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Journal of Abnormal Psychology

1971, Vol. 77, No. 2, 115-126

TRAINING IMPULSIVE CHILDREN TO


TALK TO THEMSELVES:
A MEANS OF DEVELOPING SELF-CONTROL1

DONALD H. MEJCHENBAUM 2 AND JOSEPH GOODMAN


University of Waterloo

The efficacy of a cognitive self-instructional (SI) training procedure in altering


the behavior of "impulsive" school children was examined in two studies.
Study I employed an individual training procedure which required the impulsive
child to talk to himself, initially overtly and then covertly, in an attempt to
increase self-control. The results indicated that the SI group (JV = 5) im-
proved significantly relative to attentional and assessment control groups on the
Porteus Maze test, Performance IQ on the WISC, and on a measure of^cogni^
tjy_e impulsivity^The improved performance was evident in a 1-mo. follflw^np
assessment. Study II examined the efficacy of the components of the cogni-
tive treatment procedure in altering the impulsive child's performance on
Kagan's measure of cognitive impulsivity. The results indicated that
cognitive modeling alone was sufficient to slow down the impulsive child's
response time for initial selection, but only with the addition of SI training
was there a significant decrease in errors. The treatment and research implica-
tions of modifying S's cognitions are discussed.

The development of the functional interac- mediate or regulate his overt behavior ver-
tion between self-verbalization and nonverbal bally; (b) does not spontaneously produce
behavior has received much attention (Luna, relevant mediators; and (c] does not com-
1961; Piaget, 1947; Reese, 1962; and see prehend the nature of the problem in order
especially a review by Kohlberg, Yaeger, & to discover what mediators to produce. Thus,
Hjertholm, 1968). Two general research problem solving is viewed as a three-stage
strategies have been employed to assess the in- process of comprehension, production, and
fluence of self-verbalizations on behavior. The mediation, and poor performance can result
first strategy is characterized by S's perform- from a "deficiency" at any one of these
ance on a task and E's subsequent inference stages. The deficiency literature suggests that
as to the presence or absence of specific cog- a training program designed to improve task
nitive activities. In general, this approach has performance and engender self-control should
used the concept of "deficiency" to explain provide explicit training in the comprehension
poor performance. Reese (1962) has suggested of the task, the spontaneous production of
a mediation deficiency hypothesis; Flavell and mediators, and the use of such mediators to
his co-workers (Flavell, Beach, & Chinsky, control nonverbal behavior. The present cogni-
1966; Moely, Olson, Halwes, & Flavell, 1967) tive self-guidance treatment program was de-
have offered a production deficiency hypothe- signed to provide such training for a group
sis, and most recently Bern (1970) has sug- of "impulsive" children.
gested a comprehension deficiency hypothesis. The other strategy, which is designed to
The developing child is characterized as going assess the functional role of private speech in
through stages during which he (a) does not task performance, directly manipulates the
1
child's verbalizations and examines resulting
This work was supported by the Ontario Mental
Health Foundation Grant 120.
changes in nonverbal behavior. Vygotsky
The authors wish to thank Dale Willows for her (1962) has suggested that internalization of
assistance in the collection of the data and Richard verbal commands is the critical step in the
Steffy for his many constructive comments.
2 child's development of voluntary control of
Requests for reprints should be sent to Donald
Meichenbatim, Department of Psychology, University his behavior. Data from a wide range of
of Waterloo, Waterloo, Ontario, Canada. studies (Bern, 1967; Klein, 1963; Kohlberg
115
116 DONALD H. MEICHENBAUM AND JOSEPH GOODMAN

