Clinical Frequencies Recording System: Standardizing staff observations by event recording

Certain aspects of staff performance and resident behavior are less adequately assessed by standardized time sampling procedures than by complete recording of the incidence of specified events. An approach to gathering such data through systematizing the observations of clinical staff — the Clinical Frequencies Recording System — is described. Scores from the Clinical Frequencies System reflect the rate per opportunity with which individual behaviors are performed, with computer summarization providing higher-level behavioral indexes for research and evaluation purposes. Staff training and system implementation are discussed, and reliability and validity data from a system employed on two different treatment units over a period of several years are presented.The research reported in this article was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Do we listen to advice just because we paid for it? The impact of advice cost on its use

When facing a decision, people often rely on advice received from others. Previous studies have shown that people tend to discount others’ opinions. Yet, such discounting varies according to several factors. This paper isolates one of these factors: the cost of advice. Specifically, three experiments investigate whether the cost of advice, independent of its quality, affects how people use advice. The studies use the Judge–Advisor System (JAS) to investigate whether people value advice from others more when it costs money than when it is free, and examine the psychological processes that could account for this effect. The results show that people use paid advice significantly more than free advice and suggest that this effect is due to the same forces that have been documented in the literature to explain the sunk costs fallacy. Implications for circumstances under which people value others’ opinions are discussed.     

Using a System of Least Prompts Procedure to Teach Telephone Skills to Elementary Students with Cognitive Disabilities

Using the telephone to contact others can be an important skill in maintaining friendships with peers. This investigation used a system of least prompts (SLP) procedures to teach two telephone skills to 3 elementary students with cognitive disabilities: (a) placing phone calls and (b) leaving recorded voicemail messages. The SLP procedure was effective in teaching both skills to all 3 students. Results for maintenance and generalization, however, were mixed. This investigation was completed to partially satisfy the thesis requirement for a Master’s degree at the University of Kentucky.     

Outcomes from Multisystemic Therapy in a Statewide System of Care

We examined client outcomes from the implementation of Multisystemic Therapy (MST) in a statewide child and adolescent mental health system. Specifically, we examined (1) the validity of therapist-rated MST outcome measures by comparing them to ratings of functional impairment and level of service needs by CAMHD care coordinators, who provide case management and care coordination services, (2) potential client and service predictors of therapist-rated outcomes, and (3) improvement in youth functioning around the time of entry to and exit from MST compared with rates of improvement reported in randomized controlled trials (RCTs) by the developers of MST. Results suggested that therapist-rated MST outcomes were valid indicators of treatment success. Similar to other findings in the MST literature, few client or service characteristics predicted these outcomes. Finally, although MST entry–exit effect sizes were lower than the mean derived from RCTs published by the developers, they were within the 95% confidence interval. Together, these findings support the implementation of MST in complex systems of care with continued attention to quality assurance and ongoing use of data for evaluation.     

Combined reasoning by automated cooperation

Different reasoning systems have different strengths and weaknesses, and often it is useful to combine these systems to gain as much as possible from their strengths and retain as little as possible from their weaknesses. Of particular interest is the integration of first-order and higher-order techniques. First-order reasoning systems, on the one hand, have reached considerable strength in some niches, but in many areas of mathematics they still cannot reliably solve relatively simple problems, for example, when reasoning about sets, relations, or functions. Higher-order reasoning systems, on the other hand, can solve problems of this kind automatically. But the complexity inherent in their calculi prevents them from solving a whole range of problems. However, while many problems cannot be solved by any one system alone, they can be solved by a combination of these systems.We present a general agent-based methodology for integrating different reasoning systems. It provides a generic integration framework which facilitates the cooperation between diverse reasoners, but can also be refined to enable more efficient, specialist integrations. We empirically evaluate its usefulness, effectiveness and efficiency by case studies involving the integration of first-order and higher-order automated theorem provers, computer algebra systems, and model generators.     

Sequence and Timing of Three Community Interventions to Domestic Violence

Community responses to domestic violence typically involve the introduction of multiple interventions. Yet very little is known about the impact of the timing and sequencing of these interventions on community outcomes. A reason for this is the inherent limitations of traditional methods in social science. New methods are needed to understand the effect of varying the sequence and timing of interventions. This study responds to the issue by introducing system dynamics as a method for modeling community interventions. The paper presents a model of domestic violence cases moving through a criminal justice response, and uses the simulation model to evaluate the impact of implementing three interventions—mandatory arrest, victim advocacy, and changes in level of cooperation—on two system-level outcomes: improving offender accountability and increasing victim safety. Results illustrate the complex nature of these relationships. Implications for community practice and future research are also discussed.     

LES CULS-DE-SAC OF ENLIGHTENMENT AESTHETICS: A METAPHILOSOPHY OF ART

Abstract: This article charts the rise and fall of the Modern System of the Arts and the failure of the aesthetic theory of art to define membership in the so-called system, which, instead, I argue, is and has been, for a long time, merely a historically evolved collection. Rather than endorsing the continued attempt to define Art with a capital A in terms of aesthetic experience, I recommend alternative lines of research for contemporary philosophers of the arts.     

制度伦理视野中的传统文化的现代转换

要适应市场经济发展的需要,适应制度伦理建设的需要,必须要实现传统文化的现代转换。从制度伦理的视角而言,传统文化的现代转换主要包括从农业文明到商业文明,从人治社会到法治社会,从国家主义到以人为本的转换。     

Adaptive Skills and Academic Achievement in Latino Students

Interventions developed to improve adaptive skills can improve academic achievement. The authors expanded this line of research by examining the relationship between performance on a state proficiency exam and adaptive skills classifications on the Behavioral Assessment System for Children, Second Edition parent and teacher reports. Participants included 392 Latino students, Grades 2–6 in a large urban school district. Ordinal regression models were used to assess relationships between student academic proficiency level and adaptive skills classifications. Students classified as having higher adaptive skills by teachers were more likely to be classified as proficient or higher in reading and mathematics. These findings further support the relationship between adaptive skills and academic achievement. Implications for future research and practice are discussed.     

The concept of quality in clinical research

Quality in clinical research may be defined as compliance with requirements together with credibility and reliability of the data obtained. Sponsors usually apply Quality Management Systems (QMS) to ensure, control, maintain, and improve quality. These systems encompass several preventive measures, tools, and controls. Standard QMS applied by clinical research sponsors may be based on ISO 9000. An earlier version of the paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.