Diagnosing agoraphobia in the context of panic disorder: examining the effect of DSM-IV criteria on diagnostic decision-making

A diagnostic and statistical manual (DSM)-IV diagnosis of agoraphobia in the context of panic disorder (PD) is based on three nosologically sufficient criteria: (1) avoidance, (2) use of companions, and (3) endurance of situations despite distress. Therefore, an agoraphobia diagnosis can be made across an extremely broad range of cases including when there are no avoidance behaviors (e.g., the patient endures the situation). It was hypothesized that clinicians do not weight these criteria equally and that the DSMs individual, sufficient criteria lead to poor inter-rater reliability. Clinicians (N=48) rated hypothetical patients with symptom profiles emphasizing each of these three criteria. Consistent with expectation, clinicians differentially weighted these criteria. Avoidance was relatively more apt to produce a diagnosis when only one criterion was emphasized in clinical vignettes. Inter-rater reliability was poor in instances when only one sufficient criterion was highlighted. Knowledge concerning DSM criteria resulted in a greater rate of agoraphobia endorsement, but knowledge did not account for the overall pattern of findings.     

Semantic feature production norms for a large set of living and nonliving things

Semantic features have provided insight into numerous behavioral phenomena concerning concepts, categorization, and semantic memory in adults, children, and neuropsychological populations. Numerous theories and models in these areas are based on representations and computations involving semantic features. Consequently, empirically derived semantic feature production norms have played, and continue to play, a highly useful role in these domains. This article describes a set of feature norms collected from approximately 725 participants for 541 living (dog) and nonliving (chair) basic-level concepts, the largest such set of norms developed to date. This article describes the norms and numerous statistics associated with them. Our aim is to make these norms available to facilitate other research, while obviating the need to repeat the labor-intensive methods involved in collecting and analyzing such norms. The full set of norms may be downloaded from www.psychonomic.org/archive.     

Can blindness to response-compatible stimuli be observed in the absence of a response?

Blindness to response-compatible stimuli is the finding that targets are identified less accurately when presented during the planning or execution of a congruent response (e.g., right arrow presented during a right keypress) versus an incongruent response (e.g., right arrow presented during a left keypress). Accounts of this effect suggest the planning and execution of a response are critical to its observation. Five experiments investigated whether a blindness effect would be observed in the absence of a planned response. Results suggest that a planned response is not necessary to observe a content-specific blindness effect and that the blindness effect may actually comprise both an action-related component and a symbolic component that is distinct from the action-planning system.     

Word associations in deep dyslexia

Deep dyslexia is an acquired reading disorder resulting in the production of semantic errors during oral reading and an inability to read aloud nonwords. Several researchers have postulated that patients with deep dyslexia have both phonological and semantic access impairments but the data supporting these claims are not convincing. In fact, the hallmark feature of deep dyslexia--the semantic errors--strongly implies that these patients can access semantic information from printed words. We test the integrity of the semantic system in two such patients through auditory and visual word association tasks. The data support the notion that semantics remains intact and that the disorder and associated errors arise through a selection impairment related to failure of inhibitory connections in the phonological lexicon.     

Assessment of DSM-IV personality disorders in obsessive-compulsive disorder: comparison of clinical diagnosis, self-report questionnaire, and semi-structured interview

In patients with obsessive-compulsive disorder, personality disorders are not many times assessed according to DSM-IV criteria. The purpose of the present study is to examine the prevalence of personality disorders diagnosed according to the DSM-IV in a severely disordered OCD population (n=65) with three different methods of assessing personality disorders (structured interview, questionnaire, and clinical diagnoses). Furthermore, correspondence between these different methods was investigated and their construct validity was examined by relating the three methods to external variables. Each method resulted in a predominance of Cluster C personality disorders, and obsessive-compulsive personality disorder had the highest prevalence. However, there was generally low correspondence regarding which patient had which personality disorder. Results concerning the relation of external variables were the most promising for the structured clinical interview.     

Confidentiality and the counsellor in general practice

The privacy of patients and their need for protection from harm are values respected by all professions. But words are open to interpretation. When counsellors join a multi-disciplinary Team, the variety of attitudes to confidentiality is often not made explicit, but is held within a broad corporate ideology. How then do counsellors protect the patient, and themselves, within the team approach to medical care? What are the consequences if they do not adhere to team norms? It is contended that corporate ideology is the main variable affecting the integration of a confidential counselling service within a medical setting.