etal., 1968; Lovaas, 1964; Luria, 1959, 1961; Familiar Figures (MFF) Test. The impulsive
Meichenbaum & Goodman, 1969a, 1969b) 5s in the second study have been selected
provide support for the age increase in cogni- from kindergarten and first-grade classes as
tive self-guiding private speech, and the in- assessed by their failure to follow an instruc-
crease in internalization with age. These re- tion to "go slower" on a preassessment of the
sults suggest a progression from external to MFF test. Both studies indicate the general
internal control. Early in development, the treatment regimen designed to train impulsive
speech of others, usually adults, mainly con- children to talk to themselves, a possible
trols and directs a child's behavior; somewhat means of developing self-control.
later, the child's own overt speech becomes an
effective regulator of his behavior; and still STUDY I
later, the child's covert or inner speech can Method
assume a regulatory role. The present studies Subjects
were designed to examine the efficacy of a
cognitive self-guidance treatment program The Ss were IS second-grade children (8 females,
7 males) whose ages ranged from 7 to 9 yr. with a
which followed the developmental sequence mean of 8 yr., 2 mo. and who had been placed in
by which overt verbalizations of an adult or an "opportunity remedial class" in a public ele-
E, followed by the child's overt self-verbaliza- mentary school. The children were placed into the
tions, followed by covert self-verbalization opportunity class because of behavioral problems
such as hyperactivity and poor self-control, and/or
would result in the child's own verbal control they had low IQs on one of a variety of school-ad-
of his nonverbal behavior. By using this fad- ministered intelligence tests. The cutoff point on the
ing procedure, we hoped to (a) train impul- IQ measures was 85, but for several Ss the last as-
sive 5s to provide themselves with internally sessment was several years prior to the present re-
originated verbal commands or self-instruc- search project. The children's behavior both in class
and on performance measures was measured before
tions and to respond to them appropriately; and after treatment as well as in a 1-mo. follow-up
(b) strengthen the mediational properties of assessment described below. Following the pretreat-
the children's inner speech in order to bring ment assessment, 5s were assigned to one of three
their behavior under their own verbal or dis- groups. One group comprised the cognitive self-
guidance treatment group (N = 5 ) . The remaining
criminative control; (c) overcome any pos- two groups included in the study were control groups.
sible "comprehension, production, or media- One control group met with E with the same regu-
tional deficiencies"; and finally (d) encourage larity as did the cognitively trained 5s. This at-
the children to appropriately self-reinforce tention control group (N = 5) afforded an index of
their behavior. We hoped to have the child's behavioral change due to factors of attention, ex-
posure to training materials, and any demand charac-
private speech gain a new functional sig- teristics inherent in our measures of improvement.
nificance, to have the child develop a new In addition, an assessment control group of 5s who
cognitive style or "learning set" and thus to received no treatment was included. The assessment
engender self-control. control group (A7 = 5) provided an index of the con-
Two studies are reported which apply the tribution of intercurrent life experiences to any be-
havioral change (e.g., being a member of the op-
cognitive self-guidance treatment regimen to portunity remedial class). Assignment to these three
impulsive school children. The first study, groups was done randomly, subject to the two con-
using second-grade children who had been as- traints of (a) equating the groups on sex composition
and (6) matching the groups on their prorated
signed to an "opportunity remedial class," WISC IQ performance scores taken prior to treat-
provided four |-hr. individual training ses- ment.
sions over a 2-wk. period. The effects of train-
ing on performance measures and classroom Treatments
behavior is reported. The second study ex- Cognitive training group. The 5s in this group
were seen individually for four J-hr. treatment ses-
amines the modification value of a particular sions over a 2-wk. period. The cognitive training
component of the treatment regimen, namely technique proceeded as follows: First, E performed
modeling, which is designed to alter the child's a task talking aloud while 5 observed (E acted as
a model) ; then 5 performed the same task while R
impulsive cognitive style in one treatment ses- instructed 5 aloud; then 5 was asked to perform the
sion as assessed on Kagan's (1966) Matching task again while instructing himself aloud; then S
TRAINING IMPULSIVE CHILDREN TO TALK TO THEMSELVES 117

