Describing suicidality: an investigation of qualitative SSF responses

Given the incidence and seriousness of suicidality in clinical practice, the need for new and better ways to assess suicide risk is clear. While there are many published assessment instruments in the literature, survey data suggest that these measure are not widely used. One possible explanation is that current quantitatively developed assessment instruments may fail to capture something essential about the suicidal patient's experience. The current exploratory study examined a range of open ended qualitative written responses made by suicidal outpatients to five assessment prompts from the Suicide Status Form (SSF)--psychological pain, press, perturbation, hopelessness, and self-hate. Two different samples of suicidal outpatients seeking treatment, including suicidal college students (n = 119) and active duty U.S. Air Force personnel (n = 33), provided a wide range of written responses to the five SSF prompts. A qualitative coding manual was developed through a step-by-step methodology; two naive coders were trained to use the coding system and were able to sort all the patients' written responses into the content categories with very high interrater reliability (Kappa > .80). Certain written qualitative responses of the patients were more frequent than others, both within and across the five SSF constructs. Among a range of specific exploratory findings, one general finding was that two thirds of the 636 obtained written responses could be reliably categorized under four major content headings: relational (22%), role responsibilities (20%), self (15%), and unpleasant internal states (10%). Theoretical, research, and clinical implications of the methodology and data are discussed.     

Development and psychometric properties of the disability application appraisal inventory

This article describes the development and psychometric properties of an inventory to assess cognitive appraisal of the Department of Veterans Affairs (VA) disability application process, the Disability Application Appraisal Inventory (DAAI). Participants were 439 veterans seeking disability status for posttraumatic stress disorder through the VA and subgroups from that sample. The 3 DAAI scales assess (a) understanding of the disability application process (Knowledge scale) (b) expectations specific to the process (Negative Expectations scale) and (c) investment in obtaining disability status (Importance scale). The scales are internally consistent and largely uncorrelated. Test-retest correlations are adequate for the Negative Expectations and Importance scales. Evidence of factorial and construct validity is presented.     

Contributions of striatal subregions to place and response learning

The involvement of different subregions of the striatum in place and response learning was examined using a T-maze. Rats were given NMDA lesions of the dorsolateral striatum (DLS), anterior dorsomedial striatum (ADMS), posterior dorsomedial striatum (PDMS), or sham surgery. They were then trained to retrieve food from the west arm of the maze, starting from the south arm, by turning left at the choice point. After 7 d of training, with four trials a day, a probe test was given in which the starting arm is inserted as the north arm, at the opposite side of the maze. A left turn would indicate a "response" strategy; a right turn, a "place" strategy. The rats were then trained for 7 more days, followed by a second probe test. Unlike rats in the other groups, most of the rats in the PDMS group turned left, using the response strategy on both probe tests. These results suggest that the PDMS plays a role in spatially guided behavior.     

Two- and three-year-olds infer and reason about design intentions in order to categorize broken objects

In naming artifacts, do young children infer and reason about the intended functions of the objects? Participants between the ages of 2 and 4 years were shown two kinds of objects derived from familiar categories. One kind was damaged so as to undermine its usual function. The other kind was also dysfunctional, but made so by adding features that appeared to be intentional. Evidence that 2‐, 3‐ and 4‐year‐olds were more likely to apprehend the broken objects than the intentionally dysfunctional objects as members of the familiar lexical categories favors the conclusion that, in naming, children may spontaneously infer and reason about design intentions from an early age. This is the first evidence that 2‐ and 3‐year‐olds not only take design intentions into account in object categorization, but that they do so even without explicit mention of the objects’ accidental or intentional histories. The results cast doubt on a proposal that young children's lexical categorization is based on automatic, non‐deliberative processes.     

A meta-analytic review of prospective memory and aging

A meta-analysis of prospective memory (PM) studies revealed that in laboratory settings younger participants outperform older participants on tests of both time- and event-based PM (rs=-.39 and -.34, respectively). Event-based PM tasks that impose higher levels of controlled strategic demand are associated with significantly larger age effects than event-based PM tasks that are supported by relatively more automatic processes (rs=-.40 vs. -.14, respectively). However, contrary to the prevailing view in the literature, retrospective memory as measured by free recall is associated with significantly greater age-related decline (r=-.52) than PM, and older participants perform substantially better than their younger counterparts in naturalistic PM studies (rs=.35 and.52 for event- and time-based PM, respectively).     

