The MMPI-2 Restructured Clinical Scales: a paradigmatic shift in scale development

Tellegen et al. (2003) proposed fundamental changes in MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) scale development by discarding empirical scale development in favor of construct validation via Jackson's (1970) sequential system of scale development. As a result of their efforts, a general distress factor (Demoralization) was identified and 8 Restructured Clinical (RC) Scales were developed. Using 7,330 clinical cases from Caldwell's (1997) data set, in this study, we sought to cross-validate the MMPI-2 RC Scales. Scale homogeneity was confirmed with high alpha coefficients and interitem correlations in the expected range. We also achieved a major objective of reducing interscale correlations. In replicating Tellegen et al.'s principal components analysis, we achieved a high concordance for 6 of the 8 RC Scales. We critically examine these results in light of Jackson's construct validation. We discuss the clinical usefulness of the MMPI-2 RC Scales within the context of current and future research.     

Reliability of 16 balance tests in individuals with Down syndrome

To assess test-retest reliability scores on 16 balance tests of 21 individuals with Down syndrome whose ages ranged from 5 to 31 yr., participants performed a standing test on firm and soft surfaces with the eyes open and closed, the balance subset of the Bruininks-Oseretsky test, full turn, timed-up-and-go test, forward reach, and sit-to-stand. Each participant completed all 16 tests twice in one day and then again on a subsequent day for a total of 4 sessions. The interclass reliability correlation coefficients (ICC) value for each measure of balance varied considerably by age and sex. Based on having an ICC > .50, only 3 tests were reliable in young males and young females, whereas 5 tests could reliably be used in adult females and 9 tests could reliably be used in adult males. The results of this study raise suspicions as to the reliability of tests commonly used to assess balance and differences in reliability due to age and sex. Results of balance tests should be interpreted with caution in males and females with Down syndrome across the age span.     

Measuring the Ability to Express Sexual Thoughts

Ratings were obtained from 30 male college students as to the sexual stimulus relevance of a number of pictures from magazines, each depicting a man and a woman. Then a different group of 72 male students were asked to tell stories about the situations depicted in pictures representing 4 levels of rated sexual stimulus relevance. Half were given ambiguous instructions, while the other half were instructed to tell sexy stories. In general, sexier pictures elicited sexier stories, the effect being more marked with ambiguous instructions. Sexy instructions led to sexier stories except at the highest level of stimulus relevance. The results were interpreted within the framework of an abilities conception of personality.     

Rape impact: Immediately and two months later

This paper analyzes assault victims’ reactions over the course of two months. Specifically, reaction types are analyzed across four dimensions: behavioral changes, interpersonal difficulties, physical symptoms, and emotional responses. Initially, most rape victims report fairly high levels of disruption across three of the four reaction types, with some signs of recovery two months later. Patterns of reactions are also exhibited. At the two month follow‐up, behavioral changes, physical symptoms, and emotional responses have declined, while interpersonal difficulties have increased slightly. These data suggest that the present service delivery system of the rape crisis center may be problematic in that they offer only short‐term intervention. Some victims of rape may require a different type of service from such centers.     

Emergent Motivation to Read in Prekindergarten Children

This study aimed to develop and validate a measure of emergent reading motivation designed for prekindergarten children, called the Emergent Reading Motivation Scale (ERMS). The development of the ERMS was to overcome the limitation that current existing reading motivation measures are not developmentally appropriate for young children. Fifty-six native-English speaking children who were enrolled in a prekindergarten program participated in the study. The ERMS had 17 items that were drawn from reading self-concept, reading performance goal, and reading learning goal. The scale was administered through two sock puppets. For each item, the puppets represented contrasting behaviors regarding reading motivation. The children were asked to choose the puppet that was most like themselves. Results suggested that the ERMS is an age-appropriate reading motivation measure for prekindergarten children and has a three-factor structure as assumed even though its internal consistency is moderate and is of limited predictive power of emergent literacy skills.     

