Approach, avoidance, and self-regulatory conflict: An individual differences perspective

Four studies involving 230 undergraduates examined the interactive effects of dispositional approach and avoidance, as manifest in the traits of extraversion and neuroticism. Participants who were high in both traits or low in both traits exhibited less assertive knocking behavior (Study 1), had difficulties refraining from blinking (Study 2), and displayed more anxious behavior during a mental health interview (Study 3). Study 4 tested the idea that such extraversion by neuroticism interactions might be associated with difficulties in recognizing and responding to goal-relevant stimuli. Results involving a go/no go task confirmed this hypothesis. In total, the results highlight the manner in which the co-activation of dispositional motives related to approach and avoidance can compromise effective self-regulation.     

Would We Recognize Progress if We Saw it? A Commentary

Comments on the nature of special education as an enterprise and judgment of its progress are offered. Five independent but necessary and sufficient criteria for judgment of progress in special education for students with emotional or behavioral disorders are suggested. Comments are made on each of the articles in the series, and concluding remarks call for more data and better thinking.     

Temporomandibular Disorder in Brazilian Patients: A Preliminary Study

The objective of the current study was to evaluate disease-related beliefs, adherence to treatment, quality of life, coping strategies and cognitive status in a group of Brazilian patients with Temporomandibular Disorder (TMD). Thirty patients were evaluated with a semi-directed interview, the Coping Strategies Inventory, and a Mini-Mental State Examination. Although half (50%) of the patients had known their diagnosis long term, 40% of the sample were not correctly following proposed treatment. All patients had a similar pattern of pain behavior related to TMD, while disease-related beliefs, quality of life and coping strategies were variable. Expectations about treatment also had significant association with treatment adherence. The findings of this study suggest that a more thorough understanding of individual differences in TMD is warranted.     

Ethics Consultation and Autonomy

Services of ethics consultants are nowadays commonly used in such various spheres of life as engineering, public administration, business, law, health care, journalism, and scientific research. It has however been maintained that use of ethics consultants is incompatible with personal autonomy; in moral matters individuals should be allowed to make their own decisions. The problem this criticism refers to can be conceived of as a conflict between the professional autonomy of ethics experts and the autonomy of the persons they serve. This paper addresses this conflict and maintains that when the nature of both ethics consultation and individual autonomy is properly understood, the professional autonomy of ethics experts is compatible with the autonomy of the persons they assist.     

Classroom observations of students with and without ADHD: Differences across types of engagement

The current study examined the behaviors related to academic engagement exhibited by students with ADHD during instruction in math and reading. A total of 155 students (92 ADHD, 63 recruited controls) in grades 1 through 4 participated in the study. Results revealed that students with ADHD exhibited statistically significant lower rates of academic engagement and higher rates of off-task behaviors than recruited controls and randomly selected peer comparisons. Specifically, students with ADHD exhibited statistically significant lower rates of passive academic engagement (PET) than recruited controls and peer comparisons; however no group differences were found with regard to active engaged time (AET). In addition, students with ADHD exhibited lower rates of AET than PET, a finding observed among both recruited controls and randomly selected peer comparisons. Implications for research and practice are discussed.     

The profession of ferryman: Considerations on the analyst's internal attitude in consultation and in referral1

Psychoanalytic consultation is an interview with a patient who will not be taken in treatment by the consultant analyst, but who will be sent to another, perhaps specifi cally chosen, colleague after one or more assessment sessions. This practice is becoming increasingly important since, besides traditional private relationships between consultant and patient, it is now common in many specialized centres affi liated to offi cial psychoanalytical institutions. The author explores some fundamental aspects of the analyst's internal attitude in consultation: motivation to know; a ‘concave’ attitude to listening; responsibility in proposing suitable technical choices and referral to a further specialist; empathy and partial identifi cation; the balance between authentic experience in the consultation and risks of seduction; internal links within the community of colleagues; the technique for sending patients on. He presents a clinical example, specifi cally aimed at reproducing the internal attitude of the analyst, together with the necessary work that allows a diffi cult patient to initiate psychoanalytic treatment.     

Étude de certaines propriétés psychométriques de l’Older Adult Self-Report (OASR) en population générale québécoise

The aim of the present study was to evaluate some psychometric properties of the French-Canadian version of the Older Adult Self-Report (Achenbach et al., 2004), a self-reported measure of emotional, behavioral and interpersonal difficulties intended for people aged 60 years and older. This study examines some psychometric properties of the OASR, in terms of reliability (internal consistency) of the seven syndrome scales, and construct validity (structural, convergent and criterion validity). The instrument was completed by 321 older adults aged 60 years and older (M = 68.36; SD = 5.82) who were participating at the Université du troisième âge activities, which were taking place in two cities of the province of Quebec, Canada. Polychoric alpha coefficients varied between 0,72 and 0,93 and indicated a good internal consistency for the syndrome scales. Convergent validity was measured by multiple linear regression using life satisfaction as a dependent variable. A confirmatory factor analysis supported the seven-factor structure proposed in the original version of the instrument (CFI = .916, TLI = .914, RMSEA = .022 [.019, .025]). Results showed a good convergent validity, with 37.5% of variance explained by the problem scales. Overall, the results indicated that psychometric properties of the OASR meet expected standards for professional use of the French-Canadian version of the instrument.     

Functional analytic psychotherapy and the treatment of obsessive compulsive disorder

This paper argues that Functional Analytic Psychotherapy (FAP) can contribute to the treatment of Obsessive Compulsive Disorder (OCD). FAP is a behavior analytically informed approach to talk-therapy, developed by Kohlenberg and Tsai. It uses natural occurrences of clinically relevant behavior in the client-therapist relationship to promote therapeutic change. A selection of vignettes of client-therapist dialogues involving two clients with OCD is discussed. The examples show how natural interactions between therapist and client can be used to bring therapeutic technique closer to the natural occurrences of obsessive-compulsive behavior. Furthermore, the fragments illustrate that FAP can encompass exposure and response prevention. Therefore, the in vivo learning during the session as promoted in FAP can be an asset in the treatment of clients with OCD, and it deserves attention in future treatment research.     

Investigating the effects of tic suppression on premonitory urge ratings in children and adolescents with Tourette's syndrome

Tics represent a complex class of behaviors that have a neurobiological origin and are influenced by factors both internal and external to the individual. One factor that has gained recent attention is the premonitory urge. Contemporary behavioral models suggest that some tics are preceded by aversive somatic urges that increase in severity when tics are suppressed and are attenuated by performance of the tic. It has been proposed that the removal of premonitory urges may strengthen or maintain tics via negative reinforcement. This investigation is the first to empirically evaluate the effect of tic suppression on the premonitory urge phenomenon. Five children and adolescents, ages 8–17 years, participated in the study. Using an ABAB reversal design, tic frequency and subjective premonitory urge ratings were recorded under conditions of free-to-tic baseline (BL) and reinforced tic suppression (differential reinforcement of zero-rate behavior). Results show that four of the five children demonstrated reliable suppression. Of the four children who achieved suppression, three demonstrated a pattern in which subjective urge ratings were higher during suppression than during BL. Results provide preliminary support for the negative reinforcement view of tic function for some children.