Effects of diagnostic classification systems on clinical hypothesis-generation

In this study it was determined whether (a) classification as opposed to absence of classification has an effect on the quality of clinical hypotheses (b) the DSM-III-R and the CBCL have a different effect on the quality of clinical hypotheses, and (c) the potential difference between the DSM-III-R and the CBCL is moderated by the different number of syndromes identified by these systems. To investigate these questions, an experiment was conducted in which 86 clinicians generated hypotheses for six cases. The clinicians were divided into a DSM-III-R, a CBCL, and a control group. Of the six cases, two were classified by both classification systems as one syndrome, two were classified as one syndrome by the DSM-III-R but as two syndromes by the CBCL, and two were classified as two syndromes by the DSM-III-R but as one syndrome by the CBCL. The quality of the hypotheses was determined by means of four dependent variables selected from an overview of qualitative criteria: explanatory value, redundancy, possibility of operationalization, and specificity. No differences between the CBCL and the control groups were found. The DSM group performed better than the control group regarding explanatory value and redundancy. The DSM-III-R group also scored better than the CBCL group regarding explanatory value, particularly when the number of identified syndromes was two for the CBCL and one for the DSM-III-R.     

Boundary regulation in family and personal systems: Perceptions of late adolescents

Examination of boundary regulation can provide family therapists with a framework to describe both the functioning of family systems and personal systems (i.e., the intrapsychic functioning of individual family members). In the present study, late adolescents' perceptions of boundary regulation within their family systems (i.e., ratings of family health, communication, leadership, expressiveness, cohesion, and family conflict) were related to regulation of their personal boundaries (i.e., self-reported personal competence, distress, and patterns of defense mechanism use). In addition, personal system variables reliably discriminated between adolescents who described their families as psychologically healthy versus psychologically unhealthy.     

Joining with all members of a family system: The rhetoric of antilogic in family therapy dialogue

Family therapists face a significant rhetorical challenge in working with families that disagree about the problematic life-situation which brought them to therapy. Therapists must find a way to join with disagreeing family members and then find a way to engage in a therapeutically useful conversation with them. Thus, they must deal resourcefully with contradictions. This article explores the ways that the Sophistic rhetorical concept of antilogic may be employed in helping therapists join and then engage in a therapeutically useful conversation with families who hold contradictory views concerning the problem that brought them to therapy.The author wishes to thank Ronald Chenail, PhD, Douglas Flemons, PhD, and Shelly Green, PhD, for their assistance in the development of this project.     

Spiritualists,Aliens and UFOs: Extraterrestrials as spirit guides

One of the most striking innovations within contemporary North American Spiritualism is the adoption of extraterrestrials as spirit guides by some contemporary Spiritualists. It is here that the New Age fascination with extraterrestrials and UFOs has taken on a uniquely Spiritualist form. Extraterrestrials have come to represent for many Spiritualists the successful achievement of the ultimate Spiritualist goal: the union between spirituality and science. Extraterrestrials are seen as spiritually superior to us because their science exceeds our own; their ‘science’ is perceived superior because it incorporates recognition of spiritual ‘truth’. Consequently, within the North American Spiritualist context, the adoption of extraterrestrials as spirit guides can be seen both as a ‘rationalisation’ of Spiritualist belief through a strong idealisation of ‘science’, and as a critique of orthodox science for ignoring the ‘spiritual’ realm. For several of the Spiritualists with whom I worked, extraterrestrials have consequently become excellent choices for spirit guides.     

Correction of errors in scientific research

Four ways to reduce scientific errors are by tests of equipment and programs, examination of results, peer review, and replication. This article describes various types of errors that may occur and procedures available for the prevention and correction of both unintentional and intentional errors in experiments that use computer programs to generate the stimuli, record the responses, or analyze the data. We describe a case study of a particular experiment that produced a result that has been found to be erroneous. The case study provides additional evidence of the essential importance of replication for the identification and elimination of scientific error.     

H-Comp: A program to calculate information complexity

Scott’s (1969)H is a statistic that represents the number of independent dimensions in a set of binary (1,0) data.H has been used by personality and social psychologists to measure the complexity of thought people have about themselves (self-complexity) and about other people. This article describesH-Comp, a program that calculatesH. Using data input from either the keyboard or from an ASCII data file,H-Comp calculatesH and writes the resulting score and raw data to output files.H-Comp provides an accurate and efficient way to calculateH.     

Counseling and screening for cystic fibrosis in patients with congenital bilateral absence of the vas deferens: Patient perceptions

Congenital bilateral absence of the vas deferens (CBAVD) occurs in approximately 1.3% of infertile males and is thought to be, in most cases, a primarily genital form of cystic fibrosis (CF). Fourteen males with CBAVD considering microsurgical sperm aspiration from the epididymis (MESA) and in vitro fertilization were seen for genetic counseling and screening for CF. To retrospectively evaluate these patients' perceptions of the counseling and screening information, we conducted structured telephone interviews to assess their recall of information about CF and its impact on their health concerns and reproductive plans. We found that, as the health implications of CF are abstract and not as important to patients as the diagnosis of CBAVD itself, patients tend to view their CF status primarily in terms of their reproductive potential. Retrospective analysis afforded us an opportunity to identify the psychosocial issues of most concern to this unique patient population.     

Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.