The Depressive Experiences Questionnaire: A Critical Review

The Depressive Experiences Questionnaire (DEQ; Blatt, D'Afflitti, & Quinlan, 1976) is critically reviewed. First the developmental, object representations theory differentiating depression into anaclitic and introjective subtypes is presented. The DEQ factors of Dependency and Self-Criticism were initially found to be consistent with these clinically meaningful depressive subtypes. Subsequent research has generally demonstrated that these subtypes, at least as measured by the DEQ, do not hold up well in clinical populations. Furthermore, the validity of the developmental theory of these subtypes is weak. We suggest that more internally consistent and distinct factors should be developed from clinical populations because of their potential clinical usefulness.     

Computerised Test Interpretation Services: Ethical and Professional Concerns Regarding U.S. Producers and Users

This article focuses on consumer issues arising from the impact of advances in computer technology on the use of psychological assessments. It describes how the widespread use of microcomputers and minicomputers and the development of software for interpreting complex diagnostic and pre-employment tests of a clinical nature, coupled with the growing demand for cost-effective clinical assessment, has led to increased use of computer-based test interpretations by health care professionals. Although these interpretations offer advantages, they also carry a potential for misuse. The authors make recommendations for professional self-regulation to strengthen the gatekeeper function of controlling access to clinical assessment tools.
Cet article s'intéresse aux préoccupations des utilisateurs nées de ľ impact des progrés de ľ informatique sur la pratique de ľévaluation psychologique. On y décrit comment ľ usage généralisé des mini- et micrc-ordinateurs ainsi que le développement des logiciels dans ľ interprétation des diagnostics complexes et des tests de sélection de nature clinique, associéà la demande croissante ď une évaluation clinique efficace au meilleur coût, a amené de plus en plus les spécialistes de la santéà exploiter les interprétations de tests par ordinateur. Cette solution présente des avantages, mais aussi des risques ď abus. Les auteurs recommandent aux spécialistes de renforcer eux-mêmes le contrôle du droit ď accés aux outils ďévaluation clinique.     

Assessment of Identity and Quality of Life in Diabetic and Renal Transplant Adolescents in Comparison to Healthy Adolescents

Identity development represents a central task of adolescence. Identity achievement is characterized by a coherent sense of who one is following a period of exploration and can help navigate the challenges of adulthood. This study examined identity within a quality of life (QOL) context in 85 adolescents with a renal transplant or with Type 1 diabetes in comparison to 90 healthy controls. Results revealed significant differences in ideological identity, with patients showing higher levels of diffusion and controls showing higher levels of foreclosure. No differences with respect to interpersonal identity, QOL, perceived control over the QOL domains, and perceived opportunities for growth and development were found. Future research should assess identity and QOL over a longer period of time to determine whether differences between chronically ill and healthy young adults can be detected.     

Motivation and Problem Solving (MAPS): Motivationally Based Skills Training for Treating Substance Use

Over 10 years ago, Baer and colleagues proposed the integration of skills training and motivational strategies for the treatment of substance abuse. Since that time, several studies evaluating the efficacy of such hybrid approaches have been published, but few have been efficacious. Motivation and Problem Solving (MAPS) is a comprehensive, dynamic, and holistic intervention that incorporates empirically supported cognitive behavioral and social cognitive theory–based treatment strategies within an overarching motivational framework, and has been demonstrated to be effective in a randomized clinical trial focused on the prevention of postpartum smoking relapse. MAPS was designed to be applicable to not only relapse prevention but also the cessation of substance use, and is relevant for individuals regardless of their motivation to change. MAPS views motivation as dynamically fluctuating from moment to moment throughout the behavior change process, and comprehensively addresses multiple issues important to the individual and relevant to change through the creation of a wellness program. As a result, we believe that MAPS enhances the likelihood that individuals will successfully achieve and maintain abstinence from substance use, and that its comprehensive focus on addressing diverse and salient issues enhances both engagement in treatment and its applicability in modifying other health risk behaviors. The current paper introduces MAPS, distinguishes it from other hybrid and stage-based substance use treatments, and provides detailed information and clinical text regarding how MAPS is specifically and uniquely implemented to address key mechanisms relevant to quitting smoking and maintaining abstinence.     

HIV infection and mental health: suicidal behaviour--systematic review

Suicide has long been associated with serious illness generally and HIV specifically. New treatments have affected prognosis in HIV positively, but it is unclear how they impact on suicidal burden (thoughts, self-harm and completions). This review examines all published suicide and HIV data for a definitive account of (1) prevalence of HIV-related suicidality, (2) measurement within studies and (3) effectiveness of interventions. Standard systematic research methods were used to gather quality published papers on HIV and suicide, searching published databases according to quality inclusion criteria. From the search, 332 papers were generated and hand searched resulting in 66 studies for analysis. Of these, 75% were American/European, but there was representation from developing countries. The breakdown of papers provided 12, which measured completed suicides (death records), five reporting suicide as a cause of attrition. Deliberate self-harm was measured in 21, using 22 instruments; 16 studies measured suicidal ideation using 14 instruments, suicidal thoughts were measured in 17, using 15 instruments. Navigating the diverse range of studies clearly points to a high-suicidal burden among people with HIV. The overview shows that autopsy studies reveal 9.4% of deceased HIV+?individuals had committed suicide; 2.4% HIV+?study participants commit suicide; approximately 20% of HIV+?people studied had deliberately harmed themselves; 26.9% reported suicidal ideation, 28.5% during the past week and 6.5% reported ideation as a side effect to medication; 22.2% had a suicide plan; 19.7% were generally "suicidal" (11.7% of people with AIDS, 15.3% at other stages of HIV); 23.1% reported thoughts of ending their own life; and 14.4% expressed a desire for death. Only three studies recruited over 70% female participants (39 studies recruited over 70% men), and six focussed on injecting drug users. Only three studies looked at interventions - predominantly indirect. Our detailed data suggest that all aspects of suicide are elevated and urgently require routine monitoring and tracking as a standard component of clinical care. There is scant evidence of direct interventions to reduce any aspect of suicidality, which needs urgent redress.     

Neural temporal dynamics of contingency judgement

The present study captures the dynamics of neural processing across positively contingent, negatively contingent, and noncontingent relations. In the setting of a hypothetical chat room conversation, participants rated the contingency of emotional response between two individuals. Event-related potentials (ERPs) were time-locked to the onset of each emotional event. Although each event alone was ambiguous regarding contingency, its neural response was characteristic of the overall contingent relation and the subsequent contingency rating. Very early displays of contingency modified the ERP anterior N1 (AN1) component amplitude. In contrast, the ERP selection negativity (SN) component amplitude seemed to be more sensitive to display properties than contingency. Our results point to the recruitment of early attentional processes for contingency judgement and highlight the efficiency of statistical information processing.     

What propositional structure could not be

Synthese - The dominant account of propositions holds that they are structured entities that have, as constituents, the semantic values of the constituents of the sentences that express them. Since...     

Effects of Offered and Requested Help on Help Seeking and Reactions to Being Helped1

Subjects could receive assistance on a difficult logic problem either by requesting help or by accepting an offer of aid from a helper. Normativeness of help seeking and presence of an incentive for correct completion of the task were also varied. Results of the study indicated that more help was obtained in the offer condition and that subjects liked the helper more when help was offered than when it was requested. The normativeness and incentive variables did not produce the expected effects. Negative consequences of requesting help were interpreted in terms of attribution theory, and the implications of these findings for help-delivery systems were discussed.