Psychoanalytic patients in the U.S., CANADA,and Australia: I. DSM-III-R disorders,indications, previous treatment,medications, and length of treatment

To determine the demographics, DSM-III-R disorders diagnosed, indications used in recommending psychoanalysis, previous treatment histories, use of medication, and length of treatment in patients in psychoanalysis in the U.S., Canada, and Australia, a mail survey of practice was sent to every other active member of the American Psychoanalytic Association and every member of the Australian Psychoanalytical Society. This supplemented an earlier survey sent to all Ontario psychoanalysts. The response rates were 40.1 % (n = 342) for the U.S., 67.2% (n = 117) for Canada, and 73.9% (n = 51) for Australia. Respondents supplied data on 1,718 patients. The employment rate for patients increases as analysis progresses (p < .0001). The mean number of concurrent categories of disorders (Axis I, Axis II, and Disorders First Evident in Childhood) per patient at the start of treatment is 5.01 (SD = 3.66; median = 4; mode = 3). There are no statistically significant differences across countries. Mood, anxiety, sexual dysfunction, and personality disorders are most common. American Psychiatric Association / American Psychoanalytic Association peer review criteria for indicating psychoanalysis are followed for 86.5% of patients. Over 80% of patients in all three countries had undergone previous treatments prior to analysis. In the U.S., 18.2% of analysands are on concurrent psychoactive medication; in Australia, 9.6%. The mean length of analyses conducted in the U.S. is 5.7 years, in Australia 6.6, and in Canada 4.8. Psychoanalytic patients in all three countries have similar rates of DSM-III-R psychopathology, and many indications of chronicity.     

Theory development should begin (but not end) with good empirical fits: a comment on Roberts and Pashler (2000)

S. Roberts and H. Pashler (2000) argued against using goodness of fit as evidence to support theories. The authors agree with their suggestions for how to go beyond good fits but disagree with their starting point. In this comment, the authors argue that good fits are part and parcel of theory development, that they are part and parcel of the processes suggested by S. Roberts and H. Pashler, and that they must be the starting point (though far from the ending point) in theoretical development. The authors discuss historical examples of scientific theory development, recent examples of psychological theory development, and development of a particular theory (social contagion theory; J. L. Rodgers & D. C. Rowe, 1993) that S. Roberts and H. Pashler criticized.     

Comparison of the Trail Making and Color Trails Tests in a Chinese context: a preliminary report

The Color Trails Test developed as a culturally fair analogue of the Trail Making Test, was used to examine the relationship between the two tests with 35 undergraduate Chinese in Hong Kong recruited as the subjects. The scores on these two tests of the 12 men and 23 women were significantly correlated .71. The equivalence of the Trail Making and Color Trails Tests when applied to Chinese in Hong Kong was discussed.     

Efficiency of multiple-choice tests as a function of spread of item difficulties

The validity of a univocal multiple-choice test is determined for varying distributions of item difficulty and varying degrees of item precision. Validity is a function of _d ² + _v ² , where _d measures item unreliability and _v measures the spread of item difficulties. When this variance is very small, validity is high for one optimum cutting score, but the test gives relatively little valid information for other cutting scores. As this variance increases, eta increases up to a certain point, and then begins to decrease. Screening validity at the optimum cutting score declines as this variance increases, but the test becomes much more flexible, maintaining the same validity for a wide range of cutting scores. For items of the type ordinarily used in psychological tests, the test with uniform item difficulty gives greater over-all validity, and superior validity for most cutting scores, compared to a test with a range of item difficulties. When a multiple-choice test is intended to reject the poorestF per cent of the men tested, items should on the average be located at or above the threshold for men whose true ability is at theFth percentile.This research was performed under contract Nop 536 with the Bureau of Naval Personnel, and received additional support from the Bureau of Research and Service, College of Education, University of Illinois.