performed the task while whispering to himself (lip sures, there are significant differences between the
movements); and finally S performed the task training tasks and the performance and behavioral
covertly (without lip movements). The verbaliza- indexes used to assess improvement. It should be
tions which E modeled and S subsequently used in- noted that the attentional control group received the
cluded: (a) questions about the nature and demands same opportunities to perform on each of the train-
of the task so as to compensate for a possible compre- ing tasks, but without cognitive self-guidance training.
hension deficiency; (6) answers to these questions One can imagine a similar training sequence in the
in the form of cognitive rehearsal and planning in learning of a new motor skill such as driving a car.
order to overcome any possible production deficiency; Initially the driver actively goes through a mental
(c) self-instructions in the form of self-guidance checklist, sometimes aloud, which includes verbal
while performing the task in order to overcome any rehearsal, self-guidance, and sometimes appropriate
possible mediation deficiency; and (d) self-rein- self-reinforcement, especially when driving a stick-
forcement. The following is an example of E's shift car. Only with repetition does the sequence be-
modeled verbalizations which S subsequently used come automatic and the cognitions become short-
(initially overtly, then covertly): circuited. This sequence is also seen in the way chil-
dren learn to tie shoelaces and in the development of
Okay, what is it I have to do? You want me to many other skills. If this observation has any merit,
copy the picture with the different lines. I have to then a training procedure which makes these steps
go slow and be careful. Okay, draw the line down, explicit should facilitate the development of self-
down, good; then to the right, that's it; now control.
down some more and to the left. Good, I'm doing In summary, the goals of the training procedure
fine so far. Remember go slow. Now back up were to develop for the impulsive child a cognitive
again. No, I was supposed to go down. That's style or learning set in which the child could "size
okay. Just erase the line carefully. . . . Good. Even up" the demands of a task, cognitively rehearse, and
if I make an error I can go on slowly and care- then guide his performance by means of self-instruc-
fully. Okay, I have to go down now. Finished. tions, and when appropriate reinforce himself.
I did it. Attention control group. The children in this un-
Note in this example an error in performance was tutored group had the same number of sessions with
included and E appropriately accommodated. In prior E as did the cognitive training 5s. During this time,
research with impulsive children, Meichenbaum and the child was exposed to identical materials and en-
Goodman (1969b) observed a marked deterioration gaged in the same general activities, but did not re-
in their performance following errors. The E's ver- ceive any self-instructional training. For example,
balizations varied with the demands of each task, these attentional control Ss received the same num-
but the general treatment format remained the same ber of trials on a task as did the cognitively trained
throughout. The treatment sequence was also indi- Ss, but they did not receive self-instructional train-
vidually adapted to the capabilities of the S and the ing. An attempt was made to provide both the ex-
difficulties of the task. perimental and attention control groups with equal
A variety of tasks was employed to train the amounts of social reinforcement for behavioral per-
child to use self-instructions to control his nonverbal formance on the tasks.
behavior. The tasks varied along a dimension from Assessment control group. This untreated control
simple scnsorimotor abilities to more complex prob- group received only the same pretreatment, post-
lem-solving abilities. The sensorimotor tasks, such as treatment, and follow-up assessments as the cognitive
copying line patterns and coloring figures within cer- treatment and attention control groups.
tain boundaries, provided S with an opportunity to
produce a narrative description of his behavior, both Imtruments
preceding and accompanying his performance. Over
the course of a training session, the child's overt Two general classes of dependent measures were
self-statements on a particular task were faded to used to assess the efficacy of the cognitive self-
the covert level, what Luria (1Q61) has called "in- guidance treatment regimen to improve performance
teriorization of language." The difficulty level of and engender self-control. The first class of measures
the training tasks was increased over the four train- involved performance on a variety of psychometric
ing sessions requiring more cognitively demanding instruments which have been previously used to
activities. Such tasks as reproducing designs and fol- differentiate impulsive from nonimpulsive children.
lowing sequential instructions taken from the Stan- The second class of measures assessed the general-
ford-Binet intelligence test, completing pictorial series izability of the treatment effects to the classroom
as on the Primary Mental Abilities test, and solving situation. The female E who performed the pre-
conceptual tasks as on the Ravens Matrices test, re- treatment, posttreatment, and follow-up assessments
quired S to verbalize the demands of the task and on the performance measures and the two female Es
problem-solving strategies. The E modeled appropri- who made classroom observations during pretreatment
ate self-verbalizations for each of these tasks and and posttreatment periods were completely unaware
then had the child follow the fading procedure. Al- of which children received which treatment.
though the present tasks assess many of the same Performance measures. Three different psycho-
cognitive abilities required by our dependent mea- metric tests were used to assess changes in behavioral
118 DONALD H. MEICHENBAUM AND JOSEPH GOODMAN

and cognitive impulsivity during the pretreatraent, relationship between a child's relative inability to
posttreatment, and follow-up periods. Several in- verbally control his motor behavior by means of
vestigators (Anthony, 1959; Eysenck, 1955; Foulds, covert self-instructions and an impulsive conceptual
1951; Porteus, 1942) have demonstrated that the tempo on the MFF test. Parallel forms of the MFF
Porteus Maze test, especially the qualitative score test were developed by using six alternate items in
which is based upon errors in style and quality of the pretreatment and posttreatment assessments, with
execution, distinguishes between individuals differing the pretreatment MFF test being readministered on
in impulsiveness. Most recently, Palkes, Stewart, and the follow-up assessment.
Kahana (1968) have reported that hyperactive boys The final set of performance measures was derived
significantly improved on Porteus Maze performance from three performance subtests of the WISC. The
following training in self-directed verbal commands. three subtests selected were Picture Arrangement,
Thus, the Porteus Maze performance provided one Block Design, and Coding. Respectively, these sub-
indicant of behavioral change. Because of the length tests are designed to assess (a) the ability to compre-
of the assessment (some 45 min.), only years 8-11 of hend and size up a total situation requiring anticipa-
the Porteus Maze test were used. On the posttest the tion and planning; (&) the ability to analyze and
Vineland Revision form of the Porteus Maze test form abstract designs as illustrated by S's performance
was used. and approach to the problems; and (c) the child's
A second measure which has been used to assess motor speed and activity level (Kitzinger & Blum-
cognitive impulsivity is Kagan's (1966) MFF test. berg, 1957; Lutey, 1966; Wechsler, 1949). The re-
The S's task on the MFF test is to select from an sults from the WISC subtests are reported in scaled
array of variants one picture which is identical to a scores and as a prorated IQ performance estimate.
standard picture. The tendency toward fast or slow In summary, the performance measures were de-
decision times and the number of errors are used to signed to assess the range of abilities from sensori-
identify the degree of conceptual impulsivity, Fur- motor, as indicated by qualitative scores on Porteus
ther support for the use of the MFF test in the Maze and Coding tasks on the WISC, to more cogni-
present study comes from research by Mcichenbaum tively demanding tasks such as the MFF test, Block
and Goodman (1969a), who have reported a positive Design, and Picture Arrangement subtests.

