Rationale and considerations for proposed near-death research in the hospital setting

Further research into the question of veridical perception during the naturalistic near-death out-of-body experience (nND OBE), that phase of the near-death experience in which the experiencer seems to be perceiving a normal earthly realm, would be of value to NDErs, their caregivers, and humanity in general. I propose a research procedure that targets visual perception during nND OBEs that occur in the hospital setting. I discuss unresolved issues in the design and implementation of such a procedure, and identify areas for further research.     

AN EVALUATION OF THE VALIDITY OF THE PERSONALITY RESEARCH FORM WITH FILIPINO UNIVERSITY STUDENTS

The cross-cultural validity of a North American personality inventory, namely, the Personality Research Form (Jackson 1984) was examined using 394 university students in the Philippines who were able to speak and read English. Scale validities, with self and peer ratings as criteria, were generally significant but modest. Moderate scale and peer rating reliabilities probably contributed to these results. Elevated scores on a PRF scale designed to detect careless responding suggested failure to understand instructions or insufficient motivation may also account for the findings. Interestingly, recalculating validities for subsamples comprising ‘dependable’ and ‘undependable’ subjects yielded no substantial differences in overall validity. Implications for cross-cultural personality assessment are discussed.     

Assessing the person reliability of an individual MMPI protocol

This study investigated various measures commonly employed to assess the person reliability of an individual Minnesota Multiphasic Personality Inventory (MMPB protocol. Specifically, relationships among indices of person reliability and the standard MMPI validity scales were examined using the responses of 82 subjects who completed the MMPI on two occasions separated by 1 week. Person reliability indices were based on within-occasion responses to identical and to psychologically similar items, and on three across-occasion response consistency measures. The validity scales, namely, the L, F, K, and Cannot Say scales, showed higher test-retest stability than the within-occasion person reliability indices. Further, the validity scales and person reliability indices appeared to reflect multiple facets of dependable responding. Interestingly, an individual's tendency to change responses to MMPI items from the test to the retest was significantly predictable. Clinical implications of these findings were derived.     

The psychological physician: Semantics and survival

The calls for change in three areas of professional psychology are briefly reviewed, along with the reasons why such changes would be in the best interest of not only psychology but also the consumers of mental health services. Psychology's survival is linked to the implementation of these changes. It is argued that psychology must (1) standardize its education, training, and doctoral degree; (2) expand its scope of practice; and (3) become, legally and otherwise, psychological physicians, or risk being rolled-over by history. The importance of terminology and semantics is also discussed. Conclusions are drawn and discussed.The opinions expressed herein are solely those of the author and do not in any way represent the opinions of the Department of Defense or the United States Air Force.     

Cognitive functioning as a contraindication to organ transplant surgery: Dilemmas encountered in medical decision making

A case is presented to illustrate some of the difficulties encountered when providing psychological consultation to evaluate the readiness of patients for pediatric heart-lung transplantation. The outcome of complex medical decision making can often hinge on information provided by the psychological consultant who is attempting to simultaneously serve the needs of the patient as well as the transplant team. Ethical dilemmas frequently arise when medical decision making is driven by limited health care resources and cost constraints. The utility of cognitive functioning as a variable in pediatric transplant decision making is discussed. Recommendations are made for further work in this area on both conceptual and empirical grounds to guide the integration of psychological information into transplant decision making as health care delivery continues to evolve in the future.     

NORMUL: A FORTRAN program for testing multivariate normality

NORMUL is a FORTRAN program that provides a test of whether data conform to a multivariate normal distribution. The method involves correlating Mahalanobis distances for observed data with expected chi-square percentile values. This obtained correlation is then tested for significance by empirically evaluating the probability of its belonging to a distribution generated from multivariate normal data.     

Psychopathology and response styles in the SCL-90 responses of acutely distressed persons

Using the responses of 197 suicidal and nonsuicidal patients of a crisis and short-term intervention unit, the item factor structure of the SCL-90 was examined. Results suggested a reduced dimensionality for the checklist rather than supporting the nine scales associated with the instrument's scoring key. The influence of various response styles on the SCL-90's dimensionality was also explored. Although a social desirability response style was strongly related to all SCL-90 subscales and factors, it did not offer a complete explanation for the checklist's apparent unidimensionality. Other explanations relating to methods of test construction and to patients' inability to differentiate symptoms were also preferred. Finally, although subscale scores may facilitate clinical interpretation, it was suggested that the SCL-90 might best be scored as a single index of general symptomatology.We wish to thank G. C. Fekken and R. N. MacLennan for their assistance with this project.This work was supported in part by Social Sciences and Humanities Research Council of Canada Grant 410-85-1043 and by an Ontario Ministry of Health Research Personnel Award.     

Near-death veridicality research in the hospital setting: Problems and promise

We attempted to conduct near-death veridicality research in the hospital setting, the rationale for which (we presented previously (Holden, 1988).) This paper describes problems, both anticipated and unanticipated, that we encountered. Based on the successes and failures of this undertaking, we present recommendations for future research of this type.At the time of this study, Dr. Holden was a candidate for the Ed.D. degree at the Northern Illinois University Graduate SchoolThis study was funded in part by a Dissertation Completion Award granted to Dr. Holden by the Northern Illinois University Graduate School. The authors also express gratitude to Robert Stromberg, Chaplain of the Lutheran General Hospital CCU at the time of this study, for his assistance in this research.     

Response to “Exploring the Religious-Spiritual Needs of the Dying”

This commentary compares Smith's work to classic value clarification, addresses issues of counselor judgement and informed consent, and outlines further exercises based on near-death experiences.