How Robust is the Influence of Causal Explanation on Clinical Judgments? Assessments in Structured Clinical Interviews

When causal life-event explanations for disorder symptoms are available, clinicians tend to explain away those symptoms (Ahn, Novick, &; Kim, 2003 Ahn, W., Novick, L. R., &; Kim, N. S. (2003). Understanding behavior makes it normal. Psychonomic Bulletin Review, 10(3), 746–752. doi:10.3758/BF03196541[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Meehl, 1973 Meehl, P. E. (1973). Why I do not attend case conferences. In P. Meehl (Ed.), Psychodiagnosis: Selected papers (pp. 225–302). Minneapolis, MN: University of Minnesota Press. [Google Scholar]), eschewing formal diagnostic guidelines such as the DSM-5 (American Psychiatric Association, 2013 American Psychiatric Association [APA]. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.[Crossref] , [Google Scholar]). We asked whether this effect is attenuated in the context of a structured diagnostic clinical interview procedure, which deliberately directs evaluators' attention to symptoms alone, or whether it is robust enough to continue to emerge. Across two experiments, lay evaluators given causal life-event explanations for disordered behaviors gave them lower judgments of abnormality and need for treatment compared to evaluators not given such explanations, regardless of whether they used a structured clinical interview. Thus, causal life-event explanations may have significant impact on clinical evaluations regardless of the mode of assessment. Implications for the clinical utility of structured interviews and the role of life-event context in diagnosis and classification are discussed.     

Behavioral intervention to reduce physical restraint of adolescents with developmental disabilities

Physical restraint procedures sometimes are approved for implementation in human service settings for children and adults who have developmental disabilities and seriously challenging behaviors. Although use of restraint may be clinically justified to manage behavior disorders and prevent injury to self and others, procedures should be evaluated to decrease, and possibly eliminate, such methods. This study addressed the effects of restraint‐reduction procedures with two adolescents who had developmental disabilities and displayed severe aggression. Clinically significant reductions in the frequency of physical restraint were achieved through a treatment package that included the behavior‐specific criterion for the application of restraint and antecedent control approaches. The implementation of strategic interventions to decrease physical restraint utilization is discussed. Copyright © 2000 John Wiley & Sons, Ltd.     

Depressed fathers' stereotyping of infants labeled “depressed”

This study investigated whether depressed and nondepressed fathers stereotyped infants labeled “depressed” and how they viewed their own infants. Twenty-five fathers (12 nondepressed, 13 depressed) of 4-month old infants rated their infants' psychological, social and physical attributes on the Infant Stereotyping Scale (ISS). They then rated videotaped infants, labeled “normal” or “depressed”, on the ISS. Fathers rated depressed versus normal infants lower on sociability, social behavior, and cognitive competence. Depressed versus nondepressed fathers, rated depressed infants lower on social behavior, potency, and sociability. Depressed fathers rated their own infants lower on social behavior, potency, and cognitive competence as well as being more vulnerable. Implications of parental depression on stereotyping effects and possible risks for infants are discussed. © 1997 Michigan Association for Infant Mental Health     

The automaticity of complex motor skill learning as a function of attentional focus

The present experiment was designed to test the predictions of the constrained-action hypothesis. This hypothesis proposes that when performers utilize an internal focus of attention (focus on their movements) they may actually constrain or interfere with automatic control processes that would normally regulate the movement, whereas an external focus of attention (focus on the movement effect) allows the motor system to more naturally self-organize. To test this hypothesis, a dynamic balance task (stabilometer) was used with participants instructed to adopt either an internal or external focus of attention. Consistent with earlier experiments, the external focus group produced generally smaller balance errors than did the internal focus group and responded at a higher frequency indicating higher confluence between voluntary and reflexive mechanisms. In addition, probe reaction times (RTs) were taken as a measure of the attention demands required under the two attentional focus conditions. Consistent with the hypothesis, the external focus participants demonstrated lower probe RTs than did the internal focus participants, indicating a higher degree of automaticity and less conscious interference in the control processes associated with the balance task.     

On the Gender-Typed Nature of Dominant and Submissive Acts

Two studies were conducted to determine whether dominant and submissive acts could be considered gender-typed behaviors. These studies were designed to test three key assumptions stemming from contemporary views of gender role socialization: that self-reported dominant and submissive acts are bidimensional (as opposed to bipolar), that dominant and submissive acts are perceived to be equally desirable for men and women to perform, and that dominant acts are perceived to be more stereotypic of men whereas submissive acts are seen as more stereotypic of women. Each of these assumptions was supported. Discussion focuses on the development of shorter versions of the dominant and submissive act reports, as well as possible directions for determining construct validity.     

Participation in Breast Cancer Genetic Counseling: The Influence of Educational Level, Ethnic Background, and Risk Perception

Genetic counseling has been suggested as a means of providing information and support to women with a family history of breast cancer. Yet women who undergo cancer genetic counseling in the United States generally consist of only a subset of those at risk, namely well-educated, upper-middle class, European American and Jewish women. We report outcomes from a study that provided a unique opportunity to determine whether women of African American, European American, Native American, or Ashkenazi Jewish ancestry have varying interest in having cancer genetic counseling. The study offered a genetic counseling session to 97 women with a family history of breast cancer who were participating in a larger interview study designed to assess attitudes toward genetic testing for breast cancer. The study offered genetic counseling free of charge to all study participants with a family history of breast cancer, removing the potential barriers of cost, the need for a physician referral, and lack of awareness of genetic counseling. Fifty women out of the 97 women offered genetic counseling (52%) accepted the offer by completing a session. Those who accepted genetic counseling had a higher educational level, a higher perceived risk of breast cancer, and were more likely to expect a positive BRCA1 or BRCA2 genetic test if they were to undergo genetic testing. When controlling for education level, there was no correlation between the participants' ethnic background and acceptance of a genetic counseling session. Outreach efforts to minority populations may increase awareness of the availability of genetic counseling and may facilitate participation by such populations.