Dynamic testing of learning potential in adults with cognitive impairments: A systematic review of methodology and predictive value

Dynamic testing includes procedures that examine the effects of brief training on test performance where pre‐ to post‐training change reflects patients’ learning potential. The objective of this systematic review was to provide clinicians and researchers insight into the concept and methodology of dynamic testing and to explore its predictive validity in adult patients with cognitive impairments. The following electronic databases were searched: PubMed, PsychINFO, and Embase/Medline. Of 1141 potentially relevant articles, 24 studies met the inclusion criteria. The mean methodological quality score was 4.6 of 8. Eleven different dynamic tests were used. The majority of studies used dynamic versions of the Wisconsin Card Sorting Test. The training mostly consisted of a combination of performance feedback, reinforcement, expanded instruction, or strategy training. Learning potential was quantified using numerical (post‐test score, difference score, gain score, regression residuals) and categorical (groups) indices. In five of six longitudinal studies, learning potential significantly predicted rehabilitation outcome. Three of four studies supported the added value of dynamic testing over conventional testing in predicting rehabilitation outcome. This review provides preliminary support that dynamic tests can provide a valuable addition to conventional tests to assess patients’ abilities. Although promising, there was a large variability in methods used for dynamic testing and, therefore, it remains unclear which dynamic testing methods are most appropriate for patients with cognitive impairments. More research is warranted to further evaluate and refine dynamic testing methodology and to further elucidate its predictive validity concerning rehabilitation outcomes relative to other cognitive and functional status indices.     

Learning and foraging efficiency in German cockroaches, Blattella germanica (L.) (Insecta: Dictyoptera)

We analysed, under laboratory test conditions, how German cockroach larvae oriented their outgoing foraging trip from their shelter. Our results stressed the importance of external factors, like availability and spatial distribution of food sources, in the choice of a foraging strategy within their home range. When food sources were randomly distributed, larvae adopted a random food search strategy. When food distribution was spatially predictable and reliable, cockroaches were able to relate the presence of food with a landmark during a 3-day training period and to develop an oriented search strategy. Cockroaches were able to associate learned spatial information about their home range to the presence of food resources and then to improve their foraging efficiency. However, conflict experiments revealed that detection of food odour overrode learned landmark cues. Received: 16 October 1999 / Accepted after revision: 18 July 2000     

布鲁默学习测验(BLT)中文测题册试用本的编制报告

布鲁默学习测验（ＢＬＴ）是一项以学习模式为研究内容的学习过程测验。作为ＢＬＴ中文版修订工作的首要阶段,课题组在研究ＢＬＴ理论原理,测验结构和内容和基础上,结合我国中小学教学实际,以简单常用的部首和汉字为主要测验材料编制出ＢＬＴ中文版测题册试用本,并作了试测和数据分析。结果表明,试用本具有较高的信度和效度,并保持了作为学习过程测验的特色,达到了研究目的。     

Testing joint attention, imitation, and play as infancy precursors to language and theory of mind

Various theoretical accounts propose that an important developmental relation exists between joint attention, play, and imitation abilities, and later theory of mind ability. However, very little direct empirical evidence supports these claims for putative “precursor” theory of mind status. A small sample (N=13) of infants, for whom measures of play, joint attention, and imitation had been collected at 20 months of age, was followed-up longitudinally at 44 months and a battery of theory of mind measures was conducted. Language and IQ were measured at both timepoints. Imitation ability at 20 months was longitudinally associated with expressive, but not receptive, language ability at 44 months. In contrast, only the joint attention behaviours of gaze switches between an adult and an active toy and looking to an adult during an ambiguous goal detection task at 20 months were longitudinally associated with theory of mind ability at 44 months. It is argued that joint attention, play, and imitation, and language and theory of mind, might form part of a shared social–communicative representational system in infancy that becomes increasingly specialised and differentiated as development progresses.     

Recent trends in cultural theories

Multiculturalism is probably the most important and most misunderstood psychological construct of this decade. This article identifies specific and uniquely valuable contributions of a multicultural perspective and demonstrates the importance of multicultural awareness training as a primary prevention strategy, directed toward preventing multicultural misunderstandings before they happen by training mental health providers to become more aware of their culturally learned assumptions and the contrasting cultural contexts of their clients. The development of recent multicultural theories will be reviewed to demonstrate how the definition of cultural theories have changed over time toward a broader and more complicated perspective. Finally practical applications of culture-centered theories will be reviewed through the presentation of a Cultural Grid for separating behaviors from expectations in each cultural context.     

