Comprehensive school-based behavioral assessment of the effects of methylphenidate.

Individualized assessments of the effects of three doses of methylphenidate (MPH) were conducted for 2 students with attention deficit hyperactivity disorder within each child's classroom using behavioral, academic, and social measures. A double-blind, placebo-controlled, multielement design was used to evaluate the results. Results suggested that at least one or more dosages of MPH were associated with some degree of improvement for both children in each area of functioning as compared to placebo. However, the degree of improvement at times varied substantially across dosage and area of functioning. Results suggest that MPH dosage and area of child functioning are critical assessment parameters and that controlled clinical trials are necessary to optimize the effectiveness of treatment with MPH for the individual child.     

Relationships between assessment and treatment within a behavioral perspective

Three alternative strategies to link assessment and treatment within a behavioral perspective are described. First is the functional analysis in which the maintaining variables of the target behavior are identified in assessment and modified in treatment. Although this strategy appears to be frequently successful based on positive treatment outcome, critical tests are seldom done: hypothesized functional analyses are not tested prior to intervention; nor is treatment outcome based on one functional analysis pitted against treatment outcome based on an alternative functional analysis. The second strategy is the keystone target behavior strategy. From among multiple possible target behaviors, one is selected for intervention that produces therapeutic response covariation. The third strategy is the diagnostic strategy. A treatment is selected for a particular client based on its overall success in treating a particular disorder. Empirical comparisons are needed to evaluate the effectiveness of these different strategies, linking assessment and treatment for different disorders.Portions of this paper were presented as invited addresses at the meetings of the Association for Advancement of Behavior Therapy, Philadelphia, November 1984, and of the American Psychological Association, Washington, DC, August 1986.     

Expected performance at the human/computer interface as a function of user proficiency and system power

How do managers expect the proficiency of users and the power of the computers to determine overall performance? Five different models are proposed: (a) a matching model in which optimal performance is achieved when the power of the system is judged to be compatible with the proficiency of the user, (b) an averaging model in which expected performance is the average of the values of user proficiency and system power, (c) a multiplying model in which performance is the product of the values of user proficiency and system power, (d) a human/computer ratio model in which performance is determined by the ratio of system power over total effort, and (e) a computer/human ratio model in which performance is determined by the ratio of user proficiency over total effort. The applicability of these models was assessed by having managers and students of management predict performance in human/computer systems from information about the user's proficiency with computers and the power of the system. Participants rated 16 combinations of user proficiency and system power from a 4 × 4 factorial design. The pattern of ratings indicated that 51 per cent used a multiplying model and 25 percent used an averaging model; whereas, only 6 percent used the matching model and 4 percent used a ratio model. The remaining 14 percent did not follow any model clearly. Implications of these results were discussed for the design of the human/ computer interface, training and selection of users, and the cost-benefit tradeoffs for investment in user training versus equipment acquisition.     

Forensic neuropsychology: The art of practicing a science that does not yet exist

Despite its future promise, neuropsychological evidence generally lacks scientifically demonstrated value for resolving legal issues, and thus, if admitted into court, should be accorded little or no weight. In support of this contention, examples of problems and limits in forensic neuropsychology are described. These include contrasts between the clinical and forensic context; the base-rate problem; lack of standardized practices; problems assessing credibility or malingering; difficulties determining prior functioning, limits in the capacity to integrate complex data; and the lack of relation between judgmental accuracy and education, experience, or credentials. Some possible counterarguments are also addressed.     

慢性乙型肝炎诊断和治疗方法学探讨

探讨慢性乙型肝炎诊断和治疗的方法学。仔细谨慎评价病毒载量等指标,客观准确地把握治疗时机,重视情绪障碍和营养不当,恰当选择抗病毒治疗方案。尽力形成慢性乙型肝炎诊断和治疗的完善方法系统。     

In vivo functional assessment and multi-element interventions for problem behaviors of students with disabilities in classroom settings

Persons with developmental disabilities often do not follow instructions or complete tasks in educational settings, thus further disadvantaging themselves as they try to lead more normalized lives. The purpose of this paper was to address the problems of three persons referred for not following instructions and for engaging in associated behavior problems (e.g., crying, hitting, throwing materials) when given instructions. A functional assessment was conducted in the natural school setting without any prescribed conditions as in analogue functional assessments. Results of the assessments showed that problem behaviors for two subjects occurred much more in demand conditions requiring active responses than in demand conditions requiring passive responses. The results for a third subject showed problem behaviors were associated with toileting demands, less so with other demand conditions, but not with conditions in which there were an absence of demands. Individualized multi-element interventions were based on the negative reinforcement hypothesis and were intended to make tasks less aversive and to make instructions easier to understand. Results of the interventions showed increases in task engagement and decreases in problem behaviors during the active tasks and toileting tasks for which interventions were programmed, as well as for the passive tasks and other demand conditions for which no interventions were programmed. Results were discussed in terms of the value of functional assessments in directing therapists to base interventions on hypotheses of the function of the presenting problem.     

Arguments in the practical reasoning underlying constructed probability responses

Reasoning is an important cognitive activity in probability assessment, and one that has been understudied. This proposition motivates the paper's three general aims. First, based on research in rhetoric, we present a theoretical means of analyzing the arguments constructed during the reasoning that occurs in probability assessment. Second, from verbal protocol data, we establish that subjects constructed arguments in forming beliefs and assessing the associated probabilities. Third, we analyze the data for the structure of subject's arguments, including argument content and form. Subjects used a limited amount of relevant evidence and used a variety of argument forms that could be characterized by the nature of the knowledge that subjects brought to bear in forming the arguments. Subjects predominantly used causal reasoning, but also employed hierarchical category knowledge, resemblance relationships, and arguments from authority. These findings form a basis for expanding our accounts of probability assessment and for improving assessment practice.     

Integrating core conflictual relationship themes in neurobiological assessment of interpersonal processes in psychotherapy

Interpersonal processes are a key target in counselling and psychotherapy. It is of paramount importance to sharpen their assessment using integrated methods. Hence, this methodological paper describes how fields of research in psychotherapy and neuroimaging can be integrated into one novel complementary neurobehavioural paradigm that can be applied to enhance our understanding of interpersonal processes in psychotherapy. To illustrate this integration, we present selected data from a pre–post pilot study where the authors assessed interpersonal processes in brief treatment for borderline personality disorder using the core conflictual relationship theme, functional magnetic resonance imaging (fMRI) and outcome questionnaires. To do so, they measured individual changes in neural activity using an fMRI task pre‐ and post‐treatment where clients gave feedback on the emotional valence of sentences extracted from their own Relationship Anecdotes Paradigm interviews mixed with neutral ones. In this paper, using data from two participants of said study, we discuss how to implement this methodology and what can be achieved in terms of results.     

心理咨询效果评价模型初探

简述了心理咨询效果评价的历史与现状,对有关模型进行了述评,并围绕心理咨询效果评价的核心问题提出了4-维模型。其中内容维度由积极心理和消极心理组成,报告人维度由当事人、专业人员和知情者组成,方法维度由实证方法和现象学方法组成,时间维度由即时、中期、跟踪和总结组成。我们期望该模型不仅可用于分析心理咨询效果评价研究,而且能对今后的研究有一定的指导意义。