WISC PICTURE CODING MFF LATENCY


PRORATED ARRANGEMENT SUBTEST SCORE
IQ SCALED SCORES SCALED SCORES SECONDS

C/l
12- 30
</>
8
Q.
I 20
gy >s ^°
4- 10-
CL

MFF PORTEUS
ERRORS MAZE ERRORS

4- CO 12-
a: \-
o v>
a: LU
2- a: H
UJ h-

I V)
•i COGNITIVE
CD ATTENTION CONTROL
TRAINING

O ^ ASSESSMENT CONTROL
"" 2 ~ "

FIG. 1. Mean change scores from pretreatment to posttreatment on performance measures.


(Groups not connected by solid line are significantly different at .05 level.)
TRAINING IMPULSIVE CHILDREN TO TALK TO THEMSELVES 119
Classroom measures. Two measures were used to respectively, 3.4 (SD - 4.1) and 2.2 (SD =
ascertain whether any of the expected changes would 3.0) IQ points. Multiple t comparisons indi-
extend into the classroom. The first measure be-
haviorally assessed the IS children on their ap- cated that the cognitive training group was
propriateness and attentiveness within the classroom significantly different (p < .05) from the at-
setting. We used a time-sampling observational tech- tentional and assessment control groups on the
nique (10 sec. observe, 10 sec. record) which was Picture Arrangement and Coding subtests, and
developed by Meichenbaum, Bowers, and Ross (1968, on the prorated IQ scores, whereas the two
1969) to rate inappropriate classroom behavior. In-
appropriate classroom behavior was defined as any control groups did not significantly differ from
behavior which was not consistent with the task set each other on the WISC measures.
forth by the teacher, that is, behavior which was not Further evidence for the efficacy of the
task specific. The children were observed for 2 school cognitive training is derived from the measure
days 1 wk. before and immediately after treatment.
The second measure involved a teacher's questionnaire
of cognitive impulsivity, namely, the MFF
which was designed to assess each child's behavioral test. A significant Group X Trials interaction
self-control, activity level, cooperativeness, likeability, (F = 9.49, df = 2/12, p = .004) was found
etc. The questionnaire consisted of 10 incomplete on the initial decision time or latency score
statements, each of which was followed by three on the MFF test. The cognitive training
forced choice alternative completions. The teacher
filled out the scale immediately prior to treatment group increased its mean total decision time
and 3 wk. later at the conclusion of the posttreatment for the six MFF items from pretest to posttest
assessment. by 27.4 sec. (SD = 10.3), in comparison to
Results the attention and assessment control groups
who, respectively, increased their total post-
The relative efficacy of the cognitive self- test decision times by 7.4 sec. (SD = 3.8)
guidance treatment program was assessed by and 6.8 sec. (SD = 9.9). The differential in-
means of a Lindquist (1953) Type I analysis crease in response time indicates that the im-
of variance which yields a treatment effect, pulsive 5s in the cogmtively trained group
trials effect (pretreatment and posttreatment took significantly longer before responding on
assessments), and a Treatment X Trials in- the posttest. The analyses of the error scores
teraction. The results from the 1-mo. follow-up on the MFF test did not yield any significant
measures were analyzed separately. Multiple differences, although the trend of the results
Mest comparisons (one-tailed) were per- did suggest differential effectiveness for the
formed on the change scores for each of the cognitively trained 5s. The cognitively trained
dependent measures. Figure 1 presents the 5s had a group total decrease on the posttest
performance measures. of 8 errors in comparison to the attentional
The analyses of the three WISC subtests control 5s, who had a group total decrease of
revealed only a significant Group X Trials in- only 2 errors on the posttest, and the assess-
teraction on the Picture Arrangement subtest ment control 5s, who had a group total in-
(F = 4.56, df = 2/12, p = .033) and a strong crease of 10 errors on the posttest. The ab-
trend towards significance on the Coding sub- sence of statistical significance on the error
test (Group X Trials P - 2.87, df = 2/12, scores may be due to the relative ease of the
p=.lO). The performances on the Block MFF test for this age level and the use of a
Design subtest did not yield any significant shortened version of the test in order to de-
groups, trials, or Group X Trials interactions. velop parallel forms (i.e., 6 items were used
When the performances on the three WISC instead of the usual 12-item test). The po-
subtests were combined to yield a prorated tential usefulness of the cognitive training
IQ score, the relative efficacy of the cognitive procedure in altering cognitive impulsivity
training procedure is further revealed in a
was examined in the second study which is
significant Group X Trials interaction (F =
3.97, df-2/12, p=.OS), The cognitive described below.
training group improved 8.3 IQ points (SD An analysis of the performance on the
- 3.8), from an IQ of 88.4 to and IQ of 96.7. Porteus Maze test indicated a significant
In comparison, the attention control group Group X Trials interaction (P — 5.52, df =
and the assessment control group improved, 2/12, / > = . 0 2 ) , with the cognitive training
120 DONALD H. MEICHENBAUM AND JOSEPH GOODMAN

