CLINICAL BEHAVIORAL PHARMACOLOGY: METHODS FOR EVALUATING MEDICATIONS AND CONTINGENCY MANAGEMENT

We evaluated methods for comparing the effects of dextroamphetamine (Dexedrine), thioridazine (Mellaril), and contingency management in the control of severe behavior problems. A reversal design was used in which medications were systematically titrated and assessed in unstructured as well as structured settings with three clients. Subsequently, behavioral procedures including timeout, differential reinforcement of other behavior, and visual screening, were used in a multiple-baseline design across settings. The assessment and design methods were useful in comparing the interventions. Dextroamphetamine decreased inappropriate behaviors and improved academic behaviors in one client, but no reliable effects were observed in the other two clients. Thioridazine was variable across clients, settings, behaviors, and dosages. Contingency management produced consistent decreases in inappropriate behaviors and small improvements in academic performance.     

Expectations,procedural justice,and alternative reactions to being deprived of a desired outcome

People often find that they do not have some positive outcome they once expected to obtain, while others around them have attained that outcome. Two experiments were conducted to assess how four possible responses to such a situation are affected by procedural justice (i.e., the fairness of the procedures by which the object was denied) and by one's expectations about obtaining the outcome in the future. The four possible responses examined were anger responses, achievement strivings, devaluation of the object (X), and self-deprecation. A repeated-measures analysis revealed that the dependent variables were differentially affected in Study 1, but less so in Study 2. Analyses further revealed effects of procedural justice, such that unfair procedures led to more anger, lower achievement strivings, greater devaluation of X, and (in Study 1 only) marginally less self-deprecation. Expectations had only a marginal affect on achievement strivings in Study 1, and an effect on self-deprecation in Study 2, with higher expectations leading to lower achievement strivings and less self-deprecation, respectively. Procedural justice and expectations interacted to affect subjects' derogation of the agent who deprived them (Study 1) and their devaluation of X (Study 2). Implications for future research and for theoretical development are discussed.     

Expectancy,integration, and interactional processes: Age differences in the nature of words affected by sentence context

Two experiments investigated sentence context effects on the naming times of sentence completion words by third-grade children and college students. Across both experiments, the largest age difference in contextual facilitation was obtained for highly predictable, best completion words. Pronounced age differences in facilitation effects were also present for semantically acceptable target words which were much less predictable in the sentence context than the best completion words. However, age differences in contextual facilitation were negligible for target words which were associatively related to the best completion word, but which were not also semantically acceptable in the sentence context. Thus, the semantic acceptability of the word in the sentence context had a much greater influence on children's as compared to adults' word identification times, both when the word was highly predictable, as well as when it was much less predictable in the sentence context.     

Do children use similar processes to read and spell words?

The use of spelling-sound information in both reading and spelling was evaluated by having children read and spell nonwords and five types of words that differed in terms of their regularity for reading and spelling. The subjects were grade 3 children who had been psychometrically defined as good readers and good spellers (“good”), good readers and poor spellers (“mixed”), or poor readers and poor spellers (“poor”). Results indicated that all children attempted to use spelling-sound correspondences in both reading and spelling, although children in both the mixed and the poor groups had weaker knowledge of these correspondences and were less systematic in their use of them. Furthermore, even though the children in the mixed group had been matched with children in the good group on reading comprehension, the number and type of errors made by the mixed subjects on both the reading and spelling tasks were more similar to those of the poor subjects than to those of the good subjects.     

The effects of sound duration on newborns' head orientation

Two experiments assessed the importance of sound duration for eliciting head orientation responses from newborn infants. In Experiment 1, thirty infants turned with equal frequency toward 20-s continuous rattle sounds and 20-s trains of rattle segments. The duration of the rattle segments--14 and 100 ms (2/s), or 500 ms (1/s)--did not influence the likelihood of turning. Response latencies and durations proved quite similar for all stimuli. In Experiment 2, twenty-four infants heard continuous rattle sounds of four different durations: 1, 5, 10, and 20 s. They turned reliably to all stimulus durations; furthermore, the magnitude and temporal characteristics of head orientation responses did not differ for the four stimulus durations. These results suggest that the newborn's head orientation response may reflect a motor program that is initiated by auditory input and then executed in a similar fashion regardless of further stimulation.     

Children's preference for novelty in selective learning: Developmental stability or change?

Data relating novelty preference to age for normal children are inconsistent, although a current theory predicts a developmental shift from novelty to familiarity preference in selective learning (D. Zeaman, 1976, in T. J. Tighe & R. N. Leaton (Eds.), Habituation: Perspectives from child development, animal behavior, and neurophysiology (pp. 297–320), Hillsdale, NJ: Erlbaum). Support for this theory, however, has been derived primarily from studies of retardate learning. Normal children's novelty preference was examined within a modified Moss-Harlow (E. Moss & H. F. Harlow, 1947, Journal of Comparative and Physiological Psychology, 40, 333–342) design to compare Zeaman's model with that of S. L. Witryol and W. Wanich (1983, The Journal of Genetic Psychology, 143, 3–8). Each of 16 problems, consisting of three single-stimulus demonstration trials and one two-choice test, was administered to 180 children (mean CA 4, 5.5, and 7 years) in three reward conditions. Novelty was manipulated by varying stimulus familiarization in the demonstration trials. Experiment 1 showed strong preferences for novel over familiar (demonstrated) stimuli at each age. Experiment 2 revealed novelty preference across age levels, two levels of reward contrast, and two levels of task difficulty. It was reasoned that Moss-Harlow tasks designed for normal children typically present a much higher level of difficulty than that intended by researchers. Furthermore, developmental decreases in novelty preference by retardates may derive from (a) transfer of training from prior experiments and (b) specific, repetitive instructions which may have directed attention away from stimulus novelty.     

Sex roles, gender, and fear

Male and female college students classified as masculine, feminine, androgynous, or undifferentiated on the Bem (1974) Sex Role Inventory (N = 199) were given the Wolpe (1969) Fear Inventory. Significant differences in average fear scores were seen between men and women and between the four sex-role categories, with sex role and gender contributing equally to the variability. The argument is raised here that excessive fearfulness or fearlessness might be as much a product of sex-role conditioning as a product of gender.     

Perceived somatotype and stereotypes of physique among Nigerian schoolchildren

The influence of perceived somatotype on stereotypes of behavior associated with body build was investigated among 160 male and 140 female Nigerian children in secondary school. In both groups, the perception of subjects' own physiques and discrepancy between their perceived and preferred physiques significantly explained the variance in the character trait scores attributed to body types. In general, the subjects attributed positive character traits to their perceived somatotypes and undesirable traits to the physiques with which they were dissatisfied. Thus, the perception of somatotype and discrepancy between perceived and preferred physique could significantly differentiate the character traits attributed to body build among male and female children.     

Spiritual support for caregivers of dementia patients

Dementia is considered the major psychiatric disorder of old age and affects over 4 million people in the United States. As Alzheimer's disease and other dementias progress, the patient can become increasingly dependent on the family for care. This dependency can place the caregiver in a role that is both difficult and demanding. In this study coping strategies used by family caregivers of dementia patients and caregivers' sense of burden were assessed. Burden scores were significantly correlated with spiritual support, an external coping strategy. When spiritual well-being is integrated with medical and psychosocial needs, the clergy and spiritual community can play an integral role in the care for families and dementia patients.