Use of the Beck Scale for suicide ideation with psychiatric inpatients diagnosed with schizophrenia,schizoaffective, or bipolar disorders

To ascertain how useful the Beck Scale for Suicide Ideation (BSI; Beck & Steer, Manual for Beck Scale for Suicide Ideation (1991)) would be for assessing the severity of suicidal ideation in patients who were diagnosed with schizophrenia, schizoaffective, or bipolar disorders, 142 inpatients were asked to complete the BSI. Eight (6%) patients refused, and four patients (3%) were unable to complete the BSI because they were unable to concentrate. Of the 130 patients who completed the BSI, 53 (41%) had schizoaffective, 37 (28%) had paranoid schizophrenia, 30 (23%) had manic bipolar, and 10 (8%) had depressed bipolar disorders. The coefficient alpha for the BSI was .96, and its one-week test-retest reliability for a subsample of 15 inpatients was 0.88, p < 0.001. The BSI total scores were positively correlated with having ever attempted suicide, r = 0.46, p < 0.001. According to the BSI, 36 (28%) patients were classified as current suicide ideators. The results were discussed as supporting the use of the BSI with inpatients who are diagnosed with schizophrenia, schizoaffective, or bipolar disorders.     

Putting the cart before the horse: the benefits of arbitrating before mediating

The authors examined the impact of 2 hybrid dispute resolution procedures (mediation-arbitration [med-arb] and arbitration-mediation [arb-med]) and 3 disputant dyadic structures (individual vs. individual, individual vs. team, and team vs. team) on various dispute outcomes. Consistent with W. H. Ross and D. E. Conlon (2000), the authors found that disputants in the arb-med procedure (a) settled in the mediation phase of their procedure more frequently and (b) achieved settlements of higher joint benefit than did disputants in the med-arb procedure. These results suggest that arb-med may be a dispute resolution procedure with broader applicability than originally imagined.     

Developmental and content effects in reasoning with causal conditionals

Two predictions derived from Markovits and Barrouillet's (2001) developmental model of conditional reasoning were tested in a study in which 72 twelve-year-olds, 80 fifteen-year-olds, and 104 adults received a paper-and-pencil test of conditional reasoning with causal premises ("if cause P then effect Q"). First, we predicted that conditional premises would induce more correct uncertainty responses to the Affirmation of the consequent and Denial of the antecedent forms when the antecedent term is weakly associated to the consequent than when the two are strongly associated and that this effect would decrease with age. Second, uncertainty responding to the Denial of the antecedent form ("P is not true") should be easier when the formulation of the minor premise invites retrieval of alternate antecedents ("if something other than P is true"). The results were consistent with the hypotheses and indicate the importance of retrieval processes in understanding developmental patterns in conditional reasoning with familiar premises.     

Ethics issues in security hospitals

The term 'security hospital' is used for a variety of facilities including forensic hospitals and prison hospitals, which, because of their mission, the nature of their work, and the populations they serve-or because of the authority under which they operate-place the staff at considerable risk of ethical violations related to either clinical care or to forensic activities. The problem of divided loyalties is of special concern in security hospitals. Ethics principles particularly at risk are confidentiality and informed consent. Where there are cultural disparities between the staff and the patients, differences in background, socioeconomic class, education, and other types of diversity, cultural awareness is required and must be reflected in appropriate treatment and evaluation. To counteract the risks of ethical violations, a security hospital should create an ethical climate and develop means to anticipate, prevent, and deal with ethical violations. These might include detailed and specific policies and procedures, programs of orientation, education, consultation, and liaison as well as its own ethics committee.     

Conceptual structure and social functions of behavior explanations: beyond person--situation attributions

The traditional approach to studying behavior explanations involves treating them as either person causes or situation causes and assessing them by using rating scales. An analysis of people's free-response behavior explanations reveals, however, that the conceptual distinctions people use in their explanations are more complex and sophisticated than the person-situation dichotomy suggests. The authors, therefore, introduce a model of the conceptual structure of folk behavior explanations (the network of concepts and assumptions on which explanations are based) and test it in 4 studies. The modes and features of behavior explanations within this conceptual structure also have specific social functions. In 2 additional studies, the authors demonstrate that people alter distinct features of their explanations when pursuing particular impression-management goals and that listeners make inferences about explainers' goals on the basis of these features.     

Ipsilateral loudness adaptation over multiple intensity levels

Could monaural loudness adaptation be a simple artifact of psychophysical contrast? From adaptation data based on the Ipsilateral Comparison Paradigm (ICP), A. J. Dange, J. S. Warm, E. M. Weiler, and W. N. Dember (1993) concluded that loudness adaptation was not an artifact of psychophysical contrast, but their conclusion was dependent on results from one intensity. This study, involving multiple intensities, re-examined the issue of contrast versus adaptation and generally supported the conclusions of Dange et al. The results also showed an unexpected asymmetry of adaptation based on the direction of the referent modulation used with the ICP technique. Some implications are discussed.     

The Social Costs of Treatment Programs

The medicalization of deviance refers to the identification as diseases or illnesses of patterns of behavior that were previously considered in moral terms. Herbert Spencer viewed society as analogous to a living organism. A problem or disease in one part of the organism affects the entire organism. Early sociologists built on this idea and arrived at the conclusion that deviant behavior could be thought of as social disease and social pathology. The early social pathologists were concerned with crime, mental illness, drug abuse, and suicide. There is a tendency to treat such ailments in a hospital or clinical setting. The medicalization of deviance removes responsibility from the individual as well as from the society which continues to produce the problem. Treatment programs give the false impression that something worthwhile is being done about society's behavioral problems and turn the individuals treated back into the same social milieu in which the problem was incubated in the first place. The medicalization of deviance creates a vested-interest industry dependent upon the treatment of individuals. It has constructed a system of individualized microlevel treatment programs that can be beneficial on a limited basis for a few individuals and their families, but it tends to treat only the symptoms but not change the society of which they are but emanations.