Construct Validity of ADHD/ODD Rating Scales: Recommendations for the Evaluation of Forthcoming DSM-V ADHD/ODD Scales

Exploratory structural equation modeling (SEM) was applied to a multiple indicator (26 individual symptom ratings) by multitrait (ADHD-IN, ADHD-HI and ODD factors) by multiple source (mothers, fathers and teachers) model to test the invariance, convergent and discriminant validity of the Child and Adolescent Disruptive Behavior Inventory with 872 Thai adolescents and the ADHD Rating Scale-IV and ODD scale of the Disruptive Behavior Inventory with 1,749 Spanish children. Most of the individual ADHD/ODD symptoms showed convergent and discriminant validity with the loadings and thresholds being invariant over mothers, fathers and teachers in both samples (the three latent factor means were higher for parents than teachers). The ADHD-IN, ADHD-HI and ODD latent factors demonstrated convergent and discriminant validity between mothers and fathers within the two samples. Convergent and discriminant validity between parents and teachers for the three factors was either absent (Thai sample) or only partial (Spanish sample). The application of exploratory SEM to a multiple indicator by multitrait by multisource model should prove useful for the evaluation of the construct validity of the forthcoming DSM-V ADHD/ODD rating scales.     

Jewish Studies at the Crossroads of Anthropology and History: authority,diaspora, tradition

In recent years, critical thought and theological discourse have been challenging each other, as they share mutual themes alongside contesting motivations. Against this broad background, this outline presents a possible formula for “critical theology,” which negotiates between the critical and the theological fields of inquiry. Stemming from the contemporary Israeli framework of religion, society and political imagination, the formula points to the difference between the call to critically navigate in the theological field of meanings, and the call to faithfully adopt its message; between the call “to the call” of theology, and the call “by means of” theology. By doing so, the outline aims to present theology as the original realm of non-religious, perhaps even un-religious, critique, and not as its adversary, while nonetheless maintaining “the religious” as such. Critical theology, we suggest, from our Israeli/Jewish perspective, is a social and political challenge of our time in which religion and religiosity have returned to the forefront of the social, political and cultural world.     

Procrastination out of Habit? The Role of Impulsive Versus Reflective Media Selection in Procrastinatory Media Use

ABSTRACT

The pervasive access to media options seriously challenges users’ self-regulatory abilities. One example of deficient self-regulation in the context of media use is procrastination—impulsively ‘giving in’ to available media options despite goal conflicts with more important tasks. This study investigaes procrastinatory media use across 3 types of media (TV, computer, smartphone) from a dual-systems perspective, taking both person-level and situation-level predictors into account. Results from a 14-day long diary study (N = 347) suggest that procrastinatory media use is driven by automatic media selection, which is facilitated by strong media habits (person level) and low motivation for behavioral control (situation level). The results underline the value of a dual-systems perspective on media choices in our media-saturated environment.     

“Am I Going Crazy,Doc?”: A Self Psychology Approach to Therapeutic Assessment

In this case study, we explore the effectiveness of Therapeutic Assessment with a severely disturbed 25-year-old man, referred by his therapist, following Finn's (2007; Finn & Tonsager, 1992, 1997) model. This patient–therapist pair had been working together for approximately 2 months, but the therapy had ceased to progress. The therapist requested a clearer picture of his patient's affective functioning, interpersonal functioning, and self-functioning that might facilitate more effective treatment. Through a collaborative assessment process informed by the principles of Kohutian self psychology, the evaluator and patient slowly formed a working alliance that proved useful for the eventual communication to the patient of his psychologically tenuous reality. This case illustrates the utility of a collaborative, multimethod Therapeutic Assessment with a severely ill patient and the use of Therapeutic Assessment by a less experienced clinician.     

