Comparison of Scoring Criteria for Clock Drawing Test

This study compared clock drawings by 42 medically hospitalized patients with a mean age of 51.9 (SD = 10.1) years, using four sets of published scoring criteria to determine comparability of classification and to assess validity by comparison to other measures of cognitive functioning. We found impairment in 20 of 42 cases using the criteria of Mendez et al. (1992); 11 of 42 cases by Sunderland et al. (1989); 9 of 42 cases with Freedman et al. (1994); and 8 of 42 cases according to Rouleau et al. (1992). Kappa coefficients of impairment status between sets of scoring criteria ranged from .41 to .86. Pearson correlations of raw scores between schemes ranged from .72 to .94. All except Sunderland et al. were significantly correlated with the Standardized Mini-Mental State Examination. All correlated significantly with the Wechsler Adult Intelligence Scale–Revised Block Design; however, only Mendez et al. correlated significantly with the Neurobehavioral Cognitive Status Examination. On the basis of these results and our experience, we recommend using the Freedman scoring scheme.     

Family-Based Intervention with High-Risk Infants and Their Families

A model of family-based intervention for high-risk infants hospitalized in the neonatal intensive care unit and their families is presented. The theoretical underpinnings, principles, and nature of the intervention are described. The adaptation of the model from a clinical–research demonstration project to a clinical consultation service is highlighted, with particular emphasis on the practical application of the model. Domains of the intervention include infant behavior, family organization and functioning, caregiving environment, and home discharge/community resources. Three case illustrations are provided to demonstrate the breadth of the intervention and how it can be individualized based upon the presentation of the infant and family.     

The duration and perceived intensity of sucrose taste

Thirty-two subjects judged the perceived intensity of each of four concentrations of sucrose over 2 min. Stimuli were either sipped and expectorated or flowed over the subject’s extended tongue. Ratio judgments on a line scale and category ratings were made. Sixteen of the subjects had had extensive training in judging the sensory attributes of food products, and another group of 16 subjects were untrained. The perceived intensity of sucrose rose to a peak within 5 or 10 sec, and then declined over 2 min. In both the sip and the flow conditions, the taste disappeared completely for 26 of 32 subjects. Stronger concentrations were perceived as having greater peak intensities and longer lasting taste. The differences between concentrations were enhanced when sipped rather than flowed over the tongue. Judgments of intensity and duration were largely unaffected by the training level of subjects and the use of different rating scales.     

Face-saving and entrapment

Entrapping conflicts are those in which individuals: (1) have made substantial, unrealized investments in pursuit of some goal, and (2) feel compelled to justify these expenditures with continued investments, even if the likelihood of goal attainment is low. It was hypothesized that entrapment (i.e., amount invested) would be influenced by the relative importance individuals attach to the costs and rewards associated with continued investments. Two experiments tested the notion that entrapment would be more pronounced when costs were rendered less important (and/or rewards were made more important). In Experiment 1, half of the subjects were instructed beforehand of the virtues of investing conservatively (Cautious condition), whereas half were informed of the advantages of investing a considerable amount (Risky condition). Investments were more than twice as great in the Risky condition. Moreover, consistent with a face-saving analysis, (1) the instructions had a greater effect on subjects with high rather than low social anxiety, and (2) individuals with high social anxiety who participated in front of a large audience were more influenced by the instructions than were individuals with low social anxiety who participated in front of a small audience. In the second experiment, the importance of costs and rewards were varied in a 2 × 2 design. As predicted, subjects invested significantly more when cost importance was low rather than high. Contrary to expectation, reward importance had no effect. Questionnaire data from this study also suggested that entrapment was at least partially mediated by the participants' concern over the way they thought they would be evaluated. Theoretical implications are discussed.     

Planning Disaster Response Services: The Role of a Multi-Agency Steering Group

The tradition in UK emergency planning has been for responses to be taken at a local level. Local authorities prepare plans for dealing with any eventualities arising from a major incident. Many local-authority disaster plans have, however, lacked adequate provision for psychological services. Previous disaster responses are examined, and planning deficits identified. One of the factors considered important is active involvement of those concerned rather than the imposition of a plan designed by others. The stages necessary to develop an effective community mental health intervention are elaborated. Psychological input to future plans at both national and local levels is examined. The central requirement identified is for a Multi-Agency Steering Group, whose members have specified roles, to co-ordinate all aspects of the disaster response and support services.     

Life Stories: Integrating Quantitative and Qualitative Approaches

Motivation and Emotion -     

A clinical interview for parents of high-risk infants: Concept and applications

The birth and hospitalization of a preterm infant are stressful and emotionally demanding experiences for parents. The Clinical Interview for Parents of High-Risk Infants (CLIP) is a semistruc tured clinical interview that may be used as a one-time assessment or as a cornerstone for ongoing psychosocial work with parents. The interview assesses early parental adaptation and alerts the clinician to areas of concern as identified by the parents. The interview enables parents to consolidate emotionally their experiences relative to the infant's high-risk status. The CLIP has utility both for planning psychosocial care in the intensive care nursery, and for discharge preparation. The rationale underlying the design of the CLIP is presented, the interview is described, and clinical applications are discussed.     

Reminiscing and recounting in the preschool years

Talk about past events can be classified as either reminiscing (discussing shared experiences) or recounting (discussing unshared experiences). Reminiscing may have more of a social memory function whereas recounting may also be informational. This research focused on the form of mother–child reminiscing and recounting during the preschool years. Twenty 40‐month‐old and 20 58‐month‐old children reminisced and recounted past events with their mothers. Results showed that mothers who provided more memory information during reminiscing and requested more memory information during recounting had children who reported more unique information about the events. Regardless of maternal conversational style, however, children reported more unique memory information during recounting than reminiscing. We discuss these results in terms of the importance of both forms of remembering for autobiographical memory development. Copyright © 2000 John Wiley & Sons, Ltd.