The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses.     

BEHAVIORAL MOMENTUM IN THE TREATMENT OF NONCOMPLIANCE

Behavioral momentum refers to the tendency for behavior to persist following a change in environmental conditions. The greater the rate of reinforcement, the greater the behavioral momentum. The intervention for noncompliance consisted of issuing a sequence of commands with which the subject was very likely to comply (i.e., high-probability commands) immediately prior to issuing a low-probability command. In each of five experiments, the high-probability command sequence resulted in a “momentum” of compliant responding that persisted when a low-probability request was issued. Results showed the antecedent high-probability command sequence increased compliance and decreased compliance latency and task duration. “Momentum-like” effects were shown to be distinct from experimenter attention and to depend on the contiguity between the high-probability command sequence and the low-probability command.     

A Well-Kept Secret: What Counseling Psychology Can Offer Social Psychology1

Although social psychology has increasingly influenced counseling psychology, the impact that counseling psychology has had or could have on social psychology is less well developed. This paper considers factors that have limited counseling's influence on social psychology. In addition, contributions that counseling can make to social psychology are presented. It is argued that both disciplines have evolved to investigate the behavior of “normal” individuals in social contexts. It is concluded that there is much to be gained by both specialties in a fuller and more comprehensive integration and understanding of the findings and methods of the other.     

UNIVERSALISM IN LAY CONCEPTIONS OF DISTRIBUTIVE JUSTICE: A CROSS-CULTURAL EXAMINATION

In two studies of Japanese and Australian university students, we examined the resource allocation rules of equity and equality. In both cultures, subjects were universalistic rather than relativistic in their judgments of fairness and alterability of these rules in the work place. They judged the equity rule to be unalterable by legislation or consensus. However, in both studies, the Japanese perceived equity to be less fair and equality to be less unfair than their Australian counterparts. In addition, study 2 indicated that cross-cultural differences in judgments of fairness were influenced by consideration of need. The age of the worker was a more important determinant of fairness judgments for Japanese than for Australians; the debt of a worker was a more important déterminant for Australians than for Japanese. The results are discussed with regard to the role of culture in conceptions of distributive justice.     

Hindsight bias: An interaction of automatic and motivational factors?

If subjects are asked to recollect a former response after having been informed about the correct response, their recollection tends to approach the correct response. This effect has been termedhindsight bias. We studied hindsight bias in an experiment requiring numerical responses to almanac-type questions for physical quantities. We varied (1) the time at which the correct information was provided, (2) the encoding of the original responses by asking/not asking subjects to give a reason for the respective response, and (3) the motivation to recall correctly. We found that hindsight is less biased if reasons are given and if the correct information is provided at an earlier time. Motivation had only interactive effects: (1) With high motivation to recall correctly, the time the correct information was provided had no influence. (2) With reasons given, the variation of motivation showed no effect. These results rule out purely motivational and purely automatic explanations.     

A comparison of alternative theoretical approaches to smoking cessation and relapse

Two theoretical approaches to smoking cessation were compared. Participants were randomly assigned either to (a) a traditional treatment program that used contingency contracting and that emphasized the necessity for absolute abstinence (AA) or to (b) a relapse-prevention (RP) treatment that focused on gradual acquisition of nonsmoking skills. It was hypothesized that participants in the RP treatment would be less successful initially but would have better maintenance skills and thus would relapse less during a 1-year follow-up period. Each program was evaluated in two formats: group-based treatment and self-help materials. Results indicated comparable 1-year abstinence rates for all treatments, although more participants dropped out of the self-help formats. Participants in the RP intervention were more likely to lapse sooner after quitting and were more likely to quit again during the 1-year maintenance period. Exploratory analyses of successful participants suggested that women were more successful in the RP program and that men had greater success with the AA approach.     

Type A behavior and emotional responses to uncertainty: A test of the self-appraisal model

The self-appraisal model of Type A behavior holds that Type A's desire an accurate appraisal of abilities, and respond to uncertainty about abilities with exaggerated attempts to generate diagnostic information. The model also predicts that the major emotional response to uncertainty for Type A's is anxiety. In this study, Type A's and B's were induced to succeed or fail on a task where they were either very certain or very uncertain of their subsequent ability levels. Task failure produced greater depression, anger, and frustration for all subjects. Consistent with the self-appraisal model's prediction, uncertainty (regardless of success or failure) led to greater anxiety for Type A's than for Type B's. In fact, greater uncertainty produced lower anxiety for Type B's, indicating that Type A's and B's differ dramatically in their emotional responses to uncertainty about abilities.