Diagnosis and Assessment of Depression and Suicidality Using the NIMH Diagnostic Interview Schedule for Children (DISC-2.3)

The Diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale — Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire — Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.     

Supervisor-Subordinate Work Value Congruence and Subordinate Performance: A Pilot Study

The relationship of superior-subordinate work value congruence to subordinate performance was examined in a retail setting. Additionally, because of on-going interest in the role of justice or fairness in the performance appraisal process, the relationship between the supervisor's value of fairness and subordinate performance was examined. Superior-subordinate value congruence was not related to subordinate performance. The supervisor's level of the value of fairness was related to supervisor-rated dimensions of performance, but not to sales and profits. Implications for future research are presented.     

Etiology of the Masochistic and Narcissistic Personality

The American Journal of Psychoanalysis -     

Non-heart-beating organ donation: a reply to Campbell and Weber.

In the preceding commentary, Campbell and Weber raise two valid and important issues concerning non-heart-beating organ donation (NHBOD). First, because the procedure links withdrawal of life support and the potential for subsequent organ donation, the desire for organs may create a situation in which care of the dying individual has relatively less importance and the dying may receive suboptimal care. Second, even if concerns about care of the dying were dealt with adequately, there will not be enough non-heart-beating donors to significantly decrease the organ shortage that exists, making the procedure not worth the risk. We agree that attention to the important details of caring for the dying are, and must be, the primary concern of all health care workers caring for those individuals. Ensuring the patients' comfort, dignity, and autonomy, and providing for family and social support are the mainstays of this care. All policies for NHBOD should clearly support and mandate these concepts. Regarding the second concern, we agree that NHBOD is currently rare; however, evidence is increasing that this type of donation has great potential. Continued growth of the practice in this country will depend largely on public acceptance, which we believe will be directly influenced by whether the public perceives that care of the dying is not compromised by this procedure.     

Book reviews

Integrative Psychological and Behavioral Science -     

A pointing technique for rapidly collecting localization responses in auditory research

A technique is described for rapidly collecting responses in auditory-localization experiments. Subjects indicate the perceived direction of the sound by pointing at a 20-cm-diam spherical model. In Experiment 1, the subjects judged the direction of a broadband signal, which could originate from any of 239 directions ranging through 360° of azimuth and between ?45° and +90° of elevation. Using this technique, the subjects responded 2–8 times more rapidly than previous subjects who used either a verbal-reporting technique or a head-pointing technique. Localization judgments were as accurate as they had been with verbal reports, but were not as accurate as judgments collected using the head-pointing technique. In Experiment 2, the signal was turned off and the experimenter read the spherical coordinates of the signal location to the subjects. The subjects pointed to these coordinates more accurately than they had judged the direction of the sounds in Experiment 1, suggesting that the response technique had not been the limiting factor in that experiment. Circumstances relevant to the choice of response techniques for auditory-localization experiments are discussed.     

Work-Relationship Values and Gender Role Differences in Relation to Career-Marriage Aspirations

This study of female and male undergraduate business majors explored the relationship of their preferred future career-marriage arrangement to their relationship and work values, work motivation, and gender role orientation Results indicate that the dual-career, career-job, and career-home groups showed significant differences on these dimensions. Additionally, sex and gender role differences reflected cultural stereotypes of achievement orientation in men and barriers to career pursuits of women. The results are discussed in terms of interpersonal, intrapersonal, and societal factors underlying career-marriage aspirations. Implications for practitioners and suggestions for future research are given.     

The other side of the coin: Cognitive properties of nonreward

In this comment, I examine Amsel’s theory in the light of rats’ reaction not to frustrative non-reward per se, but to the more complicated case in which frustrative nonreward is part of a rule-based sequence of reward quantities. The discussion goes beyond Amsel’s emphasis on dispositional memory to consider cognitive and representational memory—the signaling properties of reinforcement and nonreinforcement. The strengths and weaknesses of Amsel’s theory are discussed with the fresh perspective that this viewpoint provides, and some issues emerge that may be fruitful for further study.     

Diaphragmatic spasm: A neglected cause of dyspnoea and chest pain

The study included 17 patients, 12 women and 5 men, with a recurrent symptom complex involving chest pain and dyspnoea characterized by inability to get a full breath. Some attacks had subsided spontaneously. Others had lasted hours or days. When examined by fluoroscopy during an attack, each subject was found to have a nearly maximally contracted (flat) diaphragm. In some of them the attack was promptly interrupted by a small intravenous injection of sodium amytal. In others it could be aborted by a conscious effort at full expiration. The syndrome associated with diaphragmatic spasm is discussed in comparison with other noncardiac sources of chest pain and dyspnoea.