Single and combined effects of methylphenidate and behavior therapy on the classroom performance of children with attention-deficit hyperactivity disorder

Twenty-four boys with attention deficit-hyperactivity disorder (ADHD) participating in an intensive summer treatment program each received b.i.d. placebo and two doses of methylphenidate (MPH, 0.3 mg/kg and 0.6 mg/kg) crossed with two classroom settings: a behavior modification classroom including a token economy system, time out and daily home report card, and a regular classroom setting not using these procedures. Dependent variables included classroom observations of on-task and disruptive behavior, academic work completion and accuracy, and daily self-ratings of performance. Both MPH and behavior modification alone significantly improved children's classroom behavior, but only MPH improved children's academic productivity and accuracy. Singly, behavior therapy and 0.3 mg/kg PMH produced roughly equivalent improvements in classroom behavior. Further, the combination of behavior therapy and 0.3 mg/kg MPH resulted in maximal behavioral improvements, which were nearly identical to those obtained with 0.6 mg/kg MPH alone.The authors gratefully acknowledge the assistance of Patricia Donovan, Michelle Berry, Mary Ingram, Patricia Wells, Beth Gnagy, Karen Greenslade, Mary Hamilton, and the entire staff of the Western Psychiatric Institute and Clinic ADHD Summer Treatment Program.     

Microcomputer-based scalp topography mapping of event-related potentials

A microcomputer-based technique to evaluate the scalp topography of event-related potentials is described. This technique uses only four electrode locations and produces a 24 × 24 element color matrix of the topography of scalp electrical activity across time. The program also displays the coordinates, latency, and value of the maximum point within the matrix. The program is implemented on an Apple II+/IIe computer and is adaptable to other computers with graphic capabilities.     

INCREASING APPOINTMENT KEEPING BY REDUCING THE CALL-APPOINTMENT INTERVAL

We examined the effect of reducing the interval between a patient's call for an appointment and the appointment itself. In Experiment 1, patients calling a family planning unit of a public health department were assigned appointments within either 1 or 3 weeks of their call. Data on patient “shows” and “no-shows” were recorded weekly for 6 weeks. Show rates for those in the 1-week appointment group were significantly higher than those in the 3-week group. In Experiment 2, patients were assigned to appointment dates either the next operating clinic day (next-day group) or 2 weeks from the call date (2-week group). Show rates for those in the next-day group were significantly better than show rates for patients in the 2-week group. Clinic productivity, time spent with patients, and consumer satisfaction were also assessed. Implications for appointment scheduling are discussed.     

Pandemic precarity: A multi-level study of neoliberal precarity and COVID-Related outcomes in the United States

Neoliberalism is the political-economic system that has characterized the United States for the past half century. Structurally, neoliberalism has involved privatization, deregulation, and government divestment from public health systems. Cultural psychologists have begun to outline the ways that neoliberalism is reflected in attitudes, ways of being, and ideologies, such as in the form of heightened individualism, justification of inequality, depoliticization, and precarity. We argue that neoliberal structures and psychologies may contribute to deleterious outcomes in the context of the COVID-19 pandemic. We demonstrate that neoliberalism at the US state level (n = 51) is associated with higher COVID mortality and case fatality rates, as well as lower vaccination rates (Study 1). We also demonstrate that individual-level (n = 8280) neoliberal ideology predicts less adaptive beliefs and attitudes such as the belief that the federal response to the pandemic was too fast and belief in COVID-related misinformation (Study 2). We demonstrate using multilevel modeling that state-level neoliberalism predicts individual-level COVID-related attitudes, which is explained in part by heightened neoliberal ideology in more neoliberal states (Study 2). This study contributes to an understanding of the structural and cultural psychological factors that have contributed to the severity of the COVID-19 pandemic in the US.     

Frequency response characteristics for sinusoidal movement in the fovea and periphery

Threshold sensitivity was measured for sinusoidal movement of bright 1-deg lines against a dark background as a function of oscillation frequency and retinal location. Sensitivity was greatest in the fovea and at a frequency of 1–2 Hz. Peripheral sensitivity was more narrowly tuned than foveal sensitivity. The presence of a stationary reference line affected mainly the foveal sensitivity. The results are interpreted as evidence for both position- and velocity-sensitive mechanisms in the movement detection system.     

Processing distinctions between stems and affixes: evidence from a non-fluent aphasic patient

In this paper, we study the ability of a non-fluent aphasic patient, BN, to comprehend morphologically complex words when they appear in utterance contexts. We first establish that he is insensitive to the contextual appropriateness of both derived and inflected words. In a further experiment we show that he has no difficulty processing the stems of complex words and conclude that his problem is with the bound morphemes themselves. We then ask whether this problem is due to his inability to access either the phonological form of a morphologically complex word or its semantic and/or syntactic content. We find that only the access of semantic and syntactic content is impaired. We conclude from these six studies that: (a) BN presents a counter-example to the claim that non-fluent patients have particular difficulty with those aspects of morphology which have a syntactic function; (b) BN processes both derived and inflected words by mapping the sensory input onto the entire full-form of a complex word, but the semantic and syntactic content of the stem alone is accessed and integrated into the context. The semantic and syntactic implications of the suffix are never evaluated. This implies separate representation of the stems and suffixes of some types of morphologically complex words.     

Predictors of conflict over the household division of labor among women employed full-time

This empirical study examined predictors of conflict over the household division of labor among a group of 319 middle class, less traditional married women in order to examine the degree to which equity factors predicted conflict. Forty of the women were either African American, Hispanic, Native American, or Asian. An analysis of covariance indicated that there were no differences by race/ethnicity. The study explored the following: (1) the degree to which equity factors predict conflicts over household labor, (2) which equity factors best account for conflict, (3) the degree to which particular equity factors mediate the relationship of conflict with other variables, (4) whether equity factors are more compelling in predicting conflicts than practical or status variables, and (5) whether women's perceptions of the reasons for conflict put more emphasis on equity than on other issues. Results indicated that while both equity and practical factors predicted conflict, equity factors were more statistically significant. The best overall model of conflict suggested that it was predicted by lower satisfaction with the division of labor (which, in turn, was contingent upon time differentials between spouses and the time a womans' spouse spent on traditional women's tasks), a larger number of household members, a woman's younger age, and performing a greater number of overall household tasks. Equity is important to such women and constitutes a basis for making arguments about justice. However, these employed women devote twelve hours more per week to household labor than their partners and are relatively satisfied with the division. Chaeftz's theory of gender equity identifies where this sample of employed women may be located in the process of change.Thanks to Diane Blohowiak for statistical assistance and to Susan Jacquet, Laura Thieme, Annette Tierrien, and Mark Hoven Stohs for assistance with data gathering. Special thanks to the reviewers.