suppression was associated with higher levels of both job engagement and job burnout; these effects were mediated by acceptance. These results provide preliminary evidence for the positive role of expressive suppression within Chinese culture.     

Ungedeckte psychotherapeutische Bedarfe bei Stimulanzienkonsumenten

Background

Despite changes in the regulations concerning outpatient psychotherapy in Germany, relatively few patients with substance use disorders receive this type of treatment.

Objectives

The results of a recent study among stimulant users are taken as an example to illustrate the psychotherapeutic needs of patients with substance use disorders.

Materials and methods

A total of 392 individuals with active use of amphetamine and/or methamphetamine were included using a broad range of recruitment strategies. In a mixed methods approach, qualitative as well as quantitative data were gathered regarding the history of substance use, the motives for use, and traumatic experiences during childhood.

Results

Psychological distress was a frequent motive even at the initiation of stimulant use. About two thirds of the participants (65.1?%) reported at least one form of childhood trauma (sexual, physical or emotional abuse, emotional or physical neglect).

Conclusion

The findings suggest a high need for psychotherapy among patients with substance use disorders. It seems important to further improve the information as well as the training of psychotherapists to work with these clients.     

Programming Time as a Function of Response Duration

Reaction time was longer prior to longer-lasting pressing responses for low probability, unanticipated movements. By contrast, reaction time was independent of response duration for high probability, anticipated movements. This replicates and extends previous findings for choice and simple reaction time in the “dit-dah” paradigm. The present results (unanticipated responses) cannot be given a selective anticipation interpretation because the comparison is between responses which are never anticipated. The previous paradigm was open to an alternative interpretation in which selective anticipation of dit rather than dah could have produced the differences in choice reaction time. Confirmation of the finding that variations in required response duration lead to differences in reaction time supports the view that the underlying parameter of “complexity” in the “memory drum theory” may be response duration.     

Sudden Unexpected Versus Violent Death and PTSD Symptom Development

Changes to posttraumatic stress disorder (PTSD) trauma criterion in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) have been an area of much scrutiny and debate. One of the proposed changes included removing sudden unexpected death (SUD) from the list of potentially traumatic events. This study tested the extent to which unexpected death differed from violent death and other traumas as measured by PTSD symptoms. Our results indicated a significant difference in symptom development between those experiencing sudden violent death and sudden unexpected, but nonviolent, death. Additional analyses at the DSM–IV symptom cluster level, as well as with Simms, Watson, and Doebbeling’s (2002) factor structure of PTSD symptoms, suggested further distinctions between event types and symptom development. The extent to which SUD should be included in the trauma criterion is considered.     

Psychotherapeuten und Internet

Background

Communication is part and parcel of every interaction. This raises the question of the role of modern media in mental health care. The aim of this explorative study was to investigate the use of modern media in the clinical practice.

Material and methodology

In an Internet survey 234 psychotherapists from Nordrhein-Westfalen (NRW) were surveyed about the extent to which they integrate new media in the practice and their opinion about this integration. For this purpose a questionnaire was developed based on the questionnaire of Wangberg et al. (2007).

Results

Most of the psychotherapists already use e-mails as well as mobile communication to contact their patients. The main reason for choosing this modern way of communication is the possibility to simplify the management of formal issues. Psychotherapists were indifferent about the idea of web-based counseling.

Conclusion

Forms of digital media are used as an addition to conventional ways of therapeutic communication but face-to-face interaction cannot be replaced completely which is also indicated by the fact that professionals still highly value personal contact.     

Eine Schlafstörung kommt selten allein

In the clinical routine insomnia disorders are often merely seen as symptoms of the underlying disease and are therefore not considered relevant enough for diagnostic clarification and initiation of specific treatment. The following article intends to give an overview of the differential diagnosis of nonorganic insomnia and underlines the importance of cognitive behavioral therapy in this context, which is substantiated by two case studies.     

Self-injurious behavior and the efficacy of naltrexone treatment: a quantitative synthesis

People with mental retardation, autism, and related developmental disabilities who self-injure are treated with a wide array of behavioral techniques and psychotropic medications. Despite numerous reports documenting short-term and some long-term changes in self-injury associated with the opiate antagonist naltrexone hydrochloride, no quantitative review of its efficacy has been reported. We conducted a quantitative synthesis of the peer-reviewed published literature from 1983 to 2003 documenting the use of naltrexone for the treatment of self-injurious behavior (SIB). Individual-level results were analyzed given subject and study characteristics. A sample of 27 research articles involving 86 subjects with self-injury was reviewed. Eighty percent of subjects were reported to improve relative to baseline (i.e., SIB reduced) during naltrexone administration and 47% of subjects SIB was reduced by 50% or greater. In studies reporting dose levels in milligrams, males were more likely than females to respond. No significant relations were found between treatment outcomes and autism status or form of self-injury. Results are discussed with respect to future efficacy work related to study outcomes and the pharmacological treatment of self-injury.