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A multiple-baseline analysis of social-skills training in chronic schizophrenics.

Social-skills training was applied to two male chronic schizophrenics. Component behaviors of social skill requiring modification were identified for each patient by rating videotapes of role-played interactions. Training involved instructions and feedback for one subject and instructions, feedback, and modelling for the second. Target behaviors were treated sequentially and cumulatively in a multiple-baseline format. Training was applied for both positive and negative assertion and for situation involving males and females. The results were positive for all behaviors for both patients. Follow-ups at 2, 4, 6, and 8 weeks after training indicated that most effects were maintained at near-treatment levels.

Adult↗

Social-skills training for unassertive children: a multiple-baseline analysis.

The effects of social-skills training consisting of instructions, feedback, behavior rehearsal, and modelling were examined in a multiple-baseline analysis in four unassertive children. The treatment was effective in that the behaviors selected for modification changed markedly. The effects of treatment generalized from trained to untrained items (interpersonal situations requiring assertive responding) and gains were maintained at the two-and four-week followup probe sessions. In addition, overall assertiveness in all subjects increased from baseline assessment to the conclusion of treatment and into followup.

Behavior Therapy↗

Relationship between stages of smoking acquisition and environmental factors among junior high school students.

To study the relationship of stages of smoking acquisition and environmental factors, 757 Japanese junior high school students (390 boys and 367 girls) anonymously answered a questionnaire regarding the four stages of smoking acquisition (precontemplation, contemplation, preparation, and action stages) and environmental factors of smoking behavior. Analysis showed that the influence of advertising and students' interpersonal situations on smoking behavior increased from the precontemplation stage to the action stage.

Adolescent↗

Familial transmission of alcohol use, III. Impact of imitation/non-imitation of parent alcohol use (1960) on the sensible/problem drinking of their offspring (1977).

Imitation/non-imitation by adult offspring of alcohol-related parent behavior was examined in the context of the 'fall-off effect' and of sensible/problem alcohol use, two processes which tend to constrain drinking. Evidence indicates there is more imitation by adult offspring of abstemious parents (both abstainer and low volume) than of high volume parents. Adult offspring drink significantly less, on the average, than their high volume parents, a phenomenon here termed 'fall-off effect' for both men and women with respect to either their fathers or mothers. This fall-off among social drinkers appears when the mother approaches or the father consumes at or more than a typical daily drinking level (greater than or equal to 1 drink per day). More sensible drinking occurs among adult offspring when (1) the parent has no drinking problem-signs than when the parent has drinking problems (this pattern appears at all levels of offspring consumption), and (2) when parents drink at high volume and have no problems for those offspring who do not imitate parent volume. Drinking 'sensibly' appears to be associated directly with the level of parent alcohol use and offsprings' own drinking levels (considered as imitation or non-imitation of parents), and indirectly with offspring recall of problematic intake by parents. Drinking sensibly is a medical, education and public health issue.

Adult↗

Training social interpersonal skills in two autistic children.

Two children, a 10-year-old girl and a 9-year-old boy both of whom were autistic and mentally retarded and one of whom was also hyperactive, were treated for social skill deficits. Targets of treatment were refraining from perseveration, appropriate affect, appropriate content of speech, appropriate sitting, and eye contact. Training included modeling, instructions, performance feedback, role-playing, rehearsal, and tangible and social reinforcers. A multiple baseline within subjects and across behaviors design was employed. Marked improvements were noted soon after treatment was implemented. The significance of these effects and their implications for future research are discussed.

Autistic Disorder↗

Social interaction between parents and babies: validation of an intervention procedure.

The purpose of this paper is to evaluate a set of intervention procedures developed as part of a parent-infant interaction model from a larger research study on social interaction between parents and their handicapped infants. Data is presented for three dyads, selected to illustrate the applicability of the procedures under a variety of different conditions including ages of the babies, target behaviours chosen and intervention situations. Results indicated that interactions could be altered through direct intervention with the mothers. The procedures used in the Social Interaction Assessment and Intervention model thus seem to be valid for bringing about change in interactions in dyads with a variety of interactive problems, in at least two different types of situations, and with babies differing widely in age and extent of delay.

Behavior Therapy↗

Treatment of chronic obsessive-compulsive neurosis by in-vivo exposure. A two-year follow-up and issues in treatment.

Twenty patients with chronic obsessive-compulsive rituals were treated in a partially controlled design by in-vivo (real life) exposure with self-imposed response prevention. Treatment included 4-12 weeks as in-patients, and lasted a mean of 23 sessions. All patients were followed-up for at least two years. No patients dropped out during the trial, though one refused domiciliary treatment after discharge. Significant improvement in compulsions was found after three weeks of real-life exposure, and continued during follow-up. At two years follow-up 14 patients were much improved, one improved and 5 unchanged; in a third year of follow-up the improved patient became symptom-free after further exposure treatment. Improvement after three weeks exposure predicted good outcome at 6 and 12 months follow-up. Muscular relaxation treatment had no significant effect on rituals. Modelling of exposure conferred no advantage over exposure alone for the group as a whole, though it may help selected patients. The role of response prevention is unknown. Patients' commitment to treatment facilitates exposure. Domiciliary treatment with involvement of family members in therapy seems crucial in some cases. Pilot group treatment of patients and families together suggests that this may be a useful adjuvant to individual treatment by increasing motivation and aiding follow-up. Compulsive slowness presents special treatment problems but can be improved by a prompting and pacing approach. The course of rituals was often independent of that of agoraphobia, marital problems and depression where these had initially coexisted with rituals. Depressive episodes were common before, during and after treatment, and required tricyclic medication. The trial sample was predominantly female but was otherwise typical of patients with compulsive rituals. Of the 125 obsessive-compulsives seen in the first author's unit over four years 96 per cent were offered behavioural or anti-depressant treatment. One quarter refused behavioural treatment after it was offered. Real-life exposure with self-imposed response prevention is usually an effective procedure for lasting reduction of chronic compulsive rituals in well motivated patients.

