Clinical utility of the MMPI-2 Restructured Clinical (RC) Scales in therapeutic assessment: a case study

In the following article, we provide a case study on a 25-year-old man who was released from a crisis stabilization unit following a suicide attempt. After completing a diagnostic intake, the client participated in a Therapeutic Assessment (Finn, 1996, 2003), which included the MMPI-2 (Butcher et al., 2001) and the Incomplete Sentences Blank (Rotter & Rafferty, 1950). In particular, in the article, we focus on how the Restructured Clinical (RC; Tellegen et al., 2003) scales can be used to form a personological conceptualization of the client. The RC scales measure important personality and affective trait dimensions including demoralization and both positive and negative affect, which allows for a clear explanation of the underlying etiological factors that influence a client's negative emotional experience. In this article, we highlight how explaining these underlying personality characteristics to the client within the framework of therapeutic assessment allowed for an increase in his insight.     

Family/media approach to HIV prevention: results with a home-based, parent-teen video program.

We describe the first study with a home-based HIV prevention video program for parents and young teenagers. The objectives of the program are to inform parents and teenagers about the causes and prevention of HIV infection and other sexually transmitted diseases, to increase family problem-solving skills, and to increase teen problem-solving and assertiveness skills. The objectives pertain to the goals of increasing skills needed to help teenagers avoid or manage high-risk behaviors and situations. Forty-five families with at least one 12- to 14-year-old were randomly assigned to either experimental (receive video program) or control (no video) conditions in a pretest-posttest design. After 6 months (Follow-Up 1), the experimental and control families were reassessed. The control families next received the video program, and the control families were assessed again (Follow-Up 2). The results indicate increases in parent and teen knowledge and skills only with video viewing. Approaches to improving the video program, particularly with teenagers, are discussed.     

Are Episodic Buffer Processes Intact in ADHD? Experimental Evidence and Linkage with Hyperactive Behavior

Working memory deficits are present in a substantial proportion of children with ADHD, and converging evidence links these deficits with ADHD-related behavioral and functional impairments. At the same time, working memory is not a unitary construct, and evidence is lacking regarding the role of several components of this system in ADHD. Preclinical behavioral studies are needed to fractionate the multicomponent working memory system, determine which specific subcomponent(s) are impaired in ADHD, and more importantly link these subcomponent(s) with specific ADHD-related behavioral symptoms/functional impairments. The current study reflects one piece of that puzzle, and focuses on the episodic buffer component of working memory. Across multiple testing days, a well-characterized sample of 86 children ages 8–13 (M=10.52, SD=1.54; 34 girls; 64% Caucasian/Non-Hispanic) with ADHD (n=49) and without ADHD (n=37) completed three counterbalanced working memory tests that were identical in all aspects except the key subcomponent process (phonological, visuospatial, episodic buffer). Gross motor movement during these and control tasks were measured using 4 high-precision actigraphs. There was no evidence of group differences in gender, age, SES, or IQ. Bayesian mixed-model ANOVAs indicated that the ADHD group performed significantly worse on all three working memory tests (d=1.17–1.44) and was significantly more hyperactive than controls (d=0.66–1.05) during the visuospatial and episodic buffer tests. In contrast, the ADHD and Non-ADHD groups were equivalent with regard to effects of episodic buffer demands on performance and hyperactive behavior. The most parsimonious conclusion is that the episodic buffer is likely intact in ADHD, and unrelated to ADHD hyperactivity symptoms.     

Motor Performance of Stutterers

A continuing program of research, which is concerned with identifying brain mechanisms underlying stuttering through an analysis of manual motor control, is described. Clear evidence has been found that the neural mechanisms associated with sequential responding (and, by implication, with speech) are lateralized in stutterers as they are in nonstutterers. Although no gross or general in-coordination has been found in motor performance by most stutterers, their left hemisphere mechanisms appear to be inefficient for organizing and initiating new sequences of responses and vulnerable to interference from other neural activities. Results of research on bimanual coordination in stutterers are consistent with a model that attributes the interference, in part, to interhemispheric processes, possibly involving the supplementary motor area. One implication of the research is that the disfluency of stuttering is onfy one manifestation of a more general disfunction in motor and cognitive organization and planning.     

Clinical Utility of the MMPI–2 Restructured Clinical (RC) Scales in Therapeutic Assessment: A Case Study

Summary: In a recent paper, Haan and Livson reported sex differences between male and female psychologists in their evaluations of adult men and adult women. Their conclusions have implication for the validity of clinical, assessments and were interpreted in terms of stereotypic sex rote perceptions. However, their statistical analysis was in fundamental error. When the data they employed were reanalyzed, no reliable sex differences between men and women psychologists were found, a finding in accord with a number of previous investigations of this problem.     

Model Conditioned Data Elasticity in Path Analysis: Assessing the “Confoundability” of Model/Data Characteristics

Much research has been directed at the validity of fit indices in Path Analysis and Structural Equation Modeling (e.g., Browne, MacCallum, Kim, Andersen, &; Glaser, 2002 Browne, M.W., MacCallum, R.C., Kim, C.T., Andersen, B.L., &; Glaser, R. (2002). When fit indices and residuals are incompatible. Psychological Methods, 7, 403–421.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Heene, Hilbert, Draxler, Ziegler, &; Bühner, 2011 Heene, M., Hilbert, S., Draxler, C., Ziegler, M., &; Bühner, M. (2011). Masking misfit in confirmatory factor analysis by increasing unique variances: A cautionary note on the usefulness of cutoff values of fit indices. Psychological Methods, 16(3), 319–336.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Hu &; Bentler, 1999 Hu, L., &; Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, J., 6(1), 1–55.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Marsh, Hau, &; Wen, 2004 Marsh, H.W., Hau, K.T., &; Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling, 11(3), 320–341.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). Recent developments (e.g., Preacher, 2006 Preacher, K.J. (2006). Quantifying parsimony in structural equation modeling. Multivariate Behavioral Research, 41(3), 227–259.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; Roberts &; Pashler, 2000 Roberts, S., &; Pashler, H. (2000). How persuasive is a good fit? A comment on theory testing. Psychological Review, 107(2), 358–367.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 2002 Roberts, S., &; Pashler, H. (2002). Reply to Rodgers and Rowe (2002). Psychological Review, 109(3), 605–607.[Crossref] , [Google Scholar]) have encouraged researchers to investigate other criteria for comparing models, including model complexity. What has not been investigated is the inherent ability of a particular data set to be fitted with a constrained set of randomly generated linear models, which we call Model Conditioned Data Elasticity (DE). In this article we show how DE can be compared with the problem of equivalent models and a more general problem of the “confoundability” of data/model combinations (see MacCallum, Wegener, Uchino, &; Fabrigar, 1993 MacCallum, R.C., Wegener, D.T., Uchino, B.N., &; Fabrigar, L.R. (1993). The problem of equivalent models in applications of covariance structure analysis. Psychological Bulletin, 114(1), 185–199.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Using the DE package in R, we show how DE can be assessed through automated computer searches. Finally, we discuss how DE fits within the controversy surrounding the use of fit statistics.