The Tourette's Disorder Scale (TODS): development, reliability, and validity

To address the lack of a simple and standardized instrument to assess overall illness severity of Tourette's disorder (TD), the authors developed and tested a 15-item scale to measure a broad range of common symptoms including tics, inattention, hyperactivity, obsessions, compulsions, aggression, and emotional symptoms. Independent investigators used the 15-item Tourette's Disorder Scale (TODS) to assess 60 TD patients who were taking part in a double-blind placebo-controlled multicenter 8-week treatment study. Interrater reliability, internal consistency, convergent and discriminant validity, and sensitivity to change were examined. The TODS was associated with good interrater reliability, excellent internal consistency, and favorable levels of validity and sensitivity to change. Individual TODS items showed good convergent and discriminant validity against other measures. The TODS is a simple, efficient way for clinicians and parents to rate the severity of multiple symptoms commonly found in patients with Tourette's disorder.     

Studying Sexual Harassment in the Laboratory: Are Egalitarian Women at Higher Risk?

A laboratory experiment is reported in whichmale participants in Northern Italy (N = 120 universitystudents) were given the opportunity to sendpornographic material to a female interaction partner(“computer harassmentparadigm”). The allegedgender-role orientation of the female (traditional vs.egalitarian) and the construal of the interaction aseither intergroup or interpersonal were variedsystematically. Results show that participants molest femaleinteraction partners more when they express egalitarianrather than traditional gender-role attitudes; this isparticularly true for males with a high propensity to harass (high scores on likelihood of sexualharassment scale, Pryor, 1987), with sexist attitudes,with a strong identification as “males,” andfor low self-monitors. Also, males with a highpropensity to harass were more likely to harass theirinteraction partner when they perceived the situation asa male-female inter-group setting (rather than asinterpersonal). Results are interpreted as supporting a social identity account ofmisogyny.     

Mother Knows Best? Mother and Child Report of Behavioral Difficulties of Children of HIV-Infected Mothers

Children of HIV-infected mothers have more psychosocial adjustment difficulties than do those of noninfected mothers. In this study, child psychosocial adjustment in children of HIV-infected women is examined across the three stages of HIV-infected: asymptomatic, symptomatic and AIDS. Participants were 99 HIV-infected women and 148 noninfected women. Children were not identified as being HIV infected. Mother and child reports of behavioral difficulties are compared, and competing hypotheses about mother report of child behavior difficulties are tested. Results indicate an ascending linear trend for child report of internalizing and externalizing difficulties from the noninfected stage through increasingly severe stages of HIV-infection. According to mother report, child externalizing and internalizing difficulties are nonlinear, as mothers report an increase through the infected symptomatic stage, then a decrease in the AIDS stage. Implications for assessment, prevention and intervention in families with maternal HIV infection are discussed.     

Bayesian estimation and testing of structural equation models

The Gibbs sampler can be used to obtain samples of arbitrary size from the posterior distribution over the parameters of a structural equation model (SEM) given covariance data and a prior distribution over the parameters. Point estimates, standard deviations and interval estimates for the parameters can be computed from these samples. If the prior distribution over the parameters is uninformative, the posterior is proportional to the likelihood, and asymptotically the inferences based on the Gibbs sample are the same as those based on the maximum likelihood solution, for example, output from LISREL or EQS. In small samples, however, the likelihood surface is not Gaussian and in some cases contains local maxima. Nevertheless, the Gibbs sample comes from the correct posterior distribution over the parameters regardless of the sample size and the shape of the likelihood surface. With an informative prior distribution over the parameters, the posterior can be used to make inferences about the parameters underidentified models, as we illustrate on a simple errors-in-variables model.We thank David Spiegelhalter for suggesting applying the Gibbs sampler to structural equation models to the first author at a 1994 workshop in Wiesbaden. We thank Ulf Böckenholt, Chris Meek, Marijtje van Duijn, Clark Glymour, Ivo Molenaar, Steve Klepper, Thomas Richardson, Teddy Seidenfeld, and Tom Snijders for helpful discussions, mathematical advice, and critiques of earlier drafts of this paper.     

The Identity Status Approach: In Need of Fundamental Revision and Qualitative Change

This article is a response to the commentaries of Waterman (this issue) and Berzonsky and Adams (this issue) on my review of the identity status field (van Hoof, this issue). The commentaries illustrate that the identity status researchers attribute different meanings to the identity statuses and identity status research; while Waterman finds it difficult to recognize the field in my review, Berzonsky and Adams agree with several of my conclusions. The two commentaries represent two pillars on which the status approach rests. The difference between the review and the commentaries is that the first includes both pillars, whereas each commentary consists primarily of a selective presentation of assumptions and data. This response focuses on two main points of the commentaries: (a) are the statuses sufficiently validated? and (b) to what extent are they suitable for testing developmental identity hypotheses? Using specific examples I show that the line of reasoning in the commentaries and the data proposed in support of these arguments in fact often support the conclusions of my review, for I demonstrate that the statuses are insufficiently validated and that the statuses are unsuitable for measuring identity development. These conclusions call for a fundamental revision of the identity status approach and a qualitative change in identity theory and research. Finally, the alternative approaches presented by Berzonsky and Adams are evaluated with respect to their contribution to an indispensable qualitative change in the identity status field.     

Developmental sequences in the age of onset of disruptive child behaviors

Retrospective and prospective reports of the onset of disruptive child behaviors were analyzed in a sample of clinic-referred boys. The younger boys (ages 7–9 years), compared with the older boys (ages 10–12 years), showed the highest level of disruptive behavior and, judging from mothers' reports, had the fastest progression of onsets from less serious to more serious problem behaviors. Despite some overlap, developmental sequences in problem behavior within the domains of hyperactivity/inattention, oppositional behavior, and conduct problems were similar across the two age groups. This was also the case for developmental sequences of overt or confrontive problem behaviors and covert or concealing conduct problems. Sequences of the onset of oppositional behavior and conduct problems were validated through prospective data, based on the information from mothers, teachers, and boys themselves. The implications of the findings are discussed for the formulation of developmental pathways of behavior and the analysis of causal factors.     

Working memory for movements

Movement to spatial targets that can, in principle, be carried out by more than one effector can be distinguished from movements that involve specific configurations of body parts. The experiments reported here investigate memory span for a series of hand configurations and memory span for a series of hand movements to spatial locations. Spans were produced normally, or in conditions in which a suppression task was carried out on the right or the left hand while the movements to be remembered were presented. All movements were recalled using the right hand. There were two suppression tasks. One involved repeatedly squeezing a tube and so changing the configuration of the hand, and the other involved tapping a repeated series of spatial targets. The spatial tapping task interfered with span for spatial locations when it was presented on either the right or the left hand but did not affect span for movement pattern. The movement suppression task interfered with memory for movement pattern when it was presented on either the right or the left hand, but did not interfere with span for spatial locations. It is concluded that memory for movement configurations involves different processes from those used in spatial tasks and that there may be a need for a subsystem of working memory that is specific for movement configuration.