The six most essential questions in psychiatric diagnosis: a pluralogue. Part 4: general conclusion

In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined.     

Evaluation of a microskills programme with field-based counsellors: Effects on core attitudes and counselling skills

Two issues relevant to the role of microtraining in counsellor training are examined. Firstly, due to the increasing use of the microcounselling framework for training counsellors, either directly or indirectly, in the Rogerian attitudes, the effects of such a programme on counsellor attitudes was investigated. Secondly, although microskills training has been generally found to improve and increase trainee's helping skills usage and effectiveness, its effects on field-based counsellors have rarely been evalulated. Thus the second objective of the study was to examine this issue. The subjects were 12 counsellors from a number of counselling agencies. Six of these counsellors participated in a microcounselling programme which taught the skills of nonverbal communication, questioning, reflecting, listening, self-disclosure, reinforcement, opening and closing. The data base for the study consisted of videorecordings of each subject's participation in two extended interactions—one involving an individual discussing a real concern, and the other involving an individual discussing a simulated concern. Various measures of counsellor attitudes, effectiveness, skills, and actual behaviours were obtained. Comparison of the experimental and control groups indicated that the microcounselling programme had little effect on any of the aspects of counsellor performance examined. It is concluded that, although aspects of the design may have influenced the results, an integrated microcounselling approach may be more effective in developing attitudes. In addition, it appears that the characteristics of a professional population, such as counsellors, may differ from those of novices, such that problems in effecting change in skilled performance will occur with the former group.     

An investigation into the validity of role play as a procedure for counsellor skill assessment

The aim of this study was to determine the validity of role play as a method for assessing counsellor skill. Video recordings of twelve counsellors' performance in both real and simulated counselling interactions were analysed. Skill assessment included molar ratings of eight skill areas and molecular measures of 28 behaviours. A comparison of counsellor performance between conditions indicated that there was little difference between the real and role-play situations. It is concluded that the modified extended role-play format employed in the present study might be a valid technique for assessment of counselling skills.     

DIMENSIONS AND CORRELATES OF THE PERSONNEL AUDIT AS AN ORGANIZATIONAL ASSESSMENT TOOL

This study analyzes the measurement properties of the personnel audit as an organizational assessment tool and the extent to which audit results relate to important organizational criteria. The findings reported here indicate that nine dimensions can effectively summarize 37 audit measures. The composite factor scores for these dimensions predict executive perceptions of "overall organizational performance" and "overall contribution of Personnel Function," employee "overall satisfaction with personnel services," and to a lesser extent, "profitability per capita." The personnel budget allotted per capita is in turn related to executive perceptions of Personnel's contributions.     

Increasing Safety Belt Use: Effects of Modeling and Trip Length1

Effects of modeling on car safety belt use were investigated in a field experiment. Modeling, anticipated trip length, and gender of the model were manipulated in a 2 × 2 × 2 factorial design. Sixty-four female college students were told that they were to participate in an experiment that would take place in another location, requiring a drive either of less than one mile or of several miles. The driver either used or did not use a safety belt. Subjects' belt use was significantly related to the model's behavior. When the driver used a safety belt, 77.4% of the subjects used one; when the driver did not use a safety belt, only 313% of the subjects used one. A significant effect for trip length was also found. In the long trip condition, 71.9% of the subjects used a belt; in the short trip condition, 35.5% used one. Results are interpreted as support for a social learning theory approach to increasing voluntary safety belt use.     

Male and female nurturing: Perceptions of style and competence

College men and women evaluated male and female characters in five stories about babysitters. The characters: (1) refused to babysit, (2) babysat with minimal caretaking activities, (3) babysat with an active play style, (4) babysat with a quiet play style, or (5) babysat with a combined style. The refuser was considered most masculine but was consistently devalued. The quiet play, the active play, and combined caretakers were evaluated most positively. Evaluations of babysitters were more dependent on the behaviors they engaged in than on their gender. Nurturing men and women were both valued.An earlier version of this paper was presented at the annual meeting of the American Psychological Association, Los Angeles, August 1985.     

Workplace justice outcomes as a function of adversaries' gender composition: A field assessment

There is extensive documentation that the sex of organizational members may bias a wide variety of managerial decisions and workplace outcomes. While such effects have been persuasively demonstrated, the sex context of these effects has received little attention. It is argued here that it is not merely the sex of the actor, but the nature of the dyadic match (male/male; female/female; male/female; female/male) that is a critical influence on outcomes. This hypothesis is strongly supported by gross differences in workplace justice outcomes based on the dyadic composition of the actors involved in dispute proceedings (n=369) in a field setting. These results are tempered, however, inasmuch as analysis also indicates differences in the severity of disputed issues across these dyadic compositions.     

Visual and tactual form complexity:A psychophysical approach to perceptual equivalence

Equivalence of two modalities for processing form-complexity information was investigated by obtaining category judgments of the complexity of 100 random forms from 40 Ss who explored the forms visually and 40 Ss who explored them tactually. Intercorrelations of judgments and multiple regression analyses with form measures indicate that information was used in the same fashion independent of input modality. Latencies were interpreted as reflecting information gaining and processing capabilities.     

Comparison of three abbreviated MMPIs for psychiatric patients and normals.

Two studies, one using 242 psychiatric patients and the other 120 normal college students, were conducted to evaluate the predictive potential of three abbreviated MMPIs namely the Midi-Mult, Hugo abbreviated MMPI and Faschingbauer abbreviated MMPI. With regard to psychiatric inpatients, the Faschingbauer abbreviated MMPI-scale group means were markedly similar, highly correlated, and seemed to be a fairly accurate substitute for the MMPI in predicting clinical types. Numerous deficiencies were evident when using the Midi-Mult or Hugo abbreviated MMPI, especially with regard to classification analysis concerning validity, mean raw score scale differences and high point codes. In contrast, results from a normal college sample showed close statistical correspondence, high comparability in identifying valid and invalid profiles as well as high correspondence with respect to high point codes and general profile elevations regardless of which abbreviated form was used.