and the attentional control groups making sig- group maintained their improved performance
nificantly (p < .05) less errors on the post- relative to the assessment control group.
test than the assessment control group. The The results of the first study proved most
mean change scores indicated that (a) 5s encouraging and suggested that a cognitive
who received cognitive training improved most self-guidance training program can signifi-
with 10.8 (SD = 4.3) less errors on the post- cantly alter behavior of impulsive children.
test; (b) 5s in the attentional control group The purpose of the second study was to ex-
made 7.8 (SD = 6.8) less errors on the post- amine the differential contribution of the
test; and (c) the assessment control group various components of the treatment program
made 1.2 (5,0 = 4.7) more errors on the in modifying impulsive behavior. The cogni-
posttest. Both the cognitive training group tive training procedure involved both model-
and the attentional control group decreased ing by E and subsequent self-instructional
errors on the posttest by cutting fewer corners, training by S, In this study a comparison is
crossing over fewer lines, lifting their pencils made between the relative efficacy of modeling
less frequently, and producing fewer irregular alone versus modeling plus self-instructional
lines. Palkes et al. (1968) have reported a training in modifying cognitive impulsivity
significant improvement on the Porteus Maze as measured by the MFF test. Kagan (1965)
test for a self-directed verbal command group has defined cognitive impulsivity as a con-
relative to an assessment or no-treatment ceptual tempo or decision-time variable repre-
control group, but they did not include an senting the time 5 takes to consider alternate
attentional control group. The present results solutions before committing himself to one
indicated that an attentional control group of them in a situation with high response un-
which received only practice on a variety of certainty, Kagan and his associates (Kagan,
sensorimotor and cognitive tasks also sig- 1965, 1966; Kagan, Rosman, Day, Albert, &
nificantly improved their performance on the Phillips, 1964) have shown that performance
Proteus Maze test. The inclusion of such an on the MFF test has high stability and inter-
attentional control group is thus necessary in test generality and is related to performance
order to exclude alternative hypotheses. on visual discrimination tasks, inductive rea-
The analyses of the 5s' classroom behavior soning, serial recall, and reading skills. Most
bj' means of time-sampling observations and recently, investigators have been interested
by teachers' ratings did not yield any sig- in the modification of cognitive impulsivity.
nificant differences. The absence of a signifi- Kagan, Person, and Welsh (1966) have at-
cant treatment effect in the classroom may be tempted to train, in three individual sessions,
due to a lack of generalization because of the inhibition of impulsive responding by requir-
limited number of training sessions and/or ing the child to defer his answer for a fixed
the lack of sensitivity of the assessment mea- period of 10 to 15 sec. During this period the
sures. The analyses of the 4-wk. follow-up child was encouraged to study the stimuli in
assessment revealed that the cognitive train- the task and to think about his answer, but
ing group maintained their improved perform- he did not receive training in more efficient
ance on the test battery, relative to the at- procedures to emit during this interval. Sig-
tentional and assessment control groups. The nificant changes in latency or decision time
analyses of the follow-up test performances occurred, but no corresponding significant
relative to the pretreatment performance indi- change in errors was evident. Debus (1970)
cated that on the Picture Arrangement sub- examined the usefulness of filmed modeling of
test, the WISC prorated IQ score, and the reflective behavior and found a decrease only
decision time on the MFF, the cognitive train- in decision time, and, like Kagan, Pearson,
ing group was significantly different (p < and Welch (1966), no corresponding change in
.05) from the two control groups. The analysis errors. The studies by Kagan et al. (1966)
of the qualitative performance on the Porteus and Debus (1970) have concentrated on in-
Maze test indicated that both the cognitive creasing latency times without paying suf-
training group and the attentional control ficient attention to inducing improved cogni-
TRAINING IMPULSIVE CHILDREN TO TALK TO THEMSELVES 121

