An introduction to organic brain syndromes

Organic brain syndromes are of forensic interest for several reasons. First, patients with organic brain syndromes may require judicial determination of competence in any of a number of areas, e.g., testamentary capacity, need for financial guardianship, or competence to make medical decisions. Second, any patient whose mental state is of legal interest will need evaluation for contributing organic factors; uncovering these factors may have considerable medical and legal consequence. Third, the discovery of organic factors may be decisive in the outcome of a judicial proceeding, where “hard” biological data are often accorded more weight, and are thus more persuasive, than “soft” psychological data. This article provides an introductory overview of the organic brain syndromes. For each syndrome, the clinical features are described and are illustrated with a case vignette, the more common etiologies are presented, and selected aspects to the evaluation are highlighted. In addition, since the detectian of malingered mental illness is a key component in many forensic contexts, characteristics are described which help to distinguish actual from malingered mental illness.     

Unanswered questions in assessment center research

This study compared the predictive validity of two types of overall assessment center ratings (clinical and mechanical) and two types of performance ratings (supervisor and subordinate). Data were gathered on approximately 50 law enforcement agency managers over a four-year time span. Results indicated that clinical predictions were not significantly better than mechanical ones and that prior performance ratings were better predictors of future performance ratings than were assessment centers. Further, dimension ratings within the assessment center were found to be unrelated to ratings of the same dimensions on the job four years later, supporting the notion of subtle criterion contamination (Klimoski & Strickland, 1977) and raising questions about the central assumptions underlying the assessment center approach.     

“Marital trap analysis”—incompetence,complementarity, and success traps: Identifying potential future dysfunctions based on a couple's current collusive agreements

This paper describes three types of traps or collusive marital agreements-incompetence traps, complementarity traps, and success traps-in which the mates renounce or forgo competent functioning in vital areas of marital roles and experience. It is suggested that responsible clinical work with the couple should include a careful evaluation of such traps and the potential breakdown or dysfunction inherent in each one, and a decision as to whether or not to attempt therapeutic penetration into such collusive agreements even before the couple complain directly about their arrangement.     

The assessment of type a behavior in children and adolescents: An overview

The present article presents an overview of the instruments that have been used to assess the Type A behavior pattern in children and adolescents. The development, usage, and psychometric properties of each assessment technique are discussed, with methodological concerns being addressed whenever appropriate. The Matthews Youth Test for Health is the assessment of choice for children, because of its brevity, ease of administration, and adequate psychometric properties. The Hunter-Wolf A-B Rating Scale is desirable only for older, highly literate children. The Adolescent Structured Interview appears to be the most promising device for the adolescent age range. The other adolescent assessment devices are relatively unpopular, difficult to administer, and not always conceptually parallel to existing research on Type A behavior. Recommendations for future research are presented.     

The psychology of self-esteem: Promise or peril?

The psychology of self-esteem bypasses consequential issues of everyday behavior and moral responsibility in favor of pursuing a global goal of enhanced self-esteem on the assumption that happiness, success, and responsible behavior will automatically follow. The goal is vague and ways of achieving it are confused and conflicting. Greater attention to concrete tasks and challenges and sensitivity to moral issues could help make therapy more clear, effective, and socially useful.     

A microcomputer-dependent statistics and design course

A one-semester course in statistics and research design is described. All computations are carried out by a Macintosh computer. No hand calculation is expected of the students, and little class time is spent on computational procedure. The course covers much more statistical content than is the norm for a one-semester course, and student understanding of the logic of the material and its application is enhanced.     

Autism and Accuracy in Adolescent Perceptions of Friends' Sexual Attitudes and Behavior

This study uses data from adolescents matched with data from their friends to examine whether reference group effects on adolescent sexuality should be thought of as operating through the sharing of norms or the modeling of behavior. We observe that perception of attitudes has such a trivial reality component and such a strong autistic component that it cannot serve as a mechanism of peer influence. Perception of sexual behavior has a reality component which is as large as its autistic component, and large enough to serve as a route of influence. We reach two conclusions: (1) Reference group effects on adolescent sexual behavior probably work through behavior modeling rather than through normative influence. (2) Studies which infer peer influence on sexual behavior using only perception of peers will arrive at erroneous conclusions.