Evaluating interobserver reliability of interval data

Previous recommendations to employ occurrence, nonoccurrence, and overall estimates of interobserver reliability for interval data are reviewed. A rationale for comparing obtained reliability to reliability that would result from a random-chance model is explained. Formulae and graphic functions are presented to allow for the determination of chance agreement for each of the three indices, given any obtained per cent of intervals in which a response is recorded to occur. All indices are interpretable throughout the range of possible obtained values for the per cent of intervals in which a response is recorded. The level of chance agreement simply changes with changing values. Statistical procedures that could be used to determine whether obtained reliability is significantly superior to chance reliability are reviewed. These procedures are rejected because they yield significance levels that are partly a function of sample sizes and because there are no general rules to govern acceptable significance levels depending on the sizes of samples employed.     

Effects of verbal imitation and comprehension training on verbal production

This study sought to determine whether some combination of imitation training and comprehension training was necessary to achieve verbal production or whether comprehension training alone was sufficient to result in verbal production. Fifty-one first- and second-grade subjects were trained to imitate eight words (Spanish nouns) for which there were no referents. An additional set of eight words was trained in a comprehension task where overt verbal rehearsal was prohibited. Once criterion of two successive sessions of 100% performance was reached in training for both imitation and comprehension, training modes were reversed so that items initially trained in imitation were then trained in comprehension andvice versa. Results showed that initial comprehension training did result in some verbal production, whereas initial imitation training, as expected, did not. A marked improvement in verbal production performance was observed when initial comprehension training was followed by imitation training. When initial imitation training was followed by comprehension training, verbal production also resulted but not to the degree or with the consistency of performance which marked the comprehension-then-imitation sequence. Furthermore, comprehension training required more trials to reach a similar level of proficiency when it followed imitation training than when it preceded imitation. These data indicate that initial imitation training interferes with acquisition of subsequent comprehension and production responses and that the preferred training sequence is one which initially focuses on comprehension and follows this with verbal imitation.This study was supported by Grant HD 00870 from the National Institute of Child Health and Human Development and Grant NS 10468 from the National Institute of Neurological Diseases and Stroke awarded to the Bureau of Child Research, University of Kansas, Lawrence, Kansas.     

Book review

Ohne Zusammenfassung

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Book review

     

Development of an institutional policy on artificial hydration and nutrition

The issues involved in deciding whether to use artificial methods of delivering hydration and nutrition are often very difficult for patients, families, and health care providers. Once private and personal matters, these decisions now frequently involve the judicial system. Five years ago, Hospice of Washington recognized the need for a written policy and wrote the one published here. Its goal is to respect individual preferences and family concerns while addressing the nutrition and hydration needs of dying patients. The policy sets parameters on the issue, provides basic information, and encourages crafting the most fitting resolution to each situation.     

Path Models of the Relationships of Instrumentality and Expressiveness to Social Self-Efficacy, Shyness, and Depressive Symptoms

This study was designed to examine path models of the relationships of instrumentality, expressiveness, and social self-efficacy to shyness and depressive symptoms in college students. Models indicated strong relationships between social self-efficacy and instrumentality; the relationship of instrumentality to depressive symptoms was mediated by its relationship to social self-efficacy. The relationship of social self-efficacy to depressive symptoms was direct and was also mediated by its relationship to expressiveness. These findings provide new information on how gender role-related personality traits may be protective against depression.     

TEILHARD'S TWO ENERGIES

Abstract. Resolution of the entropy‐evolution problem was a significant issue for Pierre Teilhard de Chardin throughout his scientific career. Although never truly satisfied with his solution, he proposed that all energy must be psychic and contain two components. Tangential energy is related to physical energy. Radial energy in some way accounts for increasing complexity and consciousness in evolution. Analysis of developments in thermodynamics, statistical mechanics, and information theory show that Gibbs free energy contains both calorimetric and noetic components, thus validating Teilhard's intuition.     

Aroused at Home: Basic Autonomic Regulation during Orthostatic and Physical Activation is Altered in Children with Social Anxiety Disorder

Previous research has documented altered autonomic nervous system (ANS) reactivity to laboratory-based social stress tasks in children with social anxiety disorder (SAD). It is unclear, however, whether these alterations are caused by the unfamiliar and possibly threatening lab environment or whether they generalize to other, more representative contexts. Sympathetic and parasympathetic autonomic functioning was assessed in the home (minimizing environmental threat) during a supine baseline phase and two physical activation phases (orthostatic stress, stair stepping) in children (9–13 years) with SAD (n?=?27) and healthy control children (n?=?27). Relative to controls, children with SAD showed tonic autonomic hyperarousal as indicated by higher heart rate and electrodermal activity during the supine baseline phase. Further, there was evidence for stronger cardiac and vascular sympathetic reactivity (T-wave amplitude, pulse wave transit time) to moderate physical activation in children with SAD. Higher autonomic arousal during rest was related to measures of trait social anxiety and general psychopathology. Groups did not differ on parasympathetic parameters. Our results extend previous laboratory findings and provide the first evidence for alterations in children with SAD during basal autonomic regulation and in the absence of explicit social evaluative threat. They may further help to clarify conflicting study results from previous laboratory studies. The findings underline the importance of psychophysiological assessment using different environments and tasks to elucidate the physiological bases of SAD.     

New Concepts in the 2014 ACA Code of Ethics

The 2014 revision of the ACA Code of Ethics (American Counseling Association [ACA], 2014 ) substantially raises the bar for the ethical practice of professional counselors. This article provides interviews with members of the ACA Ethics Revision Task Force that explore and clarify new imperatives in the areas of ethical decision making, professional values, managing and maintaining boundaries, technology (including social media), the nonimposition of counselor personal values, counselor education, legal issues, sliding scales, and fee splitting.