ONGOING CONSULTATION AS A METHOD OF IMPROVING PERFORMANCE OF STAFF MEMBERS IN A GROUP HOME

A model of ongoing consultation was implemented in a community group home for 8 adults with severe and profound mental retardation. Two consultants, highly experienced in working with people with mental retardation and in the procedures used in group homes, taught staff members to use a token reinforcement system, to engage the adults in a variety of activities, and to improve the content and style of the staff members' interactions with the adults. The consultants taught skills to 9 staff members through brief mini-workshops, direct observation of the staff members' use of the skills during regular activities in the group home, and individual verbal feedback regarding a staff member's performance of the skills. Evaluation of the ongoing consultation process by the 2 consultants showed it to be effective in improving the performance of the staff members and in changing the behaviors of the adults who lived in the home. Continued implementation of the process, however, appeared to be necessary for the behavior changes of staff members to be maintained at high levels.     

Dimensions of maltreated children's home behavior: A factor analytic approach

This study identified dimensions of home behavior of maltreating parents and their children through exploratory factor analysis. Five child factors were identified: self-directed behavior, affiliative behavior, negativity, positive social interaction, and questioning. Five parent factors were identified: positive social interaction, caretaking, discipline, refusal, and hostility. Multivariate analyses indicated that neglected children and abused children had less positive social interaction than adequately reared children. Children showed more questioning and less negativity at older ages. Abusing parents were most hostile, whereas neglecting parents showed the least positive social interaction. Abusing parents directed less hostility toward older children than the other child-rearing groups. Parents exhibited less caretaking behavior toward older children and directed more positive social interaction toward children with higher developmental quotients. The results suggest that factor analysis is a viable means of identifying dimensions of child and parent behavior which could facilitate comparison of effects across studies.     

OVERCORRECTION: GENERALIZATION AND MAINTENANCE1

The present study examined the effects of one component of overcorrection—verbal reprimands—and compared them with the effects of the entire overcorrection procedure. Generalization and maintenance of effects were also evaluated. A combined reversal and multiple-baseline experimental design was used to evaluate the effect of the various contingencies on the inappropriate searching behavior of a severely and profoundly mentally retarded adult living in a group home. Searching was defined as carefully and thoroughly touching floors, sofas, cabinets, etc. Data were collected by group-home personnel during three separate observation periods each day of the 115-day study: before breakfast, after breakfast, and after dinner. Observers also served as experimenters. Following an initial baseline phase, verbal reprimands followed searching behavior during two daily experimental periods in multiple-baseline fashion. An immediate reduction of searching during experimental periods occurred with the onset of verbal reprimands. No reduction was observed in the third daily observation period, the control session. After a second baseline phase, during which searching behavior was not shown to return to the original baseline levels, overcorrection procedures (washing hands) were instituted. Overcorrection virtually eliminated inappropriate searching during both daily experimental periods. Further, the effects generalized to the daily control session. In a final experimental phase, decreased searching behavior was maintained with verbal reprimands alone.     

HOME SAFETY: DEVELOPMENT AND VALIDATION OF ONE COMPONENT OF AN ECOBEHAVIORAL TREATMENT PROGRAM FOR ABUSED AND NEGLECTED CHILDREN

Parents may be charged with child abuse or neglect or both on the basis of a variety of circumstances. Child neglect, for example, is often documented when caseworkers observe that the family's home itself is so poorly kept that it presents an environment in which young children have ready access to lethal hazards such as poisons, uncovered wall outlets, and firearms. In this study, we describe the development of a Home Accident Prevention Inventory (HAPI) which was validated and used to assess hazards in the homes of several families under state protective service for child abuse and neglect. The HAPI included five categories of hazards: fire and electrical, mechanical-suffocation, ingested object suffocation, firearms, and solid/liquid poisons. Following the collection of baseline data, parents were presented with a treatment package that included instructions and demonstrations on making hazards inaccessible to children, plus feedback regarding the number and location of hazards in the home. The multiple-baseline design across hazardous categories in each family's home showed that the package resulted in decreases in the number of these accessible hazards. These improvements were maintained over an extended period of unannounced follow-up checks. This research provides a model for the development and assessment of an area previously unexamined in the child abuse and neglect literature.     

Spirituality as a Dimension of Family Therapists' Clinical Training

From its psychoanalytic beginnings, therapy training has emphasized the crucial role the self of the therapist plays in the effectiveness of therapy. Attention initially focused on therapists' personal history and vulnerabilities and later included an exploration of their relationship style. Less emphasis has been placed on analyzing therapists' belief and meaning systems which inescapably influence their clinical conceptualizations, attitudes, and behaviors. This article defines spirituality as attributions of a personal nature which give meaning to life events, help transcend difficult experiences, maintain hopefulness, and lead to behaviors which honor connectedness and proposes a rationale for including the spiritual dimension in therapy and therapy training and steps graduate training programs and supervisors may take to raise therapists' spiritual understandings.     

Talking about race in a scientific context

There are at least two approaches that assist students in understanding complexity and differing interpretations about human diversity and race. Because differing perspectives emerge from data perceived at different levels, different scales provide a tool for understanding relationships among perspectives and understanding the differential importance of specific factors. Constructivist listening, which assists students in examining their own experiences, feelings and understanding, provides a tool for digesting complex new material and learning emotional literacy. It can be applied to dialogue about race and to classroom situations. These approaches can help students master the conceptual and interpersonal skills needed for successful scientific practice. This article was adapted from a presentation made at the “Communicating Science Conference” held at Hamilton College, Clinton, NY, October 1998.     

Archetypes of the pandemic

This paper attempts to read the psychological and emotional impact of the COVID-19 pandemic through the archetypal images contained in patients’ dreams. In these dreams, symbols related to the power of nature and to extreme danger are paired with feelings of detachment that seem to point to a traumatic dissociation, due to the archetypal experience that erupts in familiar surroundings. Through the humanization of the ineffable experience, dissociation, which in the beginning of the pandemic showed in high levels of anxiety, panic attacks and depersonalization, can be transformed into the overview needed for the search for meaning. The container for this process of transformation is the analyst, the real, virtual or imagined one, and his or her ability to relate and feel.