Validity and clinical scale comparisons between the MMPI and MMPI-2 with psychiatric inpatients.

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.     

Reliability and validity of the Cognitive Slippage Scale in two populations.

Analyses of responses from a clinical sample of 120 patients (primarily schizophrenics) and from 158 college students to the Cognitive Slippage Scale, a scale designed by Miers and Raulin to identify speech deficits and confused thinking in schizophrenic and schizotypal personality disorders showed high internal reliability; Cronbach's coefficients alpha were .89 and .86 in the clinical and college student samples, respectively. The mean scale scores significantly differentiated the two samples. Also, change scores over 4 wk. showed adequate stability for both samples. Item analysis indicated Items 11, 20, 21, and 28 may not reliably discriminate between schizophrenic and college student samples. Over-all, these preliminary results are consistent with the reliability and validity of the scale.     

The evolution of Freud's theory about dreaming.

Freud revised his theory of dreams significantly. First, he discovered the role of the id in dreaming. He hypothesized that the function of dreaming is to gratify an infantile sexual wish, in accordance with the pleasure principle, and thereby to preserve sleep. However, he learned later that anxiety generated by recent events plays a greater role in stimulating dream formation than he had thought and that some dreams actually generate anxiety. These clinical observations caused him, in large part, to revise his theories of dreaming, of anxiety, and of the mental apparatus.     

Modulatory role of serotonin in neural information processing: implications for human psychopathology.

Investigation of the role of 5-hydroxytryptophan (5-HT), which functions as a modulator in the central nervous system, across behavioral contexts suggests that a general principle of transmitter function may be derived that is independent of specific behaviors and specific neural loci. A functional principle of 5-HT action in neural information processing in the central nervous system is proposed. Extremes deviations in 5-HT activity result in biases in information processing that may have direct effects on behavior. Such biases may predispose to pathological conditions such as violent suicide and aggression.     

Regular and irregular inflection in the acquisition of German noun plurals.

In this paper we study the acquisition of German noun plurals in relation to the question of how children represent regular and irregular inflection. Pinker and Prince (1992) have demonstrated several dissociations between regular and irregular inflection in the English past tense system. However, in English, the default status of -ed is confounded with its high frequency; therefore inflectional systems other than English past tense formation must be examined. The noun plural system in German is particularly interesting, because most nouns have irregular plurals in German and the regular (default) plural is less frequent than several of the irregular plurals. Thus it is unclear how a language learner determines whether German even has a regular plural, and if so what form it takes. Based on longitudinal data from impaired and unimpaired monolingual German-speaking children, we find a striking, statistically significant correlation: plural affixes that are used in overregularizations, namely -n or -s, are left out within compounds. This correlation shows that even impaired children are sensitive to the distinction between regular and irregular morphology. We propose a linguistic analysis of the correlation in terms of Kiparsky's (1982, 1985) level-ordering model plus an additional ordering condition on affixes: default (regular) affixes cannot serve as input to compounding processes.     

From concepts to lexical items.

In this paper we address the question how in language production conceptual structures are mapped onto lexical items. First we describe the lexical system in a fairly abstract way. Such a system consists of, among other things, a fixed set of basic lexical entries characterized by four groups of information: phonetic form, grammatical features, argument structure, and semantic form. A crucial assumption of the paper is that the meaning in a lexical entry has a complex internal structure composed of more primitive elements (decomposition). Some aspects of argument structure and semantic form and their interaction are discussed with respect to the issue of synonymy. We propose two different mappings involved in lexical access. One maps conceptual structures to semantic forms, and the other maps semantic forms to conceptual structures. Both mappings are context dependent and are many-to-many mappings. We present an elaboration of Levelt's (1989) model in which these processes interact with the grammatical encoder and the mental lexicon. Then we address the consequences of decomposition for processing models, especially the nature of the input of lexical access and the time course. Processing models that use the activation metaphor may have difficulties accounting for certain phenomena where a certain lemma triggers not one, but two or more word forms that have to be produced with other word forms in between.     

Picture naming.

Picture naming has become an important experimental paradigm in cognitive psychology. To name a picture can be considered an elementary process in the use of language. Thus, its chronometric analysis elucidates cognitive structures and processes that underlie speaking. Essentially, these analyses compare picture naming with reading, picture categorizing, and word categorizing. Furthermore, techniques of double stimulation such as the paradigms of priming and of Stroop-like interference are used. In this article, recent results obtained with these methods are reviewed and discussed with regard to five hypotheses about the cognitive structures that are involved in picture naming. Beside the older hypotheses of internal coding systems with only verbal or only pictorial format, the hypotheses of an internal dual code with a pictorial and a verbal component, of a common abstract code with logogen and pictogen subsystems, and the so-called lexical hypothesis are discussed. The latter postulates two main components: an abstract semantic memory which, nevertheless, also subserves picture processing, and a lexicon that carries out the huge amount of word processing without semantic interpretation that is necessary in hearing, reading, speaking and writing.     

Efficient pain assessment in clinical settings.

The need for efficient and practical assessment techniques of the multidimensional nature of chronic pain remains paramount in clinical settings. Visual analogue scales (VASs) and simple behavioral observation methods have been proposed as efficient, reliable, and valid measures of the subjective (sensory and affective) and overt behavioral aspects of the pain experience. The relationships among VASs and the UAB Pain Behavior Scale were examined among 48 chronic pain patients. Ratings of overt behavior were significantly related to both the VAS sensory and VAS affective ratings. Regression analysis indicated that the VAS scores accounted for significant amount of the variance (27.7%) in UAB scores. Moreover, the affective dimension of self-reported pain tended to be more strongly related to the visible manifestations of pain than were ratings of pain intensity.     

Predictors of short-term treatment outcome in bulimia nervosa inpatients.

Recent studies, mostly performed on bulimic outpatients, did not find consistent predictors of treatment outcome in bulimia nervosa. This is the first study to investigate anamnestic and clinical factors predictive of the short-term outcome of hospital treatment in 31 female bulimia nervosa patients with a mean age of 22.9 yr. Treatment outcome was assessed by several self-rating instruments measuring different features of the specific and unspecific psychopathology of bulimia nervosa. The most relevant predictors of the outcome of the 8-week hospital treatment were duration of previous inpatient treatments for bulimia, the intensity of anorexic tendency and the pretreatment level of depression. The majority of predictors tested did not show a strong relationship to treatment outcome. The findings are discussed in relation to results of other studies as well as to possible implications for treatment and research.     

The debt of neuropsychology to the epilepsies.

Both neuropsychology and psychology in general have been enhanced markedly by brain-behavior models derived from the study of the epilepsies. A significant body of neuropsychological concepts originated or were confirmed through epilepsy-based treatment and research. These concepts include the peri-Rolandic homunculus, the role of the hippocampal-temporal lobe complex in cognitive memory, hemisphere plasticity for speech in childhood, the intracarotid amytal procedure for determining hemisphere memory patency, and hemisphere-based models of cognition confirmed through human commissurotomy. Personality and social-emotional research in epilepsy are additional areas in which new conceptual models grounded in psychological science can both repay our debt to the epilepsies and provide much needed psychological research and treatment.