SEQUENTIAL APPLICATION OF MAJOR HABIT-REVERSAL COMPONENTS TO TREAT MOTOR TICS IN CHILDREN

In this study, we sequentially administered up to four components of the habit-reversal treatment to 4 children with motor tics within a multiple baseline design. The habit-reversal components included (a) awareness training; (b) awareness training and self-monitoring; (c) awareness training, self-monitoring, and social support; and (d) awareness training, social support, and the use of a competing response. Results demonstrated that the combined use of awareness training, social support, and competing response training was effective in eliminating motor tics in 2 of 4 children, that awareness training alone was effective for 1 child, and that a combination of awareness training and self-monitoring was effective for the 4th child. The treatment and ensuing improvement were found to be socially valid. We discuss possible explanations for these results and recommend directions for future research.     

Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patient outcomes

Described the Physical and Architectural Characteristics Inventory (PACI), which assesses the physical characteristics of hospital- and community-based psychiatric and substance abuse residential treatment programs for adults. Developed using data from 94 representative programs, the PACI has 7 dimensions that assess community accessibility, physical features that add convenience, aid recreation, and provide support for patients, and space for patient and staff functions. In comparison to community-based programs (n=63), hospital programs (n=31) had more social-recreational and prosthetic aids, safety features, staff facilities, and space. The PACI dimensions were also related to other organizational features, such as facility ownership and program size and staffing level. Programs with more physical amenities had patients who were more involved in self-initiated and community activities and were more likely to successfully complete the program and be discharged to independent living situations and paid jobs. Programs with more social-recreational and prosthetic aids, space, and access to community resources also had better patient outcomes. In addition, PACI dimensions were related to observers' ratings of facility attractiveness. Potential applications of the PACI and the full inventory of which it is a part are discussed.     

THE BEHAVIOR OBSERVATION INSTRUMENT: A METHOD OF DIRECT OBSERVATION FOR PROGRAM EVALUATION1

The background and development of a multicategory direct observation system, the Behavior Observation Instrument (BOI), is described. This time-sampling procedure for recording the behavior of persons is demonstrated in several treatment settings and the results applied to issues of program evaluation. Elements that have prevented direct observation from being widely adopted, such as costs, manpower, and training requirements, are systematically analyzed. A basic psychometric analysis of the instrument is used to determine optimum frequency and duration of observation intervals as well as observer agreement. The results imply that direct observation methods, once assumed by some to belong to the special province of the single-subject design, can be used to assess the effects of programs on groups of psychiatric clients in an efficient and economic manner.     

ACCEPTABILITY OF ALTERNATIVE TREATMENTS FOR DEVIANT CHILD BEHAVIOR

The acceptability of alternative treatments for deviant child behavior was evaluated in two experiments. In each experiment, clinical cases were described to undergraduate students along with four different treatments in a Replicated Latin Square Design. The treatments included reinforcement of incompatible behavior, time out from reinforcement, drug therapy, and electric shock and the treatments were described as they were applied to children with problem behaviors. Experiment 1 developed an assessment device to evaluate treatment acceptability and examined whether treatments were rated as differentially acceptable. Experiment 2 replicated the first experiment and examined whether the severity of the presenting clinical problem influenced ratings of acceptability. The results indicated that treatments were sharply distinguished in overall acceptability. Reinforcement of incompatible behavior was more acceptable than other treatments which followed, in order, time out from reinforcement, drug therapy, and electric shock. Case severity influenced acceptability of alternative treatments with all treatments being rated as more acceptable with more severe cases. However, the strength of case severity was relatively small in relation to the different treatment conditions themselves which accounted for large portions of variance.     

A stochastic model for test-retest correlations

A simple stochastic model is formulated in order to determine the optimal time between the first test and the second test when the test-retest method of assessing reliability is used. A forgetting process and a change in true score process are postulated. The optimal time between tests is derived by maximizing the probability that the respondent has not remembered the response on the first test and has not had a change in true score. The resulting test-retest correlation is then found to be a linear function of the true reliability of the test, where the slope of this function is the key probability of not remembering and having no change in true score. Some numerical examples and suggestions for using the results in empirical studies are given. Specific recommendations are presented for improved design and analysis of intentions data.This research was made possible by a grant from the Center for Food Policy Research, Graduate School of Business, Columbia University, New York, New York, 10027.     

Hill-climbing by pigeons

Pigeons were exposed to two types of concurrent operant-reinforcement schedules in order to determine what choice rules determine behavior on these schedules. In the first set of experiments, concurrent variable-interval, variable-interval schedules, key-peck responses to either of two alternative schedules produced food reinforcement after a random time interval. The frequency of food-reinforcement availability for the two schedules was varied over different ranges for different birds. In the second series of experiments, concurrent variable-ratio, variable-interval schedules, key-peck responses to one schedule produced food reinforcement after a random time interval, whereas food reinforcement occurred for an alternative schedule only after a random number of responses. Results from both experiments showed that pigeons consistently follow a behavioral strategy in which the alternative schedule chosen at any time is the one which offers the highest momentary reinforcement probability (momentary maximizing). The quality of momentary maximizing was somewhat higher and more consistent when both alternative reinforcement schedules were time-based than when one schedule was time-based and the alternative response-count based. Previous attempts to provide evidence for the existence of momentary maximizing were shown to be based upon faulty assumptions about the behavior implied by momentary maximizing and resultant inappropriate measures of behavior.     

Fitting longitudinal reduced-rank regression models by alternating least squares

An alternating least squares method for iteratively fitting the longitudinal reduced-rank regression model is proposed. The method uses ordinary least squares and majorization substeps to estimate the unknown parameters in the system and measurement equations of the model. In an example with cross-sectional data, it is shown how the results conform closely to results from eigenanalysis. Optimal scaling of nominal and ordinal variables is added in a third substep, and illustrated with two examples involving cross-sectional and longitudinal data.Financial support by the Institute for Traffic Safety Research (SWOV) in Leidschendam, The Netherlands is gratefully acknowledged.     

Foraging in a simulated natural environment: There's a rat loose in the lab

Rats were required to earn their food in a large room having nine boxes placed in it, each of which contained food buried in sand. In different phases of the experiment the amount of time allowed for foraging, the amount of food available in each food patch, and the location of the different available amounts were varied. The rats exhaustively sampled all patches each session but seemed to have fairly strong preferences for certain locations over others. If position preferences were for patches containing small amounts of food, the sensitivity to amount available was increased so that when location was compensated for, a pattern of optimal foraging was evident. The importance of environmental constraints in producing optimal behavior and the relation of the observed behavior to laboratory findings are discussed.     

Generalized eigenvalue problems with positive semi-definite matrices

In a recent paper in this journal McDonald, Torii, and Nishisato show that generalized eigenvalue problems in which both matrices are singular can sometimes be solved by reducing them to similar problems of smaller order. In this paper a more extensive analysis of such problems is used to sharpen and clarify the results of McDonald, Torii, and Nishisato. Possible extensions are also indicated. The relevant mathematical literature is reviewed briefly.     

EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.