The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses.     

Biography, Narrative, and Lives: An Introduction

ABSTRACT The purpose of this special issue of the Journal of Personality is to spotlight some of the more fruitful ways in which contemporary personality psychologists are collecting, analyzing, and discerning stories about persons' lives The issue focuses both on current approaches to psychobiography and on new uses of life narratives in social research     

Children's preference for challenge: the role of perceived competence and control

This research tested the hypothesis that children's perceptions of academic competence and their personal control over school-related performance affects subsequent intrinsic interest and preference for challenge in an evaluative setting. In a correlational study, children's self-reported perceptions of academic competence and personal control were found to relate positively to their intrinsic interest in schoolwork and preference for challenging school activities. A subset of this sample was exposed to varying levels of a controlling directive, and preference for challenge was assessed behaviorally during a free-choice period in which subjects were unaware that they were being observed. As predicted, the data indicated that when given the evaluative, controlling directive, children who had high perceptions of academic competence and control preferred a greater challenge than did children whose perceptions were low on these measures. No difference between groups in terms of preference for challenge was evident when no controlling directive was presented. These findings are discussed in terms of theories of intrinsic motivation and potential processes that underly these effects.     

The evolution of human intrasexual competition: tactics of mate attraction

Darwin's theory of sexual selection suggests that individuals compete with members of their own sex for reproductively relevant resources held by members of the opposite sex. Four empirical studies were conducted to identify tactics of intrasexual mate competition and to test four evolution-based hypotheses. A preliminary study yielded a taxonomy of tactics. Study 1 used close-friend observers to report performance frequencies of 23 tactics to test the hypotheses. Study 2 replicated Study 1's results by using a different data source and subject population. Study 3 provided an independent test of the hypotheses in assessing the perceived effectiveness of each tactic for male and female actors. Although the basic hypotheses were supported across all three studies, there were several predictive failures and unanticipated findings. Discussion centers on the heuristic as well as predictive role of evolutionary theory, and on implications for other arenas of intrasexual competition.     

Personal vulnerability, life events, and depressive symptoms: a test of a specific interactional model

We tested Beck's (1983) hypothesis that depressive symptoms occur when an individual experiences a negative life event that specifically matches the individual's personal motivational vulnerability. Ninety-eight undergraduates completed measures of depression level, recent life events, and sociotropic and autonomous achievement motivations. Consistent with the theory, sociotropy was associated with depression level and also served as a moderator of the relations between depression and frequency of recent negative social events. However, sociotropy also demonstrated nonpredicted interactive effects with negative events categorized a priori as autonomy related. Autonomy was unrelated to depression and showed no evidence of being a vulnerability to any type of life event. The findings generally support the value of examining the role in depression of interactions between personality characteristics and life events, although they do not support the specific matching predictions.     

Depression and mental control: the resurgence of unwanted negative thoughts

In three experiments we examined depressed individuals' mental control abilities and strategies. Experiment 1 revealed that although depressed college students were initially successful in suppressing negative material, they eventually experienced a resurgence of unwanted negative thoughts. Analysis of subjects' stream-of-consciousness reports indicated that this resurgence was associated with the use of negative thoughts as distracters from the unwanted item. In Experiment 2 depressed subjects acknowledged that positive distracters were more effective than negative ones in suppressing negative thoughts. This acknowledgement suggests that depressed subjects in Experiment 1 did not deliberately focus on negative distracters but that those thoughts automatically occurred because they were highly accessible. Experiment 3 demonstrated that depressed subjects' use of positive distracters could be increased somewhat when we provided such distracters and made them easily accessible. Taken together, the findings suggest that depression involves an enhanced accessibility of interconnected negative thoughts that can undermine mental control efforts.     

Autonomic arousal feedback and emotional experience: evidence from the spinal cord injured

We interviewed spinal-cord-injured, other handicapped, and nonhandicapped subjects to investigate the relation between the perception of autonomic arousal and experienced emotion. The three groups differed significantly on only one measure of affect intensity, with the spinal-cord-injured subjects more often reporting stronger fear in their lives now compared with the past. In addition, spinal-cord-injured subjects often described intense emotional experiences. Spinal-cord-injured subjects who differed in their level of autonomic feedback differed in intensity on several measures. Subjects with greater autonomic feedback tended to report more intense levels of negative emotions. The findings indicate that the perception of autonomic arousal may not be necessary for emotional experience. There were weak trends in our data, however, suggesting that the perception of arousal may enhance the experience of emotional intensity. The subjective well-being reports of the handicapped groups were comparable to those of nonhandicapped subjects, indicating successful coping with their disability.     

The effects of contextual information and gender on the prediction of hypnotic susceptibility

Council, Kirsch, and Hafner (1986) obtained empirical support for the hypothesis that significant correlations between questionnaire measures of absorption and hypnotic susceptibility are an artifact of subjects' beliefs about their own hypnotizability. We tested this hypothesis in a two-session experiment. During Session 1, subjects completed questionnaire measures of absorption, mystical experience, daydreaming frequency, and paranormal beliefs. During Session 2, subjects were tested for hypnotic susceptibility. Subjects were also exposed to one of three information manipulations: They were told about hypnotic testing either before or after filling out the questionnaires or were not told about hypnotic testing. The information manipulation moderated the prediction of susceptibility by the questionnaire measures for women, but not for men. For women, scores on the absorption questionnaire predicted susceptibility only when subjects were informed about hypnotic testing. In the told-after condition, this effect generalized to all of the remaining questionnaire measures. For men, none of the questionnaires was a reliable predictor of susceptibility.