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Aspects of the behavioral repertoire of an autistic/epileptic child.

The behavior of an autistic/epileptic child was investigated through indoor, outdoor, and laboratory contexts to acquire a catalog of behavior for the autistic condition, which to date was only partially available, and to provide the parameters of the units composing it. The catalog obtained is composed of 111 units of behavior whose descriptions and quantitative characteristics are also given. The study has also dealt with the subject's global behavioral output and lexical aspects of her repertoire. The results appear to admit the conclusion that the child's behavior was operating under a tendency to return to a stereotypic output state from other, short-lasting states of behavior. This observation needs a subsequent confirmatory analysis of behavioral output states involved. Moreover, the search for the orderly type/token relationship, proposed in 1977 by Fagen and Goldman to hold for behavior, has led to equivocal results.

Autistic Disorder↗

Peer-mediated approaches to promoting children's social interaction: a review.

The literature on peer-mediated treatment approaches is reviewed, and three types of peer-mediated treatment--proximity, prompt/reinforce, and peer initiation interventions--are identified. The relative efficacy of these interventions is examined, treatment issues are discussed, and directions for future research are considered.

Animals↗

Self-control in children with autism: response allocation during delays to reinforcement.

This study examined the use of a progressive-delay schedule of reinforcement to increase self-control and decrease disruptive behavior in children with autism. When initially given the choice between an immediate smaller reinforcer and a larger delayed reinforcer, all participants chose the smaller reinforcer. When access to the larger reinforcer required either no activity or engaging in a concurrent task during the delay, all participants demonstrated both self-control and preference for a response requirement. Disruptive behavior decreased during delays that required a concurrent task compared to sessions without an activity requirement.

Autistic Disorder↗

Children who light fires: a comparison between firesetters and non-firesetters referred to a child psychiatric outpatient service.

This study compares firesetting children with an age- and sex-matched group of non-firesetting children referred to a child psychiatric outpatient service. Firesetting was associated with male sex, separated parents and with previous contact with welfare agencies. It was not associated with socioeconomic status. Firesetters were distinguished from the contrast group by higher levels of conduct disordered behaviour, particularly in children above the age of 11 years. Both groups had similar high levels of emotional disorder at all ages. These clinical features emphasise that firesetters have a mixed clinical picture with widespread psychopathology.

Adolescent↗

Assessing ADHD and comorbid disorders in children: the Child Behavior Checklist and the Devereux Scales of Mental Disorders.

Evaluated discriminant validity and clinical utility of selected subscales of the Devereux Scales of Mental Disorders (DSMD; Naglieri, LeBuffe, & Pfeiffer, 1994) and the Child Behavior Checklist (CBCL; Achenbach, 1991a) in 228 children referred to a clinic for the evaluation and treatment of attention deficit hyperactivity disorder (ADHD). The DSMD is a multiaxial behavior rating scale that measures symptomatology for a broad range of child psychopathology as described in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-R-III] and 4th ed. [DSM-IV]; American Psychiatric Association, 1987, 1994). Discriminant function analyses as well as sensitivity, specificity, and predictive power analyses were computed to evaluate the discriminant validity and clinical utility of selected DSMD and CBCL subscales for assessing ADHD, oppositional defiant disorder (ODD), and anxiety disorders. Results indicated that the DSMD compared very favorably with the CBCL in the ability to discriminate between children with ADHD and those without ADHD and between children with comorbid ODD and anxiety disorders and children who did not meet criteria for these disorders. The DSMD Attention subscale may be somewhat better at ruling in ADHD combined subtype (ADHD-C) and ADHD inattentive subtype (ADHD-I) than the CBCL Attention Problems subscale, but the CBCL Attention Problems subscale may have slightly better utility than the DSMD Attention subscale in ruling out these subtypes. Both the CBCL and DSMD were more useful for ruling out than for ruling in ODD and anxiety disorders.

Attention Deficit Disorder with Hyperactivity↗

Follow-up of hard-to-manage preschoolers: adjustment at age 9 and predictors of continuing symptoms.

Hard-to-manage preschoolers and controls, studied initially at age 3 and followed up at school entry, were followed up again at age 9. Maternal interviews indicated that 67% of the hard-to-manage preschoolers who showed clinically significant problems at age 6 met DSM-III criteria for an externalizing disorder at age 9. Maternal and teacher ratings confirmed the diagnostic data. Hard-to-manage youngsters who had improved by age 6 did not differ from comparison children on maternal or teacher reports. Regression analyses indicated that earlier child behavior, maternal behavior, symptom ratings, and ongoing family stress predicted current symptoms of disorder.

Aggression↗