Ethnicity, expressed emotion, attributions, and course of schizophrenia: family warmth matters

The authors examined the role of family factors and the course of schizophrenia by carrying out additional assessments and analyses in 2 previously published studies of Mexican American and Anglo American patients and families. The authors found partial support for an attributional model of relapse for families who are low in emotional overinvolvement. Attributions of control, criticism, and warmth together marginally predicted relapse. The data also indicated that for Mexican Americans, family warmth is a significant protective factor, whereas for Anglo Americans, family criticism is a significant risk factor. These findings suggest that the sociocultural context shapes the pathways by which family processes are related to the course of illness. Moreover, the warmth findings suggest that families may contribute to preventing relapse.     

An evaluation of response cost in the treatment of inappropriate vocalizations maintained by automatic reinforcement

In the current study, we examined the utility of a procedure consisting of noncontingent reinforcement with and without response cost in the treatment of inappropriate vocalizations maintained by automatic reinforcement. Results are discussed in terms of examining the variables that contribute to the effectiveness of response cost as treatment for problem behavior maintained by automatic reinforcement.     

Integrity, conscientiousness, and honesty

Undergraduate volunteers from the Psychology participant pool (N=86, age M=22.7, SD=4.8 yr.; 72 of 86 were female) took two tests, a commercially available integrity test (the Personnel Selection Inventory) and the NEO-Five Factor Inventory. Later in the study, each participant was given an opportunity to report dishonestly the amount of time spent in the laboratory and thus to receive more extra-credit points than earned. An observer recorded participants' actual times in the laboratory to provide an accurate assessment of participants' honesty. Analysis indicated that the Personnel Selection Inventory did not predict whether the participant was honest or dishonest in reporting time spent. Conscientiousness as measured by the NEO-Five Factor Inventory, however, not only predicted behavior, but did so significantly better than did the Personnel Selection Inventory. The study provides new information about the value of integrity tests by comparing integrity and personality tests in the simultaneous prediction of a specific criterion.     

Resolution of conflicts between internal and external information sources on a time reproduction task: the role of perceived information reliability and attributional style

Erroneous knowledge of results (KR) that conflicts with other internal or external information sources is preferentially used and misguides performance on motor and mental timing tasks. Buekers et al. [J. Motor Behavior 26 (1994) 27] hypothesized that KR is used preferentially because participants deem it to be the most reliable information source. We tested this hypothesis in two experiments. We manipulated subjective reliability of information and information content and demonstrated that both reliability and content are assessed and used. In a third experiment we examined whether attributional style affected the use of internal and external information. While KR was present, attributional style was unrelated to performance. However, when erroneous KR was withdrawn, participants who scored high in internal attributional style or high in controllability showed more accurate performance. Whereas evaluation of information quality is explicit, information provided by the KR, whether accurate or not, may influence both implicit and explicit aspects of the tasks.     

Multiple study trials and judgments of learning

We compared judgments of learning (JOLs) that were made either (a) after 1 study trial, (b) 2 study trials, or (c) in-between the 1st and 2nd study trials. In regard to the absolute accuracy of JOLs at predicting subsequent recall, we replicated previous findings of an underconfidence-with-practice effect for immediate JOLs and report for the first time a new finding of an underconfidence-with-practice effect for delayed JOLs (i.e., delayed JOLs after one trial overestimated the likelihood of subsequent recall, whereas delayed JOLs after two trials underestimated that likelihood). Also, although delayed JOLs always had a greater relative accuracy than did immediate JOLs, the relative accuracy of immediate and delayed JOLs was approximately the same after 1 versus 2 study trials. These results demonstrate that additional study trials affect the absolute accuracy of all JOLs but not the relative accuracy of any JOLs. Thus an increase in the number of study trials produced an increasing bias to be underconfident about the subsequent likelihood of recall but did not affect people's ordering of which items had been more (versus less) well-learned.