Making Lemonade out of Lemons: Dialectical Behavior Therapy via Telehealth During a Pandemic

The COVID-19 pandemic has created a burden on healthcare systems and increased demand for mental healthcare at a time when in-person services are limited. Many programs offering dialectical behavior therapy (DBT) for complex clients have pivoted to telehealth in order to increase access to critical mental healthcare. There is, however, limited research on the provision of telehealth treatment for clients with complex psychopathology more broadly, or the telehealth implementation of DBT more specifically. The aim of this study was to examine the use of telehealth services and related clinician attitudes and experiences in the context of DBT. We examined the degree of telehealth platform adoption among DBT clinicians, as well as changes in stress and self-care strategies. A supplemental aim was to gather clinicians’ recommendations for providing DBT via telehealth. Participants included N = 99 DBT practitioners (79.8% female; 20.2% male). Qualitative and quantitative methods were used for data analysis. Findings show that telehealth DBT has been widely adopted among DBT clinicians, and that clinicians’ attitudes to telehealth DBT are cautiously optimistic. Participants described three main areas of stress associated with DBT via telehealth provision, as well as lost and novel self-care strategies.     

依恋对象回应方式对不同依恋类型幼儿支持提供预期修正的影响

依恋对象的敏感性回应是儿童安全依恋发展的重要前因。研究采用改编版依恋预期范式考察实时互动情境中依恋对象确定性和概率性回应对幼儿支持提供预期及预期修正的影响。结果发现：相对不安全型依恋幼儿,初始预期中安全型幼儿更多预期依恋对象会向依恋者提供支持;幼儿能够基于依恋对象的确定性和概率性回应一致地修正对该对象是否提供支持的预期。同时,低水平回应对幼儿预期修正的影响高于高水平回应。研究表明5岁左右幼儿能够基于实时互动中依恋对象的回应信息修正其对该依恋对象的预期,这对理解幼儿依恋表征的发展具有重要启示。     

Are curmudgeon personality scales resistant to response distortion?

Curmudgeon personality, which is assessed by having participants evaluate a heterogeneous set of attitude objects, provides an applied value beyond that of more established personality traits. Recent research, for instance, suggests that curmudgeon personality is distinct from the Five Factor Model personality traits and that it predicts unique variance in important criteria, such as job attitudes and well-being. In the current paper we contribute to this literature by testing an explanation of how curmudgeon personality is distinct from other traits—their potential resistance to response distortion. We estimated response distortion for scales of curmudgeon personality and FFM traits across two quasi-experimental studies. As expected, the score shifts between nonapplicant and applicant conditions were smaller for scales of curmudgeon personality compared to scales of emotional stability and conscientiousness. We argue that curmudgeon personality scales may be more resistant to response distortion than are measures of other traits because curmudgeon personality items are semi-implicit and lack an obvious desirable response. The resistance to response distortion should serve as a call to future researchers to test the criterion validity of curmudgeon personality in regard to performance criteria.     

Effects of active student response during error correction on the acquisition and maintenance of geography facts by elementary students with learning disabilities

An alternating treatments design was used to compare the effects of Active Student Response (ASR) error correction and No Response (NR) error correction during instruction of the capitals of states and countries. Three students with learning disabilities were provided one-to-one daily instruction on four sets of 14 unknown capitals (7 ASR capitals and 7 NR capitals). Student errors during instruction on ASR capitals were immediately followed by the teacher stating the capital and the student repeating it (an active student response). Errors on NR capitals were immediately followed by the teacher stating the capital while the student visually attended to a geography card with the correct capital handwritten on it (an on-task response). During instruction each of the three students correctly stated more capitals taught with ASR instruction than he or she stated with NR error correction. Results of same-day and next-day tests show that all three students learned more capitals with ASR error correction than with NR error correction The students also correctly stated more ASR error correction capitals on 1-week maintenance tests.     

FUNCTIONAL COMMUNICATION TRAINING WITH AND WITHOUT EXTINCTION AND PUNISHMENT

Functional communication training has been reported to be a promising treatment for severe behavior problems. In this study, functional communication training alone and combined with extinction and/or punishment was evaluated for 4 clients with severe retardation, behavior problems, and communication deficits. The participants were inpatients on a hospital unit for treatment of severe behavior disorders. They received individualized interventions based on functional assessment that included reinforcement of a communication response with the same function as their destructive behavior. Results showed that for some patients, functional communication training was not sufficient to produce clinically significant reductions in destructive behavior, and the combination of training plus punishment produced the largest and most consistent reductions.     

