Scaling clinical judgments of symptom pathology by means of the psychophysiological method of magnitude estimation

Summing scores across heterogeneous symptom items without consideration of their differing psychopathological significance has been criticized as producing an inadequate picture of an individual's clinical status. The purpose of this study was to derive symptom item weights representing clinically judged seriousness of each symptom through the application of Stevens's psychophysical method of magnitude estimation. A nationwide sample of 129 clinicians rated the pathological significance of 221 symptom items in a design such that every rater rated 121 items, 21 of which were rated by all raters and 100 of which were rated only by the A or B subgroup to which each rater was randomly assigned. Each item was rated as to the seriousness of the pathology it would represent if manifested by either a boy child, girl child, boy adolescent, or girl adolescent, with one-fourth of the raters assigned to each condition. The results of 211 two-way analyses of variance revealed that age and age and sex in interaction, but not sex alone, significantly influenced the clinical ratings. The resulting magnitude estimation ratings of symptom pathology ranged from 1.0 to 9.9. They were demonstrated to have satisfactory reliability and convergent validity and to have the psychophysical characteristics of a prothetic continuum.A preliminary version of this paper was presented at the 85th Annual Convention of the American Psychological Association, San Francisco, August 1977. The research was supported by HEW grant MH24886. The authors wish to express appreciation to Walter W. Wengel for his work in developing the median quotient ratings used in the study, to Terrance Auger for making available unpublished raw data, and to Merton S. Krause for helpful suggestions regarding the interpretation of results.     

Cognitive task effects on hemispheric blood flow in humans: Evidence for individual differences in hemispheric activation

Evidence from two indirect measures of hemispheric activity, EEG α and conjugate lateral eye movements, has pointed to the existence of individual differences in hemispheric activation. Results from a more direct indicator of hemispheric activity, regional cerebral blood flow as measured by the ¹³³Xe inhalation method, show that such individual differences can be detected in the distribution of blood in the two hemispheres and that the amount of increase in blood flow in the right relative to the left hemisphere is correlated with performance on a spatial task. These results corroborate and extend the findings from the EEG and eye movement studies and suggest that the dimension of individual differences in hemispheric activation may exert significant influence on cognitive performance and on problem-solving strategies.     

Auditory processing of brain-damaged adults under competitive listening conditions

Right CVAs, mild left CVAs, and non-brain-damaged adults received the Token Test under three conditions: quiet, white noise, and speech babble. Left CVAs performed most poorly of all groups in all conditions experiencing difficulty with subtests III, IV, and V. Right CVAs were inferior to controls on each of these three subtests in the speech babble condition only. Thus, right CVA difficulty with both memory and syntactic tasks was demonstrated in speech babble. These results are explained by the hypothesis that both hemispheres are necessary to process auditory information under complex listening conditions. Total brain capacity of right CVA patients may be overloaded if either memory load or linguistic complexity is increased in the presence of certain types of listening competition.     

Effects of knowledge that attributions will be observed by others

The current study was conducted to determine if attribution statements would be affected by subjects' knowledge that their attributions of success or failure would be observed by an opposite-sex peer. At the time subjects recorded their attributions, half of them anticipated that their attributions would soon be observed in their presence by an opposite-sex peer, while the other half recorded their attributions anonymously. Results indicated that attributions of success and failure were affected by the social context. Observed subjects evidenced less tendency to attribute their failure to low ability than did nonobserved subjects. Subjects who succeeded on an identity-relevant task reported higher ability attributions under observation conditions than under nonobservation conditions. Observed subjects evidenced significantly greater willingness to attribute failure to lack of effort than did nonobserved subjects. For a task intended to be of minimal relevance to subjects' identities, nonobserved subjects attributed failure to task difficulty to a significantly greater degree than did observed subjects. Results were discussed in relation to Bradley's contention that self-serving biases in attribution can usefully be conceptualized as strategic self-presentations.     

The treatment of tension headache—I. Muscular abnormality and biofeedback

The specificity and efficacy of a short EMG biofeedback treatment were assessed in a selected group of chronic tension-headache cases—those having significantly elevated levels of muscle tension. The effects of training patients to raise/maintain EMG levels were compared to those obtained from patients who were trained to lower tension levels. The results showed little evidence of increased self-control of the muscle despite successful EMG control during six bio-feedback sessions. A progressive and significant reduction in resting level was found only in the groups trained to reduce EMG levels. The treatment proved ineffectual in reducing headache. The implications of the dissociation of muscle tension and headache are discussed both with respect to current views of tension headaches and the role of biofeedback in their treatment.     

Science and behavior therapy: A survey of research in the 1970s

A representative sample of a decade of contributors to the journals Behavior Therapy, Behaviour Research and Therapy, Journal of Applied Behavior Analysis and the Journal of Behavior Therapy and Experimental Psychiatry was asked to report on their motivations for conducting studies that had been published in that journal. Results indicated that the primary motivation of behavioral researchers was to build on prior research through gathering and analysis of data to illuminate applied-clinical issues and validate treatment procedures. Few researchers reported consultation arrangements or efforts to replicate as their motivation for research. Most respondents described the training model in which they had received their doctoral education as oriented toward a scientist-practitioner approach rather than one that focused primarily on research, therapy or assessment training. Most respondents noted that their philosophy of behavior therapy at the time of the study in question to be applied behavior analysis or social-learning theory with far less being affiliated with a neobehavioristic mediational S-R model or cognitive behavior modification. These results are discussed within the context of the relevance of clinical research in behavior therapy and professional psychology.     

Factors in the referral of children for behavioral treatment: A comparison of mothers of clinic-referred deviant,clinic-referred non-deviant and non-c

The purpose of this study was to compare a non-clinic sample of mothers and children to two groups of clinic-referred children and their mothers. The two clinic-referred groups differed from one another in that the selection criterion for one group of children (Clinic Deviant) was that they were significantly more deviant and non-compliant than the non-clinic group whereas the selection criterion for the second group of children (Clinic Non-deviant) was that they did not differ significantly from the non-clinic group on deviant and non-compliant behavior. Home observations by independent observers and parent questionnaires examining parental adjustment and parental perceptions of child adjustment were completed. The results indicated that both clinic groups perceived their children as more maladjusted than parents in the non-clinic groups perceived their children. Parents of the children in the Clinic Non-deviant group were significantly more depressed than those in the remaining two groups, whereas parents in the Clinic Deviant group issued more vague, interrupted commands than those in the Clinic Non-deviant group. Implications of the findings are discussed.     

Incorporating inferences in narrative representations: A study of how and why

Four experiments examined the conceptual organization of narrative passages and the extent to which these representations were explanatory in a variety of experimental tasks. The conceptual representation of a passage consisted of a graph of labeled nodes and labeled, directed arcs which were adopted from the Conceptual Dependency Theory. These representations included both explicitly stated information and inferences which had been empirically extracted by a question-answering procedure. Symbolic procedures for answering how- and why-questions were also delineated. The conceptual representations and the symbolic procedures that operate on these representations together accounted for 91% of the answers generated from question-answering protocols in Experiment 1, and also the rated quality of specific answers to specific questions in Experiment 2. Experiments 3 and 4 supported the hypothesis that structural properties of the representations can predict recall of explicitly stated nodes and verification ratings of inference nodes. The results provide encouraging support for the proposed graphic representations and also for the use of question-answering protocols in uncovering prose inferences.