兰恩存在精神病学的心理治疗观

兰恩是20世纪英国著名的存在主义精神病学家,在反对传统精神病学诊疗观的基础上,提出了独特的存在精神病学的心理治疗观。在精神疾病的诊断上,兰恩主张从存在主义——现象学的视角来理解精神疾病,要从一个人的环境或背景中来理解他的行为。在精神疾病的心理治疗上,兰恩强调通过改变患者的生存环境来促进其自我恢复。     

Development,Use and Implications of Diagnostic Creativity Assessment App,RDCA – Reisman Diagnostic Creativity Assessment

The Reisman Diagnostic Creativity Assessment (RDCA) is a free online self-report creativity assessment that provides immediate feedback to the user and is diagnostic, rather than predictive, with the focus on making the user aware of creative strengths and weaknesses. Several engineering and teacher education studies have included the RDCA over a period of 3 years to refine the document items as a result of factor and statistical analyses. We acknowledge the advantages and disadvantages of self-report instruments and question the traditional use of reliability as a psychometric measure for self-report assessments. Many tools and techniques for enhancing creative factors identified by the RDCA are included.     

Getting precise and pragmatic about the assessment of bullying: the development of the California Bullying Victimization Scale

Accurate assessment of bullying is essential to intervention planning and evaluation. Limitations to many currently available self-report measures of bullying victimization include a lack of psychometric information, use of the emotionally laden term "bullying" in definition-first approaches to self-report surveys, and not assessing all components of the definition of bullying (chronicity, intentionality, and imbalance of power) in behavioral-based self-report methods. To address these limitations, we developed the California Bullying Victimization Scale (CBVS), which is a self-report scale that measures the three-part definition of bullying without the use of the term bully. We examined test-retest reliability and the concurrent and predictive validity of the CBVS across students in Grades 5-12 in four central California schools. Concurrent validity was assessed by comparing the CBVS with a common, definition-based bullying victimization measure. Predictive validity was examined through the co-administration of measures of psychological well-being. Analysis by grade and gender are included. Results support the test-retest reliability of the CBVS over a 2-week period. The CBVS was significantly, positively correlated with another bullying assessment and was related in expected directions to measures of well-being. Implications for differentiating peer victimization and bullying victimization via self-report measures are discussed.     

A comparison of two life stress assessment approaches: prospective prediction of treatment outcome in recurrent depression

Research on life stress has been characterized by inconsistent results, which some researchers attribute to different assessment methodologies. Generally, studies have used either self-report checklists or investigator-based interviews. To test whether different results are derived from these approaches, the authors compared information from a self-report measure of life stress with the additional data available from a follow-up investigator-based measure in prospectively predicting the outcome of treatment for recurrent major depression. The 2 approaches produced different results, with investigator-based life events predicting lower probability of remission and self-report life events either predicting increased likelihood of remission or not predicting at all. The results demonstrated that methodology may account for some of the inconsistencies in the life stress literature.     

Behavioral assessment of avoidance in agoraphobia

Behavioral avoidance testing is a substantial addition to self-report questionnaires in the assessment of agoraphobia. However, the tests currently in use have drawbacks and limitations. A multitask behavioral avoidance test (M-BAT) is presented, designed to meet some of these problems. The test was administered to a group of 58 patients and proved to be reliable in terms of internal consistency. Concordance with self-report measures of agoraphobia indicated a high concurrent validity. In comparison with self-report questionnaires, the tests produced a slightly more conservative picture of gains achieved in treatment. Finally, the data revealed that the multitask test was more concordant with other measures of agoraphobia than a single-task test would have been.     

External validity of role play assessment of assertive behavior

Forty female subjects, equally divided into high- and low-assertive groups on the basis of self-report data, participated in an assertion-eliciting situation. Half of the subjects were advised that the situation was not real and asked to role play their responses. Half of the subjects were uninformed that the situation was staged (natural behavior condition). High-assertive and low-assertive subjects were significantly different in both their self-report and their behavioral performance. Role play and natural behavior conditions did not differ, nor was the overall multivariate test of interactions significant. The findings indicate that role play assessment was comparable to naturally occurring behavior and provide support for the continued use of role play assessment in social skills research.     

