ADHD Assessment

Abstract

This study examined effects of negative versus positive symptom formats on the assessment and subsequent classification of ADHD in children in public schools. Symptoms associated with the disorder based on the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) were presented to parents and teachers of referred children according to both types of formats. Informants were then asked to indicate whether the symptoms described the child's behavior over the last six months. Overall, the negatively phrased symptoms appeared to generate response bias which resulted in an increased percentage of children meeting the DSM-IV criteria for ADHD. Additionally, the decision reliability or classification agreement between the two formats was low, suggesting the possibility of confirmation bias in the assessment process. Implications for practice and future research are discussed.     

Clinical Supervision and Professional Development Using Clients from Literature,Popular Fiction,and Entertainment Media

Abstract

The use of clinical supervision is central to mental health work. In this article, the authors propose using practice cases drawn from characters found in literature, popular fiction, biographies, television, and movies as one method for clinical supervision and professional development in the mental health skill areas of client assessment, case conceptualization, diagnosis, and treatment planning. The method is illustrated with clinical formulations pertaining to four practice clients: Scarlett O'Hara; Maya Angelou's Marguerite Johnson; the fairytale character, Hansel; and the Wicked Queen of Disney's Snow White and the Seven Dwarfs. Applications and limitations of the method are discussed.     

Materials used to support cognitive behavioural therapy for depression: a survey of therapists’ clinical practice and views

ABSTRACT

Use of supporting materials in cognitive behavioural therapy (CBT) is widely advocated, and homework increases effectiveness. The study aimed to identify materials most frequently used by CBT therapists to support CBT for depression, and those perceived clinically most effective. Questionnaires were sent to 3665 accredited CBT therapists asking about their use of resources commonly described in CBT manuals, and their views on effectiveness. Of 3665 approached by post/email, 994 (27%) responded. Another 33 completed the questionnaire via the study website. 818/1027 (80%) of respondents were accredited practitioners who deliver one-to-one therapy. Symptom measures, lists of problems/goals, activity schedules, behavioural activation diaries/plans, and case formulation worksheets were used “frequently” or “very frequently” by over 85% of respondents. Sleep diaries and computerised CBT were used least. Most resources were used within and between sessions. Activity schedules, behavioural activation diaries/plans, case formulation worksheets, thought records, and resources to support the identification of conditional beliefs were regarded as most effective. Symptom measures, sleep diaries, and computerised/online materials were considered only moderately effective. Therapists use a wide range of materials to support individual CBT. For delivering CBT, technology-enabled approaches should incorporate a range of materials to enable therapists to tailor treatment effectively.     

Sole Expression: A Trauma-Informed Dance Intervention

The primary treatment for individuals who have encountered violence and/or abuse is trauma-focused cognitive and behavioral modalities. However, these therapeutic approaches are not always effective for youth who have encountered this type of trauma. Trauma is often communicated through the body via physical ailments, particularly when words are insufficient to capture an individual’s experience or when adequate processing of the trauma is not possible due to profound stress. Dance offers an alternative form of therapy that can address “where” the trauma is held, relieve tension, and restore a sense of ownership with one’s body and mind. In this article, we discuss the development of Sole Expression, a trauma-informed hip-hop dance program for youth who have experienced abuse and/or exposure to violence. We provide an overview of establishing the team, securing funding, trauma training, program curriculum, and the related research. We conclude with recommendations for best practices that benefit both practitioners and the young people served.     

I am happy in my faith: the influence of religious affiliation,saliency, and practice on depressive symptoms and treatment preference

Religion is thought to significantly impact numerous areas of mental health, including depression. Using a 63-item questionnaire, the influence of religious affiliation, saliency, and practice on levels of depressive symptoms and treatment preference in a non-clinical sample of Christians, Muslims, Atheists, and Agnostics (N = 471) was investigated. No significant differences in depressive symptoms were found between affiliations. Saliency and frequency of practice had a weak negative correlation with depressive symptoms for Christians, but were not significant for Muslim participants. No significant differences of preference were found between affiliations for social, cognitive, and medical treatments. Treatment preference of religious-based treatments differed significantly between affiliations. Findings suggest that affiliation is not significantly related to depressive symptoms or treatment preference, and the influence of saliency and practice differs between religions. Limitations and implications of the current study are discussed, and directions for further research are identified.     

