Outcome comparison of patients receiving oral or depot neuroleptic medication.

Three outcome measures of psychiatric treatment were retrospectively compared between two groups of acutely hospitalized psychotic patients who had been prescribed either oral haloperidol (n = 58) or depot haloperidol (n = 95) as the only medication at the time of discharge. There were no significant differences between the groups on demographic variables, including sex, age, and ethnicity. There were no significant differences between the groups on keeping the initial outpatient appointment, in readmission history over a 4-yr. follow-up, or in length of time to subsequent readmission, if any. It appears that there is no benefit in choosing one form of medication over the other from a clinical perspective, as neither appears more clinically efficacious when examined on these outcome variables. However, there is a significant difference in cost of the two forms of the medication in favor of the oral form, making the oral form more favorable if cost is to be minimized.     

Stepping through the drug use sequence: longitudinal scalogram analysis of initiation and regular use.

Using a new technique for tracing the sequence of use over time, this study examined the pattern of drug involvement among 4,145 West Coast adolescents over the 4-year span from Grades 7-10. During the period covered, the mid- to late 1980s, we found no evidence that cocaine has become a gateway drug. However, the data provided some support for treating cocaine initiation as a separate stage that precedes the onset of hard drugs other than pills. The analysis also showed that increased involvement with legal drugs constitutes an important step in the transition to hard drug use for most adolescents. Weekly alcohol use followed marijuana use and preceded use of all other illicit drugs for Hispanic, White, and Black youth. However, it followed use of hard drugs for Asians. Weekly smoking formed a distinct stage between initial use of pills and other hard drugs for non-Hispanic Whites. The results underscore the importance of prevention efforts aimed at curbing the transition to regular use of alcohol and cigarettes, as well as their initial use.     

The Perception of the Other in International Relations: Evidence for the Polarizing Effect of Entitativity

In an international relations context, the mutual images held by actors affect their mutual expectations about the Other's behavior and guide the interpretation of the Other's actions. Here it is argued that the effect of these images is moderated by the degree of entitativity of the Other—that is, the extent to which it is perceived as a real entity. Two studies tested this hypothesis by manipulating the entitativity of the European Union (EU) among U.S. citizens whose images of the EU varied along the enemy/ally dimension. Results of these studies yielded converging evidence in support of the hypothesized moderating effect of entitativity. Specifically, entitativity showed a polarizing effect on the relationship between the image of the EU and judgments of harmfulness of actions carried out by the EU.     

Response times for the CAGE,short-MAST,AUDIT, and JELLINEK alcohol scales

The CAGE alcohol screening tool has been touted as a good choice for clinical settings because of its brevity. We administered the CAGE and three other alcohol screening instruments (the Short-MAST, AUDIT, and JELLINEK) by microcomputer to 296 clients at a drinking driver treatment program and three of the four scales to a second sample of 270 clients from six drinking driver treatment programs. The average response times for the CAGE were 31 and 32 sec, respectively, in the first and second samples. The average response time for the JELLINEK was approximately five times longer than it was for the CAGE; response time for the AUDIT averaged four times longer; and response time for the Short-MAST was two and a half times as long. The estimated reliability of the CAGE was the lowest and its standard error of measurement was the highest of the four scales. We recommend the Short-MAST as the tool of choice if the extra minute of administration time it requires in comparison with the CAGE is not critical.     

An International Perspective on the Adaptation of CBT Across Cultures

The cutting edge of psychotherapy research today is primarily cross‐cultural and includes two main areas of work. The first area consists of helping/healing approaches that originate within specific cultures, for example, Naikon therapy in Japan, ho'oponopono among Native Hawaiians, curanderismo among Latino people, and many of the specific practices within the world's major religions (e.g., meditation, prayer, recognising blessings, practising compassion, and helping others). The second area involves exploring whether, and if so how, the evidence‐based practices (EBPs) are relevant to the needs of cultures that were not originally in the minds of the EBPs developers. The preceding study by Bennett‐Levy and colleagues is an excellent example of the kind of research needed in this second area: participatory action research that intentionally seeks the expertise of within‐culture members, ideally the counsellors and researchers themselves. The authors ask exactly the kinds of questions that will move the entire psychotherapy field forward towards applications that are helpful to a much wider range of people.     

Multidimensional unfolding: Determining the dimensionality of ranked preference data

A model is proposed which treats rankings given by a group of judges as representing regions in an isotonic space of dimensionalityr. Three possible criteria for estimating lower bound dimensionality are discussed: mutual boundary, cardinality, and the occurrence of transposition groups. Problems associated with each criterion are mentioned.Deceased.     

Stress,Coping, and Mental Health Among Rural,Village, and Urban Women in Tunisia

The present study investigated stressors, coping strategies, and mental health among 45 Tunisian women living in 3 distinct environments within Tunisia: a rural Bedouin community, a mid-size village, and the capital city of Tunis. Individual interviews were conducted with each woman via a semi-structured questionnaire, which allowed for the collection of qualitative as well as quantitative information. Statistical analyses indicated no significant differences between the middle-class village and urban women on stressor levels, number of coping strategies used, or levels of psychological distress. However, the rural group of Bedouin women reported significantly greater stressor levels and numbers of depressive symptoms than the village and/or urban women. The qualitative information confirmed the greater stress of the rural environment, largely due to extreme poverty. The results suggest that rapid social changes in Tunisia since independence have improved the lives of middle-class women in the villages and cities, but have had very little impact on the situations of rural Bedouin women.     

Interrater reliability of scores derived from two methods for scoring the clock drawing test

Scores on the Clock Drawing Test have long been considered a useful screening tool for neuropsychological dysfunction, and a number of scoring methods have been developed to evaluate various aspects of performance. This study compared quantitative and qualitative scoring by briefly trained students on 145 clock drawings produced by patients in a geriatric psychiatry outpatient clinic to estimate the interrater reliability of the methods, user's acceptance of the methods, and whether the methods provide differential diagnosis. Both systems showed acceptable interrater reliability. Using the quantitative method, raters scored drawings by patients with organic mental disease as more impaired than those patients diagnosed as depressed or schizophrenic. Results suggest that the Clock Drawing Test is a reliable screening tool for cognitive impairment in a geropsychiatric population, but the scoring methods examined do not yet appear psychometrically sound enough to provide a differential diagnosis.