Teacher-control versus student-control over choice of task and reinforcement for students with severe behavior problems

Increasing self-control for students with severe disabilities is an important step toward normalization. The classroom is one setting in which opportunities for self-control can be created. The effects of teacher-control versus student-control over academic task and reinforcement selection were evaluated for three 11-to 13-year-old males with severe behavior problems. Under student-control conditions students were able to select rewards and tasks from lists generated by the teacher; in the teacher-control conditions, the teacher selected rewards and tasks but attempted to make similar selections to those made by the students. An alternating treatments design was implemented. In Phase 1, task completion was the target behavior; in Phase 2 task accuracy was the target behavior. Task performance improved when the student, rather than the teacher, had control over task assignments and choice of reinforcement. While either student control of reinforcement or student control of task assignment resulted in higher performance than did teacher-control, the most effective instructional situation was the two procedures combined. This effect was apparent even when students and teachers selected the same tasks and the same reinforcers. Implications for increasing student-control over some classroom decisions are discussed.deceased.     

Reporting experiences of panic: Sex differences in a community survey

This report aims to look at whether the results of a community survey of the prevalence of panic attacks and panic disorder could be influenced by a possible sex difference in the willingness to return screening questionnaires and to acknowledge psychiatric symptoms. The results suggest that men are less likely to return questionnaires, and that this effect is more marked in the younger age groups. This could indicate that an important group of people is being under-represented in prevalence figures for panic and possibly other psychiatric diagnoses.     

Social support after the loss of an infant child: A long-term perspective

The article presents findings from a survey among 251 parents whose infant child had died. For most of the parents, the loss occurred several years ago. The survey assessed the amounts of instrumental, emotional and informational support received by these parents from various sources in connection with the death. The findings revealed that different sources provided different kinds of support. There was only one significant difference between bereaved males and females with regard to amount of support: females received more emotional support from their friends than males did. Furthermore, large amounts of support received by one spouse was associated with a similar level of support received by the other spouse. Social support in connection with the death was to some extent related to long-term psychological adaptation. Particularly support from neighbours and professionals was consistently associated with psychological adaptation. In general, however, the findings with regard to long-term effects of social support were ambiguous.     

Social processing errors among paranoid personalities

The present study tested clinical hypotheses about the social processing attributes of paranoid personalities (PP). Eighteen PPs and 18 normal controls (NC) viewed standardized role plays (Dodge, 1986) in which a provocation occurred but the protagonist's intention varied (i.e., ambiguous, accidental, hostile, or prosocial). Subjects identified the intention behind the action and then chose a response to that action (e.g., ignore what he did). The results indicated that PPs and NCs did not differ on intentioncue detection when the intention was clear, but PPs had a significantly higher rate of misreading ambiguous situations. Furthermore, when intentions were ambiguous, PPs were more likely than NCs to identify them as hostile intentions. Finally, PPs' reactions to the vignettes were different from normal controls' when the perceived intention was either prosocial or accidential. PPs were more likely to respond with anger and less likely to ignore the event, compared to NCs. These data provide initial support for clinical notions about the aberrant social processing of paranoid personalities.     

A Multitrait-multimethod examination of Minnesota Multiphasic Personality Inventory (MMPI) and Millon Clinical Multiaxial Inventory (MCMI)

Recently, certain Minnesota Multiphasic Personality Inventory (MMPI) and Millon Clinical Multiaxial Inventory (MCMI) scales have seen increasing usage for the measurement of DSM-III personality disorders. The current study sought to identify the convergent and discriminant validity of these two sets of scales for this purpose. In general, the results indicated significant convergence across the two instruments. However, better convergent validity was found for scales representing those DSM-III disorders which are most consistent with the typology upon which the MCMI was based. In particular, convergent and discriminant validity results were poorest for Compulsive, Antisocial, and Passive-Aggressive personality scales.     

Physiological and symptom responses to hyperventilation: A comparison of frequent and infrequent panickers

Ten subjects with panic disorder and ten subjects with infrequent panic attacks were assessed during 2 min of voluntary hyperventilation using four measures of physiological arousal (heart rate, upper trapezious EMG, skin conductance, and digital skin temperature). Immediately following hyperventilation, subjects were asked to rate their degree of distress on 13 panic symptoms, derived from DSM-III criteria for panic disorder. Results indicated that frequent panickers had significant overall elevations in trapezious EMG, relative to infrequent panickers, and demonstrated a slight increase in muscle tension following hyperventilation. In contrast, infrequent panickers showed a trend toward greater vasodilation preceding and during hyperventilation, with subsequent vasoconstriction upon resumption of normal breathing. Increases in skin conductance and heart rate were noted for both samples during hyperventilation, as reported in prior research. Symptom distress ratings indicated that the infrequent panickers reported significantly greater distress from dizziness and trembling in response to overbreathing, contrary to prediction. Implications of these findings are discussed in light of current accounts of cognitive and physiological factors in the etiology of panic attacks and panic disorder.This research was supported by Biomedical Research Support Grant #507RR07147, National Institutes of Health.     

Parent-perceived child behavior problems: Comparison of normative and clinical factors of the Adelaide-Conners Parent Rating Scale

The Adelaide-Conners Parent Rating Scale (APRS), an instrument developed by studying a large, representative group of schoolchildren, was used with a group of psychiatry attenders. Multimethod factor analysis found satisfactory agreement between the factor structures of the clinical and the normative groups. The patterns of scores on the 12 APRS scales were also compared. Two higher-order factors (Conflict with the Environment and Conflict within the Self) were identified in the clinical sample as previously found in the normative group. Comparison of the factor solutions with previous empirical efforts to identify parent-perceived patterns of child behavior disorder showed that the APRS compares well with other instruments and supports the strategy of proceeding from the study of normative populations to the study of clinically defined groups.This work was supported in part by a grant from the Department of Health, Canberra.     

Transient versus enduring depression among alcoholics in inpatient treatment

The purposes of this study are (1) to determine the incidence of significant clinical depression among alcoholics at treatment intake at a Veterans Medical Center, (2) to subdivide alcoholics who show significant clinical depression into enduring and transient depressive subgroups, and (3) to identify demographic and psychometric variables useful in discriminating between these two subgroups. Results indicate that of the 60% of VA inpatient alcoholics who showed evidence of significant clinical depression at intake, approximately equal numbers met criteria for inclusion in transient and enduring depressive subgroups. Patients with enduring and transient depression, as defined in this study, were differentiated on the basis of age, drinking pattern, and selected scales from two psychometric instruments which measure depression, confused and disorganized thinking, and an avoidant personality style. These findings may be useful in assisting clinicians in differentiating between alcoholic patients with transitory depression associated with alcohol consumption and/or withdrawal and alcoholic patients with more serious and enduring depression, which may require additional pharmacologic and/or psychotherapeutic intervention.     

Diagnostic accuracy of the Millon test computer reports for bipolar affective disorder

The diagnostic accuracy of the Millon Clinical Multiaxial Inventory (MCMI) computer reports was assessed for the sample of 48 patients reliably identified as having bipolar affective disorder. Only 13 of the 48 reports were accurate in classifying the patients as having bipolar affective disorder, and this was significantly (p < .01) less than 50% of the cases. The diagnostic accuracy clearly left much to be desired. Additional research is needed to assess the validity of MCMI diagnostic suggestions for other patient groups.