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This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses. 相似文献
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J Archer 《Journal of personality and social psychology》1988,55(2):272-278
This article offers a critique of Littlefield and Rushton's (1986) application of sociobiological principles to bereavement following the death of a child. The following general issues are considered: (a) whether behavior is always adaptive and (b) the distinction between proximate and ultimate explanations. It is argued that grief is a maladaptive by-product of another, adaptive feature and that hypotheses about the severity of grief are best derived from proximate considerations rather than genetic relatedness. The use of a single-item rating scale to measure grief is questioned, and it is noted that interspouse reliabilities reported in the article were low, a problem not solved (as claimed) by aggregation. Criticisms are made of the specific hypotheses, notably in terms of their origins in sociobiological theory. It is argued that functional hypotheses are not alternatives to proximate mechanisms, but enable some proximate mechanisms to be viewed from the perspective of evolutionary biology. 相似文献