Prototype Personality Diagnosis in Clinical Practice: A Viable Alternative for DSM-V and ICD-11

Several studies suggest that a prototype matching approach yields diagnoses of comparable validity to the more complex diagnostic algorithms outlined in DSM-IV. Furthermore, clinicians prefer prototype diagnosis of personality disorders (PDs) to the current categorical diagnostic system or alternative dimensional methods. An important extension of this work is to investigate the degree to which clinicians are able to make prototype diagnoses reliably. The aim of this study is to assess the inter-rater reliability of a prototype matching approach to personality diagnosis in clinical practice. Using prototypes derived empirically in prior research, outpatient clinicians diagnosed patients' personality after an initial evaluation period. External evaluators independently diagnosed the same patients after watching videotapes of the same clinical hours. Inter-rater reliability for prototype diagnosis was high, with a median r = .72. Cross-correlations between disorders were low, with a median r = .01. Clinicians and clinically trained independent observers can assess complex personality constellations with high reliability using a simple prototype matching procedure, even with prototypes that are relatively unfamiliar to them. In light of its demonstrated reliability, efficiency, and versatility, prototype diagnosis appears to be a viable system for DSM-V and ICD-11 with exceptional utility for research and clinical practice.     

School reform disorder: Alternative audience responses to nonsense

Neither general education nor special education now offers appropriate and therapeutic treatment to all children and youth with emotional or behavioral disorders. Substantial improvements are needed in both general and special education, but the needed changes may not be those suggested by many proponents of school reform. Some suggested reforms are tenuously connected to reality in ways that suggest comedic intent or thought disorder, yet audiences typically respond as if these suggestions were both serious and rational. The disorder of school reform may be as much a problem of inappropriate audience response as it is a matter of nonsensical suggestions. One possible response to serious but highly questionable suggestions for reform is articulation of postulates on which a comprehensive educational service delivery system might be based. I present eight such postulates and correlates.This article is based on a keynote presentation at the First Annual Conference on Multiple Perspectives on Children and Adolescents with Serious Emotional Disturbance, Virginia Beach, VA, October 8, 1991. Portions of the paper are based on Kauffman and Hallahan (in press).     

Attractiveness of Occupations to High School Students

Information was obtained by questionnaire from a sample of approximately 3,100 Washington high school juniors and seniors concerning career aspirations and whether they would like or dislike each of 61 selected occupations. Analysis of the responses shows (1) that a wide range of occupations, including many nonprofessional occupations, would be attractive even though 67 per cent of the boys and 59 per cent of the girls aspired to professions, (2) that students tend to reject occupations traditionally followed primarily by the opposite sex as well as a number of other occupations, and (3) that the prestige ranking of a specific occupation is not a very good predictor of occupational likes and dislikes of students. The implications of these findings are discussed.     

The High School Dropout Goes to College

662 former secondary school leavers of academic potential were identified for a program designed to give selected dropouts a chance to enter the University of Toledo. Following responses to questionnaires, 94 students were selected for further screening, which resulted in the final selection of 50 candidates. 34 members of the experimental group attended pre-school workshops in reading, writing, and study habit skills. 31 enrolled as regularly admitted students in academic programs of the university for the academic year. 11 completed their freshman year, although only 4 were making satisfactory academic progress.     

Deception Meets Enlightenment: From a Viable Theory of Deception to a Quirk About Humanity's Potential

This article seeks to further suggestions made by C. West Churchman (1979) Churchman, C. W. 1979. The systems approach and its enemies, New York: Basic Books.  [Google Scholar] that a full inquiry into human systems requires a viable theory of deception. It argues that such a theory of deception requires an understanding of deception, a recognition of errors in perception, and an ability to see simultaneously from competing points of view. The intent here is to provide some insights that are useful in our understanding of deception, and thereby contributing to a viable theory of deception. Insights are used from what Huxley (1944) Huxley, A. 1944. The perennial philosophy, New York: Harper and Row.  [Google Scholar] calls the “perennial tradition,” found particularly within the esoteric traditions of the Buddhist, Sufi, and Taoist esoteric teachings, as well as many other spiritual traditions of the world. The perennial tradition emphasizes the role and continual presence of deception, alongside enlightenment, within human experience. In accord with C. West Churchman's view, this tradition suggests that, by a simultaneous recognition of both our enlightenment and our deception in any given situation, we have the proper perspective to meet the problems we face. A thought experiment, using insights from the perennial tradition, is offered as a challenge to all involved in human systems inquiry.     

A Compassionate Autonomy Alternative to Speciesism

Many people in the animal welfare communityhave argued that the use of nonhuman animals inmedical research is necessarily based onspeciesism, an unjustified prejudice based onspecies membership. As such it is morally akinto racism and sexism. This is misguided. Thecombined capacities for autonomy and sentiencewith the obligations derived from relationssupport a morally justifiable rationale forusing some nonhuman animals in order to limitthe risk of harm to humans. There may be a fewcases where it is morally better to use a neversentient human than a sentient animal, butthese cases are few and would not fulfill thecurrent need for research subjects. The use ofnonautonomous animals instead of humans inrisky research can be based on solid moralground. It is not necessarily speciesism.     

