Empirically defined symptom scales using the DISC 2.3

Empirically defined scales of depressive, attention deficit hyperactivity disorder, oppositional-defiant disorder, and conduct symptoms from the lay-administered National Institute of Mental Health (NIMH) Diagnostic Interview Schedule for Children (DISC), version 2.3, and evidence of their reliability and validity, are presented. The scales were developed using factor analyses of data obtained from an epidemiologic survey of over 1,200 children drawn from four sites across the U.S. and Puerto Rico (the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders, or MECA Study). Their psychometric properties were tested in a subsample of children reinterviewed by clinicians. The findings support the use of these continuous measures. The scales are strongly related to the diagnostic categories and show good test-retest reliability. The scales can be used to characterize severity in children with diagnoses and to describe problems and symptoms in children without diagnoses. Because these scales can measure gradations in symptomatology, they may be more useful than categorical measures. Like categorical measures, the scales based on the DISC are greatly influenced by the informant, whether child or parent.This research was supported by grant MH-46732 from the National Institute of Mental Health, Bethesda, Maryland.The MECA Program is an epidemiologic methodology study performed by four independent research teams in collaboration with staff of the Division of Clinical Research, which was reorganized in 1992 with components now in the Division of Epidemiology and Services Research and the Division of Clinical and Treatment Research, of the NIMH, Rockville, Maryland. The NIMH Principal Collaborators are Darrel A. Regier, MD, MPH, Ben Z. Locke, MSPH, Peter S. Jensen, MD, William E. Narrow, MD, MPH, and Donald S. Rae, MA; the NIMH Project Officer was William J. Huber. The Principal Investigators and Coinvestigators from the four sites are as follows: Emory University, Atlanta, Georgia, UO1 MH46725: Mina K. Dulcan, MD, Benjamin B. Lahey, PhD, Donna J. Brogan, PhD, Sherryl Goodman, PhD, and Elaine Flagg, PhD; Research Foundation for Mental Hygiene at New York State Psychiatric Institute (Columbia University), New York, New York, UO1 MH46718: Hector R. Bird, MD, David Shaffer, MD, Myrna Weissman, PhD, Patricia Cohen, PhD, Denise Kandel, PhD, Christina Hoven, PhD, Mark Davies, MPH, Madelyn S. Gould, PhD, and Agnes Whitaker, MD; Yale University, New Haven, Connecticut, UO1MH46717: Mary Schwab-Stone, MD, Philip J. Leaf, PhD, Sarah Horwitz, PhD, and Judith H. Lichtman, MPH; University of Puerto Rico, San Juan, Puerto Rico, UO1 MH46732: Glorisa Canino, PhD, Maritza Rubio-Stipec, MA, Milagros Bravo, PhD, Margarita Alegría, PhD, Julio Ribera, PhD, Sarah Huertas, MD, and Michael Woodbury, MD.The authors gratefully acknowledge Zenaida González and José Martínez who performed the data nalayses, as well as Elizabeth Pastrana, and Felícita Laboy, secretaries, for their valuable contributions to this work.     

A critical review of theS/L reliability index

The meaning and properties of a commonly used index of reliability, S/L,were examined critically. It was found that the index does not reflect any conventional concept of reliability. When used for an identical behavioral observation session, it is not statistically correlated with other reliability indices. Within an observation session, the standardizing measure of Lis beyond the control of the investigator. Furthermore, the reason for the choice of Las the standard is unclear. The role of chance agreement in S/Lis not known. The exact interpretation of the index depends on which observer reports L.Overall the conceptual and mathematical meaning of S/Lis dubious. It is suggested that the S/Lindex should not be used until its nature is shown to be a measure of reliability. Other approaches such as the intraclass correlations and generalizability coefficients should be used instead.The authors are indebted to Johnny Matson for his critique of an earlier version of this paper.     