Empirical sleep assessment in the home: A convenient,inexpensive approach

We have previously reported on a sleep assessment device (SAD) that addresses shortcomings inherent in self-report sleep data and polysomnography. The SAD produces a sleep record by tape recording subjects' verbal responses to auditory cues spaced at fixed intervals throughout the night. In prior studies, the SAD proved to be a reliable and valid assessment tool according to electroencephalographic comparisons. Herein, we report on the unassisted home use of the SAD by eight normal volunteers and four bedmates. Subjects and bedmates completed sleep questionnaires for 12 nights and subjects also employed the SAD the last 6 nights. Comparisons of subjects and bedmates self-report sleep data before and during SAD use indicated that the SAD did not disrupt sleep. Subjects were able to self-administer successfully the SAD in their homes. SAD data closely matched subjects' self-report data. The present study found the SAD to be an accurate, unobtrusive, and easily utilized empirical measure of sleep in the natural environment. In so doing, it extends the demonstrated reliability and validity of the SAD from the sleep laboratory to the home with normal sleepers.     

On the validity of implicit association measures of personality traits

Participants (N = 200) completed self-report and implicit association (IAT) measures of Extraversion, Conscientiousness, and Emotional Stability. Peer trait ratings and supervisor ratings of job performance were also collected. Results suggested low convergence between IAT and self-report trait measures. Cognitive ability and self-positive bias both explained significant portions of the method variance expressed by IAT measures. Correlations between IAT trait measures and job performance were statistically non-significant, of similar magnitudes to their self-report counterparts, and of magnitudes consistent with past research on criterion validities of self-report trait measures. The results offer only very limited support for the use of IAT trait measures in applied assessment settings.     

Explicit rejection of an implicit dichotomy: integrating two approaches to assessing dependency

The field of personality theory and assessment is characterized by a long-standing divide between proponents of self-report and indirect approaches to assessment. This article reviews the increasing convergence between the two sides, using recent writings on interpersonal dependency as an example domain. The assumptions of the self-report approach to personality assessment are contrasted with those of the indirect, and research using both types of assessments is reviewed. Also considered is the importance of recognizing dissociations between a particular individual's scores on self-report and indirect measures of a given component of self-concept, and the possible implications of such dissociations. It is argued that the convergence between two traditionally disparate approaches is likely to develop, in light of hypotheses, data and conclusions that bear notable similarity.     

Where’s the problem? Considering Laing and Esterson’s account of schizophrenia,social models of disability,and extended mental disorder

In this article, I compare and evaluate R. D. Laing and A. Esterson’s account of schizophrenia as developed in Sanity, Madness and the Family (1964), social models of disability, and accounts of extended mental disorder. These accounts claim that some putative disorders (schizophrenia, disability, certain mental disorders) should not be thought of as reflecting biological or psychological dysfunction within the afflicted individual, but instead as external problems (to be located in the family, or in the material and social environment). In this article, I consider the grounds on which such claims might be supported. I argue that problems should not be located within an individual putative patient in cases where there is some acceptable test environment in which there is no problem. A number of cases where such an argument can show that there is no internal disorder are discussed. I argue, however, that Laing and Esterson’s argument—that schizophrenia is not within diagnosed patients—does not work. The problem with their argument is that they fail to show that the diagnosed women in their study function adequately in any environment.     

Understanding and Improving the Validity of Self-Report of Parenting

Although researchers using parental self-report data have questioned its validity (Holden, 2001) and called for more work in this area (Krevans & Gibbs, 1996; Locke & Prinz, 2002), methodological concerns regarding self-report about parenting practices have not been addressed adequately. The susceptibility of parental report to systematic distortions suggests a need for research on ways to improve self-report. This paper attempts to synthesize research findings from other fields (e.g., survey methodology) about ways to improve the validity of self-report, and to discuss the implications for self-report of parenting behaviors. Methods for improving self-report are presented for each of the 5 major tasks in responding to a question: (1) understanding the question, (2) recalling relevant behavior, (3) inference and estimation, (4) mapping the answer onto the response format, and (5) “editing” the answer for reasons of social desirability. Self-administered interviewing, audio-computer-assisted interviewing, pretesting, conversational interviewing, and the decompositional item may be among the best candidates for use in parental self-report. Recommendations are offered with respect to strategies that might prove useful in improving parental assessment of parenting, and to research efforts to evaluate the utility and potential costs of these strategies.     

