Consultation Contracts

Consultants enter into legal contracts each time they agree to a consultation arrangement outside of their regular work setting. They need to understand the legal context of contracts within which they perform their services and recognize the benefits a written agreement provides. Counselors often provide consultation services as a regular part of their job responsibilities. In such situations, a separate legal contract is not formed when a consultation relationship is created. A written understanding of the consultation arrangement, however, can be beneficial to the consultant and consultee even though a legal contract does not exist.     

HIV Disease: Current Concepts

The human immunodeficiency virus (HIV) causes a chronic, progressive, immune deficiency disease, the most severe phase of which is Acquired Immune Deficiency Syndrome (AIDS). HIV is a newly characterized human retrovirus transmitted only by direct exposure to blood or blood derivatives, certain acts of sexual intercourse, or transfer from infected mother to fetus or infant. In this article the author reviews the most important current epidemiologic, clinical, and virologic information about HIV and HIV disease and provides a factual framework for understanding the issues created by the epidemic.     

An alternative procedure for analyzing job analysis results for content-oriented test development

Content-oriented test development requires information derived from a comprehensive job analysis. The job data typically consist of task and skill statements identified by subject matter experts. These statements characterize a target job and are then used to develop the test plan and item budget. The predominant practice for combining data from the task and job skill domains to facilitate preparation of a test plan and item budget is an impressionistic approach. This study reports variations and extensions of an alternative quantitative procedure for linking task and job skill data (Hughes & Prien, 1989) using results obtained in field studies. The results indicate that the procedure reported by Hughes and Prien (1989) yields consistent results. Also, modifications to the procedure result in more detailed solutions.Dr. Charles Lawshe graciously contributed three sets of job analysis data to this research project. Dr. Lawshe also provided a very thoughtful and cogent critique of our attempts to express these thoughts to a user audience and for this we are grateful.     

Double agency and the ethics of rationing health care: a response to Marcia Angell

The arguments against doctors as "double agents" that are presented by Marcia Angell in the preceding article do not defeat the core justification for rationing some relatively high-expense, low-benefit care, and they do not enable us to conclude that clinicians should be barred from any active, substantive role in decisions to limit that care. They do, however, reveal several important conditions that need to govern cost-conscious medial practice in order to preserve an ethic of fidelity to patients: insurers' profits and providers' incomes must be fair, providers must inform patients of any economic reasons that lead to the foregoing of care, and "direct incentive" arrangements must not be used to contain costs.     

Child and adolescent services research at the national institute of mental health: Research opportunities in an emerging field

This article describes an important new area of research on services for children and adolescents with mental disorders at the National Institute of Mental Health, the parameters of mental health services research for youth, and the opportunities that are available for grant-funded investigations in this area.     

Nonsuicidal physically self-damaging acts in adolescents

To determine the frequency and correlates of nonsuicidal physically self-damaging acts in 12–14 year olds, a two stage epidemiologic survey with a self-administered questionnaire (N=3283) followed by a psychiatric interview of a subsample of the adolescents and their parents (N=444) was used. Prevalence estimates of interview validated nonsuicidal physically self-damaging acts were 2.46% in males and 2.79% in females. Significant relationships were found between nonsuicidal physically self-damaging acts and suicidal ideation, major depression and undesirable life events. Data suggest that physically self-damaging acts occur at substantial rates during early adolescence. The strong correlation between nonsuicidal self-destructive acts and both suicidal ideation and major depression clarifies prior conflicting reports in the literature and suggests that a history of self-damaging acts should be taken into consideration when evaluating for possible depression and suicide risk.     

The effects of exposure to different sources of sexual information on sexual behavior: Comparing a “sex-expert system” to other educational material

Sexpert, an expert computer program designed to counsel couples on their sexual relationships, was evaluated. Eighty-one heterosexual couples were assigned to one of three experimental manipulations (Sexpert, video, and self-help book) or a control condition. Daily sexual behavior monitoring forms and structured retrospective reports served as measures of baseline and post-manipulation behavior. Daily monitoring of sexual behavior failed to show significant changes occurring after the manipulations. However, retrospective data concerning the postmanipulation period show that compared with the control, the Sexpert, video, and book manipulations had a significant positive impact on couples’ sexual behavior, communication, and learning about sexuality. Sexpert, video, and book were similarly evaluated, except that Sexpert was evaluated as more engaging. In addition, subjects retrospectively reported positive changes in communication, relationship satisfaction, and sexual behavior during the baseline period. This suggests that daily behavioral monitoring is intrusive and may confound the variables measured by it.     

Time-stamping computer events to report .1-msec accuracy of events in the Micro Experimental Laboratory

A critical problem in most real-time programming tasks is the verification that timing of the presented displays and recorded events occur at the expected times. It is often difficult for psychologists to verify critical timing because of the lack of costly specialized tools and technicians to measure events with millisecond accuracy. Algorithms utilized in a new Time Audit mechanism, added to the Micro Experimental Laboratory, are described. This new mechanism involves the recording and time stamping of all input and output events with 0.1-msec accuracy. This allows the experimenter to determine the initiation, duration, and termination of each event and also makes it possible to relate these events to the synchronization of the screen refresh cycle. A customized user interface provides a time log and event-tracing feature that enables nonprogrammers to determine the duration of command execution to the .1-msec level, allowing rapid, precise assessment of program execution. The resulting time log provides a detailed specification of the experimental events for debugging and a permanent record of the experimental procedure.     

Hemispheric differences in the interference among components of compound gratings

The relationship between local/global and high/low spatial-frequency processing in hemispheric asymmetries was explored. Subjects were required to judge the orientation of a high- or low-spatial-frequency component of a compound grating presented in the left visual field (LVF) or right visual field (RVF). In Experiment 1, attention was focused on one or the other component. A signal detection analysis indicated that sensitivity (d′) to the high-spatial-frequency target was reduced more by the presence of the low-spatial-frequency component when both were presented in the LVF rather than in the RVF. In Experiment 2, subjects determined whether a target orientation was present, independent of spatial frequency at only a single level (i.e., at the high- or low-spatial-frequency level), as opposed to both or neither level. An RVF/LH (left hemisphere) advantage was found when the decision was based on the orientation of the high-frequency component. The asymmetrical influence of visual field of presentation and spatial frequency upon sensitivity is discussed in terms of hemispheric differences in the magnitude of inhibition between spatial-frequency channels and in the role of transient channel activity to capture and direct higher order attentional processes.