Methodological and theoretical issues in neuropsychological assessment

While there are philosophical and theoretical differences between neuropsychologists and behavior therapists, it is suggested that a significant reconciliation can be achieved in regard to assessment and treatment of the brain-damaged patient. While brain damage is often viewed as an irreversible disorder, there is evidence that substantial recovery of function can occur, particularly when adequate retraining is provided. There are practical and empirical considerations that suggest that neuropsychological tests are currently the best tools available for behavioral assessment of brain-damaged patients. However, the results of these tests can be used not only diagnostically but also to identify target behavioral deficits that may be rehabilitated through systematic retraining efforts. Such rehabilitation efforts can be optimally planned, implemented, and evaluated through an alliance between the neuropsychologist, who identifies the ability and deficit pattern, and the behavior therapist, who devises and evaluates the retraining program. It is possible that the successes of behavior therapy in numerous clinical and educational applications can be repeated in the cases of brain-damaged patients. However, such success would appear to be contingent on appreciation of the high degree of specificity often seen in neurological deficit patterns and the great complexities involved in the relationships between brain function and behavior.     

Considerations in the choice of interobserver reliability estimates

Two types of interobserver reliability values may be needed in treatment studies in which observers constitute the primary data-acquisition system: trial reliability and the reliability of the composite unit or score which is subsequently analyzed, e.g., daily or weekly session totals. Two approaches to determining interobserver reliability are described: percentage agreement and "correlational" measures of reliability. The interpretation of these estimates, factors affecting their magnitude, and the advantages and limitations of each approach are presented.     

ISSUES AND IMPLICATIONS OF ESTABLISHING GUIDELINES FOR THE USE OF BEHAVIORAL TECHNIQUES

Several guidelines surrounding the use of behavioral procedures have recently appeared, the best of which is that of the National Association of Retarded Citizens (NARC). Some issues and implications of the establishment of guidelines are briefly reviewed in the context of the NARC guidelines. Issues include the factual versus opinion bases for guidelines and the need to continue the development of explicit behavioral criteria for assessing staff competence. Implications for programs include the impact of guidelines on professional boundaries, administrative decision-making, and budgeting, together with the dangers of expanding the regulatory bureaucracy. Several miscellaneous impacts are noted, including a potential for curbing innovative behavioral technology.     

Two simple classes of mastery scores based on the beta-binomial model

Two simple classes of mastery scores which are suitable for hand calculations are presented for beta-binomial test score distributions combined with linear and cubic referral success. The models provide a simple way to explore the consequences of selecting an arbitrary mastery score. Such assessment would be useful whenever the test user is not willing to posta priori a loss ratio, but wishes to look at the various consequences before aiming at a particular score.     

Fitting and testing carroll's weighted unfolding model for preferences

A quadratic programming algorithm is presented for fitting Carroll's weighted unfolding model for preferences to known multidimensional scale values. The algorithm can be applied directly to pairwise preferences; it permits nonnegativity constraints on subject weights; and it provides a means of testing various preference model hypotheses. While basically metric, it can be combined with Kruskal's monotone regression to fit ordinal data. Monte Carlo results show that (a) adequacy of true preference recovery depends on the number of data points and the amount of error, and (b) the proportion of data variance accounted for by the model sometimes only approximately reflects true recovery.This study is based on a doctoral dissertation submitted to the University of Illinois at Urbana-Champaign. The author wishes to thank the members of his dissertation committee—Lawrence E. Jones, Chairman, Charles Lewis, Stephen Golding, Ledyard Tucker, and Nancy Wiggins—for their helpful comments.     

A CULTURAL EVOLUTIONARY APPROACH TO MODERNITY: WHAT MIGHT IT MEAN FOR CHRISTIAN FAITH?

This essay introduces, for theological consideration, some recent work in the field of cultural evolutionary theory, specifically the kin-influence hypothesis. This theory holds that, following the beginnings of industrialization and economic growth, a nation's fertility rate commences a decline, which is further abetted by the consequent and increasing imbalance in the relative influence of kin versus nonkin influences on individuals in favor of the latter. It is further proposed that this process is itself a major independent factor in the emergence of many of the features of what is called modernity, among which is that of secularization. Extending further this work, I argue that, given the historic alignment of family and religious values in Christian nations, a loss of religious belief and practice is, at least in part, the spill over effect of the opposing influence of values emerging from ever more dominant nonfamily social interaction. I conclude with some reflections on possible theological implications.     

