Reliability of diagnosis in older psychiatric patients using the structured clinical interview for DSM-III-R

We conducted one of the few studies that has examined the reliability of the Structured Clinical Interview for DSM-III-R Axis I (SCID-I) with a mixed inpatient and outpatient population of adults 55 years old and over (range, 56–84 years; mean, 67.33 years). All SCID interviews were videotaped or audiotaped and were administered by Master's-level clinicians working toward their doctorate degrees in clinical psychology. Interrater reliability estimates (kappa and percentage agreement) were calculated for current major depressive episode (47% base rate) and the broad diagnostic categories of anxiety disorders (15% base rate) and somatoform disorders (12% base rate). Kappa values were .70, .77, and 1.0. Respective percentage agreement was 85% for major depression, 94% for anxiety disorders, and 100% for somatoform disorders. Overall percentage agreement was 91%. We conclude that the SCID-I can be effectively administered by relatively inexperienced clinicians to diagnose older psychiatric patients reliably. Directions that future research might take are offered.     

The control of responding by auditory stimuli: interactions between different dimensions of the stimuli.

Sounds have position in addition to other dimensions, such as intensity and frequency. Position rapidly gains control of spatially contiguous responses and this may interfere with control of responding by other acoustic dimensions. These experiments investigated interference of a tone-noise discrimination by the discrimination of acoustic position. Squirrel monkeys were studied when responding was differentially reinforced in the presence of both spectral content (tone-noise) and positional differences between the stimuli, and when responding was differentially reinforced only in the presence of spectral differences. Under the first condition, responding rapidly came under the control of the position of the noise in the two monkeys tested. The position of the tone controlled responding in one monkey; in the second monkey, responding came under the control of the spectral content of the tone. Under the second condition, responding was initially under the control of the noise in all three monkeys tested. This persisted for the duration of the condition for two of the monkeys; in one monkey, responding came under the control of the spectral content of the noise. Under the second condition, responding was also initially under the control of the position of the tone for all monkeys, but control by spectral content of the tone relatively rapidly developed in two of three monkeys.     

Effects of dl-amphetamine under concurrent VI DRL reinforcement

Three adult, food-deprived rats were given IP injections of dl-amphetamine sulfate under DRL and concurrent VI DRL reinforcement schedules. The drug results were as follows.(1) The IRT distributions of DRL responses shifted to the left, but some temporal discrimination remained. (2) The IRT distributions of VI responses shifted slightly to the left. (3) The distinguishing characteristics of VI and DRL IRT distributions were preserved. (4) The frequency distribution of number of VI responses between two consecutive DRL responses was relatively unaffected. (5) Over-all response rates on the two components of the concurrent schedules increased more or less proportionately.These findings imply that the primary behavioral effect of dl-amphetamine was a motor excitatory one. The drug's disruption of timing behavior was not due to a derangement of internal timing mechanisms, nor to interference with the topography or pattern of behavior. Rather, it might be a secondary result of the accelerated emission of overt behavior patterns mediating the temporal spacing of DRL bar presses.     

Personality Dysfunction, Coping Styles, and Clinical Symptoms in Younger and Older Adults

This study examined age-related differences in personality disorders, dispositional coping strategies, and clinical symptoms between younger (n = 79; age range = 18–29; M age = 21.2 years) and older (n = 79; age range = 55–89; M age = 65.5 years) persons (matched on gender and ethnicity). Participants completed the Coolidge Axis II Inventory (CATI), Coping Orientations to Problems Experienced Scale (COPE), and Brief Symptom Inventory (BSI). Personality results (t tests) based on the CATI revealed that older persons were significantly more obsessive–compulsive and schizoid than younger adults but significantly lower on 7 scales, including antisocial, borderline, histrionic, and sadistic. As assessed by the COPE, older adults reported lower levels of dysfunctional coping strategies than younger adults. Specifically, older persons were less likely to use mental disengagement, venting of emotions, and alcohol/drugs to cope with problems. BSI results for clinical symptoms revealed that younger adults were significantly higher on 5 of 9 scales, including anxiety, depression, and hostility. Results suggest that younger adults experience higher levels of personality and clinical symptoms and use more dysfunctional coping strategies than older adults, dispelling the myth that old age is associated with inevitable psychological impairment. Theoretical considerations, clinical implications, and future research ideas are discussed.     

