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.     

Factor structure of the basic personality inventory with incarcerated offenders

The item and scale factor structure of the Basic Personality Inventory (BPI) was examined in a sample of 486 offenders incarcerated for violent and sexual crimes. Separate principal-component analyses of the items for each of the 11 clinical scales, critical item scale, and social desirability scale indicated a one-dimensional factor solution for all scales except Depression and Persecutory Ideation. The Depression scale's two factors were Hopelessness and Depressive Affect and the Persecutory Ideation scale's two factors were General Paranoia and Perception of External Control. Although the factors for these two scales may assist in interpretation, the correlations between the factors and the total score of their respective scale were high. Confirmatory factor analysis of the 220 items from the 11 clinical scales supported the factorial logic of the scoring key. Analysis of the 11 clinical scales resulted in two factors: General Psychopathology/Adjustment and Antisocial Orientation. The results suggest that all but two scales can be viewed as unidimensional thereby allowing for a straightforward clinical interpretation. These analyses support the internal structure of the BPI and lend credence to external validity work with forensic populations.     

ELECTROCORTICAL DIFFERENTIATION OF EVALUATIVE AND NONEVALUATIVE CATEGORIZATIONS

Abstract— The evaluative categorizations that underlie affective and attitudinal judgments have often been equated with non-evaluative categorizations despite the central importance of evaluative processes for survival In the present experiment, a late positive potential (LPP) of the event-related brain potential elicited when participants evaluatively categorized food items as positive or nonpositive was compared with the LPP elicited when participants semantically (i e., nonevaluatively) categorized food items as vegetable or nonvegetable Results revealed that evaluative categorizations evoked an LPP that was relatively larger over the right than the left scalp regions compared with the LPP evoked by nonevaluative categorizations. This finding provides evidence regarding the differences in neural and cognitive processes involved in evaluative and nonevaluative categorizations.     

Beliefs about stories: Parents' and therapists' explanations of childhood difficulties

Therapists and parents were given vignettes describing the behavioural and emotional difficulties of two nine-year-old children and were asked to rate the importance of a number of possible explanations for such difficulties. Broad agreement was found between parents and therapists, but also there were a number of significant differences. Parents endorsed more child centered explanations and put greater emphasis on physical and developmental factors, while therapists endorsed relationships factors and saw the beliefs of other family members as important. Therapists who were parents showed a pattern of responses that lay between those of parents and non-parent therapists.     

MFT trainee adjustment to program lifestyle stress: The TAPS scale

The 30-item Trainee Adjustment to Program Stress (TAPS) scale was developed to measure lifestyle stress of family therapy trainees. Initially, 70 items were generated from propositional statements based on four constructs. Following pilot testing, 329 out of 900 (37%) student members of the American Association for Mariage and Family Therapy (AAMFT) returned TAPS questionnaires. Internal consistency reliability analyses and principal components and factor analyses produced a final 30 item TAPS scale appropriate for use in family therapy training programs. Reliability and validity measures are reported.     

Boundary regulation in family and personal systems: Perceptions of late adolescents

Examination of boundary regulation can provide family therapists with a framework to describe both the functioning of family systems and personal systems (i.e., the intrapsychic functioning of individual family members). In the present study, late adolescents' perceptions of boundary regulation within their family systems (i.e., ratings of family health, communication, leadership, expressiveness, cohesion, and family conflict) were related to regulation of their personal boundaries (i.e., self-reported personal competence, distress, and patterns of defense mechanism use). In addition, personal system variables reliably discriminated between adolescents who described their families as psychologically healthy versus psychologically unhealthy.     

Joining with all members of a family system: The rhetoric of antilogic in family therapy dialogue

Family therapists face a significant rhetorical challenge in working with families that disagree about the problematic life-situation which brought them to therapy. Therapists must find a way to join with disagreeing family members and then find a way to engage in a therapeutically useful conversation with them. Thus, they must deal resourcefully with contradictions. This article explores the ways that the Sophistic rhetorical concept of antilogic may be employed in helping therapists join and then engage in a therapeutically useful conversation with families who hold contradictory views concerning the problem that brought them to therapy.The author wishes to thank Ronald Chenail, PhD, Douglas Flemons, PhD, and Shelly Green, PhD, for their assistance in the development of this project.     

A plea for more intervision

The author presents an argument for tolerance, mutual understanding and reconciliation in psychotherapy, instead of a continued emphasis of schools. Psychotherapists' work with clients is proposed as a likely area for mutual understanding, rather than continued emphasis on their particular theories and academic matters. Psychotherapeutic intervision groups in which a small number of therapists voluntarily discuss their cases with peers from various backgrounds have become increasingly common again in recent years.Slightly revised version of a presentation made at the Georgetown Family Center Symposium in November 1995.