The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses.     

Aggregate item response analysis

A stochastic postulate is given for the multiple-item, successive-intervals scaling of populations. The logistic equivalent of this postulate provides an aggregate item response model in which a unidimensional submodel may be nested. This reduction provides a subtractive conjoint measurement of several items and stimuli on the same latent scale. Generalized-least-squares methods are used to estimate and test the multiple-item model, and its unidimensional reduction, on aggregate survey responses. The entire procedure is illustrated with an analysis of semantic-differential attitude data. This analysis exhibits an item selection procedure that is applicable to various social constructs.The authors dedicate this paper to the memory and contributions of Clyde Coombs.The programming and data analyses for the present paper were carried out by José Ventura of the Department of Industrial and Systems Engineering, and Jerry Meiten of the Department of Statistics, University of Florida.The study was also supported by the College of Business Administration, University of Florida, and the Faculty of Social Sciences, Hebrew University of Jerusalem.     

Effects of observing competitive and violent versions of a sport

Males were randomly assigned to view either (1) a film clip featuring hockey fights or (2) a film of nonaggressive hockey action or (3) a no-film control condition after having first been angered or treated politely by an experimental confederate. The dependent variable was represented by a measure of aggressive mood and a behavioral measure of retaliatory aggression. Analyses revealed that both angered and nonangered subjects exhibited an increase in aggressive mood following exposure to the fight film. However, the analysis involving retaliatory aggression against the confederate yielded an anger x film interaction. While angered subjects were more aggressive than nonangered, only angered subjects retaliated against the confederate after viewing the fight film. The results were discussed in terms of Berkowitz’s (1974) aggressive cue theory. A version of this paper was presented at the meeting of the North American Society for the Sociology of Sport, Edmonton, Canada, November 1987.     

Developmental amnesia

The concept of developmental amnesia is proposed to describe the impairment of normal memories during a person's school age life. One hundred psychotherapy patients were interviewed and the age of earliest memories ranged from 1–12 years, with a mode of 5 years. Memory was continuous for 53% of patients by 1st grade, while 18% reported life memory was still episodic at age 18 or later. Parental alcohol problems were associated with delay of continuous memories.     

The Effects of Decision Outcome Dispersion Upon Organizational Decision Making

The effects of varying decision outcome dispersion on organizational decision making were investigated under individual and group decision making conditions. Thirty-six female and pg]36 male subjects made decisions for organizational decision scenarios in which outcomes affected primarily the decision maker, people other than the decision maker, or a group of which the decision maker was a member. Subjects rated their levels of perceived risk and confidence in their decisions and made decisions within a simulated context of either a small or a large organization. Results indicated that subjects perceived significantly less risk and more confidence in their decisions when outcomes affected primarily themselves rather than others regardless of whether the decisions were made individually or by a group. Males perceived their decisions as significantly more risky than females. Induced organizational size did not significantly influence decision making.

     

Specific word transfer as a measure of processing in the word-superiority paradigm

Explanations of context effects in the Reicher-Wheeler task and the letter-identification task appeal to word-based processing, yet these tasks provide no explicit measure of word processing. An experiment is reported which was designed to investigate the use of transfer in the word-identification task as a measure of word-based processing in letter-identification tasks. It was found that encoding manipulations that determined whether a word-superiority effect was or was not found in a letter-identification task (e.g., Thompson & Massaro, 1973) also determined whether transfer was or was not found in a subsequent word-identification task. The results of the experiment are discussed in terms of the utility of using transfer experiments as converging evidence about the presence and/or absence of processes that cannot be directly measured in other experimental paradigms.     

The Drinking Expectancy Questionnaire: A revised measure of alcohol-related beliefs

Alcohol-related expectancies have been recently proposed as potentially important determinants of drinking behavior. This study describes the development of a New Zealand measure of such beliefs, the Drinking Expectancy Questionnaire (DEQ). Items selected through interviews, literature review, and the modification of other relevant questionnaires were piloted on 333 drinkers in a community sample and 275 college students. Factor analyses of both samples revealed nine alcohol reinforcement domains relating to assertiveness, affective change, sexual enhancement, social enhancement, relaxation, cognitive impairment, dependence, carelessness, and aggression. The potential clinical and research possibilities using this revised expectancy measure are briefly discussed, along with the scale's strength and weaknesses.The financial assistance of the Alcoholic Liquor Advisory Council of New Zealand in conducting this study is gratefully acknowledged.