Psychological assessment of an artist and impostor

A Rorschach record and a narrative poem are examined to determine how imagination expresses the psychological trauma of being exposed as an impostor. The subject had been trained as a medical corpsman and deceived people under the grandiose fantasy of being a doctor. The role of the impostor physician is seen as an imaginative identity that was designed with an adaptive purpose. A Jungian analysis of his suicide attempt and the Rorschach suggest that the impostor role was a masculine compensatory fantasy that served as a counterforce to negative maternal imagery, linked to death, that is present in his imagination.     

The history of a catatonic dog

This article is a condensed life-history of a dog (“V3”) born and reared in the Pavlovian Laboratory and studied until his death in 1961. A detailed study was made of his pathologic development, his relations to people, and the effects of drugs. Measurements recorded were heart rate, blood pressure, respiration, 24-hour activity, sexual reflexes, general behavior. Although early experiments were done chiefly for recording and were not considered noxious or traumatic, this dog’s general development and symptoms seem to have been “constitutionally” rather than environmentally determined. His external behavior was strikingly similar to that of a catatonic patient-flexibilitas cerea, general immobility. Of particular interest was the “Effect of Person”: in the presence of all humans who confronted him he showed catatonic postures, cardiovascular disorders (tachycardia up to 200 beats/min., bradycardia to 12 beats/min., drop of blood pressure from 150 to 75 mm Hg, arrest of heart-beat for as long as 8 seconds), moribund poses. His response to drugs illustrated the specificity to a definite “constitutional type”: sexual activity markedly increased by alcohol and rarely present except after administration of alcohol; no improvement after administration of tranquilizers, except alcohol and meprobamate, which made him act like a normal dog in behavior and in relations to people. His symptoms and reactions to both people and drugs were generally opposite to those of another dog, “Nick”, studied over his life span: Nick showed excessive activity in physiologic systems; hyperactivity (running); generally, improvement through “Effect of Person”; sexual inhibition with alcohol. Observations of the two dogs suggest that symptoms as well as reactions to drugs are the result of the “type” rather than the procedure used, that perhaps psychopathologic symptoms are due more to inborn constitution than to “conflict” (“collision”) between excitation and inhibition, and that neurotic or psychotic symptoms may not interfere with longevity-Nick lived to be 14 years old and died fighting; V3, who also spent most of his life in the laboratory, died at the age of 14.     

Mutism as permanent catatonic condition]

The history of a case of mutism, where the patient had been silent for more than twenty-five years, caused by the author to study and discuss this relatively infrequent catatonic symptom which is a type of schizophrenia, with frequent references being made to the results of psychiatric studies made by authors ranging from Kahlbaum to Leonhard. Permanent mutism as a possible phenomenal form was logically classified, by Leonhard, as a type of mannered catatonia.     

Psychological assessment of quality of life following liver transplantation

Administered measures of functional status, psychological distress, and quality of life to a consecutive series of 48 liver transplant recipients in follow-up clinic. Results showed that nearly total functional recovery was the norm. Thirty-six patients (75%) had a Karnofsky Performance Status (KPS) score of 80–100. Twelve transplant recipients had KPS scores below 80; none were employed, and most had been transplanted within 1 year. In spite of their impaired financial status, eight of these 12 reported being mostly satisfied on the self-report Quality-of-Life Scale (QLS). For the posttransplant sample as a whole, 83% were mostly satisfied with their quality of life. Pre- and posttransplant patient samples were not significantly different in reporting mild emotional distress. Results for the small subgroup with significant objective or subjective problems in achieving acceptable quality of life following liver transplantation were reviewed. Higher than normal emotional distress on the Symptom Checklist (SCL-90-R) was consistently reported by these patients. Prospective studies are needed to identify predictor variables of quality-of-life problems and to develop prevention and rehabilitation interventions.     

Psychological performance assessment via interactive voice response systems

Two experiments examined the feasibility of psychological assessment using interactive voice response (IVR) technology and the potential sensitivity of such assessments to alcohol and fatigue effects. In Experiment 1, 10 subjects performed a 12-min battery of six IVR-administered tasks, Monday through Friday, over 2 weeks. Minimal learning effects were evident during training. Repeated administrations indicated high test-retest reliabilities. In Experiment 2 (double-blind, alcohol/placebo crossover design), 7 subjects were tested every 2 h over a 24-h period during two experimental sessions (peak blood alcohol concentrations =80 mg/dL). Several IVR-administered tasks were sensitive to alcohol impairment, but not as sensitive as laboratory-based measures specifically designed to assess alcohol impairment. Little evidence for fatigue-related impairment was obtained. The results support optimism for the potential to assess psychomotor and cognitive functioning distally via telephony; however, further refinement and validation of the methods are needed.     

Psychological assessment of prematurely born infants and young children

The current literature on the cognitive, perceptual, motor, and personal-social development of prematurely born children is reviewed. The implications of this literature for the psychological assessment of prematurely born infants and young children are then discussed.     