The triple response approach to assessment: a conceptual and methodological reappraisal

Despite its positive effects on the increased use of multiple assessments and improved assessment validity, the triple-response concept has led to some conceptual and practical confusion. This is mainly due to two problems: (1) a confounding of the content and method of assessment; and (2) an imprecise and vague use of the 'verbal-subjective mode' which has been expanded to include cognitive elements since the introduction of cognitive-behavioural theories and treatments. A new matrix is proposed that clearly distinguishes content and method of assessment. It also defines a separate cognitive/information-processing content area and introduces affect as an additional content area. Thus, four content areas are suggested: behavioural, physiological, cognitive, and affective, which can be measured in three different ways: by means of self-report, observation, and instruments or technical equipment. We point out the implications of these changes for (1) a more appropriate selection of assessment procedures and outcome measures in clinical research; (2) a more adequate individualization of treatment through matching individual response profiles to specific treatments; and (3) an improved understanding of the interrelationship between behavioural, physiological, cognitive, and affective processes in anxiety and depression. Finally, we suggest that the lack of agreement between measures of physiological, cognitive, behavioural and affective changes in some studies may be as much a reflection of the lack of agreement arising from spurious sources of variance within content areas as it is a reflection of the operation of different processes and systems.     

Explicit Rejection of an Implicit Dichotomy: Integrating Two Approaches to Assessing Dependency

The field of personality theory and assessment is characterized by a long-standing divide between proponents of self-report and indirect approaches to assessment. This article reviews the increasing convergence between the two sides, using recent writings on interpersonal dependency as an example domain. The assumptions of the self-report approach to personality assessment are contrasted with those of the indirect, and research using both types of assessments is reviewed. Also considered is the importance of recognizing dissociations between a particular individual's scores on self-report and indirect measures of a given component of self-concept, and the possible implications of such dissociations. It is argued that the convergence between two traditionally disparate approaches is likely to develop, in light of hypotheses, data and conclusions that bear notable similarity.     

Assessment of Trichotillomania: A Psychometric Evaluation of Hair-Pulling Scales

Currently there is no gold standard treatment outcome measure for trichotillomania (TTM), a disorder characterized by repetitive hair pulling resulting in noticeable hair loss. The goal of the current study was to evaluate the psychometric properties of TTM measures of differing assessment methods: self-report, clinician-rated summary scales, and clinician-rated global severity scales. Data collected from 28 patients with TTM indicated mixed psychometric properties for current scales. Internal consistency was strong for self-report but not clinician-rated summary scales. One clinician-rated summary scale total and subjective ratings of hair loss demonstrated good interrater agreement. Although convergent validity was good within measurement type, self-report did not correlate with clinician-rated global severity scales, perhaps because of absence of hair loss severity assessment on the self-report measure. A multimethod assessment including one of each type of measure reviewed in this paper, along with self-monitoring and measures of hair loss severity, is recommended for a comprehensive best practice approach to TTM assessment.     

R．D．莱因对传统精神疾病诊疗观的变革

传统的精神疾病诊断以一种经验式的分类手册来诊断精神疾病,而莱因主张从存在主义——现象学的视角来理解精神疾病,认为家庭或社会才是精神疾病的真正来源。在精神疾病的治疗方面,莱因主张通过改变患者的生存环境来促使其进行自我恢复。莱因的思想推动了当代精神病学的变革与发展,具有重要的现实意义。     

Assessing outcome in smoking cessation studies.

Outcome measures for smoking cessation are reviewed and evaluated, including 3 self-report measures and 3 biochemical validation measures. Point prevalence reflects the percentage of participants taking action, prolonged abstinence reflects those in the maintenance stage, and continuous abstinence reflects those who progress from action to maintenance without lapsing or relapsing. Biochemical assessments are primarily measures of point prevalence abstinence. The desirability of biochemical validation is a particularly controversial and critical issue. Three factors affect the accuracy of self-report: Type of Population, Type of Intervention, and Demand Characteristics. False-negative rates are generally low. Three broad issues impact on decisions to use biochemical validation: (a) alternative explanations for false positives, (b) refusal rate problems, and (c) the effect of inaccuracy on intervention assessment.     