live and/or scanning strategies in the impul- Following Session I, the 15 selected impulsive Ss
sive child. Siegelman (1969) and Drake were randomly assigned to one of the treatment
groups (viz., modeling alone or modeling plus self-
(1970) have demonstrated that different at- instructional training) or to the attentional control
tentional and cognitive strategies seem to group, subject to the constraint of comparable age
underlie the performance of impulsive and re- and sex representation in each group. One week later
flective 5s. The data from Siegelman and in a second session, each of the impulsive Ss was
Drake indicate that the impulsive child on the individually seen by a different E (female), who
conducted the treatment, after which Ss were tested
MFF test (a) displays a greater biasing of at- on a third form of the six-item MFF test by the
tention both in extent of scanning and in first E (male) who had conducted the testing in
number of alternatives ignored; (b) is simply Session 1. The E who administered the three forms
in search of some variant that globally re- of the MFF test was thus unaware into which
group S had been placed. The training materials con-
sembles the standard and is not very dis- sisted of the Picture Matching subtest from the Pri-
criminating or analytic in his viewing. In mary Mental Abilities (PMA) test and items from
comparison, the reflective child seems to fol- the Ravens' Matrices test. These materials elicit simi-
low a strategy designed to find explicit differ- lar task abilities to the MFF test and provide a use-
ences among alternatives and then to check ful format for modeling reflective behaviors. The
training procedure which lasted some 20 min. con-
the standard for verification. The impulsive sisted of E performing or modeling behavior on one
child's approach or strategy on the MFF task item of the practive material and then S doing an
results in many errors and quick decision item. There were in all eight practice trials.
times. The purpose of the present study was
to examine the usefulness of the cognitive Treatments
self-guidance training procedure in altering Cognitive modeling group. The Ss in this group
the attentional strategy of the impulsive child (N = 5) initially observed the E who modeled a set
of verbalizations and behaviors which characterizes
on the MFF test. The efficacy of the self-in- the reflective child's proposed strategy on the MFF
structional training procedure in modifying test. The following is an example of E's modeled
cognitive impulsivity is compared with a verbalizations on the PMA Picture Matching test:
modeling-alone procedure. An attentional con-
I have to remember to go slowly to get it right.
trol group which received exposure to the Look carefully at this one (the standard), now
practice materials but no explicit training look at these carefully (the variants). Is this one
was included for comparative purposes. different? Yes, it has an extra leaf. Good, I can
eliminate this one. Now, let's look at this one
STUDY II (another variant). I think it's this one, but let me
first check the others. Good, I'm going slow and
Method carefully. Okay, I think it's this one.
Subject
The impulsive child was exposed to a model
The 15 impulsive children who received training which demonstrated the strategy to search for differ-
were selected from a larger group of kindergarten ences that would allow him successively to eliminate
(N — 30) and first-grade (N — 30) public school as incorrect all variants but one. The E modeled
children on the basis of two behavioral criteria. All verbal statements or a strategy to make detailed
of the children were individually tested on parallel comparisons across figures, looking at all variants
forms of six items each of the MFF test. Interspersed before offering an answer. As in the first study, E
between the two MFF forms the instruction "You also modeled errors and then how to cope with
don't have to hurry. You should go slowly and care- errors and improve upon them. For example, follow-
fully" was given to all Ss. The IS impulsive 5s (4 ing an error E would model the following verbaliza-
male and 4 female kindergarteners and 4 male and tions:
3 female first graders) were selected on the basis of
the S's initial performance on Form I of the MFF It's okay, just be careful. I should have looked
test and the absence of any appreciable improvement more carefully. Follow the plan to check each one.
in performance on Form II of the MFF test. Thus, Good, I'm going slowly.
the selected impulsive children were initially cogni-
tively impulsive, and they did not significantly alter After E modeled on an item, S was given an op-
their style of responding even (hough they were in- portunity to perform on a similar practice item. The
structed to do so. The use of an instructional manipu- S was encouraged and socially reinforced for using
lation to select Ss is consistent with Vygotsky's (1962) the strategy E had just modeled, but did not re-
suggestion that a child's capabilities are best re- ceive explicit practice in self-instructing. This model-
flected by his response to instructions. ing-alone group was designed to indicate the degree
122 DONALD H. MEICHENBAUM AND JOSEPH GOODMAN

