Agreement Between Psychiatric and Psychological Diagnosis in a State Hospital

Published studies report generally on agreement between psychiatrists. This investigation is concerned with agreement based on interdisciplinary and consultative rather than independent judgments. Two samples of patients admitted to Napa State Hospital were analyzed separately (85 adults and 84 children). Frequency of concurrence and rate of agreement were identified with reference to symptomatology and specific as well as general diagnoses. Agreement is highest for adult patients with secondary symptoms (75% for men, 92% for women). Rate of agreement for specific diagnoses is 62% for adult patients and 78% for children, as compared with 66% (adults) and 80% (children) for general diagnostic formulations. Hypotheses concerning the influence of symptomatology, specificity, age, sex and administrative expediency on rate of agreement are presented.     

Lehrer on consciousness

Keith Lehrer distinguishes three kinds of questions about consciousness: scientific questions, metaphysical questions, and epistemological questions. He leaves the scientific questions to the scientists. He articulates and answers the peculiar epistemological questions posed by consciousness. And he boldly contends that no metaphysical questions about consciousness remain, once the epistemological questions have been answered. This is an astonishing claim. What happened to the metaphysical questions? Were they pseudo-questions? Were they epistemological questions masquerading as metaphysical ones? And isn??t it possible that Lehrer??s epistemological account of consciousness raises metaphysical questions of its own? I will argue that Lehrer??s account of consciousness does leave a metaphysical remainder. To deal with this remainder, Lehrer could try to expand his explanatory framework??but this would involve to a substantial revision of his current views. I end with a speculative proposal that might allow Lehrer acknowledge all the points raised in this paper, but without forcing him to revise his account of consciousness in a substantial way.     

The Influence of Group Size and Stigma Severity on Social Acceptance: The Case of People with Intellectual Disability Moving into Neighbourhoods

Dutch adults from a nationwide Internet panel (N = 426) were asked to imagine that their next‐door neighbours would move out and that people with intellectual disability would move in. Severity of disability and group size were varied to manipulate intergroup threat. These two factors independently influenced social acceptance and a variety of emotional and behavioural measures. In particular, it was found that a large group with severe disability aroused the strongest negative response, whereas a small group with mild disability aroused the weakest negative response. Small groups with a severe disability and large groups with a mild disability aroused similar and intermediate negative responses. Results are discussed in terms of theories of intergroup threat and stigmatisation. Practical implications for predicting the success of de‐institutionalisation and social integration of groups with special needs are addressed. Copyright © 2011 John Wiley & Sons, Ltd.     

DIMENSIONS AND CORRELATES OF THE PERSONNEL AUDIT AS AN ORGANIZATIONAL ASSESSMENT TOOL

This study analyzes the measurement properties of the personnel audit as an organizational assessment tool and the extent to which audit results relate to important organizational criteria. The findings reported here indicate that nine dimensions can effectively summarize 37 audit measures. The composite factor scores for these dimensions predict executive perceptions of "overall organizational performance" and "overall contribution of Personnel Function," employee "overall satisfaction with personnel services," and to a lesser extent, "profitability per capita." The personnel budget allotted per capita is in turn related to executive perceptions of Personnel's contributions.     

People with intellectual disability as neighbours: Towards understanding the mundane aspects of social integration

Although people with intellectual disabilities (ID) are increasingly expected to relocate from traditional institutional care to ‘regular’ neighbourhood housing facilities and socially integrate in these neighbourhoods, little is known about how they are perceived and appreciated as neighbours. This paper reports on interviews carried out with 30 neighbours without ID who were neighbours of small‐scale care facilities for people with ID. Interviews addressed the neighbours' everyday experiences of neighbouring in general, and neighbouring people with ID in particular. Neighbouring, for these informants, called for a fine balance between friendliness without over‐involvement. While they were generally positive about their interactions with their neighbours with ID, it emerged that the formal nature of the care facility and the interaction style of some of the neighbours with ID often contravened informants' assumptions about neighbouring. Informants expressed concern about a possible lack of appropriate distance, reciprocity and accountability among their neighbours with ID. The nature of the care facility, with paid staff, often group activities, formal means of achieving the everyday small tasks which neighbours sometimes do for each other, and a high turnover of residents, all undermined the possibility of a typical neighbourly relationship. In conclusion, we suggest that integration of people with ID into everyday neighbouring relationships raises complex challenges for care organizations that need to find a balance between supporting the needs of people with ID they care for, adequate support and mediation for other neighbours when necessary, and all the while avoid becoming overly involved in neighbouring as a formal partner. Copyright © 2010 John Wiley & Sons, Ltd.