Assessment of the hypochondriasis domain: the multidimensional inventory of hypochondriacal traits (MIHT)

Although hypochondriasis is associated with the costly use of unnecessary medical resources, this mental health problem remains largely neglected. A lack of clear conceptual models and valid measures has impeded accurate assessment and hindered progress. The Multidimensional Inventory of Hypochondriacal Traits (MIHT) addresses these deficiencies with scales that correspond to a 4-factor model. The MIHT was built with construct validity as a guiding principle and began with an item pool that broadly assessed dimensions identified in the literature. The items were administered to large samples; factor analyses of the responses led to item pool revisions and scale refinements. Multiple studies validated the final MIHT scales and 4-factor model; these findings suggest that the MIHT will contribute to theory and research.     

Quality and Individualization in Wraparound Team Planning

In children’s mental health, collaborative, team-based individualized service planning is most commonly known as wraparound, and has become one of the primary strategies for improving services and outcomes for children with the highest levels of need. We report on analyses of data gathered at 72 wraparound team meetings from communities around the United States. We describe the composition of the teams and the quality of the planning process they engaged in, and explore the extent to which these factors were associated with team member satisfaction and the individualization of plans. Teams in our study were numerically dominated by professionals. Parents attended a large majority of meetings, participation by youth and family advocates was frequent, participation by other family members infrequent, and participation by other members of the family’s informal or natural support networks rare. Observed teams varied considerably in the quality of their planning process and the degree of individualization of plans. Higher-quality planning was significantly associated with increased individualization of plans and with team member satisfaction with meeting productivity.     

Notional number agreement in English

To investigate the contested role of notional number in English subject-verb agreement, we used a sentence completion task to examine agreement with minimally different subject noun-phrases, such as the gang on the motorcycles and the gang near the motorcycles. These contrasting phrases biased different notional construals of collective nouns, such as gang, which are normally ambiguous between plural (distributed) and singular (collected) construals. With subjects biased toward spatial distribution, such as gang on motorcycles, more plural verbs occurred in speakers’ sentence completions than in sentence completions with a bias toward spatial collection such as gang near motorcycles. This offers strong evidence regarding both the existence and the magnitude of notional effects on subject-verb number agreement in English.     

The role of similarity in deductive categorical inference

The category inclusion rule specifies that categories inherit the properties of their superordinates. For example, given thatall metals are pentavalent, it can be concluded thatall iron is pentavalent. Sloman (1998) showed that people do not fully endorse conclusions that follow from the category inclusion rule. He claims that people rely on the similarity between the premise and the conclusion categories (metals andiron), rather than applying the category inclusion rule. By allowing reasoners to rate their certainty for category relations (e.g.,iron is metal), as well as for conclusions, the present study shows that similarity has only an indirect effect on the certainty of conclusions: Reasoners are more certain that similar categories have a category inclusion relation, and this in turn affects the certainty of conclusions based on this relation.     

Chimpanzee (Pan troglodytes) intentional communication is not contingent upon food

Studies of great apes have revealed that they use manual gestures and other signals to communicate about distal objects. There is also evidence that chimpanzees modify the types of communicative signals they use depending on the attentional state of a human communicative partner. The majority of previous studies have involved chimpanzees requesting food items from a human experimenter. Here, these same communicative behaviors are reported in chimpanzees requesting a tool from a human observer. In this study, captive chimpanzees were found to gesture, vocalize, and display more often when the experimenter had a tool than when she did not. It was also found that chimpanzees responded differentially based on the attentional state of a human experimenter, and when given the wrong tool persisted in their communicative efforts. Implications for the referential and intentional nature of chimpanzee communicative signaling are discussed.     

Hierarchical model of vulnerabilities for anxiety: replication and extension with a clinical sample

This study served to replicate and extend our previously obtained hierarchical model of the relationships among general anxiety vulnerabilities, specific anxiety vulnerabilities and specific anxiety manifestations including panic symptoms, health anxiety, obsessive-compulsive symptoms and worry. Questionnaires assessing these variables, as well as positive affectivity and depressiveness, were administered to 125 outpatients seeking treatment for panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder or major depressive disorder. The results, using a clinical sample, were highly consistent with the hierarchical model obtained in the previous study using a student sample. A more elaborate model, based on published theoretical and empirical evidence, was identified and tested, and similar results were obtained. Negative affectivity had expected direct positive effects on all of the specific anxiety and depression manifestations, with the exception of health anxiety, which showed a negative relationship, and OCD symptoms, which showed no relationship. Positive affectivity was found to be a specific risk factor for depression, while intolerance of uncertainty was found to be a specific risk factor for worry and depression. Finally, anxiety sensitivity appears to be a significant risk factor for panic and health anxiety.     

How to be an Anti-Skeptic and a NonContextualist

Contextualists often argue from examples where it seems true to say in one context that a person knows something but not true to say that in another context where skeptical hypotheses have been introduced. The skeptical hypotheses can be moderate, simply mentioning what might be the case or raising questions about what a person is certain of, or radical, where scenarios about demon worlds, brains in vats, The Matrix, etc., are introduced. I argue that the introduction of these skeptical hypotheses leads people to fallaciously infer that it is no longer true to say that the relevant person knows. I believe that that is a better explanation of the so-called intuition that the person does not know than the contextualists who claim that raising these skeptical hypotheses changes the standards that determine when it is true to say S knows that P. At the end I raise the possibility that contextualists might defend their view on pragmatic rather than skeptical grounds by arguing that the standards of evidence rise when more is at stake in a practical sense.     

Reaction in action: intergroup contrast in automatic behavior

Whereas previous research has shown automatic behavior conforming to outgroup stereotypes, the authors demonstrate automatic behavioral contrast away from a stereotype/trait associated with an outgroup (Study 1 and 2) and point to the importance of an "us-them" intergroup comparison in this process. In Study 1, participants colored pictures more messily when neatness was associated with an outgroup rather than the ingroup. In Study 2, using a different behavior, participants primed with busy business people reacted faster than controls (assimilation) but became slower when their student ingroup identity was activated (contrast). Subliminally priming an "us-them" intergroup comparison set undermined the accessibility of outgroup stereotypic words (Study 3), especially for those higher in prejudice (Study 4). This suggests that people automatically distance themselves from outgroup attributes when intergroup antagonism is cued or chronic. Implications for the role of self and comparison processes in automatic behavior are discussed.     

Describing suicidality: an investigation of qualitative SSF responses

Given the incidence and seriousness of suicidality in clinical practice, the need for new and better ways to assess suicide risk is clear. While there are many published assessment instruments in the literature, survey data suggest that these measure are not widely used. One possible explanation is that current quantitatively developed assessment instruments may fail to capture something essential about the suicidal patient's experience. The current exploratory study examined a range of open ended qualitative written responses made by suicidal outpatients to five assessment prompts from the Suicide Status Form (SSF)--psychological pain, press, perturbation, hopelessness, and self-hate. Two different samples of suicidal outpatients seeking treatment, including suicidal college students (n = 119) and active duty U.S. Air Force personnel (n = 33), provided a wide range of written responses to the five SSF prompts. A qualitative coding manual was developed through a step-by-step methodology; two naive coders were trained to use the coding system and were able to sort all the patients' written responses into the content categories with very high interrater reliability (Kappa > .80). Certain written qualitative responses of the patients were more frequent than others, both within and across the five SSF constructs. Among a range of specific exploratory findings, one general finding was that two thirds of the 636 obtained written responses could be reliably categorized under four major content headings: relational (22%), role responsibilities (20%), self (15%), and unpleasant internal states (10%). Theoretical, research, and clinical implications of the methodology and data are discussed.