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.     

Compassion: An east‐west comparison

Compassion is an emotion that occupies a central position in Mahāyāna Buddhist philosophy while it is often a neglected subject in contemporary western philosophy. This essay is a comparison between an Eastern view of compassion based upon Mahāyāna Buddhist perspectives and a western view of the same emotion. Certain principles found in Mahāyāna Buddhist philosophy such as the Bodhisattva Ideal, and suffering (dukkha) to name two, are explored for the information they contain about compassion. An essay by Lawrence Blum is taken as representative of a Western view (but not exclusively) and it is analyzed for its shortcomings in light of the Buddhist view. The conclusion briefly describes the value of understanding an eastern view on compassion as a means of filling the void one finds in western medical ethics discourse which focuses so heavily, and redundantly, upon issues such as patient autonomy and paternalism.     

Requiem for “schizophrenia”

In this article a brief overview of the treatment of chronic psychosis for the last two centuries is covered, with particular emphasis on many scientifically demonstrated causes of chronic organic psychosis and their medically successful treatment, including recent neurotransmitter manipulations. With respect for the important contributions of Bleuler, the term “schizophrenic” is considered as an unscientific and unprovable nosological construct, which has hampered the successful resolution of chronic psychosis and has outlived its usefulness in the lexicon of modern psychiatry.     

汉语语义记忆提取的初步研究

对汉语语义记忆的提取进行了两个实验。实验1是自由联想实验,从十三个句子中选出二十三个词作为刺激词。结果表明,以两词间所保持的常识关系来定义的语义距离,对预测自由联想的作业是有效的。实验2采用反应时技术,对真假命题判断及信息提取的时间进行了考查。实验结果与A.M.Collins等人的结果一致,说明了存储于网络不同水平上的句子其提取时间不同这一事实。结果还表明,在信息提取阶段上,汉字字形的作用不是一个重要的因素。     

Sensory modality and the word-frequency effect

Two experiments were conducted to examine whether the word-frequency effect in recognition memory is primarily a modality-dependent phenomenon. In the first experiment, the presentation modality of a target word was varied orthogonally during the input of the test phases. In the second, the subjects were forced to process each input word at the letter-byo letter level, thus minimizing the orthographical differences between the high- and low-frequency words. The word-frequency effect was found in every experimental condition and should be considered a modality-independent phenomenon. A semantically based interpretation of this effect was proposed.     

妄想型与非妄想型精神分裂症唤醒水平(皮肤电反应)的初步探讨

问 题 机体如果连续处于高唤醒水平,就会出现中枢神经系统兴奋-抑制关系紊乱的现象。一般的后果是抑制机制受损害而产生中枢性调节障碍(Malmo 1959)。在行为上,唤醒水平表现为机体作出反应、准备行动的能量动员水平。对精神病人唤醒水平的研究     

A chronometric study of sentence processing in deaf children

It has been consistently reported the deaf children have tremendous problems in reading English sentences. Three experiments were conducted in the present study to investigate the nature of deaf children's reading inability. The first experiment looked into the letter-decoding process. It was found that deaf subjects took longer than normal-hearing subjects in encoding and decoding alphabetic letters. The second experiment employed a sentence-picture verification paradigm. The results showed that deaf subjects adopted a visual-imagery coding strategy rather than a general linguistic coding strategy as described by H. H. Clark and W. Chase (Cognitive Psychology, 1972, 3, 472–517) and by P. A. Carpenter and M. A. Just (Memory and Cognition, 1975, 3, 465–473). However, when the sentence was presented in manual signs (Experiment 3), deaf subjects' verification time showed that they adopted a general linguistic coding strategy. Thus, deaf subjects are capable of linguistic coding strategy, but they do not apply it to process printed English sentences. A second-language hypothesis was advanced to account for the obtained data. Deaf children's reading inability was also discussed from this perspective.