Validity of Treatment Target Progress Ratings as Indicators of Youth Improvement

We examined whether clinical progress ratings on the Monthly Treatment and Progress Summary form (MTPS), an idiographic treatment progress measure, were meaningfully related to changes measured by two separate standardized instruments; the Child and Adolescent Functional Assessment Scale (CAFAS) and the Child and Adolescent Level of Care Utilization System (CALOCUS). Validity coefficients were examined at intake and three-, six-, and nine-month follow-up periods. Samples were selected for each measure and follow-up period from the population of youth receiving services through the Hawaii Child and Adolescent Mental Health Division’s (CAMHD) system of care. Significant youth improvement was evident on all three measures across all follow-up intervals. The type of changes measured by the MTPS and CAFAS were more alike over longer follow-up intervals than changes measured by the CALOCUS. The MTPS captures distinct aspects of client change that overlaps somewhat with CAFAS and CALOCUS measures. The MTPS is a brief client-tailored measure that seems to provide valid, sensitive, and nonredundant client specific treatment outcome information that can be collected on a frequent basis within a complex system of care.     

Reduction of interindividual-intergroup discontinuity: the role of leader accountability and proneness to guilt

Two experiments contrasted interactions between group leaders with interactions between individuals in a mixed-motive setting. Consistent with the idea that being accountable to the in-group implies normative pressure to benefit the in-group, Experiment 1 found that accountable leaders were more competitive than individuals. Consistent with the idea that being unaccountable to the in-group implies normative pressure to be cooperative and that high guilt proneness provides motivation to be moral, Experiment 2 found that when guilt proneness was high, unaccountable leaders were less competitive than accountable leaders and did not differ significantly from individuals. In other words, the robust interindividual-intergroup discontinuity effect was eliminated when groups had unaccountable leaders who were high in guilt proneness.     

Rorschach Comprehensive System data for a sample of 240 adult nonpatients from Japan

This article presents Rorschach Comprehensive System (CS; Exner, 1995) results for 240 adult nonpatients living in the central area of Tokyo, Japan. Inclusion/exclusion criteria are described. Interrater reliability statistics at the response level are presented along with scores for CS variables.     

Temporal Variation in Adolescent Suicide Attempts

The purpose of this study was to examine the association between adolescent suicide attempts and temporal cycles in a multiethnic population. Medical records at two hospitals in the state of Hawaii were reviewed for all adolescents (ages 12–18) admitted for suicide attempts during the years 1987–1991. Results showed 296 adolescents attempted suicide, and as hypothesized, temporal factors were associated with the attempts. A significant increase in attempts was found during the afternoon/evening and on Mondays and Tuesdays, transition points between home and school. The results are discussed and implications for delivery and temporal theory development considered.     

An Evaluation of the Two-Factor Model of Emotion: Clinical Moderators Within a Large,Multi-Ethnic Sample of Youth

The two-factor model of emotion clarifies the complexities of the relationship between anxiety and depression through their varying associations with positive and negative affect. Although this model’s structure has been validated in community samples of children, little research has evaluated the model among clinically referred youth. The present investigation aimed to confirm the two-factor model of emotion within a sample of clinically-referred children (N?=?879) and to investigate potential moderators of the model’s relationships within that group. Structural equation modeling demonstrated excellent fit for the two-factor model, and moderating effects for the model structure were found related to age and diagnostic category. These results support the model’s usefulness in describing patterns of psychopathology and temperament for clinically referred children and suggest the potential for a unified treatment approach to internalizing psychopathology.