Spoon-to-cup fading as treatment for cup drinking in a child with intestinal failure

We treated a child with intestinal failure who consumed solids on a spoon but not liquids from a cup. We used spoon-to-cup fading, which consisted of taping a spoon to a cup and then gradually moving the bowl of the spoon closer to the edge of the cup. Spoon-to-cup fading was effective for increasing consumption of liquids from a cup.     

A flipped spoon and chin prompt to increase mouth clean

We treated the liquid refusal of a 15-month-old girl using 2 antecedent manipulations: flipped spoon and chin prompt. Use of the chin prompt in the absence of the flipped spoon failed to produce increases in mouth clean (a product measure of swallowing). By contrast, modest increases in mouth clean resulted from the implementation of the flipped spoon alone. The greatest increases in mouth clean resulted from the combination of the 2 manipulations.     

ASSESSING CHOICE MAKING AMONG CHILDREN WITH MULTIPLE DISABILITIES

Some learners with multiple disabilities display idiosyncratic gestures that are interpreted as a means of making choices. In the present study, we assessed the validity of idiosyncratic choice-making behaviors of 3 children with multiple disabilities. Opportunities for each child to choose between food and drink were provided under two conditions. In one condition, the children were given the food or drink item corresponding to their prior choice. In the other condition, the teacher delivered the item opposite to that chosen. It was reasoned that valid choice-making behaviors would be reflected in a greater tendency to accept the chosen item and refuse the unchosen item. Direct observations revealed all children consistently indicated choices during both conditions. Choices of both the food and drink items were made by all 3 children. A reversal design demonstrated that acts of refusal were more frequent when choices were followed by delivery of the item opposite to that chosen. Similar assessment procedures may be effective in determining the function of idiosyncratic gestures exhibited by persons with multiple disabilities. For children lacking such skills, intervention to teach valid choice-making behaviors may be needed to complement assessment procedures.     

Super's Career Stages and the Decision to Change Careers

This study examined Super's (1990) concept of recycling through the stages of adult career development in a sample of 226 Australian men and women who were approximately evenly distributed across the following four steps in the uptake of a second career: (a) contemplating a change, (b) choosing a new field, (c) implementing a change, and (d) change fully completed. A group of adults of similar age, gender, education, occupation, and career history who had no intention of switching careers was also included for comparison. Recycling predictions were supported by the finding that the three groups who were in the throes of career change displayed greater concern with Super's first (exploration) stage than the nonchanging control group. In addition, the two groups who were most intensely involved in the change process (choosing field and implementing) scored higher in exploration concern than the group whose career change was fully completed. Satisfaction also varied as a function of the participant's stage in the process of switching to a new career. Global satisfaction with the present job was highest in workers who had completed the change to a new career, but nonchangers were more satisfied than the three groups who were actively caught up in the change process. On the other hand, satisfaction with the overall pattern of career development was higher in the two stable groups (nonchangers and change-completed) than among the three groups still actively involved in making a change. Implications of these results for midlife career counseling were considered.     

Countering perfectionism in research on clinical practice II: Retrospective analysis of treatment progress

A simple correlational study is described which has methodological advantages, when compared with an equivalent manipulative (i.e., quasiexperimental) research design, for examining exploratory questions about treatment outcome. These advantages stem from the fact that retrospective designs, when compared with prospective ones, are much less likely to involve ethical problems due to offering relatively ineffective or unnecessary treatment, and less likely to involve confounds from newly hypothesized differential expectations about treatment. Based on Millon Clinical Multiaxial Inventory (MCMI) scale scores, clients with high levels of histrionic or narcissistic (and possibly also those with antisocial, compulsive and paranoid) personality traits seemed to profit more from RET than those without such traits. Clients with high levels of schizoid, avoidant, and schizotypal traits (and probably also clients with strong passive-aggressive traits, and possibly also clients with strong dependent and borderline traits) seemed to profit less from RET than those without such marked traits. We have previously shown that the relatively healthy personality traits and disorders are associated with global self-upping and the relatively sick ones with global self-downing, as well as contrasting patterns of positive and negative reactions to stressful events. Our findings here support the concept that clients who consistently handle life situations well will tend to progress most rapidly in therapy, and those who generally handle life situations badly will tend to progress slowly. Personality traits may be especially significant markers for therapeutic attention to problems stemming from global self-rating. Expectations based on the severity of global self-upping and/or self-downing may be good predictors of therapeutic progress. In contrast, expectations about RET outcomes based on severity of distress or neediness will probably be less accurate.Dr. Russell C. Leaf is Associate Professor of Psychology at Rutgers. He also directs a research project at the Institute for Rational-Emotive Therapy, in collaboration with the four other authors of this article, on the relationships between intake personality and mental health. He is an Institute Fellow and Supervisor, and previously served as a staff therapist and as the Institute's Director of Clinical Evaluation.Albert Ellis is President of the Institute for Rational-Emotive Therapy.Roslyn Mass is Professor at Middlesex County College. She is in charge of data processing and analysis for the collaborative research of this authorial team, and is a Fellow of and previously served as Administrative Director of the Institute for Rational-Emotive Therapy.Raymond DiGiuseppe is Associate Professor of Psychology at St. Johns and Director of Research and Director of Training at the Institute for Rational-Emotive Therapy.Diane Alington is Assistant Director and a member of the core faculty of the Institute for Health, Health Care Policy and Aging Research at Rutgers, where she conducts a research program on sex differences in adult development.     

