The Diagnostic Interview Schedule for Children (PC-DISC v.3.0): Parents and Adolescents Suggest Reasons for Expecting Discrepant Answers

To identify reasons for discrepancies between parent and child reports of child/adolescents's psychiatric symptoms, parents and adolescents (51 pairs) were asked to guess what the other would answer to questions from the PC-DISC about the adolescent's psychiatric symptoms, and to explain why they expected disagreement when the answer they provided for the other was different from their own. Adolescents' explanations for expecting (1) parental denial of symptoms the adolescent reported were: the parent was unaware of, forgot about, assumed the adolescent could not have, or trivialized the symptom; and (2) parental report of symptoms the adolescent denied were: the parent misread or exaggerated the adolescent's symptom, had too high expectations for the adolescent's behavior, put a negative label on or did not trust the adolescent. Parents' reasons for expecting their children to (1) deny symptoms the parents reported were: the adolescent did not remember how s/he felt, lied, did not recognize or minimized the importance or frequency of the symptom; and (2) report symptoms the parents denied were: the adolescent lied, exaggerated the importance of or interpreted the symptom differently.Support for this work was provided by National Institute of Drug Abuse grant number DA-05585 (Dr. Cottler, P.I.), and National Institute of Mental Health grants numbers MH-31302 (Dr. R. C. Cloninger, P.I.) and MH-17104 (Dr. Cottler, P.I.).Address all correspondence, including reprint requests, to Michelle Bidaut-Russell, Ph.D, MPH, MPE, Department of Psychiatry, Box 8134, Washington University School of Medicine, 4940 Children's Place, St. Louis, Missouri 63110.     

The numbers game: Gender and attention to numerical information

Research suggests that males outperform females on standardized tests of math ability from early adolescence onward. Several explanations for this difference focus on the different experiences of females and males with numerical information. We reasoned that males have more experience with numerical information than females because typical male interests (e.g., sports) are more likely to involve numerical information than typical female interests (e.g., physical appearance). Thus, we predicted that males would attend more to numerical information than would females, at least when the information was presented in a male-related or gender-neutral context. Females were expected to attend more than males when the context was female-related. Results using White/Caucasian subjects provided some support for these predictions. Implications for future research on the relationship between the gender-linkage of math materials and gender differences in math performance are discussed.     

The self-narrative and acute psychosis

The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.     

Depression and unemployment: Panel findings from the Epidemiologic Catchment Area study

Studies that have found an association between unemployment and psychological depression often fail to establish the direction of causal influence. Analyses of Epidemiologic Catchment Area panel data revealed that of employed respondents not diagnosed with major depression at first interview, those who became unemployed had over twice the risk of increased depressive symptoms and of becoming clinically depressed as those who continued employed. Although the increase in symptoms was statistically significant, the effect on clinical depression was not, possibly because of the low power of the test. The reverse causal path from clinical depression at Time 1 to becoming unemployed by Time 2 was not supported. The unemployment rate in the respondent's community at time of interview was not related directly to psychological depression but appeared associated indirectly with depression via its impact on the risk of becoming unemployed. Implications for policy and further research were discussed. The research described in this paper was supported by Grant #5 RO1 AA08379-02 from the National Institute of Alcohol Abuse and Alcoholism. The authors appreciate the suggestions provided by members of the Consortium for Research Involving Stress Processes sponsored by the W. T. Grant Foundation and by two anonymous journal reviewers.     

Acceptance and commitment therapy: Altering the verbal support for experiential avoidance

Acceptance and Commitment Therapy (ACT) is a behavior-analytically-based psychotherapy approach that attempts to undermine emotional avoidance and increase the capacity for behavior change. An overview of this approach is given, followed by several specific examples of the techniques used within ACT. In each instance the behavioral rationale of these techniques is described. A contemporary view of verbal relations provides the basis for new approaches to adult outpatient psychotherapy.     

Showing Clients What Their Profiles Mean

This article suggests that counselors might profitably investigate new graphic approaches to showing clients what their multivariate profiles mean. An illustration is given in terms of Holland's RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, Conventional; 1985) model of vocational interests.     

GLOBAL PROCESSING-TIME COEFFICIENTS CHARACTERIZE INDIVIDUAL AND GROUP DIFFERENCES IN COGNITIVE SPEED

Abstract— Forty participants performed seven different information processing tasks (choice reaction time, letter classification, visual search, abstract matching, line-length discrimination, mental rotation, and mental paper-folding) Slow (top quartile) and fast (bottom quartile) processors were selected based on their mean z scores Response times (RTs) of the slow and fast groups in the 21 conditions of the seven tasks were linear functions of the mean RTs of the entire group (both r²s = 99) In addition, individuals' RTs were well described by linear functions (median r²= 93) When tasks were ranked in order of complexity, the odd-even reliability of the ratio of an individual's RT to the average RT was 80, indicating that such ratios remain relatively stable across tasks Taken together, these findings indicate that the performance of an individual on diverse tasks can be predicted on the basis of a single processing-time coefficient Such coefficients may provide useful indices of the efficiency with which different individuals process information     

The role of theory in treating adolescent substance abuse

The adolescent substance abuser, like adult addicts, is most commonly considered from the perspective of the disease model. The usefulness of the disease model in conceptualizing adolescent substance abuse is questioned, and an alternative view of the topic is set forth. Substance abuse, is regarded as an adaptive aspect of the ongoing interactive processes within the family. The developmental process of the adolescent substance abuser is seen as a functional dynamic in the family's preservation. Three characteristic elements of parental interaction common to the development of adolescent substance abuse are highlighted.An earlier version of this paper was presented at the Texas Association for Marriage and Family Therapy annual conference on January 28, 1993 in Houston Texas.a research associate and director of the Don D. Jackson Archive at the Mental Research Institute, Palo Alto, CA. Authors are listed alphabetically.     

Marriage and family therapy with people from China

On the basis of personal experience and understanding of the Chinese culture as a native of the People's Republic of China, the author gives some of the reasons why Chinese-Americans under-utilize mental health facilities and addresses issues that might arise in marriage and family therapy with people from China. Subcultural differences and variables such as the place of origin, intraracial or inter-racial marriage, that need to be considered in the assessment phase are stressed, along with treatment interventions that are or are not culturally compatible. Behavioral, structural, and brief therapy models are recommended. The experiential model should be used with caution with Chinese clients.     

Long term marriages in Sweden: And some comparisons with similar couples in the United States

This international, five-country long term marriages study of couples who have been married, or unmarried and cohabiting, for 20 years or longer is designed to study, among other things, marital satisfaction. This first report of the Swedish part of the study reports on a Swedish version of the self-rating Dyadic Adjustment Scale (DAS) used to investigate self-rated marital satisfaction. The couples describe high marital satisfaction and a high sense of coherence (SOC) compared to other groups. Contrary to other studies, no differences were found between men and women regarding SOC. The differences between them, that describe high relative to low marital satisfaction, pertain to matters of recreation, sex, life philosophy, time spent together, and frequency of quarrels. The men reported greater marital satisfaction than the women.