Clinical significance methods: a comparison of statistical techniques

Clinically significant change refers to meaningful change in individual patient functioning during psychotherapy. Following the operational definition of clinically significant change offered by Jacobson, Follette, and Revenstorf (1984), several alternatives have been proposed because they were thought to be either more accurate or more sensitive to detecting meaningful change. In this study, we compared five methods using a sample of 386 outpatients who underwent treatment in routine clinical practice. Differences were found between methods, suggesting that the statistical method used to calculate clinical significance has an effect on estimates of meaningful change. The Jacobson method (Jacobson & Truax, 1991) provided a moderate estimate of treatment effects and was recommended for use in outcome studies and research on clinically significant change, but future research is needed to validate this statistical method.     

Do unto others as they do unto you: reciprocity and social identification as determinants of ingroup favoritism

Predictions from the bounded and unbounded reciprocity hypotheses and from social identity theory (SIT) were examined in a minimal group experiment in which ingroup outcome dependence, outgroup outcome dependence, and the strength of social identity were orthogonally manipulated. Both ingroup and outgroup outcome dependence affected reward allocations. Participants made more ingroup-favoring reward allocations across all conditions. The identification manipulation produced hypothesized effects on social identification measures and marginal effects of identification on reward allocations in the no-dependence condition. Support was found for both an unbounded and bounded version of the reciprocity hypothesis and marginal support for a SIT approach to intergroup discrimination. The study highlights insufficiencies of both theoretical approaches and suggests possibilities for integration and elaboration.     

Is it prudent to administer all items for each Child Behavior Checklist cross-informant syndrome? Evaluating the psychometric properties of the Youth Self-Report dimensions with confirmatory factor analysis and item response theory

Through surveying of children in 10 nations with parent, teacher, and Youth Self-Report (YSR) forms of the Child Behavior Checklist (CBCL), cross-informant syndromes (CISs) were derived and cross-validated by sample-dependent methodology. Generalizing CBCL syndromes and norms to nations excluded from its normative sample is problematic. This study used confirmatory factor analyses (CFAs) to test factor model fit for CISs on the YSR responses of 625 Jamaican children ages 11 to 18 years. Item response theory (IRT), a sample-independent methodology, was used to estimate the psychometric properties of individual items on each dimension. CFAs indicated poor to moderate model-to-data fit. Across all syndromes, IRT analyses revealed that more than 3/4 of the cross-informant items yielded little information. Eliminating such items could be cost effective in terms of administration time yet improve the measures discrimination across syndrome severity levels.     

Stereotypes as dominant responses: on the "social facilitation" of prejudice in anticipated public contexts

This article challenges the highly intuitive assumption that prejudice should be less likely in public compared with private settings. It proposes that stereotypes may be conceptualized as a type of dominant response (C. L. Hull, 1943; R. B. Zajonc, 1965) whose expression may be enhanced in public settings, especially among individuals high in social anxiety. Support was found for this framework in an impression formation paradigm (Experiment 1) and in a speeded task designed to measure stereotypic errors in perceptual identification (Experiment 2). Use of the process dissociation procedure (B. K. Payne, L. L. Jacoby, & A. J. Lambert, in press) demonstrated that these effects were due to decreases in cognitive control rather than increases in stereotype accessibility. The findings highlight a heretofore unknown and ironic consequence of anticipated public settings: Warning people that others may be privy to their responses may actually increase prejudice among the very people who are most worried about doing the wrong thing in public.     

Influences of Parental and Best Friends' Smoking and Drinking on Adolescent Use: A Longitudinal Study1

Many studies have dealt with the relative impact of parents and peers on adolescent substance use. However, only a few studies have explored the role of adolescents themselves in social relationships. Homogeneity in behavioral patterns within friendships can also be generated by selective association. Acknowledgment of selection processes might shed new light on the debate on the influences of parents and friends. This paper examines the impact of parental and best friends' smoking and drinking on adolescents' use, using data (N= 1,063) from a 3-wave, 5-year longitudinal study. The results show that friends' smoking did not affect adolescent smoking over time. Only in early adolescence did friends' drinking exert an influence on subjects' alcohol use. On the other hand, parental use had a small but significant impact on their offspring. Furthermore, support was found for processes of selective association.     

Merleau-Ponty's Modification of Phenomenology: Cognition,Passion and Philosophy

This paper problematizes the analogy that Hubert Dreyfus has presented between phenomenology and cognitive science. It argues that Dreyfus presents Merleau-Ponty's modification of Husserl's phenomenology in a misleading way. He ignores the idea of philosophy as a radical interrogation and self-responsibility that stems from Husserl's work and recurs in Merleau-Ponty's Phenomenology of Perception. The paper focuses on Merleau-Ponty's understanding of the phenomenological reduction. It shows that his critical idea was not to restrict the scope of Husserl's reductions but to study the conditions of possibility for the thetic acts. Merleau-Ponty argued, following Husserl's texts, that the thetic acts rest on the basis of primordial pre-thetic experience. This layer of experience cannot, by its nature, be explicated or clarified, but it can be questioned and unveiled. This is the recurrent task of phenomenological philosophy, as Merleau-Ponty understands it.     

A qualitative examination of borderline personality disordered (BPD) patients: interpersonal dynamics and underlying paradoxes.

Theoretical conceptualizations of symptomatology in patients with borderline personality disorder (BPD) have noted an inability to integrate contradictory perceptions (splitting, or dichotomous thinking) as a hallmark of the disorder. This study investigated contradictions manifest in the thinking and behavior of BPD patients, using the concept of paradox. A paradox occurs when an apparent contradiction contains an underlying logic which makes the contradiction comprehensible. Using qualitative methods of analysis, this study explored paradoxes evident in 10 BPD patient narratives about relationship events. Specific paradoxes relating to interpersonal conflicts and self-destructiveness are presented, along with the underlying logic of each paradox as described by patients. Implications for treatment are discussed.     

Predictors of Psychosocial and Cognitive Adaptation in Children with Sickle Cell Syndromes

Examined the role of socioecological factors (family functioning and socioeconomic variables) in predicting behavioral and cognitive adaptation in children with sickle cell syndromes (SCD). Participants included 74 African American children and adolescents with SCD and their primary caretakers. Outcomes included internalizing and externalizing behavior symptoms, as rated by caretakers, as well as intellectual abilities and academic achievement, as assessed by individually administered standardized instruments. Family functioning consisted of both caretaker adjustment and family environment (i.e., family adaptability and cohesion). Hierarchical multiple regression analyses revealed that caretaker psychological adjustment predicted externalizing behaviors, while family environment (i.e., adaptability and cohesion) predicted neither behavioral nor cognitive functioning. Socioeconomic variables alone predicted intellectual abilities and academic achievement and also contributed to the prediction of child behavioral adaptation. Results are discussed in terms of relevant sociocultural issues and implications for family-level prevention and intervention.     

Reviews

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K ubie , L awrence S. Symbol and neurosis. Selected papers of Lawrence S. Kubie.
K atz , S teven T., Ed. Mysticism and philosophical analysis.
P incus , L ily and D are , C hristopher . Secrets in the family.