The Mezzich MMPI regression formula revisited

In a sample of depressed psychiatric inpatients, the Mezzich regression formula, based on five MMPI scales, correlated moderately with clinicians' judgments and yielded few false negative diagnoses in identifying patients with unipolar Major Depressive Disorder, but was less effective in eliminating false positives.     

Proportionate responses to life events influence clinicians' judgments of psychological abnormality

Psychological abnormality is a fundamental concept in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; American Psychiatric Association, 2000) and in all clinical evaluations. How do practicing clinical psychologists use the context of life events to judge the abnormality of a person's current behaviors? The appropriate role of life-event context in assessment has long been the subject of intense debate and scrutiny among clinical theorists, yet relatively little is known about clinicians' own judgments in practice. The authors propose a proportionate-response hypothesis, such that judgments of abnormality are influenced by whether the behaviors are a disproportionate response to past events, rendering them difficult to understand or explain. Licensed, practicing clinical psychologists (N = 77) were presented with vignettes describing hypothetical people's behaviors (disordered, mildly distressed, or unaffected) that had been preceded by either traumatic or mildly distressing events. Experts' judgments of abnormality were strongly and systematically influenced by the degree of mismatch between the past event and current behaviors in strength and valence, such that the greater the mismatch, the more abnormal the person seemed. A separate, additional group of clinical psychologists (N = 20) further confirmed that the greater the degree of mismatch, the greater the perceived difficulty in understanding the patient. These findings held true across clinicians of different theoretical orientations and in disorders for which these patterns of judgments ran contrary to formal recommendations in the DSM-IV-TR (American Psychiatric Association, 2000). The rationality of these effects and implications for clinical decision science are discussed.     

Differential interference effects of negative emotional states on subsequent semantic and perceptual processing

Past studies have revealed that encountering negative events interferes with cognitive processing of subsequent stimuli. The present study investigates whether negative events affect semantic and perceptual processing differently. Presentation of negative pictures produced slower reaction times than neutral or positive pictures in tasks that require semantic processing, such as natural or man-made judgments about drawings of objects, commonness judgments about objects, and categorical judgments about pairs of words. In contrast, negative picture presentation did not slow down judgments in subsequent perceptual processing (e.g., color judgments about words, size judgments about objects). The subjective arousal level of negative pictures did not modulate the interference effects on semantic or perceptual processing. These findings indicate that encountering negative emotional events interferes with semantic processing of subsequent stimuli more strongly than perceptual processing, and that not all types of subsequent cognitive processing are impaired by negative events.     

Basic Theory of Psychoanalysis by Robert Waelder

Abstract

This study was designed to explore selected personality features of patients that are associated with clinicians’ judgments about whom to refer to dynamic group psychotherapy versus individual therapy. Results suggested that an aspect of patients’ adult attachment style, namely level of confidence and level of hostility, may have influenced the clinicians’ judgments and decision making about treatment referrals.     

An alternative hierarchical organization of the mental disorders of the DSM-IV

With the approaching publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), alternative organizations of the DSM (4th ed.; DSM-IV; American Psychiatric Association, 1994) categories have been proposed. This article compares several published alternative organizations to clinicians' organization of the DSM-IV categories. As demonstrations of their organization of DSM-IV categories, psychologists and psychiatrists sorted 66 DSM-IV diagnostic categories into groups of similar diagnoses and then made progressively larger and smaller groups of diagnoses or placed similar groups next to each other on a table. Hierarchical agglomerative data analysis of clinicians' individual sortings showed that clinicians retained many lower level DSM-IV categories (e.g., anxiety disorders, mood disorders), but not the higher level DSM-IV categories (e.g., Axis I vs. Axis II). Instead, at the highest hierarchical level, clinicians' categories resembled the structure of the first edition of the DSM (American Psychiatric Association, 1952), which followed clinicians' diagnostic decision-making scheme, dividing mental disorders into organic versus nonorganic and then psychotic versus neurotic disorders. At minimum, these data suggest a DSM organization that makes sense to clinicians.     

