小学四年级数学诊断性测验的编制与研究

诊断性测验是诊断性评价的工具。本研究以教育测量与评价的基本原理为指导,按照诊断性测验编制的方法和步骤,在详细制定了小学四年级数学教学目标体系的基础上编制出《小学四年级数学诊断性测验》并获取了该测验的信度和效度证据。本研究对中小学各科诊断性测验的编制具有普遍的指导意义,所编测验对于诊断学生学习困难、弥补教学不足有实际应用价值。     

Diagnostic Decision Making: Do Counselors Delay Final Judgments?

Although there is a theoretical, empirical rationale warranting the delay of diagnostic decision making, it is unknown whether this debiasing strategy is actually implemented in counseling practice. This study investigated whether counselors delayed their diagnostic decisions in a setting that allowed them the option of doing so. Clinical records were selected from a counselor training center at a large midwestern university and coded for delayed diagnostic decision making. Three pairs of chi‐square analyses were performed. Results indicated that delayed diagnostic decision making occurred to a greater extent than immediate diagnostic decision making across counselor‐client dyads, counselors, and clients.     

The diagnosticity of color for emotional objects

Object classification can be facilitated if simple diagnostic features can be used to determine class membership. Previous studies have found that simple shapes may be diagnostic for emotional content and automatically alter the allocation of visual attention. In the present study, we analyzed whether color is diagnostic of emotional content and tested whether emotionally diagnostic hues alter the allocation of visual attention. Reddish-yellow hues are more common in (i.e., diagnostic of) emotional images, particularly images with positive emotional content. An exogenous cueing paradigm was employed to test whether these diagnostic hues orient attention differently from other hues due to the emotional diagnosticity. In two experiments, we found that participants allocated attention differently to diagnostic hues than to non-diagnostic hues, in a pattern indicating a broadening of spatial attention when cued with diagnostic hues. Moreover, the attentional broadening effect was predicted by self-reported measures of affective style, linking the behavioral effect to emotional processes. These results confirm the existence and use of diagnostic features for the rapid detection of emotional content.     

Rates of personality disorders in substance abusers: a comparison between DSM-III-R and DSM-IV

The publication of the DSM-IV represents the first revision in 7 years to the DSM-III-R diagnostic criteria. The purpose of the current study is to evaluate the impact of changes to the Axis II criteria on diagnostic rates in a substance abusing population. We interviewed 370 patients entering treatment using a modified version of the SCID-II, which allowed for the diagnosis of both DSM-III-R and DSM-IV Axis II diagnoses. Prevalence rates for each Axis II disorder are given, as well as kappa statistics showing diagnostic agreement between the two systems. The results of this study indicate good rates of diagnostic agreement between the two systems with a few notable exceptions. Poor rates of diagnostic agreement were obtained for the histrionic and dependent diagnostic categories. No single diagnostic change appears to be responsible for the prevalence rate differences between the two systems.     

Dilution and confirmation of probability judgments based on nondiagnostic evidence

Previous research has shown that probability judgments based on a mix of diagnostic and nondiagnostic information are less extreme than judgments based on the diagnostic information alone. Results of the present experiments suggest that this dilution effect holds only under a limited set of conditions. When judgments based on a mix of diagnostic and nondiagnostic information are compared with separately elicited judgments based on the diagnostic information alone, the dilution effect is consistently observed. When judgments based on the diagnostic evidence are revised in light of additional, nondiagnostic evidence, by contrast, the dilution effect is eliminated or even reversed (yielding a confirmation effect) depending on the type of nondiagnostic evidence under evaluation.     