Neuropsychological Dysfunction in Children with Borderline Personality Disorder Features: A Preliminary Investigation

Borderline personality disorder (BPD) is often linked to neuropsychological deficits, yet few studies have examined BPD or its features and concomitant neuropsychological dysfunction in childhood. This study examined children with borderline features (n = 21) using the Coolidge Personality and Neuropsychological Inventory for Children and compared them to controls (n = 21) with features of at least one personality disorder, but not BPD. As hypothesized, the BPD group scored significantly higher than the control group on the Attention Deficit/Hyperactivity Disorder, Executive Functions Deficits, Mild Neurocognitive Disorder, Conduct Disorder, and Oppositional Defiant Disorder scales. It appears that behavioral disturbances associated with BPD are linked strongly with neuropsychological dysfunction. Because none of the children with BPD features in the present sample had a history of traumatic brain injury (TBI), it appears likely that TBI in the histories of adult BPD patients may not be the cause of BPD, but traits such as anger and impulsivity in BPD may cause TBI. Clinical implications and future research directions are discussed.     

Keep making sense

In a number works Jerry Fodor has defended a reductive, causal and referential theory of cognitive content. I argue against this, defending a quasi-Fregean notion of cognitive content, and arguing also that the cognitive content of non-singular concepts is narrow, rather than wide.     

Genetic and environmental influences on the Verbal-Perceptual-Image Rotation (VPR) model of the structure of mental abilities in the Minnesota study of twins reared apart

In previous papers [Johnson, W., & Bouchard Jr., T. J. (2005a). Constructive Replication of the Visual-Perceptual-Image Rotation (VPR) Model in Thurstone's (1941) Battery of 60 Tests of Mental Ability. Intelligence, 33, 417–430.] [Johnson, W., & Bouchard Jr., T. J. (2005b). The Structure of Human Intelligence: It's Verbal, perceptual, and image rotation (VPR), not Fluid and Crystallized. Intelligence, 33, 393–416.] we have proposed the Verbal, perceptual, and image rotation (VPR) model of the structure of mental abilities. The VPR model is hierarchical, with a g factor that contributes strongly to broad verbal, perceptual, and image rotation abilities, which in turn contribute to 8 more specialized abilities. The verbal and perceptual abilities, though separable, are highly correlated, as are the perceptual and mental rotation abilities. The verbal and mental rotation abilities are much less correlated. In this study we used the twin sample in the Minnesota Study of Twins Reared Apart to estimate the genetic and environmental influences and the correlations among them at each order of the VPR model. Genetic influences accounted for 67–79% of the variance throughout the model, with the exception of the second-stratum Content Memory factor, which showed 33% genetic influence. These influences could not be attributed to assessed similarity of rearing environment. Genetic correlations closely mirrored the phenotypic correlations. Together, these findings substantiate the theory that the entire structure of mental abilities is strongly influenced by genes.     

A review of research on smoking among United States Veterans with posttraumatic stress disorder (2006–2016)

Posttraumatic stress disorder (PTSD) is one of the most common psychiatric disorders diagnosed in U.S. veterans. PTSD is associated with high smoking prevalences and difficulty quitting in the general U.S. population. The current study reviewed research on smoking and PTSD in U.S. veteran samples to summarize past research and identify areas in need of additional inquiry. MEDLINE and PsycINFO searches identified papers on smoking in samples of U.S. veterans with PTSD published from January 2006 through December 2016. Thirty-four articles met all of the inclusion criteria: (a) part of the sample consisted of U.S. veterans with PTSD or PTSD symptoms, and (b) the study examined some aspect of smoking behavior. U.S. veterans with PTSD were more likely to report smoking, heavy smoking, nicotine dependence, and late-onset smoking compared to veterans without PTSD. Smoking behaviors (e.g., current smoking, heavy smoking, smoking expectancies) differed by PTSD symptoms and by combat exposure. Smoking cessation feasibility studies examined the integration of smoking treatment into PTSD clinics and found favorable outcomes. Future research on veterans with PTSD would benefit from extending topics beyond rates of smoking to better understand the treatment needs of veterans. Research on smoking-related behaviors can help identify areas to target for interventions.