Validity Rates of the Personality Assessment Inventory and the Minnesota Multiphasic Personality Inventory–2 in a VA Medical Center Setting

This paper presents some notions regarding the all important question of projective stimulus ambiguity. It is suggested that in spite of the observation that TAT stimulus ambiguity has been the most studied, the problem of stimulus ambiguity must be considered a vital problem in relation to projective tests as a whole. Findings specific to an extended DAP (involving the inclusion of a self-portrait) are reported and the relevance of these findings to the problem of stimulus ambiguity is discussed.     

Rational decision‐making among male street prostitutes

This ethnographic study examines the lives of 18 young male street prostitutes. The focus of this study is to identify the benefits and liabilities associated with this activity by grounding the decision to engage in this behavior in a rational choice perspective. Benefits identified include financial gain, sexual pleasure, control of work schedule, and affection. The liabilities include fear of arrest, potential for violence, having sex with undesirable people, and not being paid for services rendered. This study demonstrates that the decision to engage in street prostitution is a complicated process that involves the weighing of the perceived benefits against the perceived risks.     

A laboratory analogue of mirrored-self misidentification delusion: The role of hypnosis,suggestion, and demand characteristics

Mirrored-self misidentification is the delusional belief that one’s own reflection in the mirror is a stranger. In two experiments, we tested the ability of hypnotic suggestion to model this condition. In Experiment 1, we compared two suggestions based on either the delusion’s surface features (seeing a stranger in the mirror) or underlying processes (impaired face processing). Fifty-two high hypnotisable participants received one of these suggestions either with hypnosis or without in a wake control. In Experiment 2, we examined the extent to which social cues and role-playing could account for participants’ behaviour by comparing the responses of 14 hypnotised participants to the suggestion for impaired face processing (reals) with those of 14 nonhypnotised participants instructed to fake their responses (simulators). Overall, results from both experiments confirm that we can use hypnotic suggestion to produce a compelling analogue of mirrored-self misidentification that cannot simply be attributed to social cues or role-playing.     

The direction of movement of machine controls

Experiments are described in which the relation between the direction of movement of a control and display was varied in order to determine what relationships are likely to cause least confusion to the operator of a machine. Two different types of task were used: a task consisting of intermittent stimuli whose rate of presentation could be varied, and a continuous pursuit task.

It is found that accuracy of performance varies with the degree of remoteiiess of the directional relationship from those met in everyday life, with the complexity of the task, with the ability of the subject, and there is some indication that under certain Conditions it may vary with the breadth of his attention. Awareness of the response aspect of the situation in these simple sensori-motor tasks, it is suggested, although necessary in the early stages of learning, may be associated in the later stages with confusion and error.     

The part played by intellectual processes in a sensori-motor performance

An experimental method is described for investigating the relation between intellectual processes and hand movements as both develop during the learning of a skilled task. Subjects were required to make predictive movements to join a series of circles; these appeared one at a time and were arranged in a pattern which was repeated thirty-two times. Comparison between the record of predictive movements and the subject's drawing of the pattern, made at the end of the experiment, showed that errors in the drawing corresponded to the type of response first made when the whole pattern was unfamiliar. For this reason it is suggested that the making of the responses played a part in the development of the idea of the pattern of circles, but the relation between the two is not a simple one.     

Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.     

Moral transgression during the Vietnam War: a path analysis of the psychological impact of veterans’ involvement in wartime atrocities

Background and Objectives: Involvement in wartime combat often conveys a number of deleterious outcomes, including posttraumatic stress disorder (PTSD), depression, hostility, aggression, and suicidal ideation. Less studied is the effect of engagement in wartime atrocities, including witnessing and perpetrating abusive violence.

Design and Methods: This study employed path analysis to examine the direct effects of involvement in wartime atrocities on hostility, aggression, depression, and suicidal ideation independent of combat exposure, as well as the indirect effects via guilt and PTSD symptom severity among 603 help-seeking male Vietnam War veterans.

Results: Involvement in wartime atrocities was predictive of increased guilt, PTSD severity, hostility, aggression, depressive symptoms, and suicidal ideation after controlling for overall combat exposure. Combat-related guilt played a minor role in mediating the effect of atrocity involvement on depression and suicidal ideation. PTSD severity had a larger mediational effect. However, it still accounted for less than half of the total effect of involvement in wartime atrocities on hostility, aggression, and suicidal ideation.

Conclusions: These findings highlight the heightened risk conveyed by involvement in wartime atrocities and suggest that the psychological sequelae experienced following atrocity involvement may extend well beyond guilt and PTSD.