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.     

Measuring self-efficacy among drug-involved probationers

Self-efficacy has been shown to be related to outcomes from interventions for alcohol and tobacco abuse but relatively little attention has been focused on it in evaluations of treatment for illicit drug abuse. Almost no research has examined offenders involved with drugs. The current study, therefore, adapted the Alcohol Abstinence Self-efficacy Scale of DiClemente, Carbonari, Montgomery, and Hughes and administered it to 250 probationers mandated to 6 months of residential treatment. With some modifications, confirmatory factory models replicated four previously reported dimensions, e.g., Negative Affect, Social/Positive, Physical and Other Concerns, Cravings and Urges. Findings also indicated high construct validity for the Alcohol Abstinence Self-efficacy Scale as adapted here. Studies are needed to examine the use of self-efficacy as a prospective measure of treatment progress and to explore its association with outcomes from corrections-based treatment.     

On Bound Variable Interpretations: The LF-Only Hypothesis

Under what conditions do perceivers prefer to assign a bound variable interpretation to a pronominal that is ambiguous between a bound variable and a coreferential interpretation? Several experiments were designed to test the hypothesis that language perceivers prefer a bound variable over a coreferential interpretation of a pronoun because the former only requires consultation of a logical form (LF) representation, while the latter requires access to a discourse representation. The hypothesis was disconfirmed in two respects. First, although bound variable interpretations show a processing advantage over coreferential interpretations in VP ellipsis constructions, the preference for bound variable interpretations is not general--it does not extend to other quantificational contexts. Second, the preference for bound variable interpretations in VP ellipsis constructions is not limited to examples in which the antecedent and the ellipsis site occur in the same sentence. If the bound variable advantage were due to the ready availability of the LF for the current sentence, the advantage should disappear across sentence boundaries. An alternative hypothesis is then considered which could explain the source of the bound variable advantage in VP ellipsis contexts.     

Processing Coordinate Structures

Coordination often involves syntactically like categories. Based on the results of four reading time studies, it is argued here that the syntactic like-category restriction is not grammatical. Coordination of unlike categories can be just as acceptable as coordination of like categories. However, syntactically like category coordination is processed faster than coordination of unlike categories even when the two sentence types are judged to be fully acceptable. Further, parallelism of conjuncts facilitates processing regardless of whether it is parallelism in the category of the conjuncts (a property which the grammar might regulate) or parallelism in the internal structure of the conjuncts (a property which the grammar does not regulate, on anyone's view). Parallelism did not facilitate processing when the structure of a subject and object were manipulated, implying that parallelism effects are largely limited to the conjuncts of a coordinate structure and not due simply to the repetition of a phrase with a particular shape.     

The Psychosocial Adjustment to Illness Scale--Self-Report: factor structure and item stability

The Psychosocial Adjustment to Illness Scale--Self-Report (PAIS-SR; Derogatis & Derogatis, 1990), a frequently used measure of adjustment in medically ill adults, was subjected to several exploratory factor analyses, with principal-axes factor extractions and varimax rotation procedures. The sample consisted of kidney, heart, liver, lung, and bone marrow transplant candidates (N = 280). The final analysis yielded a six-factor, 26-item instrument accounting for 59% of the variance. Coefficient alpha for the 26-item measure was .87, and internal consistency estimates for the factors ranged from .50 to .86. Strong correlations with other adjustment measures commonly used in the assessment of adults with chronic physical conditions support the validity of the PAIS-SR.     

Reviews of current books

Conclusion Wise counseling can relieve the anxiety and inner conflict of parents torn between the dread of their retarded offspring becoming a parent and the fear of an operation they believe to be illegal, immoral, and castrating.By knowing where to refer patients, clergymen can make it possible for some of these deprived members of society to find support and love within marriage without being overburdened by children they are not capable of rearing properly.