title: The relative effectiveness of alternative treatments for young children with attention deficit hyperactivity disorder

authors: Heriot, S.A.

abstract: The objective of this study was to evaluate the relative effectiveness of pharmacological and behavioural interventions for young children diagnosed with Attention Deficit Hyperactivity Disorder. A randomised between-groups (2 x 2) double blind design was used to compare four treatment conditions: (a) 0.3mg/kg methylphenidate and parent training programme; (b) 0.3mg/kg methylphenidate and parent support group; (c) placebo medication and parent training; and (d) placebo medication and parent support group. Treatment duration was approximately 8 weeks. The 16 families who completed the study involved children aged from 3 to 5 years and their parents (typically their mothers). All children met stringent diagnostic criteria for Attention Deficit Hyperactivity Disorder and five children also met diagnostic criteria for Oppositional Defiant Disorder. Changes were assessed on parent and teacher rating scales that measured problems with attention, activity and impulse control and oppositional/defiant behaviours, direct observation during compliance and attention tasks, cognitive measures (Continuous Performance Task), and parenting and family factors. Analysis of results showed that either active treatment component (i.e., methylphenidate versus parent training) was not better than the other. The combination of active treatment components however led to significant improvements in teacher ratings of behaviour associated with Attention Deficit Hyperactivity Disorder and oppositional defiant behaviour with a similar, although generally statistically nonsignificant, trend in parent ratings. There was a significant and large degree of variability in performance on the cognitive measures and statistical analysis of group differences was not feasible; however, examination of individual data indicated increases in sustained attention and ability to inhibit behaviour for all children receiving combined active treatments. During a compliance task, the number of repeat commands issued by mothers decreased and levels of child compliance increased significantly from pre- to post-intervention levels for the total sample, irrespective of treatment condition. The quality of family relationships also improved for the total sample. At post-intervention, 7 out of 16 children no longer met diagnostic criteria for Attention Deficit Hyperactivity Disorder and 2 out of 5 no longer met criteria for Oppositional Defiant Disorder. Several independent variables, such as gender, marital status, co-existing disorder, severity of behavioural problems, and level of parental warmth and family relationships, were found not to be predictive of post-intervention status. Findings are discussed within the framework of a transactional model. Analysis of the current data set indicates that successful outcomes for young children, at least in the short term, are more likely following combined treatments. Outcomes however may depend less upon the type of treatment per se than on whether treatment leads to changes in critical child-parent interactions, such as improvement in parental attitudes and positive attention towards the child.

text: The relative effectiveness of alternative treatments for young children with attention deficit hyperactivity disorder The objective of this study was to evaluate the relative effectiveness of pharmacological and behavioural interventions for young children diagnosed with Attention Deficit Hyperactivity Disorder. A randomised between-groups (2 x 2) double blind design was used to compare four treatment conditions: (a) 0.3mg/kg methylphenidate and parent training programme; (b) 0.3mg/kg methylphenidate and parent support group; (c) placebo medication and parent training; and (d) placebo medication and parent support group. Treatment duration was approximately 8 weeks. The 16 families who completed the study involved children aged from 3 to 5 years and their parents (typically their mothers). All children met stringent diagnostic criteria for Attention Deficit Hyperactivity Disorder and five children also met diagnostic criteria for Oppositional Defiant Disorder. Changes were assessed on parent and teacher rating scales that measured problems with attention, activity and impulse control and oppositional/defiant behaviours, direct observation during compliance and attention tasks, cognitive measures (Continuous Performance Task), and parenting and family factors. Analysis of results showed that either active treatment component (i.e., methylphenidate versus parent training) was not better than the other. The combination of active treatment components however led to significant improvements in teacher ratings of behaviour associated with Attention Deficit Hyperactivity Disorder and oppositional defiant behaviour with a similar, although generally statistically nonsignificant, trend in parent ratings. There was a significant and large degree of variability in performance on the cognitive measures and statistical analysis of group differences was not feasible; however, examination of individual data indicated increases in sustained attention and ability to inhibit behaviour for all children receiving combined active treatments. During a compliance task, the number of repeat commands issued by mothers decreased and levels of child compliance increased significantly from pre- to post-intervention levels for the total sample, irrespective of treatment condition. The quality of family relationships also improved for the total sample. At post-intervention, 7 out of 16 children no longer met diagnostic criteria for Attention Deficit Hyperactivity Disorder and 2 out of 5 no longer met criteria for Oppositional Defiant Disorder. Several independent variables, such as gender, marital status, co-existing disorder, severity of behavioural problems, and level of parental warmth and family relationships, were found not to be predictive of post-intervention status. Findings are discussed within the framework of a transactional model. Analysis of the current data set indicates that successful outcomes for young children, at least in the short term, are more likely following combined treatments. Outcomes however may depend less upon the type of treatment per se than on whether treatment leads to changes in critical child-parent interactions, such as improvement in parental attitudes and positive attention towards the child.

