Interparent agreement on the Personality Inventory for Children: Are substantial correlations sufficient?

Mothers' and fathers' responses on the Personality Inventory for Children (PIC) were compared for 360 clinic-referred children and adolescents. Interparent agreement was measured by several different indices. Correlations between parental pairs of scale T-scores derived from each parent averaged .66 for 13 of the profile scales; 9 of the scales exceeded this value. In contrast, mothers and fathers agreed in the classification of the presence of clinical significance an average of 77% of the time across these 13 scales, and pairs of parental PIC profiles contained an average of 3 scales in disagreement. The type of index used to measure interparent agreement was found to affect the results. The discussion examines the nature of interparent disagreement and addresses the implications regarding the use of fathers as informants on this instrument.This article is based on Thomas A. Hulbert's master's thesis. The authors extend their appreciation to James Orisell and Dena Mussaff for their assistance in data preparation and analysis.     

Pupillary responses to syntactic ambiguity of sentences

Pupillary responses have proven to be reliable physiological correlates of cognitive effort in a variety of tasks, including language processing. To investigate the relation between psychological and syntactic complexity 20 syntactically ambiguous sentences, balanced for bias, were presented to 16 subjects, while their pupil size was continuously measured. These sentences could be read as verb oriented (syntactically more complex) or object oriented (syntactically less complex). Principal components analysis of pupillary movements revealed that verb-oriented readings, resulted in greater pupillary dilations than object-oriented readings, indicating that syntactically more complex sentences, as determined via a formal grammar, require greater cognitive effort in processing. This is viewed as further evidence for the notion that syntactic and psychological complexity are related. High- and low-bias sentences did not induce comparable differences in pupillary movements, indicating that the "multiple meaning theory" may have to be modified.     

Multi-agency family systems

The term 'multi-agency' family is preferred to 'disorganized' family. Multi-agency family systems present special problems of the relationships (a) within the family, (b) between family and professional network, (c) among members of the professional network and (d) between family, network and treatment centre to whom the family is referred. Pressures on the family and professional workers can create a locked system which prevents natural development of the family or effective problem solving by the workers. A systems approach to such problems is presented which includes consultation to the family/professional network system.     

Impact of a preventive social problem solving intervention on children's coping with middle-school stressors

Children receiving 1 year or 1/2 year of a preventive social problem solving program in elementary school were compared with each other and with a no-treatment group upon entry into middle school. One year of training was significantly related to reductions in the severity of a variety of middle-school stressors. Most importantly, a clear mediating role for social problem solving (SPS) skills was found. Children lacking in SPS skills were more likely to experience intense stressors; however, possessing the skills was not necessarily predictive of adjustment to stressors. The results are discussed in terms of the implications of this asymmetry and the strong support given to the value of social problem solving as a preventive intervention for children.     

Ordered preference differences without ordered preferences

Axiomatizations of ordered preference differences typically assume that preferences are ordered. However, the mere assumption that preference differences can be ordered says nothing about whether preferences themselves are ordered. Utility representations for ordered differences without ordered preferences are investigated.     

The right to refuse treatment: Paradox,pendulum and the quality of care

This clinical and theoretical overview of the right to refuse treatment will address some of the themes that have dominated this area of interface between psychiatry and the law, and have, perhaps, obscured the real concern of the right to refuse treatment question; i.e., the issue of quality of care. Central themes include factors present in the medicolegal context and recent events, origin of the concept of the right to treatment, the separation of confinement from treatment, and the changing models of vicarious decision making. This review also addresses judicial conceptualizations of treatment, including the concept of quarantine, judicial risk-aversiveness, and judicial fantasies of drug action. Some possible directions for the future are also examined.     

The process of scapegoating in a neonatal nurses' group

This paper reviews the literature on scapegoating, elaborating on the underlying mechanisms before describing the process of scapegoating as it occurred in a neonatal nurse support group. Illustrative vignettes are used to discuss how scapegoating was used by group members to avoid painful feelings arising from their care of extremely ill infants. Group process is related to the stages of the group's development as feelings were addressed more directly and the need to use scapegoating as a defense decreased.     

Building higher-order units in tachistoscopic identification: A test of two models

Summary Subjects were shown eight-letter pseudowords tachistoscopically and were asked to report as many letters as possible. The pseudowords, examples of either first- or fourth-order approximation to English, were printed in normal or reversed spelling and were presented in either normal of mirror-imaged letters. Finally subjects were either free to report in any order they wished, or they were instructed to report from left to right or from right to left. With normal letters, the familiarity effect was controlled by the spelling direction, not by the direction of report or the match between direction of report and spelling direction. With mirrored letters, however, order of approximation to English had no effect. The results contradict two existing theories: Mewhort's theory claims that the familiarity of fourth-order materials aids processing at a postcategorical level; it has trouble explaining why the familiarity effect disappeared with mirrored letters and normal spelling. Wolff's theory claims that familiarity aids processing at the feature level; it has trouble explaining why the familiarity effect disappeared with mirrored letters and reversed spelling.     

Narrative unity and clinical judgment

Alasdair MacIntyre's recent thinking both about the concept of a practice and the existence of narrative unity in human life raises important questions about how we should view clinical medicine today. Is it possible for clinical medicine to pursue patient well-being in a society (allegedly) afflicted with what he calls ‘modernity’? Here it is argued that MacIntyre's pessimistic view of the individual in contemporary society makes his call for patient autonomy in the clinical setting pointless. Finally, recent work in gerontology is cited to make three points: first, MacIntyre's pessimism about us is too extreme; second, the concept of a ‘fictionalized’ personal history is closer to reality than either MacIntyre's notion of narrative unity or the ideas of his imagined opponent (Sartre); and finally, we should not expect clinical medicine to produce patient well-being, when this is understood narratively.