Psychological assessment of children in a community mental health clinic

Collaborative and Therapeutic Assessment (TA) models (Finn & Tonsager, 1997; Fischer, 1985/1994) use psychological tests to answer client-constructed assessment questions in an understandable language, to be an intervention in and of themselves, and to initiate recommendations related to the referral. This article considers the application of Finn's TA model to an urban community psychology clinic in Oakland, California, where foster and kinship care, the child welfare system, trauma, neglect, and attachment disruptions are children's usual experience. These children hide their pain and complaints (Kelly, 1999), but show highly problematic behaviors to bewildered and frustrated caretakers, social workers, and school personnel. Their trauma, however, also often permeates the assessment data and shocks the assessor. A rationale is made for the necessity of a relational, culturally aware, systemic model in providing psychological assessment services to children and families in a community setting.     

A comparison of stimulus preference assessment methods in adults with schizophrenia

Three methods of assessing preference for stimuli were compared in four adults with a diagnosis of schizophrenia. During phase 1, a survey method, a verbal stimulus choice method, and a pictorial stimulus choice method of assessing preference for four categories of stimuli were administered. During phase 2, a coupon system was used to determine which categories of stimuli actually functioned as reinforcers for each participant. Comparisons between the three preference assessment methods were then conducted based on the results of the reinforcer assessment. Results showed that, overall, there were few differences in total accuracy among the preference assessment procedures. Copyright © 2003 John Wiley & Sons, Ltd.     

Psychological testing and assessment in the 21st century.

As spin-offs of the current revolution in the cognitive and neurosciences, clinical neuropsychologists in the 21st century will be using biological tests of intelligence and cognition that record individual differences in brain functions at the neuromolecular, neurophysiologic, and neurochemical levels. Assessment of patients will focus more on better use of still intact functions, as well as rehabilitating or bypassing impaired functions, than on diagnosis, as is the focus today. Better developed successors to today's scales for assessing personal competency and adaptive behavior, as well as overall quality of life, also will be in wide use in clinical settings. With more normal individuals, use of new generations of paper-and-pencil inventories, as well as biological measures for assessing differences in interests, attitudes, personality styles, and predispositions, is predicted.     

Psychological assessment in Asia: introduction to the special section

Psychological assessment with Asians is an important topic not only for psychologists from Asian countries but also for psychologists in multicultural societies with large populations of ethnic Asians. There is a dearth of information in the English language literature on psychological assessment for Asians. This special section is organized to review various forms of psychological assessment in Asia. The objectives of the special section are to inform test users and researchers of the issues related to cross-cultural validity of psychological assessment in Asia and to introduce examples of adapted and indigenously developed instruments that are culturally appropriate.     

Psychological assessment, treatment, and outcome with sex offenders

The frequency and impact of sexual offenses have led to the recent enactment of sexual "predator" laws. Such laws are intended to reduce sexual violence through treatment and involuntary confinement. Sixty years ago, similar laws identifying "sexual psychopaths" were enacted and, in many states, eventually repealed for multiple reasons; among those reasons was an inability to demonstrate that treatment had any significant impact on recidivism. That inability forced us to reexamine, among other issues, the population(s) which undergo treatment, the outcomes that are used to measure treatment effectiveness, and the processes that constitute treatment itself. Those issues are considered in this paper through a review of treatment programs based on psychodynamic, behavioral, and cognitive-behavioral theories. Although the evidence is sparse, it is fair to conclude that the latter have been found to be effective. We call for dynamic measures, effective treatments, and the resources necessary for both developments.     

Pharmacotherapy of schizophrenia and affective disorders: Behavioral assessment of psychiatric medications

Objectively defined, publicly observable ward behaviors (body activity, extremity activity, scanning, social interaction, proximity, participation, laughing/smiling, and idiosyncratic behavior) emitted by psychiatric inpatients with either schizophrenic or affective disorders were time sampled both before and during the administration of psychiatric medications (neuroleptics, tricyclics, and lithium). The data indicate that the primary effects of the pharmacological interventions are confined to activity measures and symptoms rather than social behaviors. The implications of these results for treatment protocols are discussed in terms of interactions between pharmacological and psychosocial interventions. In addition, rates of behavior during treatment were related to baseline rates via a log-log function of negative slope, a result that is consistent with data derived from the infrahuman laboratories. Taken together the results provide support for attempts to relate preclinical and clinical psychopharmacology and suggest that behavioral assessment can be applied profitably to drug effects in clinical situations.These investigations were supported in part by State of Illinois Department of Mental Health and Developmental Disabilities Grants RD836-13 and RD622-02 to the first author. The cooperation of the Illinois State Psychiatric Institute staff is gratefully acknowledged. Assistance in data collection was provided by S. Sussman and K. Mueser.     

Quality of life assessment in Turkish patients with schizophrenia and their relatives

Quality of life of first-degree relatives living in the same household with patients having schizophrenia has not been sufficiently explored. 30 patients with schizophrenia (16 women, 14 men), diagnosed using DSM-IV criteria, 31 of their relatives (15 women, 16 men), and 34 control subjects (21 women, 13 men) were included in the study. The mean age of the patients, their relatives, and the control subects were 39.8 +/- 10.9, 58.1 +/- 12.5 and 37.3 +/- 17.0, respectively. The World Health Oranization Quality of Life-Brief Form was administered to all subjects. Quality of life was worse for the patient group than for their relatives and control subjects, but relatives of the patients and control subjects were not significantly different on Quality of life. Quality of life was negatively correlated with the severity of psychopathology and extrapyramidal side effects induced by antipsychotic drugs in the patients.