Judging Yourself as You Judge Others: Moral Development and Exculpation

This study investigated two main issues: Whether people's judgments about real-life moral transgressions are affected by the role they play in them and whether self-serving biases in such judgments vary with level of moral development. One-hundred twenty university students took Colby and Kohlberg's (1987) test of moral judgment and made open-ended and rating-scale judgments about three real-life transgressions they considered moral in nature. As expected, participants made more exculpatory judgments about transgressions they committed than they did about transgressions others committed, but participants did not judge transgressions committed against them more harshly than they judged transgressions committed against others. The higher participants scored on Kohlberg's test the less they externalized and excused their moral transgressions. Contrary to expectation, this relation also applied to moral judgments about transgressions committed by others against others. These findings have important implications for models of moral development and social cognition.     

Retrospective and prospective metacognitive judgments in rhesus macaques (Macaca mulatta)

A growing body of research suggests that some non-human animals are capable of making accurate metacognitive judgments. In previous studies, non-human animals have made either retrospective or prospective judgments (about how they did on a test or how they will do on a test, respectively). These two types of judgments are dissociable in humans. The current study tested the abilities of two rhesus macaque monkeys to make both retrospective and prospective judgments about their performance on the same memory task. Both monkeys had been trained previously to make retrospective confidence judgments. Both monkeys successfully demonstrated transfer of retrospective metacognitive judgments to the new memory task. Furthermore, both monkeys transferred their retrospective judgments to the prospective task (one, immediately, and one, following the elimination of a response bias). This study is the first to demonstrate both retrospective and prospective monitoring abilities in the same monkeys and on the same task, suggesting a greater level of flexibility in animals’ metacognitive monitoring abilities than has been reported previously.     

Emotion and intuition

We investigated effects of emotional states on the ability to make intuitive judgments about the semantic coherence of word triads. Participants were presented word triads, consisting of three clue words that either were weakly associated with a common fourth concept (coherent triads) or had no common associate (incoherent triads). In Experiment 1, participants in a neutral mood discriminated coherent and incoherent triads reliably better than chance level even if they did not consciously retrieve the solution word. In Experiment 2, the induction of a positive mood reliably improved intuitive coherence judgments, whereas participants in a negative mood performed at chance level. We conclude that positive mood potentiates spread of activation to weak or remote associates in memory, thereby improving intuitive coherence judgments. By contrast, negative mood appears to restrict spread of activation to close associates and dominant word meanings, thus impairing intuitive coherence judgments.     

Children's and adults' integration of information about noise and interest levels in their judgments about learning

This study examined developmental changes in the understanding of distractibility. It focused on how information about both interest level and noise level are used to form judgments of how many items a hypothetical child would learn. A total of 112 subjects from grades K, 2, and 5 and college age used a rating scale to judge the amount of learning in situations generated by a factorial combining of three levels of interest and three levels of surrounding noise. Children at all ages, even kindergarteners, used both noise and interest information in making their judgments. Interest level influenced judgments much more than noise level at all ages, but this imbalance waned somewhat with increasing age. The rules for combining noise and interest were more complex at the older ages. The discussion focused on interpretations of the subjects' belief that interest level heavily influences attentiveness.     

Predicting knowledge acquisition in two clinician groups: Rethinking the standard paradigm

The focus of this study was an innovative antibiotic preventive regimen recommended by experts and regularly updated. Data about knowledge of this regimen and potential predictors of knowledge levels were obtained from representative samples of New York State urban and rural general dental practitioners. Using multivariate analyses, four research objectives were achieved: measurement of clinicians' level, of knowledge in both groups; identification of personal and professional work and communication factors influencing clinicians' knowledge level; assessment of the effect of each of these factors on knowledge; and differentiation between sets of predictors for each group. Explanatory factors in this study appeared to be specific, situational, and/or ecologic. The role of distinct configurations of communication networks in the knowledge acquisition process is noted. Donald Sadowsky is professor, Department of Dentistry, Albert Einstein College of Medicine. Research interests include the latter stages of professional socialization, measurement of clinician knowledge and knowledge-related behavior, and planned interventions to change that behavior. Carol Kunzel is assistant professor of dentistry at Albert Einstein College of Medicine. Her academic degree is in sociology. She is currently studying clinician knowledge and its role in the prevention of bacterial endocarditis in a national sample of general practice dentists.     

