Noncompliance in hemodialysis patients as measured with the MBHI

Abstract

Fifteen patients beginning maintenance hemodialysis due to renal failure were administered the Millon Behavioral Health Inventory, the Family Environment Scale and Beck Depression Inventory at the outset of treatment. They were then followed regarding their compliance with fluid, diet and medication, using weight change and serum potassium and phosphorus levels. Statistically significant differences were found on independence/dependence conflicts and between patients showing at least moderate noncompliance with weight and/or phosphorus limitations. Significantly higher levels of depression were associated with consistently poorer compliance patterns.     

家庭游戏中的母亲控制策略与儿童顺从行为

以42个3岁儿童及其母亲为被试,考察在家庭自由游戏中母亲的控制策略和儿童的顺从行为之间的关系。结果表明：（1）在亲子交往中,母亲使用直接命令的频次最多,间接命令次之,否定控制最少。（2）3岁儿童对母亲控制的顺从率为56．1％;在儿童的不顺从行为中,无技巧不顺从占优势,其中消极不顺从的频次最多。（3）母亲的弱控制策略与儿童的顺从行为相关最高;强控制策略与儿童的无技巧不顺从相关最高。（4）在儿童不顺从时,母亲的弱控制策略容易导致儿童的顺从行为,强控制策略则容易导致儿童的情境性顺从行为。     

A case of subcortical dementia due to sarcoidosis of the hypothalamus and fornices

A patient with sarcoidosis involving predominantly the hypothalamus and fornices was evaluated for dementia. He showed a relative sparing of fund of knowledge and orientation. Memory skills, particularly short-term memory, were severely impaired. Behavioral changes included apathy and a lack of spontaneity. Insight was relatively preserved. The pattern of his deficits showed some similarities to the pattern reported in patients with Huntington's disease and was different from that described in Alzheimer's disease. The dementia caused by subcortical pathology may differ in important respects from that caused by diffuse cortical dysfunction.     

A comparison of attentional and control shift models of the performance of concurrent tasks

A concurrent verbal task was superimposed upon the performance of a practiced bimanual motor skill by right-handed Ss. Addition of the verbal task did not increase the total number of errors; however, a significant interaction between hands and conditions was observed. The right hand made significantly more errors under the verbal condition, while the left hand made non-significantly fewer errors under that condition. These findings were interpreted as supporting an attentional model rather than a model which proposes that addition of the verbal task causes control of the right hand to shift to the non-verbal right hemisphere.     

DIFFERENTIAL REINFORCEMENT OF OTHER BEHAVIOR AND NONCONTINGENT REINFORCEMENT AS CONTROL PROCEDURES DURING THE MODIFICATION OF A PRESCHOOLER'S COMPLIANCE1

Differential reinforcement of other behavior (DRO) and noncontingent reinforcement were compared as control procedures during the modification of a 3-yr-old preschooler's compliance. The recorded reinforcer was teacher proximity (within 3 ft (0.9 m) of the subject for at least 5 sec) which was often accompanied by positive verbal comments that varied in content across experimental conditions. The verbal content during contingent reinforcement might have been: “Thank you for picking up the blocks”; during noncontingent reinforcement: “You're wearing a pretty dress”; and during DRO: “I don't blame you for not picking up because it isn't any fun”. Contingent reinforcement increased compliance in all manipulation conditions. Noncontingent reinforcement decreased compliance during two reversal conditions. However, the behavior was variable and did not decrease to the low levels reached during the two DRO reversals.     

Resolving contradictory findings on sex and social class differences in children's responses to reinforcement

Contradictory results have been reported on the effectiveness of various reinforcers with children of different ages and socioeconomic classes. The present study considered the relative effectiveness of two types of verbal and one type of tangible reinforcement on a two-choice discrimination task (marble-in-the-hole) for preschool children. IQ and operant level were treated as covariates and accounted for the observed differences in performance between the 24 middle-class and 24 lower-class children and between the 24 males and 24 females. Disparate findings of previous studies regarding sex and social class differences might have been reconciled if baseline and IQ had been considered.     

Individual differences in cognition: Some relationships between personality and memory

Individual differences in cognition were studied in the form of the hypothesis that arousal, as indexed by personality measures of extraversion and neuroticism, affects the way in which verbal material is organized in memory. Subjects pretested on measures of these personality variables participated in either a paired-associates learning or a free-recall experiment. On the paired-associates task, subjects who were thought to be high on arousal made fewer errors when response terms were semantically similar than low arousal subjects. On the other hand, subjects thought low on arousal made fewer errors when response words were phonetically similar than high arousal subjects. On the free-recall task, low arousal subjects were found to cluster words together on the basis of semantic category at a higher rate than high arousal subjects. These results were taken to support the view that high arousal (as indexed by personality measures) leads to a focus on the physical aspects of verbal material, whereas low arousal leads to a memory organized around semantic aspects. The implications of these findings for other views of memory are discussed.     

The effect of continuous, intermittent, and "placebo" reinforcement on the effectiveness of the conditioning treatment for enuresis nocturna

It has been suggested that intermittent reinforcement may be of value in reducing the rate of relapse in bedwetting conditioning therapy. An experiment was conducted with 30 enuretic boys to examine acquisition and extinction parameters of continuous (100%), intermittent (70% variable ratio), and “placebo” (0%) reinforcement schedules. Reinforced trials were administered as in the typical Mowrer conditioning procedure. Non-reinforced trials were achieved by means of a time delay with the subsequent alarm being activated in the parent's room rather than in the child's room. These procedures required the development of a new conditioning device which could be programmed to automatically administer the desired schedule of reinforcement. The results of the field investigation revealed that continuous reinforcement (CR) and intermittent reinforcement (IR) groups attained acquisition in approximately the same number of trials and with essentially the same success rate. Relapse rate was significantly greater in the CR group than in the IR group. The placebo group showed no improvement over the 6 weeks of treatment. The results of this study may be interpreted as supporting the tenet that relapse can be viewed and treated as an extinction of the acquired response.