ACHIEVING AND MAINTAINING COMPLIANCE WITH THE KETOGENIC DIET

The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

SEQUENTIAL APPLICATION OF MAJOR HABIT-REVERSAL COMPONENTS TO TREAT MOTOR TICS IN CHILDREN

In this study, we sequentially administered up to four components of the habit-reversal treatment to 4 children with motor tics within a multiple baseline design. The habit-reversal components included (a) awareness training; (b) awareness training and self-monitoring; (c) awareness training, self-monitoring, and social support; and (d) awareness training, social support, and the use of a competing response. Results demonstrated that the combined use of awareness training, social support, and competing response training was effective in eliminating motor tics in 2 of 4 children, that awareness training alone was effective for 1 child, and that a combination of awareness training and self-monitoring was effective for the 4th child. The treatment and ensuing improvement were found to be socially valid. We discuss possible explanations for these results and recommend directions for future research.     

On optimal smoothing and derivative estimation from noisy displacement data in biomechanics

Estimating derivatives from noisy displacement data is a notoriously ill-posed problem in signal processing and biomechanics. Following the work of Wood and Jennings (1978) and Hatze (1979, 1981), the present paper describes the use of optimally regularized, natural quintic splines for estimating smoothed positions, velocities, and accelerations from equidistantly sampled, noisy position measurements. It appears that the nature of the boundary conditions of the data is of some importance, since various algorithms used hitherto result in artefacts throughout the data if the true derivatives at the record ends differ significantly from zero. Natural quintic splines do not suffer from this disadvantage below the third derivative.The ill-posed character of movement analysis has some interesting implications for movement synthesis and optimization, similar to the indeterminacy of muscular co-contraction from merely external, biomechanical measurements.     

Beyond the relational principle of reinforcement

Behavior under baseline conditions in which the contingency is absent can shed some light on the individual's performance under a schedule, but is insufficient as a basis for prediction of performance. This insufficiency of the baseline data runs counter to a recent formalization of the relational principle of reinforcement (Donahoe, 1977). A more satisfactory predictive model must incorporate not only the baseline level of the instrumental response and that of the contingent response, but also the schedule requirements, the character of each response in relation to the other, and the behavior required in simply switching from each to the other.     

Parameters for vowel substitutions in Broca''s aphasia

Most phonological investigations of aphasic speech have focused on consonants. In this study, the vowel substitutions of five English-speaking Broca's aphasics were investigated with respect to several major explanatory hypotheses. An important possible motivating factor for aphasic substitutions, phonological environment, is an unlikely origin for these errors, since most substitutions occur along the paradigmatic axis. Another prominent hypothesis, markedness, also has no predictive power for the data of this sample. However, an analysis of the five Chomsky and Halle (1968, (The Sound Pattern of English), New York: Harper and Row) vowel features indicates that the two features for vowel height are selectively impaired: There is a strong tendency for lower vowels to replace higher targets. Moreover, the substitution sounds tend to be close to their target sounds along the height axis. Four possible hypotheses are advanced to account for this consistent lowering tendency.     

The use of a self-control package to enhance temporal generality of a parent training program

The purpose of the present study was to examine the effectiveness of a self-control package in enhancing temporal generality of a parent training program. Sixteen mothers and their clinic-referred noncompliant children were assigned to either a parent training alone group, or a parent training plus self-control group. All mother-child dyads were treated individually by teaching the mother to reward compliance and other prosocial behavior, and to use time-out for noncompliance. In addition, mothers who also received self-control training learned to self-monitor their use of their new parenting skills and to reinforce themselves for use of the skill during a 2 month follow-up period. Assessment consisted of four home observations by independent observers prior to treatment, after treatment, and at a 2 month follow-up. The data indicated that the children in the parent training plus self-control group were significantly more compliant and less deviant at the 2 month follow-up than the children in the parent training alone group. Parental behavior did not differ between the two groups at the follow-up.