The Development of Perceptual Motor Sequencing Ability

The purposes of this study were (a) to investigate the possibility that short-term memory may be a limiting factor in the development of perceptual-motor sequencing ability, (b) to determine whether sex differences exist in sequencing ability, (c) to determine whether organized information facilitates serial recall, and (d) to ascertain whether the recall of serial perceptual-motor responses results in a bow-shaped serial-position curve. A 2 × 2 × 3 factorial design was used to analyze the independent variables of age, sex, and pattern organization. Further, an age × serial position ANOVA was performed to investigate the serial-position curve. Serial recall improved with age; however young children experienced difficulty in recalling a complex task. The poor recall performance of 5-yr.-old children was discussed in terms of the possibility that young children fail to use labeling strategies to facilitate recall. No sex differences were found. A primacy effect was obtained on the complex task.     

Testing the Effectiveness of Family Therapeutic Assessment: A Case Study Using a Time-Series Design

This study reports normative data for the Peebles Rorschach content scoring system. Group Rorschach protocols from undergraduates were scored and reliably classified by quadrant. Frequencies were obtained by sex and by quadrant. Social desirability was demonstrated to vary across quadrants. The validity of quadrant classification was suggested by self-reports and MMPI scales. MMPI profile code predictions were made by experts for each quadrant and compared with obtained mean profile codes. The scoring system was evaluated and theoretical origins were discussed.     

Eating Behavior Among Thais and Americans

A cross-cultural analysis of eating patterns was conducted to examine the possible relationship between eating style and obesity. Thai and American students were surveyed about such bad eating habits as eating between meals, eating too quickly, eating when not hungry, and eating in response to external food cues. Contrary to the learning model of obesity, which postulates a causal relationship between eating style and body size, American subjects reported significantly better eating habits than did their much thinner Thai counterparts. A within-culture comparison of the American subjects showed a less significant but similar trend, with obese subjects claiming to have better eating patterns than both thin and underweight subjects.     

Randomized,placebo-controlled trial of cognitive-behavioral therapy alone or combined with sertraline in the treatment of pediatric obsessive–compulsive disorder

Background

To examine the efficacy of sequential sertraline and cognitive-behavioral therapy (CBT) treatment relative to CBT with pill placebo over 18 weeks in children and adolescents with obsessive–compulsive disorder (OCD).

Methods

Forty-seven children and adolescents with OCD (Range = 7–17 years) were randomized to 18-weeks of treatment in one of three arms: 1) sertraline at standard dosing + CBT (RegSert + CBT); 2) sertraline titrated slowly but achieving at least 8 weeks on the maximally tolerated daily dose + CBT (SloSert + CBT); or 3) pill placebo + CBT (PBO + CBT). Assessments were conducted at screening, baseline, weeks 1–9, 13, and 17, and post-treatment. Raters and clinicians were blinded to sertraline (but not CBT) randomization status. Primary outcomes included the Children's Yale-Brown Obsessive–Compulsive Scale, and response and remission status. Secondary outcomes included the Child Obsessive Compulsive Impact Scale–Parent/Child, Children's Depression Rating Scale-Revised, Multidimensional Anxiety Scale for Children, and Clinical-Global Impressions-Severity.

Results

All groups exhibited large within-group effects across outcomes. There was no group by time interaction across all outcomes suggesting that group changes over time were comparable.

Conclusions

Among youth with OCD, there was no evidence that sequentially provided sertraline with CBT differed from those receiving placebo with CBT.

ClinicalTrials.gov Identifier

NCT00382291.     

Perceived Work Competency and Sex Role Conflict: An Empirical Study

The present study examined sex role conflict, perceived work competency, and motivational needs among a broad sample of 298 working women and men (135 men, 163 women) at different hierarchical levels to see what possible gender differences existed in relationships among the variables. Correlation analysis and analysis of variance indicated that the female subjects had significantly higher levels of sex role conflict than the men, but a similar sense of work competency. Sex role conflict and perceived work competency were found to be negatively linked for the women but not for the men. Significant relationships were found between certain motivational needs and both sex role conflict and sense of work competency.