Reliability of self-reported service use: Test-retest consistency of children's responses to the Child and Adolescent Services Assessment (CASA)

This paper reports on the reliability of children's responses on the Child and Adolescent Services Assessment (CASA) — a self-report instrument for use with 8– to 18-year-olds that gathers information about services used to address mental health problems. Findings were based on interviews completed by 77 children at a one week test-retest interval. Results showed that reports of lifetime service use were as reliable as were reports of service use in the preceding three months. Children reported restrictive and intrusive services more reliably than services that were provided in their natural environment. Reliability appeared to be associated more strongly with characteristics of the type of service than with characteristics of the child. Children also could report reliably on some details about their encounters with service providers (e.g., length of stay, number of visits, and onset of service use).     

Is Speech Arrest during Wada Testing a Valid Method for Determining Hemispheric Representation of Language?

Background and objective: The intracarotid amobarbital procedure, or Wada test, is the method of choice to determine hemispheric representation of language, and is routinely used in the presurgical evaluation for intractable epilepsy. Some investigators perform comprehensive language assessments, but others base language lateralization solely on speech arrest. This study sought to determine whether speech arrest alone during Wada testing provides valid data regarding language lateralization. Methods: The subjects (previously reported) were 21 patients evaluated for intractable epilepsy, who underwent language lateralization by Wada testing and functional MRI (FMRI). For each patient, language representation was determined by calculating: (1) a Wada laterality index based exclusively on speech arrest; (2) a Wada laterality index based on comprehensive language assessment; and (3) an FMRI laterality quotient. Correlation coefficients and categorical classifications were analyzed. Results: There was no significant correlation between the Wada laterality quotient derived from duration of speech arrest and either the comprehensive Wada language laterality score (r= .35,p= .12) or FMRI language laterality score (r= .32,p= .16). Categorical classification as left, right or bilateral language also showed marked discordance between speech arrest and the other two methods. Conclusion: Duration of speech arrest during Wada testing is not a valid measure of language dominance.     

Social-Cognitive and Behavioral Correlates of Aggression and Victimization in Boys' Play Groups

A contrived play group procedure was utilized to examine the behavioral and social-cognitive correlates of reactive aggression, proactive aggression, and victimization via peers. Eleven play groups, each of which consisted of six familiar African-American 8-year-old boys, met for 45-min sessions on five consecutive days. Social-cognitive interviews were conducted following the second and fourth sessions. Play group interactions were videotaped and examined by trained observers. High rates of proactive aggression were associated with positive outcome expectancies for aggression/assertion, frequent displays of assertive social behavior, and low rates of submissive behavior. Reactive aggression was associated with hostile attributional tendencies and frequent victimization by peers. Victimization was associated with submissive behavior, hostile attributional bias, reactive aggression, and negative outcome expectations for aggression/assertion. These results demonstrate that there is a theoretically coherent and empirically distinct set of correlates associated with each of the examined aggression subtypes, and with victimization by peers.     

An Evaluation of the Health Belief Model for Predicting Perceived and Actual Dietary Quality1

The health belief model was evaluated for its ability to predict perceived and actual dietary quality. The assessment relied upon data collected from 1,502 respondents by the US. Department of Agriculture in its 1991 Continuing Survey of Food Intakes by Individuals and the Diet and Health Knowledge Survey. The health belief model provided good prediction of perceived dietary quality, but provided moderate to weak prediction of 7 measures of actual dietary quality that were calculated from food intake records. Implications are suggested for using the health belief model to understand the determinants of dietary quality.     

A critical review of theS/L reliability index

The meaning and properties of a commonly used index of reliability, S/L,were examined critically. It was found that the index does not reflect any conventional concept of reliability. When used for an identical behavioral observation session, it is not statistically correlated with other reliability indices. Within an observation session, the standardizing measure of Lis beyond the control of the investigator. Furthermore, the reason for the choice of Las the standard is unclear. The role of chance agreement in S/Lis not known. The exact interpretation of the index depends on which observer reports L.Overall the conceptual and mathematical meaning of S/Lis dubious. It is suggested that the S/Lindex should not be used until its nature is shown to be a measure of reliability. Other approaches such as the intraclass correlations and generalizability coefficients should be used instead.The authors are indebted to Johnny Matson for his critique of an earlier version of this paper.     

Further tests of a meta-model of youthful marijuana use

This paper tests a meta-model of youthful marijuana use on students in Grades 11, 12 and 13. Although the specific models for each grade varied in detail, all followed a meta-model making the following assumptions: (1) that use or nonuse of marijuana depends primarily on attitude towards use; (2) that attitude largely reflects the perceived functional and dysfunctional consequences of use; and (3) that what people perceive as functional or dysfunctional depends on relevant personality characteristics. All three models showed satisfactory goodness-of-fit in terms of nonsignificant overidentification tests (minimum P > 0.25) and small discrepancies between observed correlations and the corresponding theoretically implied correlations. A notable feature of the Grade 13 data in contrast to those for Grade 12 and previously reported findings was the seeming unimportance of the perceived value of marijuana use for gaining acceptance from peers. It was suggested that this might reflect the selective survival into Grade 13 in the sampled community of more independently-oriented students.     

When not to choose: A case study

Life situations often seem to require dualistic, either or decision making, but this common method does not always clarify moral decisions. To show this, standard arguments on why to choose or not to choose the sex or ones child are presented. Then, our feminist thinking, which regards clusters of values, and which reframes questions rather than choosing between desirable alternatives, suggests another possibility, in a gynandrous world vision.     

Sex-role behaviors and personality traits of male day care teachers

It was hypothesized that male day care teachers who had adopted the feminine role of caregiver would score feminine in their personality traits and would reinforce children for feminine behaviors and punish them for masculine behaviors. A random sample of 20 male caregivers was contrasted to 20 male engineers on personality traits as assessed by The Adjective Checklist (ACL). Twenty female caregivers were also contrasted to the personality traits and the sex-typed contingency behaviors of the male caregivers. Feminine traits were defined by raw scores on the Abasement, Nurturance, Affiliation, Succorance, and Deference scales of the ACL. Masculine traits were represented by raw scores on the Achievement, Dominance, Endurance, and Autonomy scales. The Fagot-Patterson Checklist was employed to determine sex-typed contingency behaviors. Both male and female caregivers reinforced children significantly more for feminine behaviors than masculine behaviors (as defined by The Fagot-Patterson Checklist) and punished masculine behaviors more than feminine behaviors. The personalities of the male caregivers corresponded to the feminine direction of their female counterparts, but they were not significantly more feminine than the male engineers. The female caregivers, however, scored significantly more feminine in personality than the male engineers.This study is based on a dissertation submitted by Bryan E. Robinson to the Department of Child Development — Family Relations, University of North Carolina at Greensboro, in partial fulfillment of the requirements for the Ph.D.     

Children's responses to stories with male and female characters

The sex of the main character was varied in six children's stories which were then read by fourth, sixth and eighth graders. The children answered four questions about the stories. Both boys and girls responded more positively to the questions “Would you like to be (character's name?)” and “Would you like to do the things (character's name) did?” when the main character was a male. Boys preferred stories about males, and this preference increased with grade level. A preference for stories about females was marginally significant only for the older girls. Theoretical and practical implications are discussed.