Group Psychotherapy in General Hospitals

This article is an Editor's Introduction to this Special Issue of the Journal on the integration of research and practice in the field of group psychotherapy. The emphasis in this issue is on the clinical application of research instruments to evaluate and to facilitate group experiences. Illustrations are drawn from each of the following six articles to highlight the practical utility of research measures. Moreover, recommendations are offered for how clinicians can incorporate these instruments into their group treatments to structure the therapeutic process.     

Some statistical treatments compatible with individual organism methodology

Consider experimental treatments with consequences so irreversible that baseline performance cannot be recovered. The conventional method of assessing the effects of such treatments by statistical means involves separate experimental and control groups. An alternative proposed here is to administer the experimental treatment to each subject, one subject at a time and in a random order; whenever any subject receives the experimental treatment, those subjects which have not yet received it receive a control treatment. This procedure permits results significant at the one-tailed 0.05 level to be obtained with four subjects; if a two-group procedure evaluated by means of the U test is used, a minimum of six subjects is needed for the same significance level. More generally, the procedure permits equal sensitivity to any experimental effect with over 30% fewer subjects than a two-group procedure. Extensions of the basic method are made to a variety of levels of the experimental treatment and to treatments without irreversible effects, and limitations of the method are discussed.     

Clinicians' judgments of clinical utility: a comparison of the DSM-IV and five-factor models

Clinical utility, or the usefulness of a diagnostic system in clinical practice, has been identified as an important construct in proposed revisions to the diagnostic nomenclature and a significant limitation of dimensional models of personality disorder, such as the 5-factor model (FFM). Only 1 study to date has addressed explicitly the clinical utility of the FFM, and the findings suggested significant limitations. In the current study, 245 practicing psychologists described 3 historic cases using both the FFM and the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 2000) and then rated each model on 6 aspects of clinical utility. In contrast to prior research, the psychologists in this study considered the FFM to have greater clinical utility than the existing diagnostic categories.     

Producing biased diagnoses with unambiguous stimuli: The importance of feature instantiations

In this article, the authors demonstrate a laboratory analogue of medical diagnostic biasing (V. R. LeBlanc, G. R. Norman, & L. R. Brooks, 2001) in 2 experiments and explore the basis of this effect. Before categorizing novel exemplars, participants first evaluated the likelihood that the item was a member of the category suggested on that trial: either the correct category or a plausible alternative category. This was sufficient to produce a substantial bias toward the suggested category despite the use of unambiguous stimuli, explicit rules, and unhurried conditions--each of which would be likely to limit diagnostic bias. The authors argue that the production of this effect requires distinguishing between particular feature instantiations and more abstract representations of those features as well as allowing people to adopt a particular decision strategy mediating the use of instantiated features: a feature-recognition heuristic.     

The day of the week when you were born in 700 ms: calendar computation in an Autistic savant

Some individuals are able to determine the weekday of a given date in a few seconds (finding for instance that June 12, 1900, was a Tuesday). This ability has fascinated scientists for many years because it is predominantly observed in people with limited intelligence and may appear very early in life. Exceptional visual memory, exceptional concentration abilities, or privileged access to lower levels of information not normally available through introspection have been advanced to explain such phenomena. In the present article, the authors show that a simple cognitive model can explain all aspects of the performance of Donny, a young autistic savant who is possibly the fastest and most accurate calendar prodigy ever described.