A general linear model for estimating effect size in the presence of publication bias

When the process of publication favors studies with smallp-values, and hence large effect estimates, combined estimates from many studies may be biased. This paper describes a model for estimation of effect size when there is selection based on one-tailedp-values. The model employs the method of maximum likelihood in the context of a mixed (fixed and random) effects general linear model for effect sizes. It offers a test for the presence of publication bias, and corrected estimates of the parameters of the linear model for effect magnitude. The model is illustrated using a well-known data set on the benefits of psychotherapy.Authors' note: The contributions of the authors are considered equal, and the order of authorship was chosen to be reverse-alphabetical.     

The Cost of Client Transfer

Clients undergoing transfer from one counselor to another were compared on the Generalized Contentment Scale and a DSM-III-R measure with clients staying with the same counselor over the same length of treatment. In three 12-week blocks, the clients with the same counselor made the greatest progress in the first 12 weeks, making less progress in each successive block. The clients who were transferred in the middle of the second 12-week block also made the greatest progress in the first time block, lost some of the progress in the transfer block, and made significant progress with the new counselor in the third time block, ending with no significant differences in either generalized contentment or DSM-III-R outcome from clients who had not been transferred.     

Case study: Examining the relationship between self-initiations of an individual with disabilities and directive behavior of staff persons in a residential setting

This case study examines the relationship between self-initiations of an adult woman with severe disabilities and the directive behavior of staff persons in a community residential setting. Hypotheses generated from functional assessment procedures indicated that (a) Susan's low self-initiations were very likely related to high directive behavior of staff persons, and (b) infrequent problem behaviors during the morning routine were maintained by escape from repeated staff demands. An intervention was implemented to enable Susan to increase self-initiation in choice and sequence of activities and simultaneously decrease staff directives. Results and discussion focus on the need for a contextual approach for addressing problematic situations and an affirmation of the effectiveness of the positive behavioral support technology for increasing adaptive behaviors in individuals with severe disabilities.     

Non-heart-beating organ donation: a reply to Campbell and Weber.

In the preceding commentary, Campbell and Weber raise two valid and important issues concerning non-heart-beating organ donation (NHBOD). First, because the procedure links withdrawal of life support and the potential for subsequent organ donation, the desire for organs may create a situation in which care of the dying individual has relatively less importance and the dying may receive suboptimal care. Second, even if concerns about care of the dying were dealt with adequately, there will not be enough non-heart-beating donors to significantly decrease the organ shortage that exists, making the procedure not worth the risk. We agree that attention to the important details of caring for the dying are, and must be, the primary concern of all health care workers caring for those individuals. Ensuring the patients' comfort, dignity, and autonomy, and providing for family and social support are the mainstays of this care. All policies for NHBOD should clearly support and mandate these concepts. Regarding the second concern, we agree that NHBOD is currently rare; however, evidence is increasing that this type of donation has great potential. Continued growth of the practice in this country will depend largely on public acceptance, which we believe will be directly influenced by whether the public perceives that care of the dying is not compromised by this procedure.     

Quantitative measurement of observed workload in the analysis of aircrew performance

A methodology for the quantitative evaluation of observed workload was proposed. The model was designed to provide point estimations of observed workload at any time during the performance of a set of tasks. The model was also designed to provide information about the task-scheduling strategies used to complete a set of tasks. The proposed model was then tested with data from a full mission flight simulation. The model predictions correlated significantly with expert ratings of workload management made during the flight simulation. The model was also able to distinguish between low- and high-performing aircrews when performance was based on the number of errors made during flight simulations.     

