The assessment and management of suicide risk: state of workshop education

A systematic search of popular and scholarly databases identified workshops that addressed general clinical competence in the assessment or management of suicide risk, targeted mental health professionals, and had at least one peer-reviewed publication. We surveyed workshop developers and examined empirical articles associated with each workshop. The state of workshop education is characterized by presenting the learning objectives, educational formats, instructor factors, and evaluation studies. Workshops are efficacious for transferring knowledge and shifting attitudes; however, their role in improving clinical care and outcomes of suicidal patients has yet to be determined.     

The role of the magnocellular visual pathway in the attentional blink

Visual attention has temporal limitations. In the attentional blink (AB) a stream of stimuli such as letters or digits are presented to a participant on a computer monitor at a rapid rate. Embedded in the stream are two targets that the participant must try to identify. Identification of the second target is severely impaired if it is presented within approximately 500ms of the first target. This is the 'blink' in visual attention. In this study we examined the role of the magnocellular visual pathway in the AB. This fast conducting pathway has high temporal resolution and contrast sensitivity. It is also insensitive to the direction of chromatic contrast, and this attribute was exploited in order to isolate its contributions to temporal attention. Colour defined, luminance noise masked AB streams were compared to AB streams of varying achromatic contrast. The four observers, (2F and 2M) aged between 21 and 35years, had normal visual acuity and colour vision. The colour stimuli produced a similar blink to the moderate contrast achromatic stimuli. This indicates that the magnocellular pathway does not have a privileged role in the attentional blink. We provide an explanation of previous apparently contradictory findings in terms of the role of different types of visual masking in the attentional blink.     

Gaps and Barriers in Services for Children in State Mental Health Plans

Significant gaps exist in children’s mental healthcare, and barriers prevent access to existing services. Current federal initiatives call for state governmental agencies to recognize and resolve deficits in their systems of care. Previous work has acknowledged some of the problems in meeting the mental health needs of children within a system of care. This current project sought to discriminate between gaps (e.g., non-existent services) and barriers (e.g., problems that prevent access to existing services) within state mental health care plans. Because acknowledging barriers and gaps in mental health services is a step towards systems improvement, the present project describes how state governments recognize the limits of their children’s mental health care systems. We analyzed state mental health plans submitted to the federal government in applications for block grant funds. Results illustrate that a varied number of gaps and barriers are acknowledged in state plans. Overall, 90% of state plans discussed barriers and 84% of state plans discussed service gaps. The gap most frequently recognized was lack of providers (74%), while lack of funding (52%) was the most common barrier. This project points to some recognition of system limits in the states and reflects potential efforts to create policies for system improvement for children and families.     

Eye-movement parameters and pattern discrimination

Pattern discrimination was studied in a visual-search task by recordingan O’s eye movements while he determined how many of eight patterns, arranged in a square around a standardpattern, matched the standard pattern. The results demonstrate the role of eye movements in visual search and human pattern discrimination. The mean duration of an eye fixation on a pattern, the probability of fixating it, the probability ofrefixating it, and the sequence in which patterns were fixated were all systematically related to various pattern measures. Multivariateanalyses showed modest correlations between the duration of individual eye fixations and various pattern measures. Relative characteristics of patterns influenced performance more than absolute characteristics of patterns. Patterns that matched a standard were fixated more often and longer than patterns that did not match a standard. The order in which patterns were fixated depended upon their relative characteristics. The results were consistent with a model ofpattern discrimination consistingoftwo stagesin which (1) features of a fixated pattern are abstracted and encoded, and (2) these features are then compared with the features ofanother pattern.     

Correlates of career progression among Mexican-American college graduates

Individual and structural correlates of career progression were studied among 111 Mexican-American college graduates. Results of the study were that career progression was correlated to (1) high school grades, (2) tolerance for ambiguity, (3) work ethic, (4) psychological success, and (5) need for achievement. Career progression was related to both the extent of career development programs available and the industry in which the employing organization was located.     

Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample

The correspondence between Diagnostic and Statistical Manual (3rd ed.) (DSM-III) diagnoses and statistically derived syndromes was examined within a community sample of children and adolescents in Puerto Rico. Specifically, the extent to which behavior dimensions, derived from the Child Behavior Checklist and the Youth Self-Report, corresponded to psychiatric diagnoses, derived from parent and child versions of the Diagnostic Interview Schedule for Children, was examined. The alternative approaches for assessing psychopathology in children and adolescents were compared against external validators. The results indicated a meaningful convergence between DSM-III diagnoses and statistical syndromes; however, a one-to-one correspondence did not emerge. Little evidence was found for diagnostic thresholds. There was no evidence of the superiority of either the statistically derived syndromes or the DSM-III diagnoses. The incorporation of a measure of impairment improved the validity of both approaches. Adding parental reports to the selfreports of adolescents yielded little gain in the validity of either the statistical or diagnostic approach. The implications for the definition and assessment of child and adolescent disorders are discussed.This research was supported by grant MH 38821 from the National Institute of Mental Health.The authors wish to acknowledge Glorisa Canino, Ph.D., and Maritza Rubio-Stipec, M.A., of the University of Puerto Rico, co-investigators in the epidemiologic project and to Barbara Bettes, Ph.D. for her contribution to preliminary analyses for this manuscripl. Portions of this paper were presented at the 38th Annual Meeting of the American Academy of Child and Adolescent Psychiatry, San Francisco, October 1991.     

Possible decision-making preadaptations in the molly Poecilia sphenops

In many species females choose a mate from among several available males; in other species, the social system provides no apparent opportunity for making a decision among alternative suitors, and decision-making capacity is assumed to be minimal. The origins, bases, and logic of female mate choices are contentious questions with important cognitive implications. Female short-finned mollies, Poecilia sphenops, have never been observed to choose mates in the wild, where instead a male-contest social system prevails. Nevertheless they readily choose between models of males in the laboratory. Some of their decisions anticipate features found in males in more recently evolved species where the social system permits female choice. The willingness of females to choose traits in a species without such traits or evident need or opportunity for female choice in the wild is remarkable. These observations suggest that choice behavior can be latent in a species, and may direct or bias the development of behavioral preferences.