对"心理学危机论"的思考

对当前心理学界存在的心理发展的多种危机论进行了分析,认为,心理学的危机并非源于当前的心理学科本身,而在于心理学者的主观认识和实际工作中。要改变心理学发展缓慢的现状,必须打破心理学者之间过分独立的学术研究活动和学术交流活动,消除存在于心理学者之间的成见,找寻存在于心理学自身和存在于社会需求中的发展机遇．     

Using Brief Experimental Analysis to Select Oral Reading Interventions: An Investigation of Treatment Utility

This study examined the treatment utility of brief experimental analysis for selecting skill-based oral reading interventions that targeted acquisition and fluency. Two second and one third grade student served as participants. The potentially most and least effective instructional packages identified from the brief experimental analysis for each student were alternated during an extended analysis phase. The instructional components that were compared were based on an ease of implementation hierarchy, with the brief experimental analysis used to select the hypothesized most effective instructional package for oral reading. Visual analysis of extended analysis data revealed that the hypothesized most effective combination of instructional components identified from the brief analysis produced greater initial gains in reading for two children (i.e., over 29 and 21 intervention days) and greater gains in reading throughout the extended analysis phase for the third child. Thus, the investigation provided preliminary evidence for the treatment utility of using brief experimental analysis to select effective and efficient oral reading instructional interventions. Implications, limitations, and future research topics are discussed.     

Does Treatment Integrity Matter? A Preliminary Investigation of Instructional Implementation and Mathematics Performance

This study examined the impact of three levels of treatment integrity on students' responding on mathematics tasks. Instruction was provided separately for addition and subtraction to six second-grade students who were referred due to poor performance with these operations. The treatment consisted of a computer delivered delayed prompt to use a counting strategy to solve problems, accuracy feedback, and intermittent presentation of animated praise sequences. Instruction was presented via computerized instruction to assure precise delivery of the varying levels of treatment integrity. The study examined the delivery of prompts for all, two-thirds, and one-third of instructional trials. Continuous delivery of instructional prompts was the most effective treatment or one of the most effective treatments for all participants. Lesser levels of prompt implementation were associated with poorer outcomes for the majority of the students. The implications of these findings for continuing research regarding the impact of reduced treatment integrity on student outcomes are discussed.     

Parent–Child Interaction Therapy: One- and Two-Year Follow-Up of Standard and Abbreviated Treatments for Oppositional Preschoolers

The long-term effect of two parent training programs for conduct problem preschoolers is reported. Families of 54 behaviorally disturbed preschool-aged children were randomly assigned to 1 of 3 treatment conditions: standard Parent-Child Interaction Therapy (STD), an abbreviated form of PCIT (ABB), and a no-treatment waitlist control group (WL). Of the families who completed treatment (STD and ABB), data were collected on 97% and 94% of families at 1- and 2-year follow-up, respectively. Follow-up assessment of parent report and independent observations indicated that treatment gains were largely maintained for both treatment conditions with little difference between the two treatments. The findings suggest that an abbreviated form of PCIT has long-term benefits for families with young children displaying early conduct problems.     

Effectiveness Research in the Context of School-Based Mental Health

There are many challenges to transporting evidence-based treatments from laboratories into real-world settings. However, if we hope to make our evidence-based treatments accessible and available to children and usable by community professionals, effectiveness research is imperative. We argue that schools represent an ideal real world setting in which to conduct such research. The goals of this paper are to present the advantages of conducting effectiveness research in the school setting and to encourage clinical researchers to engage in effectiveness research in this location, as there are benefits to children, pre-service professionals, communities, and researchers. We attempt to further advance the literature by discussing the challenges associated with this work and by providing a case example (The Youth Experiencing Success in School [Y.E.S.S.] Program) that demonstrates real world application of our recommendations.     

Psychosocial Interventions for Children with Early-Onset Bipolar Spectrum Disorder

Once considered virtually nonexistent, bipolar disorder in children has recently received a great deal of attention from mental health professionals and the general public. This paper provides a current review of literature pertaining to the psychosocial treatment of children with early-onset bipolar spectrum disorder (EOBPSD). Commencing with evidence of the emerging interest in this topic, we then focus on terminology, the rationale for studying EOBPSD in children, current research and clinical progress, possible explanations for the recent increase in recognition, and essential issues that form the foundation of effective psychosocial treatment. Next we explore areas of research with direct implications for psychosocial treatment. These include biological and psychosocial risk factors associated with bipolar disorder; and the psychosocial treatment of adult-onset bipolar disorder, childhood-onset unipolar disorder, and anger management in children. Following this, we discuss treatments being developed and tested for children with EOBPSD. Finally, we conclude with recommendations for future studies needed to move the field forward.     

The watershed years of 1958-1962 in the Harvard Pigeon Lab

During the years 1958-1962, the final years of support by the National Science Foundation for B. F. Skinner's Pigeon Lab in Memorial Hall at Harvard University, 20 or so pigeon experiments (plus some with other organisms) ran concurrently 7 days a week. The research style emphasized experimental analyses, exploratory procedures, and the parametric exploration of variables. This reminiscence describes some features of the laboratory, the context within which it operated, and the activities of some of those who participated in it.     

Peer-mediated reinforcement plus prompting as treatment for off-task behavior in children with attention deficit hyperactivity disorder

Functional analyses revealed that peer attention was one variable maintaining the off-task behavior exhibited by 3 students with a diagnosis of attention deficit hyperactivity disorder (ADHD). Peer-mediated reinforcement plus prompting was then used to reduce off-task behavior in a simulated classroom environment. Implications for future applications of this procedure with children diagnosed with ADHD are discussed.     

Commentary on the Multimodal Treatment Study of Children with ADHD

The multimodal treatment study of attention deficit hyperactivity disorder (MTA Study) constitutes a landmark in the history of treatment research in child psychopathology, being the largest single study of its kind ever undertaken. Important findings have emerged from this project, as the papers in the present volume will attest. This commentary focuses on several concerns about the assumptions that appear to have guided the design of the MTA study, particularly its psychosocial treatment component, as well as the manner in which treatment results have been presented to date. In particular, no explicit theory of ADHD appears to have guided the construction of the treatment components, relying instead on implicit theories associated with those treatments, such as the notion that the symptoms of ADHD arise through faulty learning and defective contingencies of reinforcement. Future articles from this study will need to address these and other concerns if the results of the study are to be properly interpreted and the scientific and clinical yield is to be maximized.     

放弃治疗面面观

放弃治疗有广义和狭义两种概念,根据临床实践分为主动放弃和被动放弃、单方放弃和双方放弃、明示放弃和暗示放弃、完全放弃和部分放弃。有许多的放弃治疗从患者本人、亲属、医务人员和医疗付费等方面考虑都有积极的意义。在医学伦理学中放弃治疗一直是一个有争议的问题,其道德意义在于体现了唯物主义观点,对人生命的尊重和社会公益原则。对其立法问题有待解决。