Behavioral versus Behavioral and Pharmacological Treatment in ADHD Children Attending a Summer Treatment Program

As part of the behavioral treatment in the Multimodal Treatment Study of Children with ADHD (MTA), children participated in an intensive summer treatment program (STP). This study examined the differences between 57 children in the combined treatment (Comb) group, who were medicated, and 60 children in the behavioral treatment (Beh) group, who were unmedicated throughout the STP. Comb children were significantly better than Beh on 5 measures: rule following, good sportsmanship, peer negative nominations, and STP teacher posttreatment ratings of inattention/overactivity. Groups did not differ on any of the other 30 measures, and responded similarly to the STP over time. Comparisons to normative data revealed that Comb children were more likely to fall within the normative range on 6 measures. The differences between these results and the main MTA results, in which Comb was always superior to Beh, are discussed in terms of the relative intensity of combined treatments. The implications for future studies of pharmacological and behavioral treatment for ADHD are discussed.     

Reversing how to think about ambiguous figure reversals: spontaneous alternating by uninformed observers

Ambiguous figures are a special class of images that can give rise to multiple interpretations. Traditionally, switching between the possible interpretations of an ambiguous figure, or reversing one's interpretation, has been attributed either to top-down or to bottom-up processes (e.g. attributed to having knowledge of the nature of the ambiguity, or to a form of neuronal fatigue). Here we present evidence that is incompatible with both forms of explanations. Observers aged 5-9 years can reverse ambiguous figures when uninformed about the ambiguity, negating purely top-down explanations. Further, those children who make these 'spontaneous' reversals are more likely to succeed on a high-order theory-of-mind task, negating purely bottom-up explanations.     

Believing is seeing: how rumors can engender false memories in preschoolers

This study examined how an erroneous rumor circulated among preschoolers can influence their memory. One fourth of the children overheard a rumor from an adult conversation in which it was alleged that an event the children had not experienced themselves had occurred. A second fourth were the classmates of those who overheard the rumor. A third group had no exposure to the rumor. The remaining children actually experienced the event suggested by the rumor. One week later, the children were interviewed in either a neutral or a suggestive manner. Results from a second interview after a 2-week delay revealed that under both interview conditions, children who overheard the rumor, either from the adult conversation or during naturally occurring interactions with classmates, were as likely to report experiencing the rumored but nonexperienced event as were those who actually experienced it. Most reports of the rumored but nonexperienced event were in children's free recall and were accompanied by high levels of fictitious elaboration.     

The generation and resemblance heuristics in face recognition: cooperation and competition

Like all probabilistic decisions, recognition memory judgments are based on inferences about the strength and quality of stimulus familiarity. In recent articles, B. W. A. Whittlesea and J. Leboe (2000; J. Leboe & B. W. A. Whittlesea, 2002) proposed that such memory decisions entail various heuristics, similar to well-known heuristics in overt decision making. Using verbal stimulus materials, Whittlesea and Leboe illustrated 3 separate memory heuristics: fluency, generation, and resemblance. In the present investigation, the authors examined the generation and resemblance heuristics in face recognition. In 12 experiments, people memorized faces and later performed exclusion (source memory) tasks. Every experiment contained natural groups of facial photographs (e.g., Caucasian vs. Asian faces), but such groups were not always valid source-memory predictors. Instead, across experiments, the potential utility of generation and resemblance strategies was systematically varied. People were quite sensitive to such variations, changing from one heuristic to another as needed. However, they also combined heuristics, both improving and damaging performance across conditions. The relevance of recognition decision heuristics to eyewitness memory is considered.     

Effects of daily and acute restraint stress during lactation on maternal aggression and behavior in mice

A decreased reactivity to stressors during lactation might heighten the expression of maternal care (including defense of offspring) by minimizing the extent to which stress can impact maternal care. Although stressors applied during pregnancy have variable effects on maternal aggression (or defense of offspring), to date no study has examined the effects of stress applied during the postpartum period on maternal aggression. In this study, we examined the effects of both daily and acute restraint stress (30 min) applied postpartum on maternal aggression and other maternal behaviors. Daily restraint (ending 2 h before testing) did not alter any measure of maternal behavior, including nursing, licking and grooming of pups and pup retrieval, or any measure of maternal aggression. In contrast, acute stress significantly impaired total time aggressive and number of attacks, but pup retrieval was normal. c-Fos levels were significantly elevated in a number of brain regions in association with acute stress, including lateral septum (LS), caudal periaqueductal gray and medial amygdala (MeA), suggesting possible sites where stress reactivity could alter aggression. Together, the results indicate that acute restraint stress impairs maternal aggression and provide a starting point for future studies examining how stress reactivity pathways may intersect with maternal aggression pathways.     

A randomized controlled trial of cognitive behavior therapy for borderline personality disorder: rationale for trial, method, and description of sample

This paper describes the rationale for a randomized controlled trial, comparing cognitive behavior therapy in addition to treatment as usual with treatment as usual alone, for borderline personality disorder. Previous pioneering randomized controlled trials of psychotherapies have suffered from methodological weaknesses and have not always been reported clearly to allow adequate evaluation of either the individual study or comparisons across studies to be undertaken. We report on the recruitment and randomization, design, and conduct of an ongoing randomized controlled trial of one hundred and six patients with borderline personality disorder. Primary and secondary hypotheses and their planned analyses are stated. The baseline characteristics of 106 patients meeting diagnostic criteria for borderline personality disorder are described.