Methodological Overview of the Parents Matter! Program

We present an overview of the methodology employed in the Parents Matter! Program. Information on the following aspects of the program is presented: participant eligibility and recruitment; consenting procedures and administration of assessments; development and utilization of measures in the assessments; study design; intervention procedures; facilitator characteristics and training; procedures to assess treatment fidelity assessment; and procedures utilized to enhance retention of study participants.     

High dose alcohol consumption predicts less reduction in post-traumatic stress symptoms after a campus mass shooting

Background: Recognizing that alcohol might affect subsequent processing of trauma-related information, this study examined whether high dose alcohol consumption (HDAC) following a campus mass shooting affected the relation between shooting exposure and post-traumatic stress symptoms (PTSS).

Methods: Female participants (N?=?691) recorded levels of physical exposure to the shooting event, alcohol use, and PTSS 1 month following the shooting event and 8 months later.

Results: No evidence was found to suggest that pre-shooting HDAC moderated the relationship between trauma exposure and PTSS 1 month following the shooting. HDAC in the month following the shooting predicted less resolution of PTSS 8 months later. Specifically, at higher (but not lower) levels of HDAC, shooting exposure was associated with less reduction in PTSS from 1 to 8 months post-trauma. Several alternate explanations were ruled out.

Conclusions: Less reduction in PTSS seems to occur at high levels of both shooting exposure and HDAC. Theoretical implications and directions for future research are discussed.     

Assessing potency of high- and low-preference reinforcers with respect to response rate and response patterns

Previous research has suggested that the availability of high-preference stimuli may override the reinforcing efficacy of concurrently available low-preference stimuli under relatively low schedule requirements (e.g., fixed-ratio 1 schedule). It is unknown if similar effects would be obtained under higher schedule requirements. Thus, the current study compared high-preference and low-preference reinforcers under progressively increasing schedule requirements. Results for 3 of the 4 participants indicated that high-preference stimuli maintained responding under higher schedule requirements relative to low-preference stimuli. For 1 participant, high-preference and low-preference stimuli were demonstrated to be equally effective reinforcers under increasing schedule requirements. Implications with respect to rate of performance and response patterns are discussed.     

Enhanced perceptual processing of speech in autism

Theories of autism have proposed that a bias towards low-level perceptual information, or a featural/surface-biased information-processing style, may compromise higher-level language processing in such individuals. Two experiments, utilizing linguistic stimuli with competing low-level/perceptual and high-level/semantic information, tested processing biases in children with autism and matched controls. Whereas children with autism exhibited superior perceptual processing of speech relative to controls, and showed no evidence of either a perceptual or semantic processing bias, controls showed a tendency to process speech semantically. The data provide partial support to the perceptual theories of autism. It is additionally proposed that the pattern of results may reflect different patterns of attentional focusing towards single or multiple stimulus cues in speech between children with autism and controls.     

Determinants of phrasing effects in rat serial pattern learning

Two experiments investigated how brief pauses introduced into serial patterns as phrasing cues would affect pattern learning in rats. In Experiment 1, a 24-element pattern consisted of eight 3-element chunks, whereas a 20-element pattern consisted of four 5-element chunks. In both patterns, 3.0-s temporal pauses placed at chunk boundaries (synchronous phrasing cues) facilitated learning compared to no phrasing. Cues "out of sync" with pattern structure (asynchronous phrasing cues) facilitated learning for the 24-element pattern and retarded learning for the 20-element pattern. Evidence suggested that in the latter case, 3.0-s pauses served as "blank" trials that induced rats to "skip" to the next serial position in sequence. In Experiment 2, shorter 0.5-s pauses served as phrasing cues in the 20-element pattern of Experiment 1. Synchronous short cues facilitated learning, whereas asynchronous phrasing cues had no effect. Furthermore, removal of synchronous cues produced deficits in performance on formerly cued trials, whereas removal of asynchronous cues had no effect. The results of Experiment 2 support the notion that in both experiments phrasing cues served as discriminative cues and indirectly suggest that rats are concurrently sensitive to pattern element cues, extra-sequence cues (such as phrasing cues), and to the relative timing of sequential events.     

Governing Humanity

In the United Kingdom, clinical governance has become a master narrative for health care over the last decade. While many see this political imperative as embodying both enlightening and humanistic goals, I argue that it has also become an apparatus for resuscitating a hypermodernist worldview which further conceals the political drivers of health care delivery. While resistance to clinical governance seems futile, insistence on the inclusion of historical analysis in understanding modern health care delivery may be profitable. Drawing from selected dramatic texts by Henrik Ibsen, an historical moment of clinical governance may be analysed showing the complex interplay of the personal, social, empirical and ethical dimensions of health care delivery.     

Understanding Executive Control in Autism Spectrum Disorders in the Lab and in the Real World

In this paper, we review the most recent and often conflicting findings on conventional measures of executive control in autism spectrum disorders. We discuss the obstacles to accurate measurement of executive control, such as: its prolonged developmental trajectory; lack of consensus on its definition and whether it is a unitary construct; the inherent complexity of executive control; and the difficulty measuring executive-control functions in laboratory or clinical settings. We review the potential of an ecological-validity framework to address some of these problems, and describe new tests claiming verisimilitude, or close resemblance to “real life” demands. We also review the concept of veridicality, which allows for the measurement of the ecological validity of any task, and discuss the few studies addressing ecological validity in individuals with autism. Our review suggests that a multi-source approach emphasizing veridicality may provide the most comprehensive assessment of executive control in autism.