Effects of diagnostic classification systems on clinical hypothesis-generation

In this study it was determined whether (a) classification as opposed to absence of classification has an effect on the quality of clinical hypotheses (b) the DSM-III-R and the CBCL have a different effect on the quality of clinical hypotheses, and (c) the potential difference between the DSM-III-R and the CBCL is moderated by the different number of syndromes identified by these systems. To investigate these questions, an experiment was conducted in which 86 clinicians generated hypotheses for six cases. The clinicians were divided into a DSM-III-R, a CBCL, and a control group. Of the six cases, two were classified by both classification systems as one syndrome, two were classified as one syndrome by the DSM-III-R but as two syndromes by the CBCL, and two were classified as two syndromes by the DSM-III-R but as one syndrome by the CBCL. The quality of the hypotheses was determined by means of four dependent variables selected from an overview of qualitative criteria: explanatory value, redundancy, possibility of operationalization, and specificity. No differences between the CBCL and the control groups were found. The DSM group performed better than the control group regarding explanatory value and redundancy. The DSM-III-R group also scored better than the CBCL group regarding explanatory value, particularly when the number of identified syndromes was two for the CBCL and one for the DSM-III-R.     

Development of lateral asymmetry in the perception of sequentially touched fingers

In order to investigate lateral asymmetry in tactile perception, two or four fingers of normal primary school children were touched sequentially. Stimulation was either unimanual or bimanual and either verbal or nonverbal responses were required. Right hand advantage was demonstrated subsequent to uni- and bimanual stimulation in both the verbal and nonverbal response conditions. Neither an age nor a sex effect on laterality was found. Right hand advantage was affected by direction of stimulation in the bimanual condition. Left hemispheric dominance was argued to be related to the temporal nature of the tasks.     

A new computational method to fit the weighted euclidean distance model

This paper describes a computational method for weighted euclidean distance scaling which combines aspects of an analytic solution with an approach using loss functions. We justify this new method by giving a simplified treatment of the algebraic properties of a transformed version of the weighted distance model. The new algorithm is much faster than INDSCAL yet less arbitrary than other analytic procedures. The procedure, which we call SUMSCAL (subjectivemetricscaling), gives essentially the same solutions as INDSCAL for two moderate-size data sets tested.Comments by J. Douglas Carroll and J. B. Kruskal have been very helpful in preparing this paper.     

Treatment of obsessive-compulsive patients: The contribution of self-instructional training to the effectiveness of exposure

Fifteen obsessive-compulsive patients were given treatment consisting of ten sessions of gradual exposure in vivo. For half of the patients gradual exposure in vivo was preceded by self-instructional training.Treatment resulted in significant improvement on anxiety and avoidance scales, Leyton Obsessional Inventory, Self-rating Depression Scale and on ratings for anxious mood and depression. Neither the post-test nor the follow-ups 1 month and 6 months later indicated a difference between the effects of the two conditions. Self-instructional training did not enhance the effectiveness of gradual exposure in vivo.     

THE SKILL OF PICTORIAL PERCEPTION: AN INTERPRETATION OF CROSS-CULTURAL EVIDENCE*

A theoretical framework is proposed for understanding perceptual skills in their functional context. Pictorial perception is construed as a functionally specialised skill whose pervasive importance in modern education derives from the proliferation of pictorial materials in Western culture. Drawing on cross-cultural research, the major components of the skill are identified as (1) detection of appropriate contexts for its application, (2) selection of a limiting frame of reference, (3) use of conventional criteria of fidelity to recognise depicted items, (4) sensitivity to impoverished depth cues, (5) an expectation of finding in the picture most of the information necessary for its disambiguation, and (6) various assumptions about the range of cognitive inferences that may legitimately be made ‘beyond the information given’. Training studies are interpreted as suggesting that the skill can be enhanced through guided experience.     

Cognitive arithmetic: Evidence for right hemispheric mediation in an elementary component stage

Earlier studies involving the lateralization of arithmetic abilities have provided evidence for both right and left hemisphere superiorities. It is argued here that part of this inconsistency could be due to the complexity of the arithmetic computations which have been examined. The present studies examined a subprocess shown to be involved in more complex tasks, such as subtraction. The subprocess is the identification of which of two numbers is greater, and was tested by the flashing of a pair of digits to either the left or right visual field. Errors, reaction-times to make a decision, and examination of hand × visual field interactions all indicated that this subprocess is mediated by the right hemisphere. Correlational analysis was used to identify the operations underlying the observed lateralization of this ability. This analysis indicated that an operation indexed by the spatial order in which the digits were presented was effective in the right hemisphere but not the left hemisphere. Speculations on the nature of these operations were presented.     

TEACHING THE HANDICAPPED TO EAT IN PUBLIC PLACES: ACQUISITION,GENERALIZATION AND MAINTENANCE OF RESTAURANT SKILLS

This study examined classroom-based instruction in restauranting skills for handicapped persons. Three male students were taught each of four skill components in sequential order: locating, ordering, paying, and eating and exiting. Training was implemented in a multiple baseline design across subjects and consisted of modeling and role playing in conjunction with photo slide sequences and a simulated ordering counter. The use of a menu containing general item classes and a finger matching procedure for identifying errors in the delivery of change greatly reduced the reading and math skills necessary to enter and complete the program. Periodic probes were conducted in a McDonald's restaurant prior to, during, and up to one-year following the termination of training. In addition, two probes (overt and covert observation) were conducted in a Burger King restaurant to assess further generalization to a location different from the one depicted throughout training. Results showed that students' performance on restaurant probes improved as a result of training, generalized to novel settings, maintained over an extended period of time, and was comparable to that of a normative sample of nonretarded persons.