Adult↗

The topical relationship among adjacent utterances in productively delayed children's language addressed to their mothers.

Topic continuing and nontopic continuing utterances produced by three productively language-disordered preschoolers were examined. All children were intellectually, normal, exhibited multiple articulation errors, and produced utterances characteristic of children in Brown Stage I. Each child and mother participated in a videotaped 40-min free play activity. Communicative behavior emitted by mothers and children was transcribed using procedures described by Bloom, Rocissano, and Hood (1976). Subsequently, all intelligible child utterances produced adjacent to a maternal utterance were coded as imitative (maintained topic but added no new information), contingent (maintained topic and added new information), and noncontingent (changed topic). Results suggested that these productively disordered children produced a proportion of adjacent utterances comparable to proportions previously reported for children with normal production language skills (Bloom, Rocissano, and Hood, 1976). Further analysis suggested that these productively delayed children relied on an imitation strategy to continue conversational exchanges. Results are discussed in terms of intervention procedures suitable for children displaying conversational deficits, particularly the impact of phonological delay on conversational exchanges.

Child↗

Strain and sex influence on pain sensitivity after plantar incision in the mouse.

BACKGROUND: A small surgical incision in mouse glabrous hind-paw skin induces short-lasting guarding behavior and mechanical and heat hyperalgesia-like behaviors, which imitate human postoperative pain. The increasing popularity of this animal model in drug discovery necessitates the understanding of genetic and sex influence on this animal model. METHODS: The authors examined pain behaviors on DBA2, C57Bl/6, and 129X1/SvJ mice and male and female DBA2 mice before and after plantar incision. RESULTS: The baseline nociceptive responses of these strains were similar, with a few exceptions. Heat responses were different between DBA2 and C57Bl/6 mice, and responses to one filament, 14.0 mN, were intermittently different. Sex did not greatly influence baseline responses. After plantar incision, these three strains of mice were not different in the development of guarding behaviors. Heat responses were only different on postincision day 3 (129X1/SvJ vs. C57Bl/6 mice); otherwise, they were the same. The responses to the series of von Frey filaments were the same after incision in the three strains. Sex did not influence incision-induced pain behaviors in DBA2 mice. CONCLUSION: Although several studies postulated that mouse strain influences pain models, the authors' data indicate that such influence on incisional pain is negligible. This suggests that studies using an incision and knockout mice resulting from 129 strain mutation in a C57BL/6 strain background should have modest influence. The lack of sex differences in incisional pain may encourage researchers to use both male and female subjects in their studies.

Animals↗

A quantitative and qualitative analysis of suicidal preadolescent children and their families.

This study identified a sample of suicidal preadolescent children who also were depressed, aggressive, and socially isolated. The study explored the dimensions of cohesion and control associated with the families of these children. Two hypotheses were suggested: 1) the families have a deficit in emotional bonding and 2) the families have a chaotic disciplinary style. It also seems likely that children learn suicidal behavior through observation of others in their family and social contexts.

Child↗

Modeling effects on suicidal behavior.

Knowledge of suicidal behavior, i.e., psychiatric patients indicating that they have an acquaintance or relative who has attempted or committed suicide, has been cited as a risk factor in the assessment of suicide potential. The authors evaluated psychiatric patients hospitalized for a suicide attempt (N = 30), serious suicidal ideation (N = 26), or other non-suicide-related reasons (N = 20) and also a control group of 18 patients admitted for orthopaedic surgery. Information derived from a structured clinical interview revealed that suicide attempters have fewer suicidal models than individuals in the other patient groups, and they are more interpersonally distant from the models they do know. Depression level was not positively related to the recall and reporting of suicidal models. Measures assessing suicide-related beliefs revealed that suicide attempters rated suicide as an effective solution for problems to a greater extent that did patients in the remaining three groups. The implications of these results for social learning models of suicidal behavior are discussed.

Adult↗

Children's services--past, present, future.

Preventing, healing, and educating in various forms have always been major ingredients of clinical services for troubled children. Traditional services involving healing or prevention have been emphasized. Current times mandate a closer look at the value of an educationally oriented model to provide direction for clinical intervention. Case illustrations of such a model are presented.

Affective Symptoms↗

Parenting education for parents with intellectual disabilities: a review of outcome studies.

Parents with intellectual disabilities (i.e., IQ < 80; mental retardation) are overrepresented in child maltreatment cases and have a variety of parenting skill deficits. Their children are at risk for neglect, developmental delay, and behavioral disorders. This review of parenting education interventions for such parents identified 20 published studies with adequate outcome data. A total of 190 such parents (188 mothers, 2 fathers), with IQs ranging from 50 to 79 were involved. Parenting skills trained included basic child-care, safety, nutrition, problem solving, positive parent-child interactions, and child behavior management. The most common instructional approach was behavioral (e.g., task analysis, modeling, feedback, reinforcement). Overall, initial training, follow-up, and social validity results are encouraging. Generalization and child outcome data are weak. Further research is needed to (a) identify variables associated with responsiveness to intervention, and (b) develop and compare innovative programs that teach parents with cognitive disabilities the necessary generalized skills to demonstrate long-term beneficial effects on their children.

Adult↗