SEVERE CLASSROOM BEHAVIOR PROBLEMS: TEACHERS OR COUNSELLORS

This experiment was designed to determine the relative effectiveness of teacher and counselling approaches in the reduction of disruptive or inappropriate classroom behavior. Inappropriate classroom behavior frequencies of 12 academically low achieving, seventh-grade, black male students, with a reported high rate of inappropriate classroom behavior, were recorded. Three groups, with nearly equal mean inappropriate behaviors, were randomly assigned to one of three treatment conditions: behavioral counselling, client-centered counselling, or no counselling. Each counselling group received fifteen 30-minute counselling sessions, at a rate of two to three times a week. In addition to counselling, all students subsequently received teacher approval within the classroom. Results indicated that the teacher was able to reduce inappropriate behavior more than any counselling group. There were also indications that behavioral counselling, but not client-centered counselling, was moderately helpful in reducing inappropriate classroom behavior.     

APPLICATION OF A SOCIAL SKILLS TRAINING PROGRAM IN THE MODIFICATION OF INTERPERSONAL DEFICITS AMONG RETARDED ADULTS: A CLINICAL REPLICATION

Six mentally retarded adults, equally divided into two treatment groups, were provided with individualized social skills training programs. Treatment, evaluated via a multiple-baseline design strategy, was sequentially and cumulatively applied across target behaviors over a four-week intervention period. Behavioral observation probes and social validation measures served as the primary dependent variables. Results indicated that (a) treatment was effective for virtually all behaviors across all subjects, (b) improvements occurred for both training and generalization scenes, and (c) behavioral performance was maintained one month following the termination of treatment.     

A repertory grid study of therapist/couple interaction

A case of marital therapy is described in which the presenting problem, one of non-consummation, is treated by the standard Masters and Johnson's technique. Using repertory grids at the start and finish of treatment the changing perceptions of both partners and the therapist were determined. In spite of an ostensibly behavioural treatment, substantial changes occurred in the couple's understanding of the nature of their problem. The changes undergone in the couple's perceptions, and their differences from the therapist's assessments of change give rise to speculations about the nature of the therapeutic interaction and suggest further lines of exploration.     

The effect of modification of expressive displays on vicarious emotional arousal

Several recent experiments have demonstrated that modulation of the facial expressive response is accompanied by changes in autonomic arousal and subjective response to painful stimuli. The present study asked whether facial self-regulation may also bring about changes in covert vicarious emotional experience. Three groups of subjects were exposed to a videotaped model displaying intermittent pain to shock in a differential vicarious autonomic conditioning paradigm. Subjects in the inhibit and amplify groups were asked, respectively, (a) to inhibit their facial muscles or (b) to pose a facial response of pain when the model was shocked. It was predicted that the inhibit group would show less autonomic arousal to the model's expressive display (empathy) and less conditioning (as measured by skin conductance and heart rate change), and the amplify group more empathy and conditioning, than a third group who was given no facial instruction. In fact, the amplify group showed more skin conductance arousal, heart rate acceleration, and activity in response to the model's expressive display of pain than did the other two groups (which were not different from each other), but no more autonomic or facial conditioning. The overall pattern of physiological data is interpreted as generally supportive of a facial feedback theory of emotion: where significant between-groups' differences were obtained in facial activity, as in vicarious instigation, autonomic arousal differences also emerged; where no expressive differences were obtained, as in vicarious conditioning, no differences in autonomic arousal were found.     

Circularity in relative pitch judgments for inharmonic complex tones: The Shepard demonstration revisited,again

The Shepard illusion, in which the presentation of a cyclically repetitive sequence of complex tones composed of partials separated by octave intervals (Shepard, 1964) gives the illusion of an endlessly increasing sequence of pitch steps, is often cited as evidence for octave equivalence. In this paper, evidence is presented which demonstrates that this illusion can be produced using (inharmonic) complex tones whose partials are separated by equal ratios other than octaves. Therefore, the illusion is not evidence for octave equivalence.     

Subjective contours can facilitate performance in a reaction-time task

Subjective contours were compared with objective contours in their ability to facilitate performance in speeded tasks that required judging the position of a dot or the slope of a line segment relative to the contour. Subjective contours were found to reduce both reaction times and error rates for dot localization but not for the more difficult slope discrimination task. These results add to the growing body of evidence suggesting that subjective contours have functional properties similar to those of objective contours.