The Development of a Clinical Rating Scale the McMaster Model of Family Functioning

This article describes the development and validation of the McMaster Clinical Rating Scale (MCRS). The MCRS is a 7-item scale designed to be completed by a trained rater after completion of an in-depth interview of the family. We present data from four new studies and review previously published articles concerning the reliability, validity, and clinical utility of the MCRS. Adequate interrater reliability and rater stability were obtained. The MCRS was found to correlate significantly with the self-report Family Assessment Device and to discriminate between families in different phases of a depressive disorder.     

ON ULTIMATE EPISTEMIC FOUNDATIONS1

This paper is a contribution to the debate on epistemic foundationalism. Section I expounds and criticises Hans Albert's critical rationalist antifoundationalism position. Section I1 discusses Karl-Otto Apel's ‘transcendental pragmatic’ argument for ultimate epistemic foundations. Section III suggests how the latter argument can be restated so as to avoid ambiguity and yield a plausible case for epistemic foundationalism.     

Assessment of HIV counselling and social care services in a London hospital

The use of, and satisfaction with, counselling and social care services was investigated among HIV-infected clients attending HIV specialist climes at Guy's Hospital and Southwark Social Services, London. A survey of 71 clients with HIV infection was carried out using a self-administered questionnaire. The greatest demand was for advice about income support, housing, counselling for the HIV test, counselling for depression or anxiety, psychological support for coping with HIV, help with sleeping problems, mobility allowance, and help with furniture/household appliances. Overall, 57% thought the service was good or excellent; 66% of respondents thought they would use the services in the future. Over nine in ten clients had used the psychosocial support services at some stage since their HIV diagnosis, although only two-thirds anticipated that they would have need of these services in the future. The psychosocial support service will need to remain responsive to the shift in demand for this service, as well as the changing needs of clients who use it.     

Extraction of relief from visual motion

We quantified the ability of human subjects to discriminate the relative distance of two points from a slanted plane when viewing the projected velocities of this scene (orthographic projection). The relative distance from a plane (called relief) is a 3-D property that is invariant under linear (affine) transformations. As such, relief canin principle be extracted from the instantaneous projected velocity field; a metric representation, which requires the extraction of visual acceleration, is not required. The stimulus consisted of a slanted planeP (specified by three points) and two pointsQ ₁ andQ ₂ that are non-coplanar withP. This configuration of points oscillated rigidly around the vertical axis. We have measured thesystematic error andaccuracy with which human subjects estimate the relative distance of pointsQ ₁ andQ ₂ from planeP as a function of the slant of_P. The systematic error varies with slant: it is low for small slant values, reaches a maximum for medium slant values, and drops again for high slant values. The accuracy covaries with the systematic error and is thus high for small and large slant values and low for medium slant values. These results are successfully modeled by a simple relief-from-motion computation based on local estimates of projected velocities. The data are well predicted by assuming (1) a measurement error in velocity estimation that varies proportionally to velocity (Weber’s law) and (2) an eccentricity-dependent underestimation of velocity.     

The dynamics of Prägnanz

Summary There is quite wide-spread agreement about the relevance of pattern Pragnanz (Koffka, 1935) with respect to the human interpretation of visual patterns. There is less agreement about whether pattern Pragnanz is based solely on pattern information (static) or also on the history of the perceiver (dynamic). In Van Leeuwen and Van den Hof (1991), experimental data concerning serial patterns are presented within the framework of the dynamic-network approach initiated by Buffart (1986, 1987). These experimental data are claimed to give evidence against the static-coding approach initiated by Leeuwenberg (1969, 1971). In the present paper, however, I show first that Buffart's theoretical basis is incorrect, and that in fact Leeuwenberg's static-coding approach is the basis for the dynamic-network approach. Second, I show that those experimental data rather give evidence in favor of the static-coding approach, by using those same data for a test of the most recent static-coding model (Van der Helm & Leeuwenberg, 1991; Van der Helm, Van Lier, & Leeuwenberg, 1992). Finally, I propose a reconciliation between the two approaches, in the sense that the dynamic-network model could be shaped in such a way that it yields a simulation, and maybe even an enrichment, of the static-coding model.     