year: 1999

title: Kava, the devil, and the snake: Pentecostal iconoclasm in contemporary Fiji

authors: Aporosa, S. 'Apo'

subjects: Kava

abstract: In his book, The Polynesian Iconoclasm, Jeff Sissons (2014) explains that within a short period of time during the early 1800’s a number of island societies in eastern Polynesia desecrated or destroyed many of their temples and sacred icons as part of their process of rejecting traditional cosmologies and embracing Christianity. This included the renunciation of kava use and the destruction of kava related utensils such as kumete and tanoa (kava bowls). Although some people within these societies recently have begun reengaging with kava and its related practices as part of cultural renaissance, scepticism remains. In Tonga, Samoa and Fiji (with Fiji having both Melanesian and Polynesian influences), iconoclasm was experienced with less intensity than elsewhere in Polynesia. For instance, although the early missionaries encouraged the destruction of weapons of warfare and objects linked to traditional worship, kava and its use was mostly ignored. Indeed, in the case of both Methodism and Roman Catholicism, kava was incorporated into Christian rituals. 
However, over the past thirty years, Pentecostal Christian groups have gained traction in Fiji, Tonga and Samoa. Their teachings call for the necessity to be ‘born again’, which often includes the rejection of traditional cultural conventions. For some, particularly in Fiji, the ‘born again’ message includes the renunciation of kava, a practice these Christian groups argue has its foundations in ancestral worship and ‘the workings of the Devil’. After the preaching of anti-kava messages, Church services and rallies can conclude with fervent displays of kava utensil destruction. This paper considers the recent aspect of Pentecostalism, with its anti-kava ideology and associated destruction of kava-related implements, as a present day manifestation of a much older pattern of “Polynesian Iconoclasm”.

text: Kava, the devil, and the snake: Pentecostal iconoclasm in contemporary Fiji In his book, The Polynesian Iconoclasm, Jeff Sissons (2014) explains that within a short period of time during the early 1800’s a number of island societies in eastern Polynesia desecrated or destroyed many of their temples and sacred icons as part of their process of rejecting traditional cosmologies and embracing Christianity. This included the renunciation of kava use and the destruction of kava related utensils such as kumete and tanoa (kava bowls). Although some people within these societies recently have begun reengaging with kava and its related practices as part of cultural renaissance, scepticism remains. In Tonga, Samoa and Fiji (with Fiji having both Melanesian and Polynesian influences), iconoclasm was experienced with less intensity than elsewhere in Polynesia. For instance, although the early missionaries encouraged the destruction of weapons of warfare and objects linked to traditional worship, kava and its use was mostly ignored. Indeed, in the case of both Methodism and Roman Catholicism, kava was incorporated into Christian rituals. 
However, over the past thirty years, Pentecostal Christian groups have gained traction in Fiji, Tonga and Samoa. Their teachings call for the necessity to be ‘born again’, which often includes the rejection of traditional cultural conventions. For some, particularly in Fiji, the ‘born again’ message includes the renunciation of kava, a practice these Christian groups argue has its foundations in ancestral worship and ‘the workings of the Devil’. After the preaching of anti-kava messages, Church services and rallies can conclude with fervent displays of kava utensil destruction. This paper considers the recent aspect of Pentecostalism, with its anti-kava ideology and associated destruction of kava-related implements, as a present day manifestation of a much older pattern of “Polynesian Iconoclasm”.

year: 2019

title: Ka ora | Ka mate

authors: Apiata, Hāwea

abstract: Ekphrasis in response to the artwork 'Matariki' by Hariata Ropata-Tangahoe (Ngāti Toa, Ngāti Raukawa, Te Āti Awa). Written for the One Hundred Years exhibition held at RAMP Gallery, in celebration of the establishment of the first iteration of the technical college a century earlier in 1924. Alumni of the art program were invited to contribute works to the show and local writers were asked to respond to the art, with their works being published in the exhibition catalogue.

text: Ka ora | Ka mate Ekphrasis in response to the artwork 'Matariki' by Hariata Ropata-Tangahoe (Ngāti Toa, Ngāti Raukawa, Te Āti Awa). Written for the One Hundred Years exhibition held at RAMP Gallery, in celebration of the establishment of the first iteration of the technical college a century earlier in 1924. Alumni of the art program were invited to contribute works to the show and local writers were asked to respond to the art, with their works being published in the exhibition catalogue.

year: 2024-02-29