Do substance abuse and mental health clients prefer automated assessments?

In both psychiatric and substance-abuse services, clinicians have been concerned with the introduction of automated assessments and with their clients’ reactions toward those assessments. The positive reactions of psychiatric clients have been well documented, but little has been known about substance-abusing clients’ impressions of automated assessments. The impact of automated assessment on clients seeking substance-abuse services was evaluated and compared with a previously analyzed sample of clients seeking mental health services. On the whole, both groups responded similarly and positively to automated assessments. Factor analyses revealed three underlying dimensions in client attitudes toward automated assessment,Completeness and satisfaction,Ease of use and enjoyment, andNegative attitudes. In addition, statistically, though not clinically, significant differences in attitudes were found between various demographic groups. Overall, the results support the use of automated assessments with individuals seeking either substance-abuse or mental-health services.     

Immigrant Stepfamilies

Immigration and remarriage are two stressful events that impact on family's functioning and well being. This article examines the effects on families of experiencing both of these transitions simultaneously. A case illustration is presented and implications for practice and for future research are discussed. The article is based on the clinical experience of the writer as well as on her study of stepfamilies from diverse cultural backgrounds.     

Feedback in dynamic psychotherapy: Definitions and essential concepts

Conclusion This paper gives a central place to that systemic process within dynamic psychotherapy that is called feedback. I have given the historical antecedents of the multileveled, mutually influencing processes in feedback in terms of their evolution from cybernetics, information, and system theories. Major interdisciplinary contributors included Norbert Wiener, John von Neumann, Jurgen Ruesch, Warren Mc Culloch, Gregory Bateson, Margaret Mead, Kurt Lewin, and Lawrence S. Kubie, who came from such fields as mathematics, neurophysiology, psychiatry, anthropology, psychology, ecology, and psychoanalysis. The place of free-associations, the domain of intrapsychic and interpersonal feedback, the requirements for a matrix allowing for nurturing, curative interaction, the nature of interventions, and the significance of transference-countertransference and reality in the feedback that occurs in dynamic psychotherapy have been focused on in this initial presentation on the subject. Paper presented at the Association for the Advancement of Psychoanalysis of the Karen Horney Psychoanalytic Institute and Center on April 22, 1993. Author of many publications on verbal and nonverbal communications.     

A behavioral assessment scale for attention deficit disorder in brazilian children based on DSM-IIIR criteria

A teacher scale based on DSM-III-R diagnostic criteria for attention deficit hyperactivity disorder (ADHD) was developed for the behavioral assessment of children in Brazil. A total of 2, 082 children (782 males and 1,300 females) with a mean age of 11.2 years who were attending a public school in the greater Rio de Janeiro area were the subjects of this study. Two factors (Hyperactivity-Impulsivity and Inattention) were extracted from a principal-factor analysis conducted on the data, and the factor structure of the scale was found to be stable. Ratings of boys were higher than ratings of girls, and younger children had higher ratings than older children for both factors. Test-retest reliability for each item of the scale ranged from .56 to .70. The data are discussed in view of current controversies in the factor structure of teacher ratings of DSM-III-R ADHD symptoms.This research was supported by FINEP (42.88.0138.00) and FUNPENE. GNOB is the recipient of a CNPq Research Career Development Award (30.0197/82). RCAP was supported by a CNPq fellowship (82.2151/87). The authors are grateful to Rosely V. Magalhaes and Angela S. Guedes for assistance in data analysis with the SAS and SPSS packages. The authors wish to thank the school staff and teachers who participated in the study. This work was presented at the Fifteenth European Conference of the International Neuropsychological Society, Portugal, 1993.     

Applications of a computer algebra system in introductory statistics

Maple, a computer algebra system, is employed in introductory statistics courses to promote conceptual learning by students of statistical principles without direct use of mathematics. Maple’s symbolic computation, graphic display, and animation capabilities support an integrated set of procedures for active study of sampling distributions and concepts related to samples, populations, and statistical decision making, error, and power. Students select parameter values for one-line commands and examine the effects of alternatives on computer-generated graphical representations of distributions. The 20 procedures written to support active student exploration of basic statistical concepts are described, and examples of exercises to support their use are provided.     

Behavior of neonates exposed in utero to methadone as assessed on the Brazelton scale

Twenty-nine infants exposed in utero to methadone and 37 comparison infants were examined on the Neonatal Behavioral Assessment Scale at early and late neonatal ages. All infants were full-term at birth, over 2500 g, and not yet circumcised at the early assessment. None of the methadone-exposed infants were breast-fed or were being treated pharmacologically for withdrawal. During the first week of life, methadone-exposed neonates differed from comparison ones in motoric behavior. Relative to comparison-group infants, they were jerkier and more tremulous, tense, active, and better able to put hand in mouth. By the end of the first month these differences diminished, although there was still a tendency for the methadone-exposed infants to have elevated body tonus. Neither perinatal complications, birth weight, nor sex of infant could explain the early neonatal differences between the methadone and comparison groups. Past the early stage of acute withdrawal, neonates exposed prenatally to methadone behave not unlike their nonexposed peers.     

The contribution of sex distribution,job content,and occupational classification to job sextyping: Two studies

The distribution of males and females on a job, occupational classification, and job content as defined by the DOT analysis of job activity demands were examined as predictors of job sex stereotypes in two studies. Results indicate that the actual base rate of males and females in the job is the most important predictor of job sextypes, accounting for 48 and 70% of the adjusted variance in sextypes in the two studies. The results lend little support to the proposition that job content makes a significant contribution to the perception of job sextypes.