A voice-operated method for administering the MMPI

Paper/pencil psychological tests such as the Minnesota Multiphasic Personality Inventory (MMPI) are difficult to complete independently by patients with limited hand function. This paper describes a voice recognition system developed to allow patients with no hand function to take the MMPI independently. Profiles generated by this system are not statistically different from those generated by standard MMPI booklet format. Limitations and possible extensions of the system as it currently exists are discussed.     

Post traumatic stress disorders

A clinical overview of the Post-Traumatic Stress Disorders (PTSD) is presented emphasizing altered qualities of experience and behavior. A schema of human psychological responses to stressful life events is reviewed as an introduction to the extensive development of concepts of pathological stress response syndromes: Post-Traumatic Stress Disorders; post-traumatic stress disorder, chronic type; delayed Post-Traumatic Stress Disorder. An illustrative case history is presented. The potential development of PTSD in individuals experiencing less than overwhelming stressors is conceptualized.     

BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

Imaging,empathy, and causal attribution

Three studies were conducted to test whether imagery accounts for the effects of empathy on attributions, that is, whether attributers construct and scan a mental image of social scenarios the same way that actual participants scan a real environment. According to this interpretation, attributers “see” the world as the participant does and make vicarious attributions. An alternative interpretation holds that subjects base vicarious attributions on recreating the motivations and affect of the actor, so that imaging is irrelevant to empathy and attributions. In the first study, subjects who imagined a story from the perspective of a particular character later showed differential recall of story details as a function of role, but not differential attributions. In Experiment 2, role-taking subjects showed clear effects of imaged perspective on recall for story details, but no effects on attributions of causality for an accident. Further, recall and attribution were uncorrelated. In the last study, empathy and imagery role-taking instructions produced independent effects: imagers showed pronounced perspective-relevant recall and empathizers did not. Neither showed unambiguous vicarious attributions. Recall and attribution were again uncorrelated. These studies suggest that the imagery explanation of empathy effects is untenable, and imply that the recall of perspective-relevant details is unlikely to mediate attributions of causality in imaginary scenarios.     

Assessment of human obesity: The measurement of body composition

The most common methods of assessing degree of obesity in humans are reviewed. These include anthropometry, somatotyping, bodyweight, skinfold calipering, densitometry, and several nondensitometric procedures. The evidence suggests that bodyweight may often be an unreliable and invalid index of obesity. The parameters influencing its inaccuracy are discussed. These include age, height, sex, muscularity, and degree of obesity or amount of recent weight loss. The most reliable and valid measures of human bodyfat are generally the most complicated and impractical. Compromise assessment procedures involving nonintrusive measurement of subcutaneous fat and selected anthropometric dimensions may offer an incomplete but welcome improvement over sole reliance on bodyweight as an index of obesity.