A Review of Diagnostic Techniques in the Differential Diagnosis of Epileptic and Nonepileptic Seizures

The diagnosis of psychogenic nonepileptic seizures (PNES) is complex. Long-term electroencephalogram monitoring with video recording (video EEG) is the most common method of differential diagnosis of epilepsy and PNES. However, video EEG is complex, costly, and unavailable in some areas. Thus, alternative diagnostic techniques have been studied in the search for a diagnostic method that is as accurate as video EEG, but more cost effective, convenient, and readily available. This paper reviews the literature regarding possible diagnostic alternatives and organizes findings into 7 areas of study: demographic and medical history variables, seizure semiology, provocative testing, prolactin levels, single photon emission computed tomography, psychological testing, and neuropsychological testing. For each area, the literature is summarized, and conclusions about the accuracy of the technique as a diagnostic tool are drawn. Overall, it appears unlikely that any of the reviewed alternative techniques will replace video EEG monitoring; rather they may be more successful as complementary diagnostic tools. An important focus for further investigations involves combinations of diagnostic techniques for the differential diagnosis of epilepsy and PNES.     

Prediction and diagnosis: An experimental comparison

Diagnostic tasks differ from predictive tasks in two respects (1) the direction of the inference in diagnosis (from effect to cause) is inverse to that in prediction (from cause to effect), and (2) the event to be inferred is more distal in diagnostic tasks than in predictive tasks. These task features led to the hypothesis that a diagnostic task would be harder to learn than a predictive task. This hypothesis was tested in an experimental situation in which the causal mechanism was random sampling with replacement. Five groups of subjects with 10 subjects in each (two predictive and three diagnostic groups) were run in individual sessions with 100 trials of feedback training. The two predictive groups learned more rapidly and to a higher level compared to the diagnostic groups. Conclusion: the present data support the hypothesis that predictive tasks are easier to learn than comparable diagnostic tasks.     

ICD-10-Diagnosen in der psychotherapeutischen Praxis

An evaluation of the ICD-10 manual (Chapter V) reveals severe shortcomings of this diagnostic instrument concerning outdoor psychotherapy. It is well known that ICD diagnoses are restricted to symptoms and deficits of psychic functions; this restriction contradicts the definitions of psychic diseases as stated by the German “Psychotherapie – Richtlinien”. In Germany, third-party-payment is bound to therapies taking etological aspects into account. It doesn't make sense that the diagnostic system abandons any etiological foundation, making no difference between neurobiological, psychological and psycho-reactive factors fostering psychic diseases. The diagnostic principle of the co-morbidity impairs the therapist's diagnostic and therapeutic capacity to synthetize different phenomena to a common gestalt. Moreover, the new diagnostic category “personality disorder” is ill-defined and doesn't allow any conclusion of therapeutic relevance. The ICD-10 manual is maybe a suitable instrument in a research context, but its usefulness to promote quality assurance in outdoor psychotherapy is considerably restricted.     

Likelihood-Based Clustering of Meta-Analytic SROC Curves

Meta-analysis of diagnostic studies experience the common problem that different studies might not be comparable since they have been using a different cut-off value for the continuous or ordered categorical diagnostic test value defining different regions for which the diagnostic test is defined to be positive. Hence specificities and sensitivities arising from different studies might vary just because the underlying cut-off value had been different. To cope with the cut-off value problem interest is usually directed towards the receiver operating characteristic (ROC) curve which consists of pairs of sensitivities and false-positive rates (1-specificity). In the context of meta-analysis one pair represents one study and the associated diagram is called an SROC curve where the S stands for “summary”. In meta-analysis of diagnostic studies emphasis has traditionally been placed on modelling this SROC curve with the intention of providing a summary measure of the diagnostic accuracy by means of an estimate of the summary ROC curve. Here, we focus instead on finding sub-groups or components in the data representing different diagnostic accuracies. The paper will consider modelling SROC curves with the Lehmann family which is characterised by one parameter only. Each single study can be represented by a specific value of that parameter. Hence we focus on the distribution of these parameter estimates and suggest modelling a potential heterogeneous or cluster structure by a mixture of specifically parameterised normal densities. We point out that this mixture is completely nonparametric and the associated mixture likelihood is well-defined and globally bounded. We use the theory and algorithms of nonparametric mixture likelihood estimation to identify a potential cluster structure in the diagnostic accuracies of the collection of studies to be analysed. Several meta-analytic applications on diagnostic studies, including AUDIT and AUDIT-C for detection of unhealthy alcohol use, the mini-mental state examination for cognitive disorders, as well as diagnostic accuracy inspection data on metal fatigue of aircraft spare parts, are discussed to illustrate the methodology.     

