Computerized Career Information and Guidance Systems: Caveat Emptor

Computerized career information and guidance systems, although now commonplace, have received little psychometric scrutiny. The authors argue for examining these systems in the same way in which paper and pencil instruments are assessed. Consideration is also given to issues related to programming, technical-service problems, and staffing.     

Evaluation of a mutual help network for the elderly residents of planned housing

We set up a mutual help network among the elderly residents of a government-subsidized apartment building and evaluated its impact on their social ties, social support satisfaction, and depression. A quasi-experimental design was used, with the residents of a similar building located in the same neighborhood serving as the control group. A total of 230 individual services were exchanged, and 28 group activities were organized during the study period. There was almost no difference between experimental and control groups with respect to the change over the study period in the number of social ties with other residents of the building. Support satisfaction decreased in both groups, but the decrease was larger in the experimental group. The control group had a slight decrease in the frequency of their depressive symptoms, whereas the experimental group had a moderate increase. More research is needed on the ability of social support interventions to produce beneficial effects on mental health among individuals who are not experiencing a particular life stress.     

Fixing forensic patients: Psychiatric recommendations for treatment in pretrial settings

This article is concerned with psychiatric recommendations for treatment at the Metropolitan Toronto Forensic Service (METFORS), a clinical assessment agency providing both 1-day and 30-day evaluations of criminal defendants in Toronto, Canada. Analysis of both psychiatric reports and quantitative research instruments demonstrated the saliency of treatment as a central forensic issue at METFORS. Among a sample of 592 defendants, 134 were considered in need of outpatient care. Persons recommended for hospitalization were most likely to exhibit histories of mental health rather than criminal justice contacts; to be arrested for nonviolent offenses; to manifest psychotic behavior while at METFORS; to be found unfit for bail, incompetent to stand trial, in need of further assessment and dangerous to self; and to experience higher rates of hospitalization, but lower levels of criminalization during the two years following their initial forensic assessment. Psychiatric reports at METFORS tended to merge recommendations for treatment and assessment; to suggest prison or probation as means for securing clinical treatment; and to provide little written support for judgments about the need for intervention. Along with competency and dangerousness, treatment is a key issue in forensic practice, and warrants further attention in the psycholegal literature.     

Treatment recommendations for mentally disordered offenders: More than roulette?

Clinical judgments on the treatability and prognosis of mentally disordered offeenders (MDO) may strongly influence legal dispositions and the availability of treatment resources. This study examined 1,238 discharge summaries for MDOs referred for court assessments. Psychiatrists evidenced marked variability in how often they recommended treatment and how frequently they judged patients to have a poor prognosis. Two logit analyses suggested that diagnosis and consultation by other clinicians were associated with (a) treatment recommendations (i.e., Axis I diagnosis and social work consultations) and (b) prognosis (i.e., Axis II diagnosis and psychology consultations).     

Personal Versus Vocational Focus in Career Counseling: A Retrospective Outcome Study

In this archival study the authors sought to determine the relationship, if any, between counseling outcomes and the topical focus in career counseling. Twenty-two counselors saw 46 adult clients at a community-based clinic for an average of eight sessions. Counseling outcome and topical focus (the extent to which the actual content of counseling sessions reflected relatively more vocationally or personally focused topics) were assessed from follow-up questionnaires to former career clients and from trained raters' evaluations of the counselors' written progress notes. Results showed that, from the counselors' perspective, outcomes were better when the focus of the sessions was relatively more vocational than personal and when relatively more interviews were held. Client satisfaction, on the other hand, was predictable only from the counselor's level of experience. Satisfaction with occupational status was not associated with any of the client, counselor, or treatment factors. Discussion focuses on the contribution of the results to career counseling practice and on the feasibility and validity of retrospective, archival research.     

Predicting diagnosis performance with measures of cognitive style

This study examines the relationship between performance on a context-independent fault diagnosis task and two dimensions of cognitive style: field dependence/independence (D-I) and focusing/scanning (F-S). The effects on diagnosis performance of training and the ability of both dimensions of style jointly to predict fault-finding ability were considered. The results showed that field independents and focusers were superior fault diagnosticians. Training, in the form of verbal feedback messages, was uniformly effective for the D-I dimension although field independents maintained a superior level of performance, over field dependents. In general, for the F-S dimension, training had little effect on either the focusers or scanners. A combination of scores on the F-S and D-I dimensions significantly enhanced the proportion of the variance in testing efficiency that could be accounted for during fault-finding. Finally it is argued that the F-S and D-I dimensions should be recognized as measures of ability, not style. Future research should be directed at identifying between subject differences on fault diagnosis tasks with reference to theories of information processing.     

One Counselor's Intervention in the Aftermath of a Middle School Student's Suicide: A Case Study

The authors discuss the application of Gestalt theory as a means of dealing with the surviving classmates of a student who committed suicide.     

Counseling Child Sexual Abuse Victims: Myths and Realities

The goal of the authors is to (a) create an awareness among counselors about the nature and prevalence of child sexual abuse, (b) examine myths and realities about the topic, and (c) present recommendations for interviewing suspected victims of child sexual abuse.