Physio Kundalini syndrome and mental health

The increasing practice of traditional eastern philosophies within the modern society has highlighted the difficulties of assimilation of these traditions within Western culture. This invariably results in difficulties on the part of the practitioners to integrate these practices into their daily lifestyle. The reasons for these are often complex. One of the contributing factors could be insufficient understanding or acquisition of a superficial interpretation of the eastern tradition or philosophies. The Kundalini concept comes from the yogic philosophy of ancient India and refers to mothering intelligence behind yogic awakening and spiritual maturation. We describe a case of a young male who presented with functional deterioration experiencing psychotic symptoms, which he describes as his Kundalini awakening.     

The Contemplative Bow in Teaching and Learning Pastoral Care

This article elucidates theoretical underpinnings for the use of one's self in the pastoral theological classroom. The contemplative bow is developed as a capacious metaphor to describe appropriate self use and its necessary importance in the teaching and learning of pastoral arts in a theological curriculum. Central to the argument is the assumption that effective teaching and learning in pastoral care emerges from awareness and knowledge of self as well as letting go of self in beneficial service with others. Analytical engagement of educational, theological, and psychological theory informs practice for the professional school classroom.     

Positive psychology: Past,present, and (possible) future

A survey study and two experiments were done to test the hypothesis that social flow is more enjoyable than solitary flow. In the survey study it was found that recalled social flow experiences were rated more enjoyable than solitary flow experiences. In the first experiment when challenge and skill were the same across social and solitary conditions, social flow was reported to be more enjoyable than solitary flow. In the second experiment when the level of social interdependence was manipulated it was found that participants in highly interdependent teams reported more joy in flow than individuals performing less interdependently. In both experiments, people playing simple paddleball games reported and expressed more joy performing with others than alone. Taken together, the three investigations support the conclusion that doing it together is better than doing it alone. Solitary flow, while quite enjoyable, is not as enjoyable as social flow.     

Effects of interlimb practice on coding and learning of movement sequences

An interlimb practice paradigm was designed to determine the role that visual–spatial (Cartesian) and motor (joint angles, activation patterns) coordinates play in the coding and learning of complex movement sequences. Participants practised a 16-element movement sequence by moving a lever to sequentially presented targets with one limb on Day 1 and the contralateral limb on Day 2. Practice involved the same sequence with either the same visual–spatial or motor coordinates on the two days. A unilateral practice condition (control) was also tested where both coordinate systems were changed but the same limb was used. Retention tests were conducted on Day 3. Regardless of the order in which the limbs were used during practice, results indicated that keeping the visual–spatial coordinates the same during acquisition resulted in superior retention. This provides strong evidence that the visual–spatial code plays a dominant role in complex movement sequences, and this code is represented in an effector-independent manner.     

Simultaneous and preceding sounds enhance rapid visual targets: Evidence from the attentional blink

Presenting two targets in a rapid visual stream will frequently result in the second target (T2) being missed when presented shortly after the first target (T1). This so-called attentional blink (AB) phenomenon can be reduced by various experimental manipulations. This study investigated the effect of combining T2 with a non-specific sound, played either simultaneously with T2 or preceding T2 by a fixed latency. The reliability of the observed effects and their correlation with potential predictors were studied. The tone significantly improved T2 identification rates regardless of tone condition and of the delay between targets, suggesting that the crossmodal facilitation of T2 identification is not limited to visual-perceptual enhancement. For the simultaneous condition, an additional time-on-task effect was observed in form of a reduction of the AB that occurred within an experimental session. Thus, audition-driven enhancement of visual perception may need some time for its full potential to evolve. Split-half and test-retest reliability were found consistently only for a condition without additional sound. AB magnitude obtained in this condition was related to AB magnitudes obtained in both sound conditions. Self-reported distractibility and performance in tests of divided attention and of cognitive flexibility correlated with the AB magnitudes of a subset but never all conditions under study. Reliability and correlation results suggest that not only dispositional abilities but also state factors exert an influence on AB magnitude. These findings extend earlier work on audition-driven enhancement of target identification in the AB and on the reliability and behavioural correlates of the AB.