Personality characteristics associated with romantic attachment: a comparison of interview and self-report methodologies

This study compared the personality attributes associated with self-report versus interview assessment of romantic attachment. Twenty-three-year-olds (N = 83) completed the Romantic Attachment Interview, the Experiences in Close Relationship Inventory, and measures of response bias, self-enhancement, and self-insight. Five psychologists evaluated the participants' personality. Although both self-report and interview assessment were related to attachment-relevant personality attributes, interview assessment was slightly more likely to explain unique variance in personality, especially regarding intrapsychic attributes. Self-enhancement was negatively related to secure attachment and positively related to dismissing attachment. The opposite pattern emerged for self-insight. A subgroup of 12 vulnerable individuals who described themselves as securely attached on self-report was judged as dismissing according to interview assessment. These individuals scored low on self-insight and high on self-enhancement and psychological vulnerability. The results are discussed with reference to the relative strengths of different measures of romantic attachment and relations among dismissing attachment, self-enhancement, and narcissism.     

Assessment of life events during adolescence: the use of self-report inventories

The assessment of stressful life events during adolescence is important to both research and clinical practice. Stressful events are studied to determine their etiological significance in physical and mental illnesses, and also their relevance in the clinical assessment of individual patients. In recent years, a number of self-report inventories of life events for adolescents have been developed, some very carefully, others as one-time endeavors. This article reviews these measures, with an emphasis on the conceptual and methodological issues which created problems in earlier inventories. These issues need to be considered when choosing an instrument to study or assess stressful life events in adolescents.     

A Cross-Lagged Panel Approach to Understanding Social Support and Chronic Posttraumatic Stress Disorder Symptoms in Veterans: Assessment Modality Matters

Although there is a strong and consistent association between social support and posttraumatic stress disorder (PTSD), the directionality of this association has been debated, with some research indicating that social support protects against PTSD symptoms, whereas other research suggests that PTSD symptoms erode social support. The majority of studies in the literature have been cross-sectional, rendering directionality impossible to determine. Cross-lagged panel models overcome many previous limitations; however, findings from the few studies employing these designs have been mixed, possibly due to methodological differences including self-report versus clinician-administered assessment. The current study used a cross-lagged panel structural equation model to explore the relationship between social support and chronic PTSD symptoms over a 1-year period in a sample of 264 Iraq and Afghanistan veterans assessed several years after trauma exposure. Approximately a third of the sample met criteria for PTSD at the baseline assessment, with veterans’ trauma occurring an average of 6 years prior to baseline. Two separate models were run, with one using PTSD symptoms assessed via self-report and the other using clinician-assessed PTSD symptoms. Excellent model fit was found for both models. Results indicated that the relationship between social support and PTSD symptoms was affected by assessment modality. Whereas the self-report model indicated a bidirectional relationship between social support and PTSD symptoms over time, the clinician-assessed model indicated only that baseline PTSD symptoms predicted social support 1 year later. Results highlight that assessment modality is one factor that likely impacts disparate findings across previous studies. Theoretical and clinical implications of these findings are discussed, with suggestions for the growing body of literature utilizing these designs to dismantle this complex association.     

Evaluation of behavioral measures of risk taking propensity with inner city adolescents

The current study examined the utility of behavioral measures of risk-taking propensity in the assessment of self-reported real-world risk-taking behaviors using a sample of 51 high-school-aged inner-city adolescents. Results indicated that performance on one behavioral measure, the balloon analogue risk task, accounted for unique variance in self-reported delinquency/safety risk behaviors as well as substance use risk behaviors, above and beyond that provided with demographics and self-report measures of risk-related constructs (i.e., impulsivity and sensation seeking). These results are discussed in relation to the potential utility of using a multimethod assessment approach for better understanding risk-taking vulnerability among adolescents.