Retest stability of DSM-III-R diagnoses among adolescents using the diagnostic interview schedule for children (DISC-2.1C)

Retest stability of DSM-III-R diagnoses was assessed using the DISC-2.1C with a sample of Anglo, African, and Hispanic American adolescent patients 12 to 17 years of age. Based on the kappa statistic, retest stability was fair for any disorder ( =.50), for any anxiety disorder ( =.44), for any affective disorder ( =.53), for any disruptive behavior disorder ( =.58), and for substance use disorders ( =.46). Although there was a trend for reliability to be somewhat higher for African Americans ( =.58) than for Anglos ( =.42) or Hispanics ( =.49), these differences were not statistically significant. In general, 15- to 17-year-olds had somewhat better reliability ( =.58) than did 12- to 14-year-olds ( =.44). Males had somewhat higher reliability ( =.63) than females ( =.43). These findings are congruent with those reported recently using the DISC-R (Schwab-Stone et al., 1993) and suggest that the DISC appears to be at least as reliable as other available child diagnostic instruments. In view of the fair-to-moderate levels of reliability of these instruments in general, future research should focus on the joint effects of instrument, subject, interviewer, and nomenclature on operating characteristics of diagnostic interview schedules, focusing in particular on factors affecting accurate recall and reporting of symptoms and episodes. This research was supported in part by grants MH44214 and MH44773 from the National Institute of Mental Health, and by the Hogg Foundation for Mental Health. The authors wish to acknowledge the participation and collaboration of A. J. Pumariega, J. W. Swanson, and C. E. Holzer III and staff of the Center for Cross-Cultural Research, directed by F. M. Treviño.     

Gaze avoidance: Personality and social judgments of people who avoid direct face-to-face contact

Some people maintain direct, face-to-face contact during interaction, whereas others avert their gaze or turn their face while interacting. Research on individual differences in gaze avoidance, while sparse, falls into two areas. One concerns the personality and psychopathology correlates of gaze aversion, and the other concerns social judgments made of people who avert their gaze during interaction. The findings generally show that gaze aversion is associated with unfavorable traits (shyness, social anxiety, risk for schizophrenia) and negative social evaluations (gaze averse people are rated as more deceptive and less sincere). The present study took advantage of an archival data set that contained facial photographs from which gaze avoidance could be scored. The correlates of gaze avoidance were different for men and women. Gaze avoidant men tended to be emotionally inhibited and overcontrolled, and reported a high incidence of various psychosomatic and physical symptoms. Gaze avoidant women, on the other hand, were high on measures of psychopathy, hysteria, and traditional femininity, they tended to have fewer physical symptoms. Gaze avoidant women were also viewed by others in a negative light (as being disagreeable, unconscientious, unattractive, and even somewhat lower on intelligence). In males, none of the social judgment variables correlated significantly with gaze avoidance. Results are discussed in terms of sex differences in the meaning and communicative function of this non-verbal social behavior.     

The relationship between childhood violence and alcohol problems among men who batter: An empirical review and synthesis

The available literature indicates that: (a) experiences of childhood violence are associated with mediator variables, including antisocial behaviors and depressive symptomatology, that are themselves associated with development of alcohol problems and perpetration of partner violence for men in adulthood; (b) experiences of childhood violence and, more strongly, observation of interparental violence during childhood predict perpetration of partner violence in adulthood for males; (c) presence of partner violence is associated with certain types of alcohol problems for men; and (d) both partner violence and alcohol problems are associated with marital conflict. However, available research has often excluded important moderator variables, such as history of familial and parental alcohol problems and history of parental psychiatric disorders. Based on the available research, two indirect pathways between childhood violence and adulthood problems (i.e., alcohol problems and partner violence) are proposed as guides for future research in the areas of family violence and alcohol problems for men. Further, bidirectional associations between alcohol problems and partner violence are proposed. Finally, inclusion of important moderator and mediator variables in multivariate research designs is suggested.     

The psychologist's role in assessing and facilitating patients' knowledge of advance directives in medical settings: A preliminary investigation

In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital. The intervention included the use of a computer-generated prompt for consultation, which was sent to the psychology staff in response to a patient inquiry regarding ADs. It also involved an increased emphasis on the delivery of written material on ADs by the admissions clerks. The intervention appeared to result in a modest increase in patients' knowledge of advance directives. Suggestions are offered for areas that should be emphasized in future attempts to increase patients' knowledge and utilization of advance directives.     