WHAT INFLUENCES BELIEVING CHILD SEXUAL ABUSE DISCLOSURES? THE ROLES OF DEPICTED MEMORY PERSISTENCE, PARTICIPANT GENDER, TRAUMA HISTORY, AND SEXISM

This vignette study investigated factors that influence believing child sexual abuse disclosures. College student participants ( N = 318) in a university human subject pool completed measures about their own trauma history and responded to questions about sexist attitudes. Participants then read vignettes in which an adult disclosed a history of child sexual abuse, rated disclosures for accuracy and believability, and judged the level of abusiveness. Continuous memories were believed more than recovered memories. Men believed abuse reports less than did women, and people who had not experienced trauma were less likely to believe trauma reports. Gender and personal history interacted such that trauma history did not impact women's judgments but did impact men's judgments. Men with a trauma history responded similarly to women with or without a trauma history. High sexism predicted lower judgments of an event being abusive. Hostile sexism was negatively correlated with believing abuse disclosures. Results are considered in light of myths about child sexual abuse.     

Mental Health Clinicians' Beliefs About the Biological, Psychological, and Environmental Bases of Mental Disorders

The current experiments examine mental health clinicians' beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians' beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders (e.g., autistic disorder) to highly nonbiological disorders (e.g., adjustment disorders). Study 2 replicated this finding by having clinicians list what they thought were the specific causes of nine familiar mental disorders and rate their bio–psycho–environmental bases. Study 3 further found that clinicians believe medication to be more effective for biologically based mental disorders and psychotherapy to be more effective for psychosocially based mental disorders. These results demonstrate that even expert mental health clinicians make strong distinctions between psychological and biological phenomena.     

Phonemic awareness and spelling: children's judgments do not always agree with adults

The ability to make explicit judgments about speech sounds is important in learning to read and write an alphabetic system. However, even when children can make consistent judgments about sounds their judgments do not always agree with those of adults. In this study, some children from groups of kindergartners (mean age 5 years, 10 months) and first graders (mean age 6, 7) stated that /tr/ (as in "truck") did not begin with the sound /t/. This judgment was reflected in these children's spellings: They tended to spell /t/ before /r/ with CH, reflecting its affrication. Parallel results were found for /dr/. Further, some children judged that /c/ (as in "chill") and /j/ (as in "Jill") began with /t/ and /d/, respectively. They used the letters T and D to spell these sounds. Thus, children's attention to a phonetic level may result in judgments of speech sounds and spellings that are different from those of adults.     

Reconstruction of things past: Why do some memories feel so close and others so far away?

The vast majority of work in construal level theory focuses prospectively on the future. Through a series of studies controlling for knowledge about an event, we look retrospectively at the past and demonstrate that construal mindsets can materially influence how a past event is reconstructed in memory. Specifically, an event recalled in a more concrete mindset feels subjectively closer than when recalled in an abstract mindset (Studies 1-3). We present evidence suggesting this is because a concrete mindset actually makes people feel as though they know more, even if they were initially exposed to the same set of information—perceived information accessibility mediates the effect of construal level on temporal distance (Study 2). The effect of construal level on memory reconstruction extends to judgments of blame, where judgments of greater temporal distance drive a greater propensity to blame parties for negative events and temporal distance mediates these judgments (Study 3). Together, these studies are the first to demonstrate that the mindset employed when recalling an event shapes its remembrance.     

Are Causal Structure and Intervention Judgments Inextricably Linked? A Developmental Study

The application of the formal framework of causal Bayesian Networks to children’s causal learning provides the motivation to examine the link between judgments about the causal structure of a system, and the ability to make inferences about interventions on components of the system. Three experiments examined whether children are able to make correct inferences about interventions on different causal structures. The first two experiments examined whether children’s causal structure and intervention judgments were consistent with one another. In Experiment 1, children aged between 4 and 8 years made causal structure judgments on a three‐component causal system followed by counterfactual intervention judgments. In Experiment 2, children’s causal structure judgments were followed by intervention judgments phrased as future hypotheticals. In Experiment 3, we explicitly told children what the correct causal structure was and asked them to make intervention judgments. The results of the three experiments suggest that the representations that support causal structure judgments do not easily support simple judgments about interventions in children. We discuss our findings in light of strong interventionist claims that the two types of judgments should be closely linked.     

