The application of the standard of care doctrine to psychological testing

Malpractice issues surrounding clinical psychologists' misuse of diagnostic testing are examined. Common forms of misuse are contrasted with appropriate standards of use for six frequently administered tests: The WAIS-R, WISC-R, Rorschach, TAT, Bender Gestalt, and MMPI. It is argued that not only negligent and unethical conduct but also intentional malfeasance may be construed when a qualified specialist applies unstandardized procedures which lack scientific authenticity. Suggestions are provided to both psychologists and attorneys to reduce the misuse of psychological tests in clinical and forensic evaluations.     

Information Seekers in the Aftermath of Technological Disaster at Three Mile Island1

Information seekers attending the TMI Public Health and Environmental Information Series six years after the Three Mile Island nuclear accident were found to be more educated, less worried, more cynical of experts, more likely to report disturbances in concentration, and more likely to be male than a normative sample of area residents. Course participants are described as seeking cognitive solutions and as having an underlying agenda of restoring lost faith in experts. Those who had evacuated at the time of the accident manifested the most psychological symptoms among course participants.     

Attitudes related to work of adolescents in the United Kingdom and Japan

This study was designed to provide data for notions that differences in achievement motivation in different nations may contribute to differences in national rates of economic growth. The nations investigated were the United Kingdom and Japan as representatives of low and high rates of economic growth in the decades after the end of World War II. Data were collected from college students for motivations and attitudes related to work. British students had higher achievement motivation, while Japanese students had higher competitiveness motivation and strong money beliefs. Differences in career preference between the nations were also presented. The relationship between motivations and attitudes to work with career preference were examined for each nation.     

Gender and values: What is the impact on decision making?

In this study we investigated C. Gilligan's [(1982), In a different voice: Psychological theory and women's development, Cambridge, Massachusetts: Harvard University Press] suggestion that women and men, due to socialization, develop differently in terms of moral development [L. Kohlberg (1969), “Stage and Consequence: The Cognitive Development Approach to Socialization,” In D. G. Goslin (Ed.), Handbook of socialization: Theory and research, Chicago: Rand McNally]. We also considered whether men and women differ in terms of a related construct, values of equity and equality [K. A. Rasinski (1987), “What's Fair Is Fair or Is It? Value Differences Underlying Public Views About Social Justice,” Journal of Personality and Social Psychology, Vol. 53, pp. 201–211]. It is our expectation that gender influences overall orientation in terms of the two sets of values, and that differences in values lead decision makers to weigh decision issues and to make final decisions differently. Results suggest that there are some gender-related differences in value systems, weights of decision issues, and final decisions.     

Training in child and adolescent group therapy: Two surveys and a model

Although group therapy is widely used in the treatment of children and adolescents, there has been little attention paid to establishing training standards and developing comprehensive programs for training psychiatry fellows in child and adolescent group psychotherapy. The authors conducted two surveys of child and adolescent training programs. After reviewing the literature, they present the data from their surveys, compare similarities and differences, and discuss trends. Finally, they propose a model for training in child and adolescent group therapy.     

Gender differences in autonomous and social achievement orientations

This research examined gender differences in orientations toward autonomous and social achievement. Three independent samples of subjects (total N= 359 males and 574 females) completed measures of achievement orientation (including Strumpfer's [1975] Autonomous Achievement Values and Social Achievement Values scales) and relevant cognitive, affective, and behavioral variables. Correlational and factor analyses clearly identified distinct autonomous and social achievement factors for both men and women in each of the samples. Examination of the correlates of achievement orientation indicated that whereas an autonomous achievement orientation is similarly expressed in males and females, there are considerable sex differences in the expression of an orientation toward social achievement. In particular, a social achievement orientation was associated with concerns over social approval and responsiveness to social influence among males, but was generally unrelated to these factors among females. Findings are discussed in terms of several recent hypotheses concerning the effects of sex role norms on the development and expression of achievement needs in men and women.     

Visual comparison processes: Identity and similarity decisions

In the first experiment, in which two successively presented free-form visual patterns varied in their similarity to each other, subjects had to decide, in one condition, if the patterns were “identical” and in two other conditions if the patterns were “similar.” Qualitative individual differences in the effect of similarity on the time required to make a decision were found in the “identity” condition, and these differences interacted with the “similarity” conditions. The individual differences and the experimental effects are interpreted in terms of a two-process model of the visual comparison process—a holistic matching process that is sometimes accompanied by an analytic difference detection process. In the second experiment, the same subjects repeatedly categorized subsets of the free-form visual patterns on the basis of similarity. There appeared to be no individual differences in the subjects’ perceptions of similarity, but subjects’ perceptions did differ from the assumptions made by the experimenters when they established the response criteria for the first experiment.     

BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

SUPPRESSION OF SELF-STIMULATION: THREE ALTERNATIVE STRATEGIES

Four boys with autistic-like behavior were treated for self-stimulatory behavior with three different treatment procedures—time-out, differential reinforcement of other behavior (DRO), and overcorrection. All four boys showed a rapid response to the overcorrection procedure. Three boys demonstrated some evidence of decrement in responding with time-out. During the DRO procedure, one showed a modest decrease, two showed no change, but one exhibited a consistent increase in responding under this condition. A multiple baseline applied to one of the subjects failed to reveal any generalization of suppression from one setting to another. A strong but not perfect relationship was found between a frequency and a duration measure of self-stimulation. There was some evidence of negative side effects for one boy during overcorrection and for another during time-out. None of these negative side effects was enduring. There was also some indirect evidence that overcorrection facilitated appropriate play.