Plate tectonics in the classification of personality disorder: shifting to a dimensional model

The diagnostic categories of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders were developed in the spirit of a traditional medical model that considers mental disorders to be qualitatively distinct conditions (see, e.g., American Psychiatric Association, 2000). Work is now beginning on the fifth edition of this influential diagnostic manual. It is perhaps time to consider a fundamental shift in how psychopathology is conceptualized and diagnosed. More specifically, it may be time to consider a shift to a dimensional classification of personality disorder that would help address the failures of the existing diagnostic categories as well as contribute to an integration of the psychiatric diagnostic manual with psychology's research on general personality structure.     

Issues in diagnosing anxiety disorders

Research progress in the anxiety disorders is predicated on a useful classification system. In this paper, we review the reliability and validity data for theDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III) anxiety disorders and discuss the salient issues associated with both the conceptualization of anxiety disorders and the diagnostic criteria offered in the DSM-III. It is concluded that the diagnostic reliability for these disorders is, overall, satisfactory. A dearth of validity data, however, hinders progress in both the diagnosis and the treatment of the anxiety disorders. Nevertheless, the DSM-III work group has proposed several changes in the diagnostic criteria for the anxiety disorders. We find some of these proposed changes helpful in that they clarify current diagnostic criteria; changes in diagnostic criteria that alter the basic classification schema, however, seem to be premature.Preparation of this paper was supported in part by MIMH Research Grant 1368.On sabbatical leave from Indiana State University.     

Memory for disguised same- and cross-race faces: The eyes have it

According to research on the cross-race effect, through experience, observers learn which diagnostic facial features are important for recognizing same-race compared to cross-race faces. These diagnostic facial features differ across racial groups; whereas the upper facial region is more diagnostic for White faces, the lower facial region is more diagnostic for Black faces. We tested how disguises at encoding (sunglasses [upper region] or bandana [lower region]) affect White and Black observers’ recognition memory for White and Black faces. We found that disguises override the diagnosticity of race-specific regions and have similar effects on recognition of same- and cross-race faces. Relative to no disguise, recognition memory was impaired more by disguising upper (sunglasses) than lower (bandana) facial regions. This supports the hypothesis that facial features trump race-specific diagnostic regions, and the eye region provides relatively more diagnostic information than lower facial features.     

多项选择题认知诊断潜能的最大化

多项选择题是认知诊断中常用的测验项目形式, 其正确答案选项和经过特殊编制的干扰项都能提供诊断信息。为了提取干扰项的信息, 需要采用不同于传统认知诊断模型的心理计量模型。分类介绍能使干扰项提供诊断信息的多项选择题编制方法, 分析这类多项选择题的认知诊断模型, 认为未来应加强干扰项编制方法和能提取干扰项信息的认知诊断模型的选择和开发等方面的研究。     

Sources of error in the psychoeducational diagnosis of children

A detailed exploration of the role of diagnostic practices is presented, with special attention given to such practices in school psychology. Basic principles related to diagnostic typology and concepts of reliability and validity are reviewed in the context of recent diagnostic decision-making research. Finally, the intrusion and eventual reduction of particular errors of consistency and inconsistency and psychodiagnosis are examined with a view toward improvements in future training and practice.     

Childhood Gender Identity … Disorder? Developmental,Cultural, and Diagnostic Concerns

Childhood gender identity development is reviewed in the context of biological, environmental, cultural, and diagnostic factors. With the upcoming 5th revision of the Diagnostic and Statistical Manual of Mental Disorders, the authors offer a critical consideration of childhood gender identity disorder, along with proposed diagnostic changes. They argue that meaningful understanding of issues surrounding gender identity is necessary for a conscientious assessment and diagnostic process that does not pathologize human diversity.     

