A PARTICIPATIVE MANAGEMENT APPROACH FOR IMPROVING DIRECT-CARE STAFF PERFORMANCE IN AN INSTITUTIONAL SETTING

The present study evaluated a participative management approach for increasing the frequency of interactions between institutional staff and severely/profoundly retarded residents. The participative management approach involved teaching staff how to use self-monitoring, standard setting, self-evaluation, and self-reinforcement procedures. These procedures were then used by staff with minimal involvement of supervisory personnel. Although supervisors provided feedback and praise to staff for using these self-management behaviors, feedback and praise were never dispensed contingent on staff interactions with residents. Results indicated that during the participative management program there was an increase in staff interactions that were contingent on appropriate resident behavior. The increase in this type of staff interaction was accompanied by an increase in appropriate resident behavior. Follow-up data on both staff and resident behaviors, although showing moderating trends, suggested generally good maintenance of the initial behavior changes. Acceptability data suggested that staff were quite receptive to the program. The advantages of participative management procedures for improving staff performance in residential settings are discussed.     

Probability of directional errors with disordinal (qualitative) interaction

In a factorial design with two or more factors, there is nonzero interaction when the differences among the levels of one factor vary with levels of other factors. The interaction is disordinal or qualitative with respect to a specific factor, sayA, if the difference between at least two levels ofA is positive for some and negative for some levels of the other factors. Using standard methods of analysis, there is a potentially large probability of drawing incorrect conclusions about the signs of differences in the presence of disordinal interaction. The maximum probability of such incorrect conclusions, or directional errors, is derived for two-factor designs in which the factor of interest has two levels and the number of levels of the other factor varies.     

Parental divorce as a factor in children''s perception of human relationships: An analysis of human movement responses in the Rorschach test

The subjects were 108 Swedish children between 10 and 12 years old, who constituted a divorce and a non-divorce group of 27 girls and 27 boys each. Rorschach Tests were administered individually and human movement responses were analysed. Non-divorce children perceived more cooperative and fewer hostile interactions than the divorce children. Responses containing figures engaged in hostile interaction were most common among divorce girls, whereas the divorce boys had difficulties in perceiving any interaction whatsoever. The different effect of parental divorce on the ability of girls and boys to develop satisfactory social relationships is discussed.     

Thoughts and feelings and things: A new psychiatric epistemology

Epistemology — the study of knowledge — is a philosophical discipline with close ties to psychiatry. When epistemologists address specific questions about how knowledge is actually realized by human beings, their philosophy must be informed by empirical studies of the sort psychiatrists now take up in a variety of forms. As this paper describes, psychiatrists can likewise improve their understanding of human psychology through a deeper appreciation of philosophical analysis in epistemology.The aim of this article is to introduce a unifying framework within which the experience from different approaches to psychiatry — (1) the conceptual schemas of cognitive psychiatry, (2) the mental structures of psychoanalytic psychiatry, (3) the categorical forms of existential psychiatry, and (4) the neural pathways of biological psychiatry — can all be applied productively to the central question of epistemology. By establishing a broad understanding of the problem of knowledge, this new view of epistemology is developed within the idiom of each psychiatric approach. In addressing themselves to a unitary problem, these diverse psychiatric approaches are themselves revealed, not as competing points of view, but as complementary views of a single subject. The result is a new epistemology that can not only bring the insights of psychiatry to philosophy, but can also contribute to the care of patients when psychiatrists bring this broader view to their clinical work.     

TRAINING FAMILY THERAPISTS: AN EXPERIMENTAL ANALYSIS

This study implemented and evaluated a training program (a written manual, videotaped models, rehearsal, role plays, and performance feedback) designed to teach five subjects the skills to become effective family therapists. The study examined the therapists' use of three target behaviors: instructing, informing, and praising. The therapists, each paired with a parent and a preschool-aged child (2 1/2–4 1/2 yr old), were trained in the clinic to use, and to teach to the parents, several behavioral skills (e.g., praising, planned ignoring, and time-out) relevant to teaching children compliance to parental instructions. A multiple-baseline design across triads (therapist/parent/child) demonstrated that after the training program was instituted, the therapists increased their rates of instructing, praising, and informing the parents; all parents increased attention to compliance, decreased attention to noncompliance, and increased rates of praise to their children; and all children increased their compliance and decreased their noncompliance.     

Social interactions as predictors of children's likability and friendship patterns: A multiple regression analysis

The concurrent and predictive validity of four qualitative behavioral classes of social interaction (initiating and receiving positive and negative social interaction) was investigated using sociometric measures of peer acceptance (ratings) and friendship (nominations). Correlational analyses showed significant relationships between behavioral and sociometric measures supporting previous work with preschool populations. Stepwise multiple regression analyses suggested that receiving social interaction from peers best predicted overall acceptance, whereas initiating social interactions best predicted children's friendship patterns. Tentative implications for the behavioral assessment of children's social skills were discussed.The current data were gathered as part of a larger research project concerning social skills assessment and training in children.     

WITHDRAWAL OF CHRONIC CHLORPROMAZINE MEDICATION: AN EXPERIMENTAL ANALYSIS

Approximately 50% of all institutionalized, mentally retarded adults receive psychotropic medication to control inappropriate behavior. In this study, behaviors exhibited by five retarded adults were formally observed while they were on and off medication. Each subject had been receiving chlorpromazine for six or more years prior to the start of the study. The drug was withdrawn and readministered using a double-blind B-A-B (drug-placebo-drug) design. Effects were highly individualized. Some desirable behavior emerged when chlorpromazine was discontinued.     

Effects of peer social initiations on the behavior of withdrawn preschool children

Social approach to peers was evaluated as an intervention for isolate preschoolers. During baseline, confederate peers made few social approaches to the target subjects. Confederates greatly increased their rate of social approaches during the first intervention, decreased social approaches during a second baseline, and increased social approaches again in a second intervention phase. Increases in confederate social initiations immediately increased the frequency of subjects' positive social behavior. Additionally, five of six subjects showed an increase in their own positive social initiations during intervention periods. The results suggest that: (a) peers may be programmed to increase the positive social behaviors of their isolate classmates, and (b) remediating social deficits requires assessment and intervention specifically tailored to the individual child.     

Children's strategies in producing three-dimensional relationships on a two-dimensional surface

It is a common task to give children a picture containing implicit depth cues and to require them to extract depth information from it. The cues are always selected from the adult repertoire; little is known about children's production of their own cues. In this experiment, 5- to 10-year-old children were required to draw one object behind another in a situation in which adults invariably produce the further object partially occluded by the nearer. The results were an age-related decline in the tendency to segregate the objects and an increase in the tendency to group the objects using partial occlusion, with a cross-over at 8 years. At all ages some children drew one object inside the boundary of the other. It is argued that the results are composed of two tendencies, a gradual mastery of discrete scaling phenomena (e.g., “up” on the page means “further”) within a given style, and a set of decisions to be made between incompatible styles.