The visual perception of rigid motion from constant flow fields

Four experiments investigated observers’ judgments of rigidity for different types of optical motion. The depicted structural deformations were of two types: (1) those with nonparallel image trajectories that are detectable from the first-order spatiotemporal relations between pairs of views; and (2) those with parallel image trajectories that can only be detected from higher order relations among three or more views. Patterns were composed of smooth flow fields in Experiments 1 and 3, and of wire frame figures in Experiments 2 and 4. For both types of display, the nonrigidity detectable from the first-order spatiotemporal structure of the motion sequence was much more salient than the deformation detectable only from the higher order spatiotemporal structure. These results indicate that observers’ judgments of rigidity are based primarily on a two-view analysis, but that some useful information can be obtained under appropriate circumstances from higher order spatiotemporal relations among three or more views.     

A twin study of specific behavioral problems of socialization as viewed by parents

Our study focused on the etiology of specific behavioral problems rather than on a global syndrome such as hyperactivity. As a first step in studying specific behavioral problems, we revised the Conners (1970) Parent Symptom Rating questionnaire to improve its factor structure. Our revised instrument and the testretest reliabilities of its 12 scales are described. A classical twin analysis comparing intraclass correlations for 54 pairs of identical twins and 33 pairs of same-sex fraternal twins indicated substantial genetic influence on behavioral problems in schoolaged children. We wish to express our gratitude for the Spencer Foundation's support of this research.     

The morphological asymmetry of the hemispheres and cerebral dominance for speech: A possible relationship

The asymmetry of the posterior Sylvian branches of the middle cerebral artery was examined on the carotid angiograms of 59 patients in whom the lateralization of speech representation was known from sodium amobarbital (Amytal) studies. The usual asymmetry of these vessels was found to be present in the group of patients with left-hemisphere speech representation but significantly reduced in patients with atypical cerebral dominance for speech. A model of the inheritance of handedness and cerebral dominance is extended to take account of these results.     

Engaging “Resistant” Families in Treatment

Many families, when presented with the option of family therapy, are less than eager to participate. This paper comprises the second and third parts of a series on engaging “resistant” families. ¹ 1 The first paper in this series, authored by J. M. Van Deusen, M. D. Stanton, S. M. Scott, and T. C. Todd, is entitled “Engaging “Resistant” Families in Treatment: I. Getting the Drug Addict to Recruit His Family Members” and appeared in the International Journal of the Addictions 15 (7): 1069–1089, 1980. A revised and expanded version of Part II is presented in M.D. Stanton, T. C. Todd, and Associates, The Family Therapy of Drug Abuse and Addictions New York, Guilford, in press.
Part II presents 21 principles and a number of techniques and strategies that have been developed for successfuly recruiting such families. These techniques should be applicable for engaging resistant families with all types of presenting problems. Part III provides an analysis of the important variables involved, along with data on cost efficiency and administrative costs. It was found that when therapists had administrative control of their cases, serving in dual roles as both therapists and drug counselors, the recruitment effort was (a) more effective (i.e., complete families, including both parents or parent surrogates, were recruited in 77 per cent of the cases), and (b) twice as cost efficient. Two-thirds of the non-engaged families were not recruited because the index patient would not allow family members to be contacted. Black families were more difficult to recruit than whites. Data on cost efficiency and on the actual administrative costs of recruiting families are also provided. We conclude that the engagement process requires a revision in therapeutic philosophy, since such families are often desperately in need of help but are unavailable unless therapists make a special effort to reach them.     

The rotating square illusion

Twenty subjects viewed displays of square and trapezoidal luminous dot figures rotating about a vertical axis in both polar and parallel projections. The frequency of reported oscillation of the rotating figures was as high for the squares as for the trapezoids, provided that the squares contained static slant information in the form of internal texture gradients. Previously reported oscillation effects using shapes other than trapezoids have generally been unreliable, with a subject as likely to see rotation as oscillation for a given cycle, and then only in parallel projection. As a consequence, linear perspective information in trapezoidal shape has been taken to be the indispensable element for obtaining a strong oscillation effect. The authors argue that in the construction of the rotating object, a required condition for reliably producing the effect is a violation ofsome optical constraint regarding slant information, not necessarily one involving linear perspective.     

Cognitive self-instruction for the control of impulsive classroom behavior: Ensuring the treatment package

The practical utility of cognitive self-instruction training in facilitating the work habits and academic performance of impulsive first-graders was assessed in the context of the regular classroom. The training paradigm was modified and environmental conditions were arranged to facilitate the transfer of the cognitive self-instruction strategy to the classroom. Following training, there were no significant increases in on-task behavior or in academic performance within the context of a group design. On the basis of this and other studies, a drastic revision of the cognitive self-instruction paradigm seems indicated. Not only must training become broader based, but models must be developed that take into account the requisite cognitive processes for task completion as well as the cognitive abilities of the youngsters to whom training is addressed. In general, the incorporation of information from the developmental and cognitive process literature would appear to facilitate the development of more effective training models.