Examining Spouse/Partner Presence as a Moderator in the Relationship Between Mental Health Symptoms and Alcohol Use in OEF/OIF Veterans

Veterans from the conflicts in Afghanistan (Operation Enduring Freedom; OEF) and Iraq (Operation Iraqi Freedom; OIF) have reported elevated rates of alcohol consumption, and greater depression and posttraumatic stress disorder (PTSD) symptoms are associated with increased alcohol use. Presence of a spouse/partner, which has been associated with reduced drinking, may buffer the relationship between mental health symptoms and alcohol consumption. To examine this hypothesis, the current study utilized baseline survey data from OEF/OIF veterans (N = 325) enrolled in a brief alcohol intervention. Spouse/partner presence moderated the relationship between depression symptoms and alcohol consumption such that depression was positively associated with drinking for veterans without a spouse/partner. Exploratory analyses indicated that the relationship between depression and alcohol use may be particularly salient for veterans without a spouse/partner and a lower number of deployments. Spouse/partner presence did not moderate the relationship between PTSD symptoms and alcohol consumption. Implications of the findings are discussed.     

Development of views of life scale

Abstract

The Views of Life Scale (VOLS) was designed to measure perception of well-being in three areas: inherent value of life, effective life management, and sense of health. Items were placed in these three categories by a team of advanced doctoral students; their overall agreement on item placement was 91.8%. These three categories became Subscales I, II and III of the total instrument. Seven hundred and thirty-two participants responded to the 42 item VOLS; subsamples of this group also took various other instruments with which the VOLS was being compared. Reliability assessment yielded very strong test-retest stability (I=0.80, II=0.87, III=0.76, Total=0.86) and high internal consistency (I=0.76, II=0.83, III=0.81, Total=0.91) for the VOLS measures. Relationships between the VOLS and other inventories provided consistent support for the convergent and divergent validity of the VOLS. An oblique rotation factor analysis produced five major quantitative clusters in the VOLS. There was considerable overlap between these factors and the original subscales.     

Strength of hand preference and dual task performance by common marmosets

Study of avian and piscine species has shown that animals with stronger lateralization of the brain are able to perform two tasks presented simultaneously better than can animals with weaker lateralization. We investigated whether this might apply also to primates by testing common marmosets to see whether there is a relationship between the strength of hand preference, as an indicator of strength of brain lateralization, and the ability to carry out two tasks simultaneously. A model predator was introduced into the testing room while the marmoset was foraging. Marmosets with stronger hand preferences detected the ‘predator’ after shorter latency than those with weaker hand preferences. Furthermore, the marmosets with stronger hand preferences produced more mobbing (tsik) vocalizations when they reacted to the predators than did those with weaker hand preferences. There was no such association between hand preference and either latency to respond to the predator or mobbing reaction when the marmosets were not foraging at the time the predator was introduced. Hence, strength of lateralization is associated with the ability to perform foraging and predator detection simultaneously. These results are discussed with reference to the evolution of brain lateralization.     

Dual realities – The search for meaning: Psychodynamic therapy with physically ill people

Abstract

We summarize Kohut's (1971) bi-polar self which enables counsellors to understand and treat narcissistic behaviours and narcissistic personality disorders in a psychoanalytic framework. After Patton and Meara (1992), we describe Kohut's formulations regarding self-development and disorders of self and how such formulations inform critical components of psychoanalytic counselling with particular emphasis on the explicit and implicit strategies and characteristics the counsellor brings to the process. Finally, we suggest that a promising arena for future theorizing and applications of Kohut's ideas is consultation with parents, teachers and other community leaders to help prevent or remedy psychological self-injuries with systemic interventions outside short-term counselling or long-term therapy.

We have suggested that Kohut's self psychology is a good vehicle for understanding what brings a client to counselling: namely, disorders of the self or self-injury. We review strategies and ‘ways of being’ a counsellor must bring to and offer in the counselling encounter if the work is to succeed. We also examine implicit qualities (beyond the achievement of a mature bipolar self) we believe a counsellor or any facilitator must have if counselling or other helping relationships are to be effective. We purpose further conversations and empirical analyses which specifically and conceptually link critical components of psychoanalytic counselling to self psychology and to essential counsellor traits or virtues that seem intrinsic to good counselling practice.     

Women Experiencing Psychological Abuse: Are They a Homogenous Group?

Dichotomizing women as “abused” versus “not abused” assumes that any psychological maltreatment results in similar outcomes. A national sample of women in conflictual relationships completed an online survey. Women with no incidence (N = 33), the lowest quartile (N = 86), and the top quartile (N = 81) of psychological maltreatment demonstrated significant differences in reactions to the maltreatment, mental health indicators, personality variables, perceived harm, problematic relationship schemas, and response styles. Women with no psychological abuse and women in the lowest quartile produced similar scores that were typically distinct from the top-quartile women. Effective treatment of women with lower amounts of psychological abuse might not require a unique intervention likely necessary for women experiencing much psychological abuse.