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.     

Selective word-learning deficits in aphasia

The purpose of this study was to determine whether patients with focal brain damage can learn anything about a new word, and if so, whether selected aspects of the new word are acquired depending on the nature of the patient's language processing deficit. In the context of drawing pictures with a number of felt pens identical in all respects except color, agrammatic Broca's aphasics and fluent aphasics were exposed to the new word "bice," an adjective referring to the dark green portion of the color spectrum. Our findings revealed that brain-damaged patients can engage in lexical acquisition, but Broca's aphasics and fluent aphasics apparently learn about different aspects of the new word. Specifically, on successive exposures to "bice," both Broca's aphasics and fluent aphasics exhibit progressively more accurate hypotheses for identifying a bice-colored object. During subsequent assessments, agrammatic aphasics reveal on a metalinguistic judgment task their significant difficulty appreciating the grammatical form class of "bice"; on an object classification task, fluent aphasics are significantly impaired in their classification of bice-colored objects as "bice." Taken together, these unique word-learning profiles reinforce earlier observation on the selective nature of language processing deficits after focal left-hemisphere insult, and support the claim that separate language processing devices may be selectively compromised in different groups of aphasics. The relationship between syntactic and lexical semantic processing is discussed.     

Predecisional information acquisition: Effects of task variables on suboptimal search strategies

Effective overall performance in judgment tasks generally involves both acquisition of information and integration of the information acquired. When information is costly the decision maker must balance acquisition costs against improved decisional accuracy, a complex balancing problem in which, laboratory evidence suggests, humans often do poorly. The three experiments reported here extend this earlier evidence to different task structures, subject pools, incentive systems, information volumes, decision aids, and kind of data sources. Though each of these factors was found to affect performance, the general finding was of persistent underpurchase (buying less information overall than is optimal) and mispurchase (buying poor sources when better sources are available at the same cost), with significant inflation of overall costs. It is proposed that unaided human judgment is unequal to the complexity of the cost/benefit trade-offs involved in acquiring costly information, and that formal decision analysis should be preferred whenever the stakes justify.     

Factor analysis of the Wechsler adult intelligence scale-revised (WAIS-R): An examination of the standardization sample

Orthogonal and oblique factor analyses were performed using the Wechsler Adult Intelligence Scale-Revised (WAIS-R) standardization sample (Wechsler, 1981). Using objective criteria, it was decided to retain two factors. Evidence for a strong general intelligence (g) factor was found from both the orthogonal and oblique rotations. Whereas the verbal IQ provided an acceptable estimate of the Verbal Comprehension factor, a purer measure was found in the form of a Verbal Comprehension Deviation Quotient containing only the Information, Vocabulary, Comprehension, and Similarities subtests. The performance IQ was found to be an inadequate measure of the Perceptual Organization factor. A Perceptual Organization Deviation Quotient, containing only the Block Design and Object Assembly subtests, was recommended as an effective alternative. Analysis of the variance components for each subtest at every age level revealed that a substantial proportion of subtests at a wide range of age levels evidence either high or intermediate levels of specific variance. These results are discussed in terms of interpreting individual subtest scores and patterns. Each of the study's major findings are compared with prior work done with the Wechsler Adult Intelligence Scale (WAIS) (Wechsler, 1955).     

RELIGION AS UNIVERSAL: TRIBULATIONS OF AN ANTHROPOLOGICAL ENTERPRISE

Abstract. The English term religion is used to refer to local Christian churches, their organizations, and their practices. Nevertheless, Western anthropologists have tried to utilize it as if it were a technical term with universal applicability. Anthropologists have sought to characterize religion by several dichotomies, although their own field researches have revealed the irrelevance of such dichotomies as well as the fact that non-Western peoples do not recognize an entity equivalent to religion. Were the characteristics used by anthropologists in defining religion precisely applied to Western societies, then several other kinds of organizations, ceremonials, and practices would have as much, or even greater, claim to being included within the rubric of religion as the Christian and allied churches. The consequence of this conceptual imprecision has been the theoretical stagnation noted by eminent theorists.     

Messianic hopes and the crisis of relativism: A common process in pastoral counseling

This essay explores the dynamics underlying the search for a Messiah in psychotherapy. It argues that the disenchantment with one's Messiah emerges primarily from the confrontation with multiple messiahs, and hence, the personal crisis of relativism. The nature of this personal crisis is investigated through the developmental scheme of William Perry. Suggestions are made as to how pastoral counselors can help those struggling with the problem of relativism.The Southeastern Illinois Center for Pastoral Counseling is located at 100 South Church Street, Carmi, Illinois, 62821.     

Retinal locus and the letter-span error function

The effect of retinal locus on the letter-span error function was investigated by requiring Ss to fixate at the left, middle, or right of lines of letters presented for 100 msec. Stimulus presentations consisted of lines of eight letters presented across the visual field, and lines of four letters presented alternately in the left and right visual hemifields. Locus of fixation and relative letter position were found to be significantly related to whether or not a letter was correctly localized. A significant interaction between locus of fixation and letter position was observed.     

Generalization gradients and stimulus control in delayed matching-to-sample

Neurological patients were subjects in delayed visual matching-to-sample. The sample and choice stimuli were ellipses of varying size. By measuring the difference in size between the sample on a given trial and the ellipse the subject chose on that trial, gradients of differences between samples and choice stimuli could be plotted. These difference gradients broadened with increasing delays. Sharp gradients were controlled by the samples. Flat gradients were controlled by features of the choice display, independently of the samples. Intermediate gradients reflected combined control by the samples and by the choice displays.