Theorizing Safety Informed Settings: Supporting Staff at Youth Residential Facilities

Each year approximately 48,000 youth are incarcerated in residential placement facilities (YRFs) in the United States. The limited existing literature addressing the workforce in these settings paints a complicated picture. The YRF workforce is highly motivated to work with legal system involved youth. However, YRF staff report high rates of burnout, job fatigue, and work‐related stress. The current paper proposes solutions to persistent problems faced by staff in these settings by integrating literature from criminology, organizational psychology, trauma‐informed care, and community psychology. In doing so, we highlight previously overlooked aspects of intervention for trauma‐organized settings and respond to recent calls for community psychologists to take a more active role in the adaptation of trauma‐informed care in community settings. We conclude by advancing three recommendations, drawn from setting‐level theory and inspired by the principles of trauma‐informed care, to transform YRFs.     

多维项目反应理论补偿性模型参数估计:基于广义回归神经网络集合

运用广义回归神经网络(GRNN)方法对小样本多维项目反应理论(MIRT)补偿性模型的项目参数进行估计,尝试解决传统参数估计方法样本数量要求较大的问题。MIRT双参数Logistic补偿模型被设置为二级计分的二维模型。首先,模拟二维能力参数、项目参数值与考生作答矩阵。其次,把通过主成分分析得到的前两个因子在每个题目上的载荷作为区分度的初始值以及题目通过率作为难度的初始值,这两个指标的初始值作为神经网络的输入。集成100个神经网络,其输出值的均值作为MIRT的项目参数估计值。最后,设置2×2种(能力相关水平:0.3和0.7; 两种估计方法:GRNN和MCMC方法)实验处理,对GRNN和MCMC估计方法的返真性进行比较。结果表明,小样本的情况下,基于GRNN集成方法的参数估计结果优于MCMC方法。     

Learning of novel semantic relationships via sudden comprehension is associated with a hippocampus-independent network

Sudden comprehension—or insight—during problem-solving can enhance learning, but the underlying neural processes are largely unknown. We investigated neural correlates of learning from sudden comprehension using functional magnetic resonance imaging and a verbal problem-solving task. Solutions and “solutions” to solvable and unsolvable verbal problems, respectively, were presented to induce sudden comprehension or continued incomprehension. We found activations of the hippocampus, medial prefrontal cortex (mPFC), amygdala, and striatum during sudden comprehension. Notably, however, mPFC and temporo-parietal neocortical structures rather than the hippocampus were associated with later learning of suddenly comprehended solutions. Moreover, difficult compared to easy sudden comprehension elicited midbrain activations and was associated with successful learning, pointing to learning via intrinsic reward. Sudden comprehension of novel semantic associations may constitute a special case of long-term memory formation primarily mediated by the mPFC, expanding our knowledge of its role in prior-knowledge-dependent memory.     

The Term “Self-Directed Learning”—Back to Knowles,or Another Way to Forge Ahead?

The term self-directed learning has since its seminal definition in 1975 by Malcolm S. Knowles acquired a range of meanings, which has led to communication difficulties about this subject. Examination of self-directed learning from a biblical ontological–anthropological perspective reveals that, although the notion of self-directed learning as a mechanistic or deterministic process should be questioned, Knowles and colleagues were correct in ameliorating the “process part” of the definition of self-directed learning by emphasizing the freedom and agency of the learner as steward of creation. Researchers wishing to deviate from the approach by Knowles and colleagues are compelled to explain what the term designates in their particular project.     

Statewide Implementation of Cognitive Behavioral Therapy for Psychosis Through a Learning Collaborative Model

Cognitive Behavioral Therapy for Psychosis (CBTp) is an evidence-based psychotherapeutic intervention (EBPI) for adults with schizophrenia spectrum disorders that remains under-implemented in the United States (U.S.). There has been little empirical attention on implementation and dissemination strategies for this EBPI. The Learning Collaborative (LC) model is a method of implementing evidence-based practices across agencies and geographic regions that may facilitate CBTp implementation and dissemination in the US.We applied the LC model in an attempt to enhance the accessibility of CBTp in community mental health settings statewide. Providers (N = 56) from 12 agencies voluntarily participated in an in-person, CBTp workshop followed by 6 months of biweekly phone-based consultation sessions (Phase 1). Twenty-one providers opted to participate in an additional 6-month CBTp LC immediately following completion of the initial CBTp LC (Phase 2). Adoption, penetration, provider-perceived skill development, fidelity, as well as provider-perceived implementation barriers were re-assessed during and 6 months after completion of Phase 2.One year after the completion of the Phase 2 LC, 21% of the original trainee group across 3 of the 12 participating agencies continued to offer CBTp to clients. CBTp trainees were treating between one and two clients each. Self-assessed CBTp skills improved modestly over the Phase 2 consultation period. On average, both clinicians and supervisors reached an acceptable fidelity score on the sessions reviewed. Participating providers identified multiple barriers to CBTp implementation, including features of the training and consultation, the agency, the intervention itself, and psychosocial and clinical challenges associated with the client population.Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the LC model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Identified challenges and recommendations should be considered in future implementation efforts.