The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

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.     

Aggregate item response analysis

A stochastic postulate is given for the multiple-item, successive-intervals scaling of populations. The logistic equivalent of this postulate provides an aggregate item response model in which a unidimensional submodel may be nested. This reduction provides a subtractive conjoint measurement of several items and stimuli on the same latent scale. Generalized-least-squares methods are used to estimate and test the multiple-item model, and its unidimensional reduction, on aggregate survey responses. The entire procedure is illustrated with an analysis of semantic-differential attitude data. This analysis exhibits an item selection procedure that is applicable to various social constructs.The authors dedicate this paper to the memory and contributions of Clyde Coombs.The programming and data analyses for the present paper were carried out by José Ventura of the Department of Industrial and Systems Engineering, and Jerry Meiten of the Department of Statistics, University of Florida.The study was also supported by the College of Business Administration, University of Florida, and the Faculty of Social Sciences, Hebrew University of Jerusalem.     

Effects of observing competitive and violent versions of a sport

Males were randomly assigned to view either (1) a film clip featuring hockey fights or (2) a film of nonaggressive hockey action or (3) a no-film control condition after having first been angered or treated politely by an experimental confederate. The dependent variable was represented by a measure of aggressive mood and a behavioral measure of retaliatory aggression. Analyses revealed that both angered and nonangered subjects exhibited an increase in aggressive mood following exposure to the fight film. However, the analysis involving retaliatory aggression against the confederate yielded an anger x film interaction. While angered subjects were more aggressive than nonangered, only angered subjects retaliated against the confederate after viewing the fight film. The results were discussed in terms of Berkowitz’s (1974) aggressive cue theory. A version of this paper was presented at the meeting of the North American Society for the Sociology of Sport, Edmonton, Canada, November 1987.     

Developmental amnesia

The concept of developmental amnesia is proposed to describe the impairment of normal memories during a person's school age life. One hundred psychotherapy patients were interviewed and the age of earliest memories ranged from 1–12 years, with a mode of 5 years. Memory was continuous for 53% of patients by 1st grade, while 18% reported life memory was still episodic at age 18 or later. Parental alcohol problems were associated with delay of continuous memories.     

The Effects of Decision Outcome Dispersion Upon Organizational Decision Making

The effects of varying decision outcome dispersion on organizational decision making were investigated under individual and group decision making conditions. Thirty-six female and pg]36 male subjects made decisions for organizational decision scenarios in which outcomes affected primarily the decision maker, people other than the decision maker, or a group of which the decision maker was a member. Subjects rated their levels of perceived risk and confidence in their decisions and made decisions within a simulated context of either a small or a large organization. Results indicated that subjects perceived significantly less risk and more confidence in their decisions when outcomes affected primarily themselves rather than others regardless of whether the decisions were made individually or by a group. Males perceived their decisions as significantly more risky than females. Induced organizational size did not significantly influence decision making.

     

Representation by counsel: Right or obligation?

Since the Supreme Court's decision in Faretta v. California (1975), courts have generally permitted defendants to represent themselves, as long as they are competent to do so. The problem lies in the definition of competency to waive counsel, which has been vaguely defined by the courts. Little is known about the frequency of, or reasons for, attempts to waive counsel, about the process of forensic evaluation of such competency, and about the success of such attempts. The authors briefly review the case law on competency to waive representation, report on a longitudinal prospective study of these issues in a population of defendants referred to an inpatient forensic facility for evaluation of all types of competency related to their criminal prosecutions, and discuss the significance of the issue for forensic clinicians. A key question for courts, lawyers, and clinicians is whether a competency evaluation can be invoked to overcome a defendant's constitutional rights to self-representation and bail.     

Suggestiveness in photospread line-ups: Similarity induces distinctiveness

The present research examined whether line-ups based on target (‘suspect’) face similarity are biased or suggestive. Four experiments are described in which subjects constructed photographic line-ups by selecting foils similar in appearance to a target. Later, another group of subjects who had not seen the faces before (mock witnesses) were asked to pick out the targets from the line-ups. All four experiments showed that mock witnesses selected the target significantly more often than expected by chance, thereby demonstrating suggestiveness. Three alternative line-up construction methods were also evaluated. In these methods, foil selection was based not only on target similarity but also on similarity with one or more of the other line-up faces. Results showed that alternative line-up targets were not selected significantly more often than chance, suggesting that bias was reduced. An overall analysis showed that the alternative line-ups were significantly less suggestive than target-based line-ups. The results indicate that foil selection procedures that incorporate foil-to-foil similarity produce fairer line-ups than those exclusively based on target similarity.