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Biomedical subjects

L Poulton

Publications and source records attributed to L Poulton.

5 recordsLinked to original sources

Errorless compliance training with physically abusive mothers: a single-case approach.

OBJECTIVE: "Errorless compliance training" is a recently developed, success-based approach for teaching children to comply with parental requests without the use of coercive consequences. Two mothers were trained to use this intervention to reduce severe child defiance that was precipitating mother/child confrontations and physical abuse. METHOD: To determine probability of child compliance to specific requests, we observed mothers delivering requests to their child. We then developed a hierarchy of compliance probabilities for each child. Mothers were trained to deliver a high density of Level 1 requests (those that typically yielded compliance), and provide praise for child compliance. Lower probability request levels were introduced gradually, at a slow enough pace to preclude noncompliant responses, reducing the need for mothers to respond aversively to child behavior. RESULTS: At treatment completion and follow-up, both children demonstrated substantial improvements in compliance. CONCLUSIONS: The errorless approach may be well suited to managing parenting deficits and child opposition commonly associated with family violence.

Adult↗

Success-based, noncoercive treatment of oppositional behavior in children from violent homes.

OBJECTIVES: Errorless compliance training is a success-based, noncoercive intervention for children with severe oppositional behavior. The strategy involves hierarchical introduction of more demanding parental requests at a gradual pace that greatly reduces noncompliance and obviates the need for constraining consequences (e.g., time-out). In this study, this approach was evaluated as a treatment for severe disciplinary problems in children from violent homes. METHOD: Participants were 15 children (aged 3-10 years) and their mothers. All participants had experienced long-term family violence. Using a multiple-baseline design, the authors trained parents in a group format and conducted observations of child compliance in the home throughout the intervention. RESULTS: Observations indicated improvements in generalized child compliance that were maintained up to 6 months posttreatment. Pre-/post maternal reports indicated significant reductions in maternal perception of child noncompliance, externalizing and internalizing problems, and parenting stress. CONCLUSIONS: Researchers have noted a dearth of empirically supported interventions for children from violent homes. Errorless compliance training may help to fill this void, as it appears well suited to treatment of difficulties encountered by these youngsters and their parents.

Adult↗

Lack of consistency in research papers over the definition of pre-eclampsia.

The most common definition of pre-eclampsia involves hypertension and proteinuria. This has changed little in over a hundred years despite advances in understanding the underlying pathological process. However, a number of variations in definition exist, and this paper demonstrates a lack of consistency in research articles in defining pre-eclampsia. A quarter of papers omit description, and many authors choose their own interpretation of the standard classification. Editors and reviewers should ensure that papers include a clear description of the definition used and an adequate description of the population studied to allow meaningful interpretation of research findings.

Female↗

Delinquent firesetters: a comparative study of delinquency and firesetting histories.

Twenty-five male delinquents (aged nine to 16) who had legal charges for setting fires filed against them were compared to a group of age and sex matched delinquents who had legal charges filed against them that were not related to firesetting. Groups were compared on demographic variables and on their delinquency and fire related histories. The only significant difference to emerge was a higher proportion of past firesetting in the group with fire-related charges. The present results indicate that a subgroup of antisocial recidivist firesetters exists among young offenders and underscore the importance of obtaining a thorough fire related history from youth who are before the court on fire related charges.

Adolescent↗