Development of an on-line problem-oriented system for the evaluation of mental health treatment services

Current on-line assessment applications are limited to mimicking instruments designed for paper and pencil. The development of an instrument designed specifically for on-line technology is described. The instrument provides research data on treatment effectiveness, clinical information for treatment planning, and management information for resource allocation.     

Individual differences in self-reinforcement style and performance in self-and therapist-controlled weight reduction programs

Thirty-seven overweight subjects were recruited from the staff of a V. A. Hospital for a weight reduction program. A self-reinforcement (SR) test was administered prior to treatment and subjects were classified as high or low self-reinforcers. Subjects were then exposed to one of two behavioral weight-reduction programs or a minimal treatment control condition. One treatment program emphasized self-control (SC) and the other incorporated a therapist controlled financial contingency for weight loss (EC). A significant interaction was found between SR group and treatment condition. High SR subjects lost weight at the rate of 1.49 pounds per week in the SC condition and only 0.37 pounds per week in EC. Low SR subjects lost at the rate of 1.06 and 1.01 pounds per week respectively in SC and EC. Implications for treatment and future research were discussed. The financial contingency had either neutral or negative effects. Caution was advised for any future use of that procedure.     

Extinction of a phobia of physical examination in a seven-year-old mentally retarded boy—A case study

Counterconditioning is a process in which aversive stimuli that ordinarily evoke emotional or avoidance responses are paired with positive stimuli which evoke incompatible activities. Several sets of operations have been employed to induce these incompatible activities (e.g. food, Jones, 1924; relaxation. Grossberg, 1964; positive imagery, Lazarus and Abramowitz, 1962; pharmacological agents, Friedman, 1966; laughter, Ventis, 1973).Although the Counterconditioning process has been successfully applied to a wide variety of emotional disorders, special problems arise when the procedure is applied to the mentally retarded. First, because of the limitations in cognitive abilities, it is generally impossible to train the subject in either relaxation or positive imagery processes. Consequently, it is necessary to place the child in direct contact with the anxiety-inducing situation. Secondly, it is often difficult to find an anxiety-free situation which is incompatible with the anxiety-arousing situation and which can be practically implemented, particularly when the phobia involved is complex.The purpose of this paper is to describe a case whereby a phobic response of physical examination by male doctors in a 7–yr-old mentally retarded boy was extinguished by pairing the examination with an anxiety-free situation, i.e. an extremely comfortable relationship between the patient and a nurse on the ward. Previous research had indicated that parents and people who have positive relationships with a person might possibly serve as effective anxiety reducers in fear-provoking situations (Jersild and Holmes, 1935).     

Stimulus redundancy and immediate recall

This study examined immediate recall in two stimulus prefix and two stimulus suffix conditions and in a condition that combined a prefix and suffix. Suffixes and the combination of a prefix with a suffix interfered more with recall overall than did prefixes. Performance in each of the conditions that included a prefix was significantly better overall than in appropriate control conditions, in which interference was augmented by a redundant element in recall. It was suggested that prefixes and suffixes lie operationally on a continuum and that their effects result from the subject's inability to dissociate the redundant element from the memory series. However, the location of redundancy imposes different processing requirements that differentially influence recall.     

Role and justice considerations in the attribution of responsibility to a rape victim

This study was designed to assess the extent to which social role and “just world” considerations would affect perceptions and attributions of responsibility to a rape victim. The rape victim was either a topless-bottomless dancer, a social worker, or a Catholic nun, and she was either acquainted or unacquainted with her assailant. In the acquainted condition, the dancer was attributed the greatest and the nun the least amount of responsibility, indicating that social role factors can govern the range of attributional judgments which might be made in any given instance. However, unacquainted victims were ascribed more responsibility for the rape than were acquainted victims, a difference which was significant when the victim was the nun. The latter findings are discussed in terms of Lerner's just world hypothesis. Significant sex differences were found in subjects' perceptions of and responses to the rape incident and, contrary to earlier findings, no relationship was found between victim attractiveness and punitiveness toward the wrongdoer.     

Auditory spatial pattern perception aided by visual choices

Summary Thirty-six human subjects, facing a panel of 100 loud-speakers, were requested to match sounds outlining geometrical and alphabetical patterns with visual pattern choices, which were given to them on a folder. The listeners' correct responses were found to be above chance. Geometrical patterns were better perceived when transmitted at the sound frequency of 800 cps as compared to 6400 cps. The number of visual pattern choices given with the sound pattern presentations affected the number of correct responses. The results indicate that the perception of acoustic spatial patterns depends on mechanisms different from those defining the spatial localization of single acoustic signals.This work was supported by the Swiss National Science Foundation, Grants 3.74.68, 4.0120.70 and 4.0860.73 to E. Perret.     

Technical standards and performance standards in the pursuit of quality

The concept of standards lacks clarity because it is applied both to concrete specifications and to the assessment of quality. Confusion is reduced by introducing the notion of interchange expectancy. distinguishing transfer, coupling, and market success as components. Transfer expectancy depends upon the products to be transported or exchanged, but when there is a need to estimate transfer expectancy, a combination of technical standards and performance standards must be applied. Though performance standards are intended to produce quality, the quality of the instrumentation to measure performance standards is often neglected. The development of high-quality performance standards first requires the delineation of the relevant dimensions of performance quality. The process of giving precision to performance standards may lead to the emergence of more acceptable technical standards. To illustrate some of these points, data is presented from the CONDUIT system for quality evaluation of computer-based curriculum materials. The performance quality of these products includes the dimension of transfer expectancy, as well as educational and scientific merit. Increased specification and impact of technical standards may provide greater incentives to authors and hence lead to the invention of products which have higher educational and scientific quality.     

Using the teaching interaction procedure to train interventionists to implement the Cool versus Not CoolTM procedure

The teaching interaction procedure is a behavior analytic procedure that has been used to target the development of social skills. The teaching interaction procedure consists of labeling the target skill, providing a meaningful rationale, describing the steps of the target skill, modeling the skill, role‐play, and providing feedback throughout the interaction. Although the teaching interaction procedure has been used to teach a variety of social skills for individuals diagnosed with autism spectrum disorder (ASD), it has only been used to train staff in two studies. The purpose of this study was to evaluate the use of the teaching interaction procedure to teach three interventionists to implement the Cool versus Not Cool? procedure to target the development of social skills for children diagnosed with ASD. The results of a multiple baseline design demonstrated that the teaching interaction procedure was effective for all three interventionists. Results of the child participants' skill acquisition are also provided.