The debate over drug testing in the workplace: A novel opportunity for public scientific education

In several respects, American evidence law has an anti-scientific bias. A number of the admissibility and legal sufficiency rules in American evidence law reflect this bias. The assumption underlying the bias is that the typical citizen–-the potential juror–-is incapable of critically evaluating technical evidence. The results of national educational tests demonstrate that scientific illiteracy is widespread in the United States. However, the current controversy over drug testing presents forensic scientists with a unique opportunity to educate the average citizen about some of the rudiments of scientific proof. In the course of the debate, the scientific community can help familiarize the American public with such concepts as the limited nature of scientific findings, experimentation as the means of scientific validation, and the importance of proper test protocol. Perhaps more than any other scientific controversy, the debate over drug testing is of intense personal interest to the average citizen. This article pleads with the participants in the drug testing debate to capitalize on that interest and conduct their debate at a high level to aid the citizenry to develop a broader understanding of scientific evidence.     

Thoughts and feelings and things: A new psychiatric epistemology

Epistemology — the study of knowledge — is a philosophical discipline with close ties to psychiatry. When epistemologists address specific questions about how knowledge is actually realized by human beings, their philosophy must be informed by empirical studies of the sort psychiatrists now take up in a variety of forms. As this paper describes, psychiatrists can likewise improve their understanding of human psychology through a deeper appreciation of philosophical analysis in epistemology.The aim of this article is to introduce a unifying framework within which the experience from different approaches to psychiatry — (1) the conceptual schemas of cognitive psychiatry, (2) the mental structures of psychoanalytic psychiatry, (3) the categorical forms of existential psychiatry, and (4) the neural pathways of biological psychiatry — can all be applied productively to the central question of epistemology. By establishing a broad understanding of the problem of knowledge, this new view of epistemology is developed within the idiom of each psychiatric approach. In addressing themselves to a unitary problem, these diverse psychiatric approaches are themselves revealed, not as competing points of view, but as complementary views of a single subject. The result is a new epistemology that can not only bring the insights of psychiatry to philosophy, but can also contribute to the care of patients when psychiatrists bring this broader view to their clinical work.     

CONDITIONAL DISCRIMINATION VS. MATCHING TO SAMPLE: AN EXPANSION OF THE TESTING PARADIGM

A subject's performance under a conditional-discrimination procedure defines conditional relations between stimuli: “If A1, then B1; if A2, then B2.” The procedure may also generate matching to sample. If so, the stimuli will be related not only by conditionality, but by equivalence: A1 and B1 will become equivalent members of one stimulus class, A2 and B2 of another. One paradigm for testing whether a conditional-discrimination procedure has generated equivalence relations uses three sets of stimuli, A, B, and C, three stimuli per set. Subjects learn to select Set-B and Set-C comparisons conditionally upon Set-A samples. Having been explicitly taught six sample-comparison relations, A1B1, A1C1, A2B2, A2C2, A3B3, and A3C3, subjects prove immediately capable of matching the B- and C-stimuli; six new relations emerge (B1C1, B2C2, B3C3, C1B1, C2B2, C3B3). The 12 stimulus relations, six taught and six emergent, define the existence of three three-member stimulus classes, A1B1C1, A2B2C2, and A3B3C3. This paradigm was expanded by introducing three more stimuli (Set D), and teaching eight children not only the AB and AC relations but DC relations also—selecting Set-C comparisons conditionally upon Set-D samples. Six of the children proved immediately capable of matching the B- and D-stimuli to each other. By selecting appropriate Set-B comparisons conditionally upon Set-D samples, and Set-D comparisons conditionally upon Set-B samples, they demonstrated the existence of three four-member stimulus classes, A1B1C1D1, A2B2C2D2, and A3B3C3D3. These larger classes were confirmed by the subjects' success with the prerequisite lower-level conditional relations; they were also able to select Set-D comparisons conditionally upon samples from Sets A and C, and to do the BC and CB matching that defined the original three-member classes. Adding the three DC relations therefore generated 12 more, three each in BD, DB, AD, and CD. Enlarging each class by one member brought about a disproportionate increase in the number of emergent relations. Ancillary oral naming tests suggested that the subject's application of the same name to each stimulus was neither necessary nor sufficient to establish classes of equivalent stimuli.     