Electrophysiological evidence for colour effects on the naming of colour diagnostic and noncolour diagnostic objects

In this study, we investigated the level of visual processing at which surface colour information improves the naming of colour diagnostic and noncolour diagnostic objects. Continuous electroencephalograms were recorded while participants performed a visual object naming task in which coloured and black-and-white versions of both types of objects were presented. The black-and-white and the colour presentations were compared in two groups of event-related potentials (ERPs): (1) The P1 and N1 components, indexing early visual processing; and (2) the N300 and N400 components, which index late visual processing. A colour effect was observed in the P1 and N1 components, for both colour and noncolour diagnostic objects. In addition, for colour diagnostic objects, a colour effect was observed in the N400 component. These results suggest that colour information is important for the naming of colour and noncolour diagnostic objects at different levels of visual processing. It thus appears that the visual system uses colour information, during naming of both object types, at early visual stages; however, for the colour diagnostic objects naming, colour information is also recruited during the late visual processing stages.     

认知诊断测验中的项目功能差异检测方法比较

检测项目功能差异(DIF)是认知诊断测验中很重要的问题。首先将逻辑斯蒂克回归法(LR)引入认知诊断测验DIF检测, 然后将LR法与MH法和Wald检验法的DIF检验效果进行比较。在比较中同时考察了匹配变量、DIF种类、DIF大小和受测者人数的影响。结果表明：(1) LR法在认知诊断测验DIF检测中, 检验力较高, 一类错误率较低。(2) LR法在检测认知诊断测验的DIF时, 不受认知诊断方法的影响。(3) LR法可以有效区分一致性DIF和非一致性DIF, 并有较高检验力和较低一类错误率。(4)采用知识状态作为匹配变量, 能够得到较理想的检验力和一类错误率。(5) DIF越大, 受测者人数越多, 统计检验力越高, 但一类错误率不受影响。     

Competing Conceptions of Diagnostic Reasoning – Is There a Way Out?

Diagnostic errors are more frequently a result of the clinician's failure to combine medical knowledge adequately than of data inaccuracy. Diagnostic reasoning studies are valuable to understand and improve diagnostic reasoning. However, most diagnostic reasoning studies are characterized by some limitations which make these studies seem more simple than diagnostic reasoning in real life situations actually is. These limitations are connected both to the failure to acknowledge components of knowledge used in clinical practice as well as to acknowledge the physician-patient relationship's influence on clinical knowledge and on the reasoning process itself. In addition the modes of reasoning described in these studies frequently is oversimplified. In this paper three simplistic and competing models of diagnostic reasoning are analyzed and criticized, followed by an evaluation of two alternative models proposing a combined view.     

Meno’s paradox and medicine

The measurement of diagnostic accuracy is an important aspect of the evaluation of diagnostic tests. Sometimes, medical researchers try to discover the set of observations that are most accurate of all by directly inspecting diseased and not-diseased patients. This method is perhaps intuitively appealing, as it seems a straightforward empirical way of discovering how to identify diseased patients, which amounts to trying to correlate the results of diagnostic tests with disease status. I present three examples of researchers who try to produce definitive diagnostic criteria by directly inspecting diseased and not diseased patients. Despite this method’s intuitive appeal, I will argue that it is impossible to carry out. Before researchers can inspect these patients to discover definitive diagnostic criteria, they must be able to distinguish diseased and not-diseased patients; and they do not know how to do this, because this is what they are trying to discover. I suspect the intuitive appeal of directly inspecting patients makes this difficult to appreciate. To counter this difficulty, I present this problem as a manifestation of ‘Meno’s paradox’, which was described in classical antiquity, and of ‘the problem of nomic measurement’, described more recently. Considering these philosophical problems may help researchers address the methodological issues they face when evaluating diagnostic tests.