of behavioral change from exposure to an adult TABLE 2


model. A BREAKDOWN OF IMPULSIVE 5s' PERFORMANCE ON
Cognitive modeling pins self-instructional training FORMS I AND II OF THE MFF TEST
group. The 5s in this group were exposed to the
same modeling behavior by E as were 5s in the MFF performance
modeling-alone group, but in addition they were
explicitly trained to produce the self-instructions E 5s Form I Form If
emitted while performing the task. After E modeled
on an item, 5 was instructed to perform the task
X SD X SD
while talking aloud to himself as E had done. Over
the course of the eight practice trials, the child's Impulsive 5s selected for
self-verbalizations were faded from initially an overt treatment (N = IS)
level to a covert level, as in Study I. Total errors 15.2 3.5 12.2 4.6
Attentional control groups. The Ss in this group Total decision time 42.8 5.3 51.2 5.9
observed the E perform the task and were given an Impulsive 5s not selected
opportunity to perform on each of the practice items. for treatment (N = 10)
Total errors 17.6 4.2 10.5 5.4
The E's verbalizations consisted only of general state- Total decision time 43.0 6.0 65.0 8.3
ments to "go slow, be careful, look carefully," but did
not include the explicit modeling of verbalizations
dealing with scanning strategies as did the two treat-
ment groups. The 5s were encouraged and socially
reinforced to go slow and be careful, but were not test (Form I) and on the MFF test (Form
trained to self-instruct. In many ways this group II) which was administered immediately after
approximates the methods teachers and parents use the instructions to "go slower." Of the original
to demonstrate a task in which they make general 60 5s tested, 45 were classified into either the
prohibitions, but do not explicate the strategics or de-
tails involved in solving the task. This group can be reflective or impulsive groups, based on the
considered a minimal modeling condition or an at- 5's response time and errors relative to the
tentional control group for exposure to E and prac- performance of the same age and sex peer
tice on task materials. group. The instructions to go slower resulted
An attempt was made to provide all three groups in a significant (p < .05) increase in the mean
with equal amounts of social reinforcement for their
performance. At the completion of the modeling ses- total response time on initial decisions for re-
sion, all 5s were told, "Can you remember to do flective 5s (i.e., from 99.8 to 123.8 sec.), but
just like I did whenever you play games like this? no comparable change in errors. The latter
Remember to go slowly and carefully." The E who finding may be due to a "ceiling effect" and/
conducted the training departed, and the first E
then administered Form III of the MFF test. or a slight decrement in performance resulting
from anxiety. Several reflective 5s indicated
Results that they interpreted E's instruction to go
slower as an indicant that they were not per-
Selection of Ss forming adequately. Ward (1968) has re-
Table 1 presents the performance of re- ported that anxiety over failure played a
flective and impulsive 5s on the initial MFF greater role in the performance of reflective
children than it did in the performance of
TABLE 1 impulsive children. The impulsive 5s demon-
IMPULSIVE AND REFLECTIVE 5s' PERFORMANCE ON strated a marked variability in how their per-
INITIAL MFF TEST (FORM I) AND ON THE MFF
TEST (FORM II) ADMINISTERED AFTER IN- formance changed as a result of the instruc-
STRUCTIONS TO "Go SLOWER" tional manipulation. This variability permitted
selection of the IS most impulsive 5s whose
MFF performance
performance changed minimally. In a second
5s Form I Form II session, these impulsive 5s were provided with
treatment. Table 2 presents the performance
X SD X SD scores for the impulsive 5s who were selected
for treatment and those impulsive 5s who sig-
Rellectives (N = 20)
Total errors 6.3 3.5 7.7 4.0 nificantly improved their performance from
Total decision time 99.8 6.5 123.8 10.5 the minimal instructional manipulation.
Impulsives (N = 25) In summary, from a group of 60 kinder-
Total errors 16.4 3.8 11.4 7.0
Total decision time 42.9 S.5 58.1 7.6 garten and first-grade children, IS 5s were
selected who were most cognitively impulsive
TRAINING IMPULSIVE CHILDREN TO TALK TO THEMSELVES 123

KEY
A Model Alone
• Model' t S I
• Control
Z 90
o
u

LU

Form Form Form

a;
O
a:
LU
1
<
I—
O
I—
Z
<

MFF Form I MFF Form MFF For


Initial Test Test After Posttest
I n st ruct ions After
To Go S l o w e r " Treatment

FIG. 2. MFF performances of impulsive 5s who were in a modeling-alone group,


a modeling plus self-instructional training group, and an additional control group.

on initial testing and who minimally altered ferential efficacy of the treatment procedures
their response style when explicitly given the is indicated in the analysis of Form III of
instruction to do so. the MFF test which was administered im-
mediately after treatment. On the decision
Analysis of Treatment Efficacy time measure, the two treatment groups sig-
Figure 2 presents the performance of the nificantly (p < .05) slowed clown their deci-
modeling group, modeling plus self-instruc- sion time on Form III relative to their own
tional group, and the attentional control prior performances on Forms I and II and
group for the three six-item forms of the MFF relative to the control groups performance on
test. The analyses of the decision times and Form III. The modeling plus self-instructional
error scores on Forms I and II of the MFF training group which slowed down the most
test yielded no significant group, trials, or was significantly different (t =-- 8.10, dj = 8,
Group X Trials interaction, indicating that p < .001) from the modeling-alone group on
prior to treatment the three groups performed Form III. The analyses of the error scores
comparably on initial performance and in re- indicated that only Ss who received modeling
sponse to instructions to go slower. The dif- plus self-instructional training significantly
124 DONALD H. MEICHENBAUM AND JOSEPH GOODMAN

