Law and antipsychotic medications

This article reviews the origin and development of recent legal concepts surrounding use of antipsychotic medications. Complications (side effects) of certain psychiatric medications are seen as fueling the right to refuse treatment doctrine in the law. The leading cases in right to refuse treatment and right to object to treatment are presented and analyzed. The impact of Supreme Court actions on these concepts is evaluated. The influence of the various legal interpretations of right to refuse treatment on standards of psychiatric practice is explored. Have these laws made a difference on the standard of care in public mental institutions?     

Critical influence of particular experiences in the perception of letters,words, and phrases

Letters are generally easier to identify in regular words or pseudowords than alone or in irregular items. This advantage seems to imply that word perception depends on knowledge of general structure. We found, however, that the perceptual advantage of letters in pseudowords over single letters could be increased by preexposing the pseudowords, or reversed by preexposing the single letters. Similarly, preexposure of words alone or in phrases resulted in a perceptual advantage for whichever display had been experienced. The success of identification also depended on the type of task previously performed on test items, and on the reinstatement of prior processing and perceptual context, rather than on only the test items and task themselves. We concluded that memory preserves information about the details of particular perceptual experiences, and that identification depends critically on the similarity of current demands and processing context to the demands and contexts of particular previous experiences.     

Rorschach responses in healthy, community dwelling older adults

Five predicted relationships between age and intellectual level and 16 Rorschach variables were examined through a cross-sectional analysis of 47 healthy, community-dwelling elderly men and women. Subjects were compared by age and intellectual level using gender, level of medication, and scores on the Geriatric Depression Scale (GDS) and the Geriatric Social Readjustment Questionnaire (GSRQ) as covariates. Screening tests for psychiatric and physical illness, recent life events, and hearing and vision loss were administered. In contrast to prior research suggesting changes in Rorschach scores with differences in age and intellectual level, only one significant difference was found for these variables. The data suggest that age and intellectual level may contribute less to Rorschach responses than was previously thought.     

Developmental change in attention-deficit hyperactivity disorder in boys: A four-year longitudinal study

One hundred six clinic-referred boys meeting criteria for DSM-III-R attention-deficit hyperactivity disorder (ADHD) (mean age 9.4 years) were assessed annually for 4 years using structured interviews of multiple informants. Hyperactivity—impulsivity symptoms declined with increasing age, but inattention symptoms did not. Rather, inattention declined only from the first to the second assessment and remained stable thereafter in boys of all ages. The rate of decline in hyperactivity—impulsivity symptoms was independent of the amount and type of treatment received. Boys who still met criteria for ADHD in Years 3 and 4 were significantly younger, more hyperactive—impulsive, and more likely to exhibit conduct disorder in Year 1 than boys who no longer met criteria in Years 3 and 4.This study was supported by grant 1-R01-MH42529 from the National Insitute of Mental Health to Rolf Loeber and Benjamin B. Lahey.     

How One Unitarian Universalist Integrates Evolution into his Theology and Religion

Evolution can be a "weasel word" unless circumscribed to mean only a morphological change over time. When this is done, the fact of what can be distinguished from the faith of how . I believe that evolution is purely a natural process, but recognizing that everyone creates his or her own God, I feel justified in giving the name God to that mysterious presence in every interaction that causes transformation, since this is what gives the universe its dynamism. I relate how this God concept informs my religious and ethical life and gives my life meaning and purpose.     

Unusual cleaning behavior in the luteal phase.

18 undergraduate women recorded episodes of unusual cleaning, defined as excessive cleaning or cleaning of things not usually cleaned, and the dates of their menstruation over a 2-mo. period. Unusual cleaning was significantly more likely to occur during the luteal phase than at any other time in women not using oral contraceptives. Possible links between changes in progesterone levels and obsessive compulsive disorders are suggested.     

Computing interrater reliability on the Apple Macintosh computer

A program is described for computing interrater reliability by averaging, for each rater, the correlations between one rater’s ratings and every other rater’s ratings. For situations in which raters rate more than one ratee, raters’ reliabilities can be computed for either each item or each ratee. The program reads data from a text file and puts the reliability coefficients in a text file. The standard Macintosh interface is implemented. The Quick-BASIC program is distributed both as a listing and in compiled form; it can be run with advantage with math coprocessors.     

Managing data entry of a large-scale interview project with optical scanning hardware and software

A hardware and software system for the cost-effective preparation of interview data is described. Scantron optical scanning hardware and DataBlocks software were used to prepare ASCII data files from structured interviews and questionnaires. These data were then edited for analysis with SPSS-X Data Entry software. Three different processes for preparing interview data were compared. Time, personnel, hardware, and software costs were projected for each process, as well as comparative risks to the integrity of data. A scanning procedure saves time and money, and it reduces the risk of errors.     

Exploring a Predictive Model

The purposes of this study were (a) to explore the utility of a model for predicting reporting of sexual harassment and (b) to collect data on the incidence of sexual harassment using the Sexual Experiences Questionnaire (SEQ; Fitzgerald et al., 1988). The sample included 214 tenuretrack faculty women and 276 women graduate students. The full model postulated that age, marital status, feminist ideology, and frequency of behavior would be directly related to perceived offensiveness at the behavior. In turn, perceived offensiveness, normative expectations for reporting, and perceived outcomes of reporting would directly influence reporting. As predicted, perceived offensiveness showed a direct influence on reporting, and feminist ideology and frequency of behavior were significant predictors of perceived offensiveness. Incidence data showed that the most frequently experienced situations involved gender harassment and seductive behaviors. Results suggest that educating women about the offensiveness of sexual harassment might increase frequency of reporting. Also, further exploration of the model seems warranted.