Identifying Youth at Risk for Treatment Failure in Outpatient Community Mental Health Services

We developed predicted change trajectories and a warning system designed to identify psychotherapy cases at risk for treatment failure as observed in archival Youth Outcome Questionnaire data (parent/guardian-report) from 363 children and adolescents (ages 4–17) served in an outpatient community mental health system. We used multilevel modeling procedures to develop models of predicted change based on demographic information. Controlling for the effects of age on intercept, no other variables were significant in the model. The warning system we created from half of the sample (n = 181) correctly identified 71% of treatment failures in the other half of the sample (n = 182), defined as cases whose symptoms were significantly higher at the end of treatment compared to symptoms at intake. As over half of youth cases in this usual care setting did not demonstrate reliable improvement in symptoms, these results further emphasize the value of patient-focused research in monitoring patient progress and prompting changes in the treatment approach if suitable progress is not observed.     

Student interracial interactions and perceptions of school as a community

Communally organized, as opposed to bureaucratically organized, schools are expected to provide significant advantages to students in terms of their cognitive and social growth. However, for students to avail themselves of these benefits, they need to experience school as a community. One factor that may influence whether students view their school as a functional community is the kind of teacher–student and peer interactions they observe or personally experience. This study examines the effects of positive and negative interracial interactions on whether students sense that their school is a community. Analysis of a large sample of elementary and secondary schools in a major urban school district show that positive interracial interactions contribute to students’ sense of school community while negative actions inhibit that sense.

The Eight Trigrams of the Chinese I Ching and the Eight Primary Emotions

Durkheim and Mauss, in Primitive Classification , concluded that the emotions play a causal role in the history of dual symbolic classification systems, but could not test this intuitive speculation because they saw a classification of the emotions as impossible. In this paper a portion of Plutchik's psychoevolutionary model of the primary emotions are assumed to be valid and are then investigated through analysis of one of their three case studies of primitive classification, that of classification in ancient China, where their emphasis was on the eight "trigrams" or "powers" that they saw arranged in a "divinatory compass." The trigrams are three-line components of the "hexagrams," the six-line figures that are interpreted as master signs in I Ching divination rituals. Using Plutchik's psychoevolutionary classification of the emotions as a basis of comparison, especially his model of the primary emotions as adaptive reactions to the positive and negative experiences of four existential problems – identity, temporality/reproduction, hierarchy, and territoriality – it is found that both trigrams and primary emotions exist as four pairs of opposites. The eight trigrams and eight primary emotions similarly can be seen as adaptive reactions to the four basic problems of life. Through structural analysis, correspondences between the trigrams and the primary emotions are developed, the result being that the primary emotions are structurally isomorphic and very close in first meanings to the primary attributes of the trigrams. Implications of this isomorphism of structure for the development of a social psychology of the emotions are discussed.     

Genetic Influence Helps Explain Variation in Human Fertility: Evidence From Recent Behavioral and Molecular Genetic Studies

To search for genetic influence on human fertility differentials appears inconsistent with past empirical research and prior interpretations of Fisher's fundamental theorem of natural selection. We discuss Fisher's theorem and give reasons why genetic influences may indeed account for individual differences in human fertility. We review recent empirical studies showing genetic influence on variance in fertility outcomes and precursors to fertility. Further, some of the genetic variance underlying fertility outcomes overlaps with that underlying fertility precursors. Findings from different cultures, different times, different levels of data, and both behavioral and molecular genetic designs lead to the same conclusion: Fertility differentials are genetically influenced, and at least part of the influence derives from behavioral precursors that are under volitional control, which are themselves genetically mediated.     

Metric and nonmetric plotting models

A problem with standard printer scatterplot routines is that points are not adequately labeled. Four methods of generating printer plots are presented. All four methods allow multi-character point labels, and three of the methods can guarantee that no portion of the labels are hidden. This is accomplished by using varying amounts of metric and nonmetric distance information to locate the points.The author wishes to thank Warren Sarle and Forrest Young who provided many valuable suggestions during the development of PROC IDPLOT.The methods and procedure described in this paper were developed by the author at the University of North Carolina as a part of a software development project funded by SAS Institute Inc.     

Slips of the tongue in very young children

This paper investigates the difference in the frequency with which adults and young children make slips of the tongue. The slips analyzed were taken from two corpora of speech. The first consists of the speech of one child in interaction with her mother; the second corpus consists of the speech of eight children in interaction with their teacher. The results suggest that young children make significantly fewer slips than do adults. This finding is consistent with a psychoanalytic understanding of slips-i.e., that young children should make fewer slips because they are less inclined to suppress and repress ideas and impulses.     

Preliminary psychometric evaluation of a standardized