Reply to William R. Ferrell’s paper “A model for realism of confidence judgments: Implications for underconfidence in sensory discrimination”

Ferrell’s decision-variable partition model and our subjective distance model belong to the same family of Thurstonial models. The subjective distance model is limited to sensory discrimination with the method of constant stimuli and rooted in such notions as discriminal dispersion and sense distance. Ferrell’s model is intended to be wider in scope and to apply to both cognitive and sensory tasks. Both models need supplementary assumptions to predict calibration phenomena. The point of departure for us is the fact that the model predicts under-confidence under “guessing” and the empirical finding that people are about 100% correct when they report “absolutely certain.” Ferrell makes assumptions about cutoffs on the decision variable. The respondent is assumed to adjust or not adjust cutoffs according to “cues to difficulty.” We disagree with Ferrell’s claim that the hard-easy effect is explained by the respondent’s failure to adjust cutoffs sufficiently when there is a change in level of difficulty, and argue that this amounts to little more than a translation of the hard-easy effect into the lingua of Ferrell’s decision-variable partition model. Our argument is that the hard-easy effect is a consequence of the post hoc division of items according to solution probability. In addition, error variance may contribute to regression effects that enlarge the hard-easy effect. Finally, in contrast to Ferrell’s position, we regard inference (cognitive uncertainty) and discrimination (sensory uncertainty) as different psychological processes. An understanding of calibration in these two areas requires separate models.     

Parents, infants, and day-care teachers: Interrelations and implications for better child care

Many young children are reared today in both family and child-care settings. The relation that exists between these two settings has important implications for child care. Bronfenbrenner's (1979) ecological model is used as a way to view the interrelations among children, families, and child-care programs. Data from a study of infants in day care provide information on the time infants spend in family and day-care contexts, how parents and caregivers view children's behavior in these two settings, and rates of otitis media (ear infections) and other illnesses for these children. Results show that infants spend about twice as many hours per day awake with parents as in day care. Regarding child behaviors, parents and caregivers seem to have similar behaviors they like and dislike, but they each see particular children quite differently with respect to these behaviors. Finally, infants in this sample were diagnosed with illnesses 60% to 70% of the time. Findings are discussed in terms of the ecological model with particular attention given to relations between parents and caregivers.     

Post‐conversion experiences of native British converts to Islam

Research¹ has been carried out on native British converts to Islam. It was based on formal interviews with 70 converts to Islam, 50 males and 20 females. Interviews were done in various parts of England. The sample consïsted of 66 English, 3 Irish, and 1 Welsh. Fifty‐one had been Anglicans, 12 Catholics, 3 Methodists, and 4 Jews. The research was designed to find out the pre‐conversion, conversion, and post‐conversion experiences of the converts interviewed. The present article is part of the research, looking at the converts’ post‐conversion experiences with regard to intellectual, moral, and social changes, changes in beliefs and practices, behaviour, and social relations.     

Factor analytic structure of theScale to Asses World View

This article reports on the factor structure of theScale to Assess World View ^(c) (SAWV). Alpha reliabilities for the factors are presented. Gender differences in world views are also explored to understand how men and women in this sample viewed the world. Recommendations for client assessment, therapy, education and training, and scale revision are discussed. The research reported here is based on a paper presented at the annual meeting of the American Psychological Association, Washington, DC, August 17, 1992.     

Authenticity as a foundational principle of medical ethics

Increasingly, contemporary medical ethicists have become aware of the need to explicate a foundation for their various models of applied ethics. Many of these theories are inspired by the apparent incompatibility of patient autonomy and provider beneficence. The principle of patient autonomy derives its current primacy to a large extent from its legal origins. However, this principle seems at odds with the clinical reality. In the bioethical literature, the notion of authenticity has been proposed as an alternative foundational principle to autonomy. This article examines this proposal in reference to various existentialist philosophers (Heidegger, Sartre, Camus and Marcel). It is concluded that the principle of autonomy fails to do what it is commonly supposed to do: provide a criterion of distinction that can be invoked to settle moral controversies between patients and providers. The existentialist concept of authenticity is more promising in at least one crucial respect: It acknowledges that the essence of human life disappears from sight if life's temporal character is reduced to a series of present decisions and actions. This also implies that the very quest for a criterion that allows physicians to distinguish between sudden, unexpected decisions of their patients to be or not to be respected, without recourse to the patient's past or future, is erroneous.