A Biological Alternative to Moral Explanations

Some moral realists claim that moral facts are a species of natural fact, amenable to scientific investigation. They argue that these moral facts are needed in the best explanations of certain phenomena and that this is evidence that they are real. In this paper I present part of a biological account of the function of morality. The account allows the identification of a plausible natural kind that could play the explanatory role that a moral kind would play in naturalist realist theories. It is therefore a candidate for being the moral kind. I argue, however, that it will underdetermine the morally good, that is, identifying the kind is not sufficient to identify what is good. Hence this is not a natural moral kind. Its explanatory usefulness, however, means that we do not have to postulate any further (moral) facts to provide moral explanations. Hence there is no reason to believe that there are any natural moral kinds.     

高中生认识论信念调查研究

本研究以526名高中生为被试,运用自行编制的"高中生认识论信念问卷",考察了高中生认识论信念的性别差异、年龄特点以及学校类型差异。结果表明:高中生认识论信念的各个维度上不存在性别差异,但存在着极其显著的学校差异;在整合建构信念、能力信念方面,存在着显著的年级差异;在零散接受信念上存在着学校与年级的交互作用。     

A Career Awareness Program for High School Dropouts

The Career Awareness Program for High School Dropouts was an experimentally funded project to determine the effect of a concentrated vocational assessment and vocational counseling program on the employability of high school dropouts. Various aspects of CAP included individual and group counseling, vocational-educational assessment and diagnosis, job attitude training, vocational guidance, and career exploration. The results of a follow-up survey showed that approximately 60% of the dropouts were still employed six months after completion of the program. In addition, the dropouts reported benefiting from the program through increased awareness of their own needs, abilities, and interests as well as through better awareness of the types of skills and behaviors desired by employers.     

Adolescent Adjustment and the Transition to High School

We examined the impact of the transition from elementary to high school on the psychological adjustment of adolescents, and the effectiveness of an assessment procedure aimed at identifying adolescents experiencing emotional and behavioral problems. One hundred and ten children from 2 elementary schools within the greater Brisbane area were followed across the transition from elementary to high school and screened for emotional and behavioral problems in grade 7 and again in grade 8. It was found that, in general, the transition to high school did not coincide with a marked decrease in psychological adjustment. Structured clinical interviews with adolescents in grade 8 showed that 13% of boys and 15% of girls experienced a diagnosable DSM-IV psychological disorder and that a further 15% of boys and 15% of girls suffered from features of a psychological disorder. Furthermore, results of discriminant function analyses showed that a combination of self report of adjustment, teacher report of adjustment, and assessment of relevant family variables obtained in grade 7 predicted the absence or presence of emotional and behavioral problems, six months later, in up to 77% of children. Results are discussed in terms of the impact of the transition to high school, the effectiveness of community-based assessment programs for adolescents, and the stability of emotional and behavioral problems in childhood and adolescents.     

小学至高中阶段学生自我调节学习的发展特点

采用问卷调查的方法,对小学到高中阶段学生的自我调节学习能力进行纵向研究。对每个年龄阶段学生的自我调节学习过程进行了模型匹配。发现在四个模式中:(1)模式二比较适合小学生的自我调节学习能力发展模式,模式一和模式四比较适合初中年级学生的自我调节学习能力发展模式,模式四拟合程度最佳。模式四适合高中生。(2)初中阶段,是学生自我调节学习发展较为迅速和逐渐成熟的重要时期。(3)对于高年级学生的自我调节学习模式主要以元认知为调节变量,随着年龄的增加,元认知能力也逐渐发展。     

The Development of Sensory Over-responsivity From Infancy to Elementary School

Some infants experience atypical levels of over-responsivity to sensations, which limit their ability to interact and explore their environment. Yet, little is known about typical development of over-responsivity during infancy or whether the presence of extreme over-responsivity in infancy is a predictor of clinically significant sensory over-responsivity (SOR) at school-age. This study followed a representative sample of children (n = 521, 47% boys) at four time points from infancy (mean ages in months Year 1 = 18.23, Year 2 = 30.39, Year 3 = 39.40) to elementary school-age (mean age = 7.97 years). SOR was measured via parent report. A latent growth curve model predicting SOR at school age from the intercept and slope of Sensory Sensitivity between Years 1–3 showed excellent fit with the data. Both early sensory sensitivities and change in early sensitivities were associated with SOR status at school-age.     

高中生应对活动的研究

目的:了解高中生应对活动的特点。方法:采用中学生应对方式问卷、自编的两个具体应激情境下(考试失败与人际关系紧张应激情境)的应对问卷KC与RC为调查工具,对河南省三所中学的466名高中生进行调查。结果:(1)自编的应对问卷KC、RC具有较好的信效度。(2)高中生在面临应激情境时,较多地采取问题解决这一积极主动的应对方式。(3)同一个体在不同应激情境下的具体的应对活动表现出较大的差异性,同时又表现出一定的一致性。结论:应对是个体与具体应激情境相互作用的结果。