Parenting and Family Stress Treatment Outcomes in Attention Deficit Hyperactivity Disorder (ADHD): An Empirical Analysis in the MTA Study

Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7–9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD.     

Moral Responsibility and Unavoidable Action

The principle of alternate possibilities (PAP), making the ability to do otherwise a necessary condition for moral responsibility, is supposed by Harry Frankfurt, John Fischer, and others to succumb to a peculiar kind of counterexample. The paper reviews the main problems with the counterexample that have surfaced over the years, and shows how most can be addressed within the terms of the current debate. But one problem seems ineliminable: because Frankfurt's example relies on a counterfactual intervener to preclude alternatives to the person's action, it is not possible for it to preclude all alternatives (intervention that is contingent upon a trigger cannot bring it about that the trigger never occurred). This makes it possible for the determined PAPist to maintain that some pre-intervention deviation is always available to ground moral responsibility.In reply, the critic of PAP can examine all the candidate deviations and argue their irrelevance to moral responsibility (a daunting prospect); or the critic can dispense with counterfactual intervention altogether. The paper pursues the second of these strategies, developing three examples of noncounterfactual intervention in which (i) the agent has no alternatives (and a fortiori no morally relevant alternatives), yet (ii) there is just as much reason to think that the agent is morally responsible as there was in Frankfurt's original example. The new counterexamples do suffer from one liability, but this is insufficient in the end to repair PAP's conceptual connection between moral responsibility and alternate possibilities.     

The influence of distinctive processing on retrieval-induced forgetting

Recall of a portion of a previously experienced list benefits subsequent recall of that portion of the list but leads to poorer recall of nonpracticed items from the same set (Anderson, Bjork, & Bjork, 1994). One explanation for this retrieval-induced forgetting is that during practice of part of a set, the non-practiced items compete for recall and are suppressed; this suppression process inhibits later recall of the nonpracticed items. Two experiments were conducted to investigate the relationship between distinctive processing of the original set and retrieval-induced forgetting, on the assumption that distinctive processing reduces response competition. In the first experiment, distinctive processing induced by difference judgments among the studied items did reduce forgetting relative to a standard encoding task and a similarity judgment task. In fact, the difference judgment task completely eliminated retrieval-induced forgetting. In the second experiment, the similarity judgment task was analyzed in relation to a task assumed to foster associative integration (Anderson & McCulloch, 1999). Even though the similarity judgment met the requirements for associative integration, retrieval-induced forgetting persisted following similarity judgment. The results are consistent with the view that distinctive processing benefits memory within an organizational context (Hunt & McDaniel, 1993; Smith & Hunt, in press).     

Theory-Driven Interventions in Psychoneuroimmunology and HIV-1 Infection

Psychoneuroimmunology (PNI) is a rapidly evolving multidisciplinary field founded on the premise that psychosocial factors, the central nervous system, and the immune system are intimately linked. Following publication of scientific evidence supporting this link, a number of animal and human studies have been published, both inside and outside the area of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome. These studies support the existence of bidirectional feedback mechanisms operating between the brain and the immune system. To date, however, there is no all-encompassing model that predicts individual differences in the relationship among psychosocial factors, immunologic measures, and clinical disease progression in HIV type 1 (HIV-1) infection. This variability in human response has been explained by a number of cofactors (host as well as environmental) that appear to accelerate the course of the disease. Since psychosocial factors are highly amenable to behavioral interventions, several models for intervention research have been proposed to evaluate whether such interventions can enhance immune functioning, thereby curtailing disease progression. Examination of these interventions in the context of PNI and HIV-1 infection, however, is rather limited. Therefore, researchers and clinicians must not only consider conceptualizations and paradigms in this area of research, but also focus on empirically testable, theory-driven models that allow for the unique characteristics of individual patients.     

Is perceptual salience needed in explanations of the isolation effect?

The isolation effect is a well-known phenomenon that has a well-accepted explanation: An item that is isolated on a list becomes perceptually salient, which leads to extra rehearsal that enhances memory for the isolate. To evaluate this hypothesis, the authors isolated an item near the beginning of a list. Immediately after each item was presented for study, participants judged the likelihood of recalling the item. Although the isolation effect occurred, participants did not judge the isolate as being more memorable than the preceding item, suggesting that the isolate was not salient. In a second experiment, participants rehearsed items aloud. Isolation at the beginning of the list did not produce extra rehearsal. By contrast, isolation in the middle of the list produced extra rehearsal; however, even when the isolate did not receive extra rehearsal, an isolation effect was evident. Thus, salience and extra rehearsal are not necessary for producing an isolation effect.     

Practice and feedback effects on the confidence-accuracy relation in eyewitness memory

It has been claimed that the lack of a reliable confidence-accuracy relation in eyewitness memory stems from eyewitnesses' lack of knowledge concerning their relative expertise. Two studies tested this idea by contrasting the effects of practice alone with practice with feedback in three successive eyewitness tests. Experiment 1 tested recall for events, and Experiment 2 used recognition of faces as test materials. Both studies showed that practice alone did not increase the confidence-accuracy relation, but practice with feedback on relative performance produced robust increases in the confidence-accuracy relation. This suggests that lack of calibration is one factor that causes the reported lack of association between confidence and accuracy for eyewitness memory.     

The rhetoric and reality of gap closing: when the "have-nots" gain but the "haves" gain even more

Many forms of intervention, across different domains, have the surprising effect of widening preexisting gaps between disadvantaged youth and their advantaged counterparts--if such interventions are made available to all students, not just to the disadvantaged. Whether this widening of gaps is incongruent with American interests and values requires an awareness of this gap-widening potential when interventions are universalized and a national policy that addresses the psychological, political, economic, and moral dimensions of elevating the top students--tomorrow's business and science leaders--and/or elevating the bottom students to redress past inequalities and reduce the future costs associated with them. This article is a first step in bringing this dilemma to the attention of scholars and policymakers and prodding a national discussion.     

A confirmatory approach to the factor structure of the Boredom Proneness Scale: evidence for a two-factor short form

We analyzed previous exploratory factor analytic structures on the Boredom Proneness Scale (BPS; Farmer & Sundberg, 1986) using confirmatory factor analysis in structural equation modeling in LISREL 8 (J?reskog & S?rbom, 1993). These analyses indicated that 2 factors were generally consistent across 6 exploratory models. Items that had significant loadings on these two factors (N = 12; 6 for each factor) indicated a lack of Internal Stimulation and External Stimulation. In further analysis on these 12 items using LISREL, we found a much improved fit and provided support for a short form version of the original BPS. We also found the shortened version to be invariant across gender. We discuss implications for the more precise measurement of boredom proneness and the use of the scale in applied settings.