Retest stability of DSM-III-R diagnoses among adolescents using the diagnostic interview schedule for children (DISC-2.1C)

Retest stability of DSM-III-R diagnoses was assessed using the DISC-2.1C with a sample of Anglo, African, and Hispanic American adolescent patients 12 to 17 years of age. Based on the kappa statistic, retest stability was fair for any disorder ( =.50), for any anxiety disorder ( =.44), for any affective disorder ( =.53), for any disruptive behavior disorder ( =.58), and for substance use disorders ( =.46). Although there was a trend for reliability to be somewhat higher for African Americans ( =.58) than for Anglos ( =.42) or Hispanics ( =.49), these differences were not statistically significant. In general, 15- to 17-year-olds had somewhat better reliability ( =.58) than did 12- to 14-year-olds ( =.44). Males had somewhat higher reliability ( =.63) than females ( =.43). These findings are congruent with those reported recently using the DISC-R (Schwab-Stone et al., 1993) and suggest that the DISC appears to be at least as reliable as other available child diagnostic instruments. In view of the fair-to-moderate levels of reliability of these instruments in general, future research should focus on the joint effects of instrument, subject, interviewer, and nomenclature on operating characteristics of diagnostic interview schedules, focusing in particular on factors affecting accurate recall and reporting of symptoms and episodes. This research was supported in part by grants MH44214 and MH44773 from the National Institute of Mental Health, and by the Hogg Foundation for Mental Health. The authors wish to acknowledge the participation and collaboration of A. J. Pumariega, J. W. Swanson, and C. E. Holzer III and staff of the Center for Cross-Cultural Research, directed by F. M. Treviño.     

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.     

Substance use and violent behavior in adolescence

The relation between substance use and violent behavior in adolescence is reviewed, and each of five competing models of this relation is examined. I begin by presenting background material on adolescent substance use and adolescent violence. I then describe five different models that have been proposed to explain the association between substance use and violent behavior. Next, I review the adolescent literature concerning substance use and violence, noting methodological weaknesses that have plagued this research. I conclude with an evaluation of the five models and suggestions for future research.     

The measurement of imagery ability

When variations in imagery ability are used to predict task performance, distinct and consistent relationships do not tend to emerge. A selective review of studies is undertaken to outline some basic reasons why individual difference measures of imagery are often so unsuccessful. Relevant studies concerning the learning and performance of motor skills are examined in some detail. It is concluded that the major problem in these studies is the types of imagery tests that have been employed; these tests have not adequately measured imagery ability. A recently developed instrument, the Movement Imagery Questionnaire, which has been designed to assess individual differences in visual and kinesthetic imagery of movement is discussed.     

Completely nonmetric multidimensional scaling

Most of the distance models underlying multidimensional scaling assume that if a stimulus y is between the stimuli x and z on each dimension, then x and z should be the farthest apart of the three stimuli. An iterative algorithm is described that uses only this betweenness prediction to infer the ordering of a set of stimuli on each of one or two dimensions. Applied to previously published semantic similarity data, this algorithm produced two-dimensional configurations that were similar in appearance to Euclidean configurations but generally involved fewer violations of the betweenness prediction.     

Parameters for vowel substitutions in Broca''s aphasia

Most phonological investigations of aphasic speech have focused on consonants. In this study, the vowel substitutions of five English-speaking Broca's aphasics were investigated with respect to several major explanatory hypotheses. An important possible motivating factor for aphasic substitutions, phonological environment, is an unlikely origin for these errors, since most substitutions occur along the paradigmatic axis. Another prominent hypothesis, markedness, also has no predictive power for the data of this sample. However, an analysis of the five Chomsky and Halle (1968, (The Sound Pattern of English), New York: Harper and Row) vowel features indicates that the two features for vowel height are selectively impaired: There is a strong tendency for lower vowels to replace higher targets. Moreover, the substitution sounds tend to be close to their target sounds along the height axis. Four possible hypotheses are advanced to account for this consistent lowering tendency.     

The influence of catch trial frequency on simple reaction time

The major purpose of the present investigation was to examine the combined influence of variations in foreperiod length (1.0, 5.0 sec) and catch trial frequency (0.0, 0.1, 0.2) on simple reaction time (RT) magnitude when verbal mediation was permitted and when it was not. A significant foreperiod length, catch trial frequency, mediation type interaction was obtained supporting the notion that all three factors influence a common process (i.e. Sternberg 1969), here called ‘preparation’. More specifically, for the non-mediation group, foreperiod length and catch trial frequency had both additive (0.0 vs 0.1) and interactive (0.1 vs 0.2) effects on mean simple RT while only catch trial frequency significantly altered simple RT for the mediating group. In all instances, mean simple RT increased significantly when some catch trials were employed as opposed to when none were used, a finding which was interpreted as reflecting an induced preparation decrement upon the introduction of catch trials.     

“Impossible figures” and interpretations of polyhedral figures

The concept “impossible figure” is analyzed by formalizing the interpretations of a polyhedral figure by an observer, and defining several types of inconsistency in such interpretations. Tests for these inconsistencies are developed using simple graph theory, and a sufficient condition is established for the feasibility of an interpretation. Finally, techniques are derived for the automatic construction of usual or unusual multibar figures.