Effects of differences between stimuli, responses, and reinforcer rates on conditional discrimination performance

In a discrete-trial conditional discrimination procedure, 4 pigeons obtained food reinforcers by pecking a key with a short latency on trials signaled by one stimulus and by pecking the same key with a long latency on trials signaled by a second stimulus. The physical difference between the two stimuli and the temporal separation between the latency values required for reinforcement were varied factorially over four sets of conditions, and the ratio of reinforcer rates for short and long latencies was varied within each set of conditions. Stimulus discrimination varied directly with both stimulus and response differences and was unaffected by the reinforcer ratio. Sensitivity to reinforcement, estimated by generalized-matching-law fits to the data within each set of conditions, varied directly with the response difference but inversely with the stimulus difference arranged between sets of conditions. Because variations in stimulus differences, response differences, and reinforcer differences did not have equivalent effects, these findings question the functional equivalence of the three terms of the discriminated operant: antecedent stimuli, behavior, and consequences.     

The asymptotic posterior normality of the latent trait in an IRT model

It has long been part of the item response theory (IRT) folklore that under the usual empirical Bayes unidimensional IRT modeling approach, the posterior distribution of examinee ability given test response is approximately normal for a long test. Under very general and nonrestrictive nonparametric assumptions, we make this claim rigorous for a broad class of latent models.This research was partially supported by Office of Naval Research Cognitive and Neural Sciences Grant N0014-J-90-1940, 442-1548, National Science Foundation Mathematics Grant NSF-DMS-91-01436, and the National Center for Supercomputing Applications. We wish to thank Kumar Joag-dev and Zhiliang Ying for enlightening suggestions concerning the proof of the basic result.The authors wish to thank Kumar Joag-Dev, Brian Junker, Bert Green, Paul Holland, Robert Mislevy, and especially Zhiliang Ying for their useful comments and discussions.     

Linking qualitative and quantitative methods in cross-cultural survey research: Techniques from cognitive science

Survey research with diverse cultural and ethnic minority groups is a complex and challenging endeavor that confronts the researcher with problems related to linguistic and conceptual equivalence and measurement as well as problems related to difficulties that respondents have with the sociocultural dimensions of the survey/interview process. One way to improve the quality of cross-cultural surveys and to insure that the findings are culturally relevant and accurate is to combine qualitative and quantitative methods. This paper proposes that certain qualitative techniques from cognitive science, specifically cognitive anthropology and cognitive psychology, are particularly well suited to being combined with survey research. These techniques provide information corresponding to the underlying thought processes of respondents and enable researchers to better understand how different cultural and ethnic groups construe the world. The information obtained can be used improve the formulation of survey questions, design and structure questionnaire formats to coincide with the way particular groups organize concepts, and help researchers understand difficulties respondents may have with the survey/interview process. In addition, the techniques produce data that are easily codifiable and more manageable than traditional qualitative techniques including participant observation and in-depth interviews.     

Choice between delayed reinforcers and fixed-ratio schedules requiring forceful responding.

This experiment measured pigeons' choices between delayed reinforcers and fixed-ratio schedules in which a force of approximately 0.48 N was needed to operate the response key. In ratio-delay conditions, subjects chose between a fixed-ratio schedule and an adjusting delay. The delay was increased or decreased several times a session in order to estimate an indifference point--a delay duration at which the two alternatives were chosen about equally often. Each ratio-delay condition was followed by a delay-delay condition in which subjects chose between the adjusting delay and a variable-time schedule, with the components of this schedule selected to match the ratio completion times of the preceding ratio-delay condition. The adjusting delays at the indifference point were longer when the alternative was a fixed-ratio schedule than when it was a matched variable-time schedule, which indicated a preference for the matched variable-time schedules over the fixed-ratio schedules. This preference increased in a nonlinear manner with increasing ratio size. This nonlinearity was inconsistent with a theory that states that indifference points for both time and ratio schedules can be predicted by multiplying the choice response-reinforcer intervals of the two types of schedules by different multiplicative constants. Two other theories, which predict nonlinear increases in preference for the matched variable-time schedules, are discussed.