Speech treatment and support group experiences of people who participate in the National Stuttering Association

Support groups are rapidly becoming an important part of the recovery process for many people who stutter, and a growing number of speech-language pathologists (SLPs) are encouraging their clients to participate in support groups. At present, however, little is known about the individuals who join stuttering support groups and the benefits they derive from their participation. This study surveyed members of the National Stuttering Association (NSA) to learn about their experiences in support groups, as well as their experiences in speech therapy. Respondents were 71 people who attended the 1999 NSA conference in Tacoma, WA. The majority of respondents had participated in treatment several times during their lives, using a variety of techniques. Respondents who had participated in fluency-shaping treatments were more likely to report that they had experienced a relapse than those who had participated in stuttering modification or combined treatments. Also, there was a strong positive correlation between respondents' satisfaction with treatment and their judgments of clinicians' competence, suggesting that improved training for SLPs should lead to improved treatment for people who stutter. Results will be used to provide a foundation for further evaluations of the benefits of support group participation for people who stutter. EDUCATIONAL OBJECTIVES: The reader will learn (a) that many people who participate in the NSA have had numerous and varied experiences with speech treatment throughout their lives, (b) which aspects of treatment and support group participation are seen as most beneficial for people who participate in the NSA.     

Judgments about collision in younger and older drivers

To travel safely, drivers must detect imminent collisions. Older drivers have more accidents per miles driven than younger drivers, potentially reflecting age differences in judgments about collision. Prior studies measured age differences in judgments about when a collision would occur (time to contact). Older adults made greater underestimations, but this would lower their risk for accidents. Judgments about when a collision would occur must be preceded by judgments about whether a collision would occur (Presented at the Annual Meeting of the Human Factors and Ergonomics Society (2001) Minneapolis). Results of the present study indicated that judgments about potential collision were less accurate for older drivers compared with younger drivers. This would increase their risk for accidents. Age differences in driver performance may be associated more with age differences in judgments about whether a collision would occur than with age differences in judgments about when a collision would occur. Age differences in judgments about potential collision suggest a new avenue to pursue in an account of differential accident rates in older and younger drivers.     

Moral responsibility and free will: A meta-analysis

Fundamental beliefs about free will and moral responsibility are often thought to shape our ability to have healthy relationships with others and ourselves. Emotional reactions have also been shown to have an important and pervasive impact on judgments and behaviors. Recent research suggests that emotional reactions play a prominent role in judgments about free will, influencing judgments about determinism’s relation to free will and moral responsibility. However, the extent to which affect influences these judgments is unclear. We conducted a meta-analysis to estimate the impact of affect. Our meta-analysis indicates that beliefs in free will are largely robust to emotional reactions.     

The role of animacy in spatial transformations

We present evidence that different mental spatial transformations are used to reason about three different types of items representing a spectrum of animacy: human bodies, nonhuman animals, and inanimate objects. Participants made two different judgments about rotated figures: handedness judgments (“Is this the left or right side?”) and matching judgments (“Are these figures the same?”). Perspective-taking strategies were most prevalent when participants made handedness judgments about human bodies and animals. In contrast, participants generally did not imagine changes in perspective to perform matching judgments. Such results suggest that high-level information about semantic categories, including information about a thing’s animacy, can influence how spatial representations are transformed when performing online problem solving. Supplemental materials for this article may be downloaded from http://mc.psychonomic-journals.org/content/supplemental.     

Actor-observer differences in realism in confidence and frequency judgments

Taking a social psychological approach to metacognitive judgments, this study analyzed the difference in realism (validity) in confidence and frequency judgments (i.e., estimates of overall accuracy) between one's own and another person's answers to general knowledge questions. Experiment 1 showed that when judging their own answers, compared with another's answers, the participants exhibited higher overconfidence, better ability to discriminate correct from incorrect answers, lower accuracy, and lower confidence. However, the overconfidence effect could be attributable to the lowest level of confidence. Furthermore, when heeding additional information about another's answers the participants showed higher confidence and better discrimination ability. The overconfidence effect of Experiment 1 was not found in Experiment 2. However, the results of Experiment 2 were consistent with Experiment 1 in terms of discrimination ability, confidence, and accuracy. Finally, in both experiments the participants gave lower frequency judgments of their own overall accuracy compared with their frequency judgments of another person's overall accuracy.