To the Editor.— An article in the Archives by Abikoff and Gittelman1 reported on the outcome of a cognitive training program in the treatment of juvenile hyperactivity. The report is a noteworthy contribution to this important and somewhat controversial field. Accordingly, the authors' conclusion that cognitive training provides no additional benefit when combined with medication in treating hyperactive children who respond to stimulants requires clarification and commentary.Our first concern is that the cognitive intervention employed by Abikoff and Gittelman lacked a truly behavioral component (eg, did not include response contingencies in the training) and, therefore, differs meaningfully from the cognitive-behavioral approaches championed by other researchers and buttressed by their data. Rewards were dispensed by Abikoff and Gittleman but in a manner not indicative of proper contingency management; rewards were not tied to learning the program. Models for cognitive processes in the learning of behavioral self-control have consistently emphasized
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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