A compensatory approach to optimal selection with mastery scores

A Bayesian approach for simultaneous optimization of test-based decisions is presented using the example of a selection decision for a treatment followed by a mastery decision. A distinction is made between weak and strong rules where, as opposed to strong rules, weak rules use prior test scores as collateral data. Conditions for monotonicity of optimal weak and strong rules are presented. It is shown that under mild conditions on the test score distributions and utility functions, weak rules are always compensatory by nature. The authors are indebted to Wilbert Kallenberg for his valuable comments and to Jan Gulmans for providing the data for the empirical example. The names of the authors are alphabetical; they are equally responsible for the contents of this paper.     

A Grammatical Specific Language Impairment in Children: An Autosomal Dominant Inheritance?

The aim of this study is to provide further characterization of a subgroup of so-called “Grammatical specific language-impaired (SLI)” children. The Grammatical SLI children have a persistent and disproportionate impairment in grammatical comprehension and expression of language. Previous research has indicated that their language impairment may be characterized by a domain-specific and modular language deficit. This study provides an initial investigation as to whether there is a genetic basis underlying their disorder as has been found for other forms of SLI and for SLI in general. The incidence of familial aggregation of language impairment was investigated in 12 Grammatical SLI children (aged 9:3 to 12:10). A familial language impairment (LI) history was classified as positive if one or more of the probands' relatives had a history of a speech/language or reading/writing problem which required speech therapy or any other form of remedial help. Case history information provided an initial indication that the Grammatical SLI children had a significantly higher incidence of a positive familial LI history than could be expected by chance. A questionnaire provided evidence of a positive LI history in the first-degree relatives of the SLI probands and 49 normally developing control probands. The SLI probands had a clearly and significantly higher incidence of a positive familial LI history than the control probands (77.8 vs. 28.5%, respectively). The results are consistent with a genetic basis underlying Grammatical SLI. The pattern of impairment in the SLI probands' relatives is consistent with an autosomal dominant genetic inheritance. In contrast to the control probands, the SLI probands' impaired relatives did not show a male gender bias. Thus, the gene does not appear to be sex-linked. The data indicate that further research is warranted to investigate the nature of the LI in the relatives of the Grammatical SLI probands and the genetic characteristics of this subgroup. The implications for the biological, domain-specific, and modular bases to language are discussed.     

Stress and coping in the practice of family therapy: a British survey

A sample of 171 members of the Association for Family Therapy (UK) was surveyed and data obtained on their general level of experienced stress, the sources and levels of experienced stresses they encountered in their practica, and the professional and private coping strategies they used to mitigate the effects of these stressors. The results indicate that stress can be experienced in all practice contexts, with important factors in its overall configuration being personal/professional worth and agency expectation. Family therapists appear to prefer coping strategies of a more social nature and there is an ambivalent attitude towards'therapy for therapists'.     

Effects of diagnostic classification systems on clinical hypothesis-generation

In this study it was determined whether (a) classification as opposed to absence of classification has an effect on the quality of clinical hypotheses (b) the DSM-III-R and the CBCL have a different effect on the quality of clinical hypotheses, and (c) the potential difference between the DSM-III-R and the CBCL is moderated by the different number of syndromes identified by these systems. To investigate these questions, an experiment was conducted in which 86 clinicians generated hypotheses for six cases. The clinicians were divided into a DSM-III-R, a CBCL, and a control group. Of the six cases, two were classified by both classification systems as one syndrome, two were classified as one syndrome by the DSM-III-R but as two syndromes by the CBCL, and two were classified as two syndromes by the DSM-III-R but as one syndrome by the CBCL. The quality of the hypotheses was determined by means of four dependent variables selected from an overview of qualitative criteria: explanatory value, redundancy, possibility of operationalization, and specificity. No differences between the CBCL and the control groups were found. The DSM group performed better than the control group regarding explanatory value and redundancy. The DSM-III-R group also scored better than the CBCL group regarding explanatory value, particularly when the number of identified syndromes was two for the CBCL and one for the DSM-III-R.