(p < .05) improved their performance rela- the inability to relate what he says to what
tive to the other two groups and relative to he does. The deprived child does not spon-
their own prior performances. taneously use language to direct his problem-
In summary, the results indicated that the solving behavior, especially when specific de-
cognitive modeling plus self-instructional mands to do so are removed, nor does he ex-
group was most effective in altering decision hibit normal capacities for self-control. An
time and in reducing errors. The modeling- examination of the usefulness of the present
alone group significantly decreased decision self-instructional training procedures over a
time, but did not significantly reduce errors. prolonged period of time with such deprived
The efficacy of the self-instructional com- children is now underway.
ponent of the training procedure in fostering The present studies indicate that the thera-
behavioral change is underscored by the fact pist can now attempt to modify not only the
that three of the five 5s in the self-instruction patient's overt behavioral response, but also
group spontaneously self-verbalized on Form the antecedent and/or accompanying cogni-
III of the MFF test, whereas none did so in tions. For example, cognitive self-guidance
the other two groups. Similarly in Study I, training procedures may be used to influence
several 5s in the self-instructional training the attentional and cognitive strategies pa-
group spontaneously self-verbalized in the tients emit in a variety of situations. The
posttest and follow-up sessions. It does appear possibilities of using self-instructional train-
that self-instructional training can bring an ing procedures to alter (a) the "attentional
impulsive child's overt behavior under his deficit" in schizophrenics (Lang & Buss,
own verbal discriminative control. At a macro- 196S); (b) psychophysiological reactions of
scopic level, the impulsive children, after self- psychiatric patients (Grings, 196S; Schachter,
instructional training, do seem to be ap- 1966); and (c) cognitive styles in general
proaching psychometric tasks differently, tak- (Ellis, 1963) are most promising. The ap-
ing their time, talking to themselves, and plication of the self-instructional procedure to
improving their performance. Research is now operant conditioning programs with human 5s,
underway to explore the generality, persist- especially children, also seems worthwhile. We
ence, and behavioral changes that result from suggest that having 5 self-verbalize, initially
self-instructional training. aloud and subsequently covertly, the con-
tingencies of reinforcement will result in
DISCUSSION greater change and more generalization. Re-
The results of the two studies indicate that inforcement can be made contingent upon not
a cognitive self-guidance program which trains only the emission of the desired behavior, but
impulsive children to talk to themselves is also 5's self-verbalization of what he must do
effective in modifying their behavior on a to secure reinforcement. The literature on
variety of psychometric tests which assess awareness (see review by Bandura, 1969)
cognitive impulsivity, Performance IQ, and provides further support for the possible ef-
motor ability. The results of Study II indicate ficacy of having 5 learn to self-verbalize the
that the addition of explicit self-instructional correct reinforcement rules which influence his
training to modeling procedures significantly subsequent responding.
alters the attentional strategies of the impul- With the cognitive training procedure, the
sive children and facilitates behavioral change. response chain to be modified is broadened
The impulsive children were taught to use and may thus be subjected to such modifica-
their private speech for orienting, organizing,
tion techniques as modeling, reinforcement,
regulating, and self-rewarding functions with
and aversive consequences. We have explored
the consequence of greater self-control. The
present self-instructional procedure seems ap- in a series of studies the use of behavior
plicable to the culturally deprived child, who modification techniques to alter the self-ver-
has been described by Bereiter and Engelmann balizations of such patients as phobics, schizo-
(1966) and Blank and Solomon (1968, 1969) phrenics, smokers, speech- and test-anxious
as having a "central language deficit," namely, 5s, as well as impulsive children (Meichen-
TRAINING IMPULSIVE CHILDREN TO TALK TO THEMSELVES 125

baum, 1970, 1971; Meichenbaum, Gilmore, FLAVF.LL, J. H., BEACH, D. R., & CHINSKY, J. M.
& Fedoravicius, 1971, in press; Steffy, Meich- Spontaneous verbal rehearsal in a memory task as
a function of age. Child Development, 1966, 37,
enbaum, & Best, 1970). In each case, thera- 283-299.
peutically attending to the patient's self-ver- FOULDS, G. A. Temperamental differences in maze
balizations, as well as his overt malaclaptive performance. British Journal of Psychology, 1951,
behavior, has led to greater behavioral change, 42, 209-217.
GRINDS, W. W. Verbal-perceptual factors in the condi-
greater generalization, and greater persistence
tioning of autononiic responses. In W. F. Prokasy
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