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King, D A, & Markus, H E (2000) Mood disorders in older adults In S K Whitebourne (Ed), Psychopathology in later adulthood (pp 141 172) New York: Wiley Kirk, S A, & Kutchins, H (1992) The selling of DSM: The rhetoric of science in psychiatry New York: Aldine de Gruyter Kirmayer, L J (2001) Cultural variations in the clinical presentation of depression and anxiety: Implications for diagnosis and treatment Journal of Clinical Psychiatry, 62(Suppl 13), 22 28 Kirsch, I (1990) Changing expectations: A key to effective psychotherapy Pacific Grove, CA: Brooks/ Cole Kirschner, D A, & Kirschner, S (1986) Comprehensive family therapy: An integration of systemic and psychodynamic treatment models New York: Brunner/Mazel Kite, M E, Russo, N F, Brehm, S S, Fouad, N A, Iijima Hall, C C, Hyde, J S, et al (2001).

Women psychologists in academe: Mixed progress, unwarranted complacency American Psychologist, 56, 1080 1098 Klausner, R D (1998) Foreword In K Offit (Ed), Clinical cancer genetics: Risk counseling and management (pp ix x) New York: Wiley-Liss Klein, M (1952) Some theoretical conclusions regarding the emotional life of the infant In M Klein (Ed), Envy and gratitude and other works, 1946 1963(pp 61 93) New York: Delta Klein, R G (1995) The role of methylphenidate in psychiatry Archives of General Psychiatry, 52, 429 433 Klein, R G (1996) Comments on expanding the clinical role of psychologists American Psychologist, 51, 216 218 Kleinke, C L (1994) Common principles of psychotherapy Pacific Grove, CA: Brooks/Cole Klerman, G L, Weissman, M M, Rounsaville, B J, & Chevron, E S (1984) Interpersonal psychotherapy of depression New York: Basic Books Klosko, J S, Barlow, D H, Tassinari, R.

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with IDDM who participated in multiple family groups only or multiple family groups and simulation of treatment requirements by parents. Multiple family groups concentrated on problem-solving barriers to adherence. A control group received no intervention. Findings showed that compared to the control group, both treatment groups had better metabolic control and maternal reports of adherence for up to six months. Concrete measures, such as increased medical supervision, token reinforcement, and parental praise for keeping appointments (Finney, Lemanek, Brophy, & Cataldo, 1990; Greenan-Fowler, Powell, & Varni, 1987), are effective in improving adherence. Da Costa, Rapoff, Lemanek, and Goldstein (1997) reported the outcome of an intervention program involving parent and child education and token reinforcement for taking medication using a case study, a withdrawal design with two children with moderate to severe asthma. Results indicated that use of token reinforcement was helpful in improving medication adherence; however, maintenance was problematic once the reinforcement was withdrawn, and the impact on pulmonary function was not clear. To summarize, multicomponent intervention programs appear to be most effective in improving adherence to prescribed treatments because they can target each family s barriers to adherence (La Greca & Schuman, 1995). However, it is dif cult to determine which components of these programs lead to their effectiveness. It is recommended that the effectiveness of interventions with particular patients and their families be assessed in prospective studies that employ primarily objective measures of adherence.