The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses.     

Effects of Computer Privacy on Help-Seeking1

Subjects (N= 28) performing a complex disjunctive concept-formation task on a microcomputer were given the opportunity to seek help following failure to correctly identify concepts. The proportion of those seeking help was significantly greater when the source of help was the computer itself (86%) rather than another person (36%). Consistent with past research, those who did not ask for help gave reasons other than the potential negative social consequences of doing so. Self-report data and a systematic test for the presence of experimenter-induced demand ruled out several possible sources of confounding. The results have implications for designers of time-sharing and networked computer systems.     

Neuroticism, extraversion, and related traits in adult twins reared apart and reared together

The relative importance of genetic and environmental factors for neuroticism, extraversion, impulsivity, and monotony avoidance were estimated in a sample of 99 monozygotic and 229 dizygotic pairs of twins reared apart (TRA) and a matched sample of 160 monozygotic and 212 dizygotic pairs of twins reared together (TRT). The average age was 58.6 (SD = 13.6); 72% of the twins were 50 or older. Model-fitting analyses verified the importance of genetic factors for all four measures; from 23% to 45% of the total variation was attributable to genetic sources. There was considerable evidence that these factors were operating in a nonadditive manner for extraversion and impulsivity. Shared environment accounted for less than 10% of the variance; some evidence for selective placement was found for neuroticism.     

Conceptions of states and traits: dimensional attributes with ideals as prototypes

Traits and states are concepts that people use to both describe and understand themselves and others. We show that people view these concepts as prototype-based categories that have a graded internal structure and fuzzy boundaries and identify a set of attributes that define the prototypical cores of two categories: traits and states. Prototypical traits are stable, long-lasting, and internally caused. Prototypical states are temporary, brief, and caused by external circumstances. These prototypes are not defined by averages, as the family-resemblance principle would suggest, but by ideal (or extreme) attribute values. Like other ideal-based categories, traits and states serve particular goals. Trait concepts permit people to predict the present from the past; state concepts identify those behaviors that can be controlled by manipulating the situation. These two complementary schemas are part of the extensive theory of psychological causality that is implicit in language. Abstract social concepts differ from object categories in their category standards, the nature of their attributes, and the interrelations among those attributes.     

Personality in adulthood: a six-year longitudinal study of self-reports and spouse ratings on the NEO Personality Inventory

Previous longitudinal studies of personality in adulthood have been limited in the range of traits examined, have chiefly made use of self-reports, and have frequently included only men. In this study, self-reports (N = 983) and spouse ratings (N = 167) were gathered on the NEO Personality Inventory (Costa & McCrae, 1985b), which measures all five of the major dimensions of normal personality. Cross-sectional and longitudinal analyses on data from men and women aged 21 to 96 years showed evidence of small declines in Activity, Positive Emotions, and openness to Actions that might be attributed to maturation, but none of these effects was replicated in sequential analyses. The 20 other scales examined showed no consistent pattern of maturational effects. In contrast, retest stability was quite high for all five dimensions in self-reports and for the three dimensions measured at both times in spouse ratings. Comparable levels of stability were seen for men and women and for younger and older subjects. The data support the position that personality is stable after age 30.     

Specific forms of facial EMG response index emotions during an interview: from Darwin to the continuous flow hypothesis affect-laden information processing

Previous research has demonstrated that mild negative emotional imagery and unpleasant sensory stimuli lead to greater electromyographic activity over the brow muscle region than mild positive imagery and stimuli, even in the absence of significant changes in visceral and general facial EMG activity. Previous research has not addressed whether electromyographic responses over the brow region are a sensitive and specific index of emotions, however, since a multiplicity of events lead to changes in brow activity. In this research, facial electromyographic and audiovisual recordings were obtained while individuals were interviewed about themselves. Afterwards, individuals were asked to describe what they had been thinking of during specific segments of the interview marked by distinctive electromyographic responses over the brow region in the context of ongoing but stable levels of activity elsewhere in the face. The results are interpreted in terms of a continuous flow hypothesis of affect-laden information processing.     

Marital conflict and adjustment: speech nonfluencies in intimate disclosure

Speech nonfluency in response to questions about the marital relationship was used to assess anxiety. Subjects were 31 husbands and 31 wives, all white, college educated, from middle- to lower-middle-class families, and ranging from 20 to 30 years of age. Three types of nonfluencies were coded: filled pauses, unfilled pauses, and repetitions. Speech-disturbance ratios were computed by dividing the sum of speech nonfluencies by the total words spoken. The results support the notion that some issues within marriage are more sensitive and/or problematic than others, and that, in an interview situation, gender interacts with question content in the production of nonfluencies.