Assessment: what role the assessor?

The advent of automated assessment contains the seeds of both threat and promise for professional assessors. Placing the problem in the historical and sociological contexts, this article examines computer-based test interpretation (CBTI) and the frequently misunderstood role of actuarial data in relation to it. I argue that sound clinicianship is central not only to the development of adequate CBTI systems, but also to the systems' appropriate and skillful use in practice. When properly utilized by otherwise well-qualified clinicians, CBTI can substantially enhance practice.     

Using the Millon Clinical Multiaxial Inventory's Scale B and the MacAndrew Alcoholism Scale to identify alcoholics with concurrent psychiatric diagnoses

The ability of the MacAndrew Alcoholism Scale (MAC) and Scale B of the Millon Clinical Multiaxial Inventory (MCMI) to discriminate independently defined alcoholics with psychiatric diagnoses from other psychiatric patients was examined for males and all alcoholics, using three different criteria of alcoholism. The MAC identified from 80% to 87% of male alcoholics and 76% to 82% of all alcoholics, and from 25% to 52% of male nonalcoholics and 55% to 75% of all nonalcoholics, resulting in a large number of false positives. Scale B identified from 31% to 60% of male alcoholics and 33% to 43% of all alcoholics, and from 73% to 85% of male nonalcoholics and 85% to 94% of all nonalcoholics. The operating characteristics of Scale B showed that it was not as efficient in identifying alcoholics as previous work had indicated. We suggest that Scale B should not be used and the MAC should be used cautiously to discriminate alcoholics with psychiatric disorders from patients without alcoholism.     

A Rorschach investigation of narcissism and hysteria in antisocial personality

We investigated Rorschach responses associated with narcissism and hysteria in a group of antisocial personality disordered offenders. The Rorschach protocols of 42 subjects who met the criteria from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) for antisocial personality disorder were analyzed using Exner's (1986) criteria for pairs, reflections, and personal responses, and Gacono's (1988) criteria for the impressionistic response. Severe, or primary psychopaths (n = 21), scoring greater than or equal to 30 on the Hare (1980) Psychopathy Checklist (PCL), were compared to moderate, or secondary pscyhopaths (n = 21), scoring less than 30 on the PCL. The mean number of pair and impressionistic responses did not significantly differ for the two antisocial groups. The highly psychopathic group, however, did exhibit a significantly greater mean number of reflection and personal responses. We discuss pair and reflection responses and their relationship to narcissism in psychopathic disturbance. We recommend interpreting the personal response within the context of the psychopathic character and view personal responses as expressions of narcissism and omnipotence in highly psychopathic subjects. We also hypothesize that the impressionistic responses are indicative of primitive dissociative processes and hysteria in psychopathic subjects, and that their presence provides construct validity for the work of Guze (1976) and others who suggested an underlying histrionic dimension to psychopathy.     

Timeout from concurrent schedules.

Response-contingent timeouts of equal duration and frequency were added to both alternatives of unequal concurrent schedules of reinforcement. For each of 4 pigeons in Experiment 1, relative response rates generally became less extreme as the frequency of timeout increased. In Experiment 2, relative response rates consistently approached indifference as the duration of timeout was increased. Variation in time allocation was less consistent in both experiments. Absolute response rates did not vary with the timeout contingency in either experiment. In a third experiment, neither measure of choice varied systematically when the duration of a postreinforcement blackout was varied. In contrast to the present results, preference has been shown to vary directly with the parameters of shock delivery in related procedures. The pattern of results in the first two experiments follows that obtained with other manipulations of the overall rate of reinforcement in concurrent schedules. The results of the third experiment suggest that an intertrial interval following reinforcement is not a critical feature of the overall rate of reinforcement.     

Tweaking the lexicon: organization of vowel sequences into words

The ability of listeners to distinguish between different arrangements of the same three vowels was investigated for repeating sequences having item durations ranging from 10 msec (single glottal pulses) up to several seconds/vowel. Discrimination was accomplished with ease by untrained subjects at all item durations. From 30 through 100 msec/vowel, an especially interesting phenomenon was encountered: The sequences of steady-state vowels were organized into words, with different words heard for the different arrangements of items. In a second experiment, repeating sequences of random arrangements of 10 40-msec vowels were employed. When sets of four such sequences were presented to listeners, distinctive words were heard, which permitted each arrangement to be discriminated from the others. In addition, minimal differences (reversing the order of a single contiguous pair of vowels) in the 10-item sequences could be detected via verbal mediation. Hypotheses are offered concerning mechanisms responsible for these results.     

Letter identification declines with increasing retinal eccentricity at the same rate for normal and dyslexic readers

It has recently been claimed (Geiger & Lettvin, 1987; Perry, Dember, Warm, & Sacks, 1989) that the acuity/eccentricity function is flatter in dyslexics than in normal subjects, with dyslexics showing better performance in the periphery and worse performance at fixation. In these studies, all target letters were presented to the right of fixation, a procedural flaw inviting subjects to optimize performance by directing attention and/or gaze to the right of the designated fixation point. It is suggested that dyslexic and normal readers may differ in the degree to which they might adopt the optimal strategy in this situation. To overcome this problem, target letters were briefly presented at 16 randomly intermixed locations derived from the orthogonal combination of four eccentricities and four directions from fixation (above, below, right, left). The accuracy of letter identification declined with increasing eccentricity at the same rate for good and poor adult readers and dyslexic teenagers. This finding provides no support for the view that the acuity/eccentricity function might vary with and possibly cause differences in reading level.     

How much processing do nonattended stimuli receive? Apparently very little, but...

The early versus late selection issue in attention models was examined by means of a new methodology. Through cues or precues, attention was directed to one location of a multistimulus visual display and, while attention was so engaged, the identity of a stimulus located at a different position in the display was changed. By varying the time after display onset before the stimulus was changed, we controlled the preview time that the original stimulus was represented on the retina. Then, using a marker cue, we directed the subject's attention to the location of the changed stimulus. The subject's response was a timed discrimination between two possible target letters. The data of main interest was the effect of preview time upon the subject's latency in identifying the new target that appeared in the changed location. We found that the preview time of the original stimulus, before RT was affected to the new target, depended upon whether the original stimulus was a neutral (noise) letter or whether it was the alternative target. When the original stimulus was a noise letter, RTs to the new target were just as fast as those obtained in the control condition in which the target was present throughout the preview interval and did not change its identity. Significant effects upon RT were obtained at preview times of 83 msec when the original stimulus was one of the targets that changed to the alternative target. Preview times also varied as a function of precuing. Preview times were correspondingly shortened when the first cue occurred 50 msec before display onset, thus providing an extra 50 msec for attention to be directed to the first display location. The results were interpreted in terms of two separate information-processing systems in the human: an automatic system and an attentional system. Even though a stimulus may have been automatically processed, when the attention system is directed to that stimulus, processing starts at the beginning again.