A synchronization effect and its application to stuttering by a portable apparatus

The present study attempted to determine how a rhythmic beat affects ongoing behavior. A regular stimulus beat was presented to normal subjects who had been instructed to push a bar from side to side. Other subjects had been instructed to emit a vocal response. The individual vocal and motor responses became synchronized with the individual beats of the rhythm. The time between stimulus beats determined the modal interresponse time. These results indicate a synchronization effect: ongoing behavior tends to become synchronized with an ongoing stimulus rhythm. An attempt was made to apply these findings to the problem of stuttering, which can be considered as a disturbance of the natural rhythm of speech. Stutterers were instructed to synchronize their speech with a simple regular beat presented to them tactually by a portable apparatus. The result was a reduction of 90% or more of the stuttering for each subject during the period of synchronization. This effect endured for extended periods of spontaneous speech as well as for reading aloud and was found to be attributable to the rhythmic nature of the stimulus and not to other factors.     

Correction to: Secret Agent Society: a Randomized Controlled Trial of a Transdiagnostic Youth Social Skills Group Treatment

Research on Child and Adolescent Psychopathology -     

Partial avoidance contingencies: Absolute omission and punishment probabilities

Avoidance contingencies were defined by the absolute probability of the conjunction of responding or not responding with shock or no shock. The “omission” probability (ρ₀₀) is the probability of no response and no shock. The “punishment” probability (ρ₁₁) is the probability of both a response and a shock. The traditional avoidance contingency never omits shock on nonresponse trials (ρ₀₀=0) and never presents shock on response trials (ρ₁₁=0). Rats were trained on a discrete-trial paradigm with no intertrial interval. The first lever response changed an auditory stimulus for the remainder of the trial. Shocks were delivered only at the end of each trial cycle. After initial training under the traditional avoidance contingency, one group of rats experienced changes in omission probability (ρ₀₀>0), holding punishment probability at zero. The second group of rats were studied under different punishment probability values (ρ₁₁>0), holding omission probability at zero. Data from subjects in the omission group looked similar, showing graded decrements in responding with increasing probability of omission. These subjects approximately “matched” their nonresponse frequencies to the programmed probability of shock omission on nonresponse trials, producing a very low and approximately constant conditional probability of shock given no response. Subjects in the punishment group showed different sensitivity to increasing absolute punishment probability. Some subjects decreased responding to low values as punishment probability increased, while others continued to respond at substantial levels even when shock was inevitable on all trials (noncontingent shock schedule). These results confirm an asymmetry between two dimensions of partial avoidance contingencies. When the consequences of not responding included occasional omission of shock, all subjects showed graded sensitivity to changes in omission frequency. When the consequences of responding included occasional shock delivery, some subjects showed graded sensitivity to punishment frequency while others showed control by overall shock frequency as well.     

Secret Agent Society: A Randomized Controlled Trial of a Transdiagnostic Youth Social Skills Group Treatment

Group programs are key for targeting social skills (SS) for children with developmental disorders and/or mental illness. Despite promising evidence regarding efficacy of group treatments, there are several limitations to current research regarding generalizability and effectiveness across diagnoses. This randomized control trial assessed whether the Secret Agent Society (SAS) group program was superior to treatment as usual (TAU) in improving social-emotional functioning for children with Attention Deficit-Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), and/or anxiety. Eighty-nine youth (8–12) with ADHD, ASD, and/or an anxiety disorder receiving treatment at hospital-based outpatient clinics were randomized to receive SAS (n?=?47) or TAU (n?=?42) over a three-month period, at which point TAU participants were offered the SAS intervention. Parent report showed significant improvement in Emotion Regulation (ER) and Social Skills (SS) for youth in SAS vs. TAU (Fs?≥?6.79, ps?≤?01). Gains for the SAS condition were maintained at 6-months. Intent-to-treat analysis of teacher report indicated youth in SAS had positive gains in SS (F?=?0.41, p?=?0.475) and ER (F?=?0.99, p?=?0.322), though not significantly better than youth in TAU. Clinically reliable improvement rates were significantly higher for SAS participants than TAU for parent and teacher reported SS and ER. Improvements were significant for youth with single and comorbid diagnoses. Results suggest that SAS was superior to TAU in improving SS and ER for youth aged 8–12 with ADHD, ASD, and/or anxiety. Gains maintained in the medium-term. Trial registration number NCT02574273, registered 10/12/2015.