Informant-Based Determinants of Symptom Attenuation in Structured Child Psychiatric Interviews

Informant-related determinants of item attenuation, that is, the drop-off in symptom endorsement rates at retest, were examined in an enriched community subsample of 245 parent–child pairs drawn from the National Institute of Mental Health Methods for Epidemiology of Child and Adolescent Mental Disorders Study. Youngsters and their parents were interviewed with the Diagnostic Interview Schedule for Children (Version 2.3; DISC-2.3) on two occasions with a mean test–retest interval of 12 days. Item attenuation rates were high for both informants, with adults failing to confirm 42% and children 58% of baseline responses at retest. Stepwise regressions revealed that item attenuation at DISC-P retest was higher for adult informants who were younger, and who reported on older and less impaired children. On the DISC-C, attenuation was higher for children who were less impaired, rated as doing worse in school, and who had a longer test–retest interval. These results are broadly consistent with past studies examining the determinants of attenuation and test–retest reliability and have implications for the design and use of structured diagnostic instruments.     

Fearfulness and Affective Evaluations of Pictures

Subjects high and low in temperamental fearfulness made a speeded decision regarding whether each of a series of affective pictures was unpleasant or pleasant. Fearful subjects made faster decisions on unpleasant pictures than did low fear subjects, whereas no difference was found between low and high fear participants when processing pleasant materials. Reaction time differences as a function of fearfulness were amplified when unpleasant pictures were also high in arousal, suggesting that stimulus intensity is a relevant methodological factor when assessing effects of temperament in cognitive processing. Taken together, these data are consistent with the hypothesis that an anxious or fearful temperament is associated with rapid reactions to unpleasant events.     

The Normative, the Proper, and the Sublime: Notes on the Use of Figure and Emotion in Prophetic Argument

Too often in argumentation studies, an emphasis on argumentative norms fails to give adequate weight to elements of emotion and style that are essential to public speech at its best, not only in ordinary practice but especially in those rare moments where public speech arrives at the sublime. In this paper we examine the coordination of argument with figurative and emotive language whose combination yields sublime effects in the poetry of the Hebrew prophets as well as in examples of modern discourse. It is shown that poetic figures, while not fully reducible to argumentative norms, nor rational in the sense commonly applied to argumentation, do in fact contribute in propriety in public discourse; moreover, they surpass mere propriety to generate moments of the sublime.     

Age rationing and the just distribution of health care: is there a duty to die?

The author analyzes the argument that a policy involving distributive justice in the allocation of scarce health care resources, based on the strategy of rational self interest maximation under a veil of ignorance (Rawls/Daniels), would result in an age rationing system of voluntary, socially encouraged, direct termination of the lives of the elderly rather than their medical abandonment. She maintains that such a policy would be a fair response only in a situation of substantial scarcity of resources that cannot be relieved without introducing greater injustices. Battin suggests that some of the current pressure on resources could be reduced by pruning waste and the expenses attributable to paternalistic imposition of treatment and to the practice of defensive medicine. She also advocates reconsideration of societal priorities assigned to various social goods.     

The child sexual abuse victim: Assessment and treatment issues and solutions

Particular attention is given in this paper to the assessment process with child sexual abuse victims and recommendations are made regarding practical issues both in the assessment and the treatment phases of therapeutic work with child victims.     

Beyond Fear Appeals: Negative and Positive Persuasive Appeals to Health and Self-Esteem

The present research was designed to extend our knowledge of fear appeals and attitude change in two directions. The first purpose was to compare a traditional negative, or fear, appeal to its counterpart, an appeal emphasizing the positive consequences of accepting a communicator's recommendation. The second purpose was to test the assumption of the theory of protection motivation that people are motivated to protect themselves from psychological and social, as well as physical, threats. The results disclosed that, compared to a no-message control condition, the traditional negative appeal to health was more persuasive than the positive appeal. A positive appeal to self-esteem, however, was superior to a negative appeal to self-esteem. Several implications for health psychology were discussed. First, the traditional negative appeals to health may be more persuasive than positive appeals. Second, people may be persuaded to adopt healthy lifestyles for reasons other than health per se (i.e., to enhance self-esteem). The following tentative conclusions were based on unexpected findings and should be interpreted with caution. The decision to use a positive or negative appeal should consider the number of available adaptive responses. Finally, the data suggested that mass media health campaigns should use both negative and positive appeals.     

Goal Characteristics and Satisfaction: Personal Goals as Mediators of Situational Effects on Task Satisfaction1

This study modeled the process underlying the experience of satisfaction by examining the interrelationships among the task situation, intention characteristics, and satisfaction. The central proposition of the model was that the effect of the situation on satisfaction is fully mediated by the nature and status of one's own intentions that result from that context. The proposed model, in which the task situation indirectly determines satisfaction only through intention characteristics, was compared to a model in which the situation both directly and indirectly determines satisfaction and to a model which contained no intention characteristics. The intention characteristics assessed in this study included their number, valence, value, commitment, probability, and perceived attainment. Two aspects of the task situation were examined: task enrichment and assigned performance goals. A total of 192 subjects were randomly assigned to 1 of 4 conditions according to goal (no goal vs. assigned goal) and task type (enriched vs. unenriched). Intentions and their characteristics were assessed before the task period, and satisfaction with the task was measured afterward. The results provided support for a model in which the task situation and intention characteristics have independent effects on satisfaction.     

Interdisciplinary epistemology

In commemorating Piaget we should not remember his psychology alone. He hoped for a biologically grounded epistemology, which would require interdisciplinary effort. This paper mentions some recent research in biology, embryology, and philosophy that is consonant with Piaget's epistemological aims. The authors do not cite Piaget as a prime intellectual influence, there being no distinctive Piagetian methodology outside psychology. But they each mention him as someone whose work is relevant to theirs and whose interdisciplinary aims will be achieved only if studies like these can be integrated in the future.This paper originally appeared as a chapter in the 1983 book Jean Piaget: An Interdisciplinary Critique, edited by Sohan Modgil, Celia Modgil, and Geoffrey Brown, and published by Routledge & Kegan, Paul, London.