Modified Comprehensive Behavioral Intervention for Tics: Treating Children With Tic Disorders,Co-Occurring ADHD,and Psychosocial Impairment

Our objective was to evaluate the feasibility and acceptability, and preliminary efficacy of a modified comprehensive behavioral intervention for tics (MCBIT) therapy for youth with chronic tic disorders (CTDs), co-occurring attention-deficit hyperactivity disorder (ADHD), and associated psychosocial impairment. Seventeen youth ages 10–17 with CTD and co-occurring ADHD were randomly assigned to the MCBIT group (n = 9) or to a control group where they received traditional comprehensive behavioral intervention for tics (CBIT) therapy (n = 8). Both groups received ten 55-minute weekly treatment sessions, and two 55-minute biweekly relapse prevention sessions. Sixteen of the 17 participants completed the study, and acceptability ratings in both treatment groups were high with no significant differences in expectation of improvement. The MCBIT and CBIT groups in combination showed significant improvement in tic severity, ADHD symptom severity, and tic-related impairment. Group differences were not significant. The results indicate that MCBIT treatment is feasible and acceptable for youth with CTD and ADHD, and is similarly well tolerated relative to traditional CBIT. Results were not sufficiently superior to recommend MCBIT over CBIT for this population. However, given the demonstrated benefit of behavioral treatments that target co-occurring conditions concurrently, continuing to examine novel behavioral approaches that can target tics and related conditions simultaneously and successfully is recommended.     

The myth of regaining control: Ostracism increases superstitious tendencies

Whether and how interpersonal experiences predispose people to show superstitious tendencies have been largely unexamined by past studies. By adopting a multimethod approach, three studies tested (a) whether ostracism increases superstitious tendencies through thwarted perceived control, (b) whether the dispositional need for closure moderates the effect of ostracism on superstitious tendencies and (c) whether restoring ostracized people's thwarted control weakens their superstitious tendencies. The results revealed that ostracized participants had higher superstitious tendencies than nonostracized participants did (Studies 1–3). Moreover, thwarted control mediated the effect of ostracism on superstitious tendencies (Study 2). In addition, the dispositional need for closure moderated the effect of ostracism on superstitious tendencies, such that the effect was stronger among participants with a high need for closure (Studies 1–2). Finally, restoring ostracized participants' perceived control weakened the effect of ostracism on superstitious tendencies (Study 3). Altogether, these findings feature the essential role of thwarted perceived control in understanding the link between ostracism and superstitious tendencies and the implication of control restoration in weakening the link. They also highlight the importance of dispositional characteristics in moderating people's responses to superstitions following ostracism and related forms of interpersonal maltreatment.     

Psychometric properties and factor structure of the Fear Questionnaire phobia subscale items in two normative samples

Normative data for the Fear Questionnaire (Marks & Mathews, 1979), a popular self-report instrument measuring phobic concerns, were collected from both a community and a collegiate sample. The covariation and internal consistency of the blood-injury phobia (BI), social phobia (SO), and agoraphobia (AG) subscales were assessed in each sample, and the factor structure of the items from these three subscales was examined. Results indicated that, in general, community subjects reported more phobic concerns than did collegiate subjects, and females reported greater phobic concerns than did males. Results from confirmatory factor analyses suggest that the three factors of BI, SO, and AG did not emerge from either data set. Follow-up exploratory factor analyses did identify the general factors of blood-injury phobia and agoraphobia. Normative data from the present study are compared to those obtained previously, and directions for future research are provided.     

Argument as a formulation-decision-decision... sequence

Problems with regard to the analysis of argumentative partly discourse arise from definitorial disconformity. In this article, Informal argument is taken as the primary definition to study the basic structure of argument from a fragment of an Agatha Christie novel. Bilmes' account of the notions of Formulation (F) and Decision (D+/D-) are adapted to describe the relations of opposition which are displayed in informal argument. The minimal structure of argument is represented by the formula F/D-/D-, in which F is a speaker's personal composition of a fact, the first D- is the disconfirming uptake of it by another speaker and the second D- is the completing disconfirming uptake by the initial speaker. Some of the speaker's possibilities to initiate an argument by expressing a Formulation are explored, as well as the social and cultural norms which play a role in argument-initiation and the concepts of win and loss.     

The elderly and high technology medicine: A case for individualized,autonomous allocation

The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.     

从情绪描述看青少年期到成人期认知结构的发展

该研究依据研究者制定的认知发展水平评价系统,对年龄范围在13—55岁之间的90名被试关于生气、害怕、伤心、高兴四种情绪的自我描述进行了评价分析。结果表明,青少年期的思维具有形式化、外在、抽象等特点,成人期的思维具有内在、具体、形象等特点,前者具有刻板性、封闭性,后者具有灵活性、开放性。     

Interpreting canonical correlation analysis through biplots of structure correlations and weights

This paper extends the biplot technique to canonical correlation analysis and redundancy analysis. The plot of structure correlations is shown to the optimal for displaying the pairwise correlations between the variables of the one set and those of the second. The link between multivariate regression and canonical correlation analysis/redundancy analysis is exploited for producing an optimal biplot that displays a matrix of regression coefficients. This plot can be made from the canonical weights of the predictors and the structure correlations of the criterion variables. An example is used to show how the proposed biplots may be interpreted.     

Continuous and discrete latent structure models for item response data

Relations are examined between latent trait and latent class models for item response data. Conditions are given for the two-latent class and two-parameter normal ogive models to agree, and relations between their item parameters are presented. Generalizationss are then made to continuous models with more than one latent trait and discrete models with more than two latent classes, and methods are presented for relating latent class models to factor models for dichotomized variables. Results are illustrated using data from the Law School Admission Test, previously analyzed by several authors.     

计量测验效度的一种方法——测量目标结构空间的实证性因素分析

该文提出了计量测验效度的一种统一方法。首先,根据测量目标由测验编制者提出一组可能的线性拟合模型,拟合模型的集合称作“测量目标结构空间”。然后运用实证性因素分析对各个假设的拟合模型进行多方面的拟合良好性检验。若其中的某一假设模型能最优地拟合预测资料,则该模型中的公共因素的方差总贡献与观测变量的总方差的比就可定义为该测验的效度     

Residualanalysis in the polytomous rasch model

Residuals for check of model fit in the polytomous Rasch model are examined. Comparisons are made between using counts for all response pattern and using item totals for score groups for the construction of the residuals. Comparisons are also, for the residuals based on score group totals, made between using as basis the item totals, or using the estimated item parameters. The developed methods are illustrated by two examples, one from a psychiatric rating scale, one from a Danish Welfare Study.