Spiritual issues in mental health care

Religious and spiritual issues in mental health are explored in the context of four conceptual models: the medical, the nursing, the humanistic, and the pastoral. This is done by looking at each model in terms of content, diagnostic focus, language and treatment goals, and primary qualities in the health provider.The models are illustrated by case studies gathered from a multidisciplinary setting. The discovery that each model can incorporate the religious and spiritual dimension in mental health care, but that each model does this in distinctive ways, is a key point.     

Invariance in the MMPI's component structure

Bernstein and Garbin (1985b) suggested that the Minnesota Multiphasic Personality Inventory's major clinical scales (excluding Scales ? and 5) can be approximated by an oblique three-component structure: (a) Profile Elevation, (b) Test-taking Attitudes, and (c) Optimism-Pessimism, collectively termed the salient weight model. In this study, we found that both this model and the MMPI's principal component structure remain invariant across race, sex, and, as previously noted, context of testing (job applicants vs. inmates in correctional institutions). We further noted that several alternative definitions of Profile Elevation provide equally satisfactory representation of the relations among the scales. This factor invariance is necessary, but not sufficient, for the MMPI to be viewed as unbiased.     

The prediction of drug use among college students from MMPI, MCMI, and sensation seeking scales

This study examines the ability of five self-report assessment measures to predict college students' drug use across 12 pharmacological drug categories. Subjects were 125 female and 61 male university undergraduate students. The test battery included the following instruments: the Psychopathic Deviancy (Pd) scale of the Minnesota Multiphasic Personality Inventory (MMPI); the MacAndrew Alcoholism scale (MAC), a special scale of the MMPI; the Sensation Seeking Scale (SSS); the Millon Alcohol Abuse Scale; and the Millon Drug Abuse Scale. Scores from these instruments were utilized in linear combinations to predict individual drug use outcomes as well as polydrug versus single drug use patterns. The drug categories included in this investigation are coffee, tobacco, alcohol, marijuana, tranquilizers, depressants, amphetamines, LSD, other hallucinogens, solvents, narcotics, and cocaine. Results demonstrate significant and meaningful relationships between predictors and drug use levels among college students. Weighted equations derived from linear discriminant function analyses were generally capable of accurately classifying subject's drug use levels across drug categories and in discriminating single drug use from polydrug use patterns. Typically, the Sensation Seeking Scale entered as the most powerful predictor of substance use and abuse.     

Relative allocation on concurrent schedules can depend on schedule parameters when behavioral parameters are constant

We develop a simple model of switching between the initial links of a concurrent-chain procedure. Behavior is determined by four parameters μ₁, μ₂, q₁, and q₂. The first two are the basic rates of switching from Schedule 1 and Schedule 2, respectively. The second two are the probabilities of leaving Schedule 1 and Schedule 2 after the corresponding terminal link has been completed. We show that for fixed values of these four parameters, the relative allocation on the initial links may change as a result of changes in initial-link schedules. The effect can be quite large if the switching rates are low. An implication is that relative allocation is not necessarily a good measure of behavior.     

Control of responding during stimuli that precede transitions in reinforcement frequency

Pigeons' responses were reinforced on a variant of a mixed variable-interval extinction schedule of reinforcement in which the transition to the higher reinforcement rate was signaled by a trace stimulus projected on the response key prior to the onset of the component correlated with food delivery. In the first of two experiments, the duration of the trace stimulus preceding the component correlated with food delivery was varied from 1.5 to 50.0 s and in the second experiment, the reinforcement frequency in the same component was varied from 10 to 60 reinforcers per hour. Pigeons pecked at the trace stimulus preceding the onset of the component correlated with food delivery even though responding was not reinforced in its presence and only one of the changes in reinforcement rate (i.e., from extinction to reinforcement) was signaled. The rate of pecking during the trace stimulus was a function of its duration but not of the reinforcement frequency in the following component. Higher rates generally occurred at the shorter trace-stimulus durations. Component responding following the offset of the trace stimulus was under discriminative control of the trace stimulus whether or not responding occurred in the presence of the trace stimulus.