Attention deficit disorder with hyperactivity and methylphenidate: The effects of dose and mastery level on children's learning performance

This investigation examined the relationship between methylphenidate (MPH) and the learning and recall of paired associations by children with attention deficit disorder with hyperactivity (ADDH). Forty-five children with ADDH were randomly assigned to one of three groups (novel, partial mastery, and mastery learning) that varied in the amount of previous learning of paired associations and participated in a double-blind, placebo-control, repeated-measures-across-dose (crossover) design. Each child received four doses of MPH (5 mg, 10 mg, 15 mg, and 20 mg) and a placebo in a random, counterbalanced sequence. The results indicated that both the rate of acquisition and accuracy in learning paired associations were significantly, but differentially, affected by MPH dose and the degree of learning mastery. The implications of these results for psychopharmacological research and the monitoring of psychostimulant effects on children's learning performance in academic settings are discussed.The authors wish to acknowledge and express their sincere appreciation to the graduate and undergraduate student members of the Children's Learning Clinic.     

Behavioral assessment of methylphenidate in a child with frontal lobe damage

The assessment and management of inattentive, hyperactive, and impulsive behavior in a 6-year-old girl who experienced frontal lobe damage are described. A multimodel approach combining medical, educational, and behavioral techniques to assess hyperactive behavior, optimal medication level, and medication and psychotherapeutic effectiveness is described. The results of the study suggest that in similar cases, children and adolescents manifesting these behaviors should be given a trial of stimulant medication in a controlled environment to assess if such therapy is indicated. Additional support is given for the increasing need for detanté and cooperation with health-care professionals.     

Changing contexts and the field of community psychology

Conclusion The legacy of the Swampscott conference 25 years ago is palpable. The scientific accomplishments have been substantial. The four agendas I have presented for the future development of the field depend upon psychologists as individuals and psychologists as participants in our departments, colleges, universities, professional societies, and peer review panels to reduce the constraints that limit the definition and study of psychological phenomena in community settings (Schneider, 1990). As these constraints are addressed, new social norms can be established to expand and diversify the research process. There are some explicit positive side effects that can occur. A new working social structure can be created for how universities and communities can be resources for each other.The four topics I have presented are agendas for keeping at the task of generating active and expanding scientific traditions. These topics when addressed in the context of collaboration with other disciplines and citizens can develop an empirical base of shared wisdom about how to carry out community psychology research. In these ways the benefits of community psychology research can become more empowering for the public and more and more systemic for the scholar.These comments were presented as an Invited Address at the 2nd annual meeting of the American Psychological Society, June 8, 1990, Dallas, Texas.The following persons took time to read and comment on earlier drafts of these comments. I have benefited very much from their appraisals. Eileen Altman, Daniel Cervone, Seeley Chandler-Kelly, Nancy Dassoff, Penny Foster-Fishman, Steve Goldston, Peter Graves, Kenneth Heller, Robert E. Hess, David Henry, Ira Iscoe, Chris Keys, Benjamin Kleinmuntz, Ed Lichtenstein, Philip Mann, Kyoung Oh, Julian Rappaport, Dan Romer, Lonnie R. Snowden, Joseph P. Stokes, Edison J. Trickett, Abe Wandersman, and Marc Alan Zimmerman.     

Immediate and Delayed Effects of Imposed Postfeedback Delays in Computerized Programmed Instruction

The Psychological Record - A recent study (Crosbie & Kelly, 1994) showed that brief externally imposed postfeedback delays improved performance in computerized programmed instruction. The...     

Showing Clients What Their Profiles Mean

This article suggests that counselors might profitably investigate new graphic approaches to showing clients what their multivariate profiles mean. An illustration is given in terms of Holland's RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, Conventional; 1985) model of vocational interests.     

Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.