Attention-Deficit/Hyperactivity Disorder: A Neuropsychological Perspective Towards DSM-V

Neuropsychological methods and techniques have much to offer in the evaluation of the individual suspected as having Attention-Deficit/Hyperactivity Disorder (ADHD). After a review of the historical evolution of the ADHD concept, incidence and prevalence, and DSM-IV criteria for diagnosis, especially as regards omission related to gender differences, and other associated cultural, familial, socioenvironmental, and subject influences, this paper describes a number of dilemmas and obstacles encountered in clinical practice. Included are the confounds associated with the wide range of possible comorbidities, the insufficiency of current DSM-IV criteria, the emergence of subtype differentiation and its impact on diagnosis and treatment. The complex relationship between neuropsychological constructs and ADHD, and obstacles to valid assessment are also addressed. The complexities associated with a thorough ADHD evaluation are viewed within an impressive and expansive existing scientific framework and recommendations are made for future directions.     

Token mediated tool exchange between tufted capuchin monkeys (<Emphasis Type="Italic">Cebus apella</Emphasis>)

Three experiments were conducted to test whether a pair of tufted capuchin monkeys (Cebus apella) could generalize their ability to exchange tokens and tool objects with a human experimenter to similar exchanges with a conspecific partner. Monkeys were tested in side-by-side enclosures, one enclosure containing a tool-use apparatus and one or more token(s), and the other enclosure containing one or more tool object(s). The monkeys willingly transferred tokens and tools to a conspecific with little practice. Following a small amount of training, we also found that the monkeys would select situation-appropriate tokens to exchange for specific tools, but did not select appropriate tool objects in response to another monkey’s token transfers. Implications regarding role reversal are discussed.     

The role of visual experience on the representation and updating of novel haptic scenes

We investigated the role of visual experience on the spatial representation and updating of haptic scenes by comparing recognition performance across sighted, congenitally and late blind participants. We first established that spatial updating occurs in sighted individuals to haptic scenes of novel objects. All participants were required to recognise a previously learned haptic scene of novel objects presented across the same or different orientation as learning whilst they either remained in the same position to moved to a new position relative to the scene. Scene rotation incurred a cost in recognition performance in all groups. However, overall haptic scene recognition performance was worse in the congenitally blind group. Moreover, unlike the late blind or sighted groups, the congenitally blind group were unable to compensate for the cost in scene rotation with observer motion. Our results suggest that vision plays an important role in representing and updating spatial information encoded through touch and have important implications for the role of vision in the development of neuronal areas involved in spatial cognition.     

Parent and Teen Perceptions Regarding Parental Efforts at Controlling Teen Drunk Driving1

This research examined the potential utility of a parental control technique to prevent adolescent drunk driving by identifying parent and teen sources of resistance to an ignition interlock system. The research also examined the theoretical issue of parental control over adolescents by identifying factors parents consider when deciding to use a control technique. Parent and teen receptivity to the interlock was examined in relation to teen drunk driving. General parental control orientations (controlling vs. permissive) were examined in relation to the factors that influence parental decisions to implement such a control technique. Factors related to sources of reluctance to use the device were also examined. The findings revealed that parents were generally ambivalent toward the interlock. In contrast, teens responses varied, with approximately 20% of the sample reporting favorable attitudes toward having an interlock installed in the their cars. In addition, both parents and teens expressed concern about how the interlock would affect their relationship with each other. Finally, controlling parents tended to place less emphasis on the perceived effectiveness of the control technique when forming their attitudes toward its implementation compared to permissive parents. The findings are discussed in the context of prevention efforts for adolescent drunk driving.     

TEACHING SOCIAL SKILLS TO STUDENTS WITH AUTISM TO INCREASE PEER INTERACTIONS IN AN INTEGRATED FIRST-GRADE CLASSROOM

We investigated the use of social skills groups to facilitate increased social interactions for students with autism and their nonhandicapped peers in an integrated first-grade classroom. Social skills groups consisted of training students and peers in initiating, responding, and keeping interactions going; greeting others and conversing on a variety of topics; giving and accepting compliments; taking turns and sharing; asking for help and helping others; and including others in activities. Training occurred during the first 10 min of 20-min play groups, four times per week. Using a multiple baseline across subjects design, results demonstrated increases in the frequency of, time engaged in, and duration of social interactions, as well as the responsivity of students and peers to each other. Results were maintained when students were monitored and given feedback on social performance in play groups and during follow-up.     

Organization of Compensatory Postural Coordination Patterns

The authors investigated whether compensatory postural coordination patterns are organized according to the same dynamical principles as are nonequilibrium phase transitions. Eight participants were asked to maintain upright balance on a moving platform that was sinusoidally translated in the anterior-posterior direction and was systematically increased and decreased 0.19 Hz as a step function every 10 platform cycles through the frequency range 0.19–1.46 Hz. At low platform frequencies, all participants exhibited small joint angular motions with high variability, and the relative phase between the joint motions exhibited drifting patterns and large fluctuations. As platform frequency increased, the amplitude of joint motion increased systematically and joint-specific oscillatory patterns emerged. The findings provided no evidence for a Hopf bifurcation or hysteresis in the transitions of postural coordination modes, however, or, mote generally, a basis for distinguishing the relevance of linear versus nonlinear models of postural control.     

Sex, race/ethnicity, and romantic attractions: multiple minority status adolescents and mental health

This study examined the association between multiple minority statuses and reports of suicidal thoughts, depression, and self-esteem among adolescents. Data from the National Longitudinal Study of Adolescent Health were used to examine mental health outcomes across racial/ethnic groups for same-sex-attracted youths and female youths. Hispanic/Latino, African American, and White female adolescents reported more suicidal thoughts, higher depression, and lower self-esteem compared with male adolescents in their racial/ethnic group. Same-sex-attracted youths did not consistently demonstrate compromised mental health across racial/ethnic groups. Follow-up analyses show that White same-sex-attracted female adolescents reported the most compromised mental health compared with other White adolescents. However, similar trends were not found for racial/ethnic minority female youths with same-sex attractions.