Covariation and temporal contiguity as principles of causal inference in young children

Four- to seven-year-old children observed a simple physical effect which could be attributed to either a consistent but noncontiguous covariate or a contiguous but inconsistent covariate. When there was a physical rationale for the temporal delay between covariate and effect, children attributed the effect to the consistent but noncontiguous covariate. In the absence of such a rationale, they attributed the effect to the contiguous but inconsistent covariate. It was concluded that neither consistent covariation nor strict temporal contiguity were essential aspects of causal inference for these children.     

Parent-perceived child behavior problems: Comparison of normative and clinical factors of the Adelaide-Conners Parent Rating Scale

The Adelaide-Conners Parent Rating Scale (APRS), an instrument developed by studying a large, representative group of schoolchildren, was used with a group of psychiatry attenders. Multimethod factor analysis found satisfactory agreement between the factor structures of the clinical and the normative groups. The patterns of scores on the 12 APRS scales were also compared. Two higher-order factors (Conflict with the Environment and Conflict within the Self) were identified in the clinical sample as previously found in the normative group. Comparison of the factor solutions with previous empirical efforts to identify parent-perceived patterns of child behavior disorder showed that the APRS compares well with other instruments and supports the strategy of proceeding from the study of normative populations to the study of clinically defined groups.This work was supported in part by a grant from the Department of Health, Canberra.     

Blood donation and the foot-in-the-door technique: a limiting case.

Three experiments testing the effectiveness of the foot-in-the-door technique for recruiting blood donors consistently failed to demonstrate that this procedure influences either verbal or behavioral compliance, suggesting that the generality of the foot-in-the-door phenomenon is limited. Experiment 1 attempted to demonstrate that an earlier failure of this technique was due to poor operationalization rather than to the magnitude of the critical request or to the invalidity of the phenomenon, but it failed to do so. Experiment 2, designed to more closely resemble other foot-in-the-door studies by using telephone contacts and an initial request for persons to answer questions, was conducted to examine other possible explanations for the two previous failures. This experiment also failed to show any foot-in-the-door effect. Experiment 3 was a conceptual replication of Experiment 2 but used personal contacts. One apparent foot-in-the-door effect emerged in this case, but it was more likely due to a factor other than the experimental treatment. It is concluded that although the foot-in-the-door procedure may indeed influence verbal compliance with requests for minimal forms of aid, it probably will not significantly affect people's willingness to comply with more substantial requests involving behaviors that are psychologically costly to perform.     

Psychoanalytic and behavioral considerations in antagonist and methadone programs

Whatever view we hold it must be shown Why every lover has a wish to make Some other kind of otherness his own: Perhaps, in fact, we never are alone. (2)     

Rationality,self-regard and the “healthiness” of personality disorders

Although irrationality has been consistently correlated with the intensity of acute clinical syndromes that are characterized by emotional or thought disorders, relationships between irrationality and personality disorders have not been investigated carefully. When they enter treatment, clients at the Institute for Rational-Emotive Therapy (IRET) had personality trait scale scores that accounted for substantial variance in rationality scale scores on several well-validated instruments. The eleven scales of the Millon Clinical Multiaxial Inventory (MCMI) associated with the DSM-III axis II personality disorders had a pattern of relationships with rationality and irrationality that parallels their somewhat surprising relationships with measures of acute emotional distress. Scales 4, 5, 6, and 7 were almost always associated with hyperrationality on most scales and with enhanced self-esteem, as well as with relatively low distress; scales 1, 2, 3, 8, S, and C were associated with irrationality and low self-esteem, as well as with severe distress. The P scale had inconsistent and weak correlations with rationality and self-esteem, as it had with measures of intake distress.Russell C. Leaf is Associate Professor of Psychology at Rutgers. He also directs a research project at the Institute for Rational-Emotive Therapy, in collaboration with the four other authors of this article, on the relationships between intake personality and mental health. He is an Institute Fellow and Supervisor, and previously served as a staff therapist and as the Institute's Director of Clinical Evaluation.Albert Ellis is President of the Institute for Rational-Emotive Therapy.Roslyn Mass is Professor of Psychology at Middlesex County College. She is in charge of data processing and analysis for the collaborative research of this authorial team, and is a Fellow of and previously served as Administrative Director of the Institute for Rational-Emotive Therapy.Raymond DiGiuseppe is Associate Professor of Psychology at St. Johns and Director of Research and Director of Training at the Institute for Rational-Emotive Therapy.Diane Alington is Assistant Director and a core member of the Institute for Health, Health Care Policy and Aging Research at Rutgers, where she conducts a research program on sex differences in adult development.