Skill Acquisition During Transdiagnostic Treatment With the Unified Protocol

The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders is an emotion-focused, cognitive-behavioral intervention developed to address the full range of anxiety, depressive, and related disorders. The UP consists of core therapeutic skills that, though unique in focus, are each designed to promote an approach-oriented stance toward emotional experiences. The goal of the present investigation was to characterize changes in these skills for patients that received a course of treatment with the UP, as well as to examine associations between skills and symptoms changes. Patients with principal anxiety disorders, assigned to receive treatment with the UP (N = 88) as part of a randomized controlled trial, were included in this study. They completed validated self-report measures of UP skills (Understanding Emotions, Mindful Emotion Awareness, Cognitive Flexibility, Countering Emotional Behaviors, and Interoceptive Awareness and Tolerance), as well as clinician-rated measures of psychological symptoms. Skill measures improved significantly over the course of 12 to 16 UP treatment sessions and changes in these skills measures were associated with improvements in anxiety symptoms. Determining whether improvement on all the skills learned during a course of treatment with UP is associated with symptom remission is critical to establishing the most streamlined and efficient interventions that may ultimately be best suited to widespread dissemination.     

Changes in Anxiety Control Beliefs Following a Brief CBT Treatment and Their Association With Anxiety Symptom Reduction

Anxiety control beliefs (i.e., beliefs regarding one’s ability to cope with external, fear-inducing threats and internal reactions to those perceived threats) have been found to negatively predict anxiety symptoms in children and adults and to be modifiable by cognitive-behavioral therapy for anxiety disorders. The current study examines whether changes in anxiety control beliefs were seen following a brief, intensive treatment for specific phobias, and whether those changes were associated with improvements in the targeted phobia and comorbid anxiety disorder symptoms. Participants were 135 children and adolescents (M age = 9.01 years, 49% male) who received one-session treatment (OST) with or without parental involvement for their primary specific phobia. Results indicated that self-reported anxiety control beliefs significantly increased following treatment and that these increases significantly predicted reductions in specific phobia severity and symptoms of comorbid anxiety disorders 6 months and 1 year following treatment. Findings illustrate that involvement in a single 3-hour OST was associated with changes in anxiety control beliefs and demonstrate the potential importance of targeting control beliefs in pediatric anxiety treatment.     

A note on computing Louis’ observed information matrix identity for IRT and cognitive diagnostic models

Using Louis’ formula, it is possible to obtain the observed information matrix and the corresponding large-sample standard error estimates after the expectation–maximization (EM) algorithm has converged. However, Louis’ formula is commonly de-emphasized due to its relatively complex integration representation, particularly when studying latent variable models. This paper provides a holistic overview that demonstrates how Louis’ formula can be applied efficiently to item response theory (IRT) models and other popular latent variable models, such as cognitive diagnostic models (CDMs). After presenting the algebraic components required for Louis’ formula, two real data analyses, with accompanying numerical illustrations, are presented. Next, a Monte Carlo simulation is presented to compare the computational efficiency of Louis’ formula with previously existing methods. Results from these presentations suggest that Louis’ formula should be adopted as a standard method when computing the observed information matrix for IRT models and CDMs fitted with the EM algorithm due to its computational efficiency and flexibility.     

I can see myself helping: The effect of self-awareness on prosocial behaviour

Many studies indicate that increasing self-awareness leads to individuals reflecting on their values and ideals (Silvia & Duval, 2001). This self-reflection appears to increase prosocial behaviour (Berkowitz, 1987). However, previously studies typically manipulated self-awareness in situations in which the individual may have felt pressure from the researcher to help. Thus, experimenter pressure to behave prosocially confounds the self-awareness explanation provided in past research. We used a novel experimental paradigm to manipulate self-awareness and remove the researcher's presence to decrease the likelihood that the participant would conform to experimenter demand. Participants were 36 college students (M_age = 19.52; 25 women). The results indicated a strong probability that the experimental condition participants were more prosocial than control condition participants. These findings provide additional support for the hypothesis that self-reflection increases prosocial behaviour, even without experimenter demands. These findings and the importance of studying objective self-awareness in light of the coronavirus are discussed.