Chaplains' medical approach to psychiatric patients

Chaplains' understanding of people's psychiatric and medical problems may aid them in dealing with people's spiritual problems. However, exploratory interviews and observations of chaplains and inpatients at a VA psychiatric facility indicate that chaplains take a medical model perspective with patients, often attempting to treat patients' psychiatric problems rather than focusing on their reliigious needs. Chaplains avoid one-on-one religious discussions despite the importance of these conversations to patients. Discussed are implications for the utilization of health services and for the formation of treatment teams.This paper is a revised version of a paper presented at the Society for Applied Anthropology meetings held in Lexington, Kentucky, March 1982.     

PC anxiety: reliability and validity of a brief scale

A brief six-item scale to measure confidence in the use of personal computers showed Cronbach alpha of .76 for internal reliability and construct validity (r(pb)s of -.16, -.18, -.22 for items of behavioral use).     

Relationship of M.S. Belief Scale scores to depression and anxiety in hospitalized psychiatric patients

The M.S. Belief Scale (MSB) was administered to 61 psychiatric hospital patients on admission and just prior to discharge. Measures of depression and anxiety were also taken before and after hospital treatment. MSB prescores were positively correlated with presenting levels of depression and anxiety. Furthermore, declines in irrational thinking after a treatment program of cognitive-behavioral therapy were associated with declines in levels of depression. Initial levels of irrational thinking did not accurately predict length of hospital stay. The MSB scores for these patients at admission were considerably higher than for other populations previously reported. However, their discharge levels were comparable to normal levels reported by others. The results suggest a relationship between irrational thinking and depression for hospitalized psychiatric patients.Dr. Templeman is a licensed psychologist in private practice in Pendleton, Oregon.     

Incremental validity of the frame-of-reference effect in personality scale scores: a replication and extension

Context-specific personality items provide respondents with a common frame of reference unlike more traditional, noncontextual personality items. The common frame of reference standardizes item interpretation and has been shown to reduce measurement error while increasing validity in comparison to noncontextual items (M. J. Schmit, A. M. Ryan. S. L. Stierwalt. & S. L. Powell, 1995). Although the frame-of-reference effect on personality scales scores has been well investigated (e.g., M. J. Schmit et al., 1995), the ability of this innovation to obtain incremental validity above and beyond the well-established, noncontextual personality scale scores has yet to be examined. The current study replicates and extends work by M. J. Schmit et al. (1995) to determine the incremental validity of the frame-of-reference effect. The results indicate that context-specific personality items do indeed obtain incremental validity above and beyond both noncontextual items and cognitive ability, and in spite of socially desirable responding induced by applicant instructions. The implications of these findings for personnel selection are discussed.     

An empirical approach to the classification and treatment of maximum security psychiatric patients

Treatment approaches with forensic patients have traditionally been nonspecific and have been based primarily on legal or diagnostic categories. The current study, stimulated by the need to reorganize treatment and assessment services, examined the incidence among 189 maximum security psychiatric patients of 70 problems commonly exhibited either in the community prior to admission or within the institution. Through a series of factor and cluster analyses, a model for the placement and treatment of these patients was developed that included assaultiveness, level of functioning, social withdrawal, and active psychotic symptoms.