The role of familiarity in determining typicality

Ashcraft (1978b) found that people tend to know more properties of instances they rate as typical of a category than of instances they rate as atypical. This suggests that variations in typicality result from variations in familiarity. Three experiments are presented that challenge or qualify this suggestion. Experiment 1 showed that subjects sometimes produce more properties for items they rate as low in typicality. Experiment 2 showed that in a large, random sample of items, there was a tendency to produce fewer properties for atypical items, but Experiment 3 indicated that part of the reason for this result was a response bias to assign low typicality ratings to unfamiliar words, rather than a reflection of low perceived typicality of the referents themselves. These results suggest that variations in typicality can exist independent of variations in familiarity, although familiarity may also play a role.     

Aphasics' selective deficits in appreciating grammatical agreements

This study attempted to dissociate in aphasic patients different aspects of grammatical capacity. Subjects were asked to evaluate sentences containing violations of agreements between pronouns and verbs. Agreements which are considered primarily structural in nature were violated (e.g., a surface object case like “them” placed in a surface subject sentential slot) while other violated agreements seemed to involve both structural and semantic information (e.g., lack of agreement between a pronoun and a verb in terms of the number of people performing the act). These violations were couched in one of three types of sentential frames which varied in terms of syntactic complexity (e.g., active declarative vs. passive syntactic voices). The results revealed that Broca's aphasics found agreement violations difficult to detect in complex syntactic frames. They were quite successful at detecting even violations of the largely structural “case” type of agreement, however, when couched in simpler syntactic frames. Fluent aphasics encountered more difficulty detecting violations of agreements involving both semantic and structural information than agreements which were primarily structural in nature, that is, regardless of the syntactic frame. These unique performance profiles suggest that Broca's aphasics may be agrammatic only with respect to certain aspects of a sentence's structure, and that fluent aphasics may also experience some selective—but different—grammatical deficits.     

Some comments on the role of cotherapists in group psychotherapy with borderline patients

This paper points out examples of patients in a psychotherapy group who meet DSM-III criteria for the diagnosis of borderline personality disorder and who are treated by cotherapists utilizing object relations theory. Interpretations of phenomena shown by borderline patients—splitting, projective identification and denial—are illustrated. How cotherapy lends itself to the recognition and management of the problems these patients bring to group psychotherapy is illustrated.Hope Aspell assisted in the editing of this paper.     

The Headache Symptom Questionnaire: Discriminant classificatory ability and headache syndromes suggested by a factor analysis

A brief Headache Symptom Questionnaire was administered to 129 chronic headache Sufferers. The questionnaire accurately classified 68.42% of headache subjects in their proper diagnostic category, comparable to, but statistically less accurate than, the 86.4% agreement between expert headache diagnosticians using clinical interviews. Results of a factor analysis of the Headache Symptom Questionnaire lend support for their being two commonly accepted global headache categories—vascular/migraine and muscle contraction—and one headache dimension concerned with duration of headache pain. Combined migraine-muscle contraction headache was found to be related more to migraine than to muscle contraction headache, and cluster headaches emerged as a separate clinical entity, not loading positively on any factor and loading negatively on all three.This research was supported in part by Grant NS-15235 from the National Institute of Neurological and Communicative Disorders and Stroke.     

An Evaluation of the Jamaican Anticrime Program

A sweeping anticrime package was implemented in Jamaica in 1974. This program included severe penalties for possession of illegal guns, censorhsip of gun scenes from television and the movies, and greatly broadened police powers. The impact of this anticrime package on crime was assessed using quasiexperimental time-series designs with both months and years as the units of analysis. In a one year period there was a 14% reduction in homicides ( p <.05), a 32% reduction in rapes ( p <.01), a 25% reduction in robberies ( p <.05), and a 37% reduction in nonfatal shootings ( p <.01). Data from the second year following the implementation of the anticrime package were not available. The data from the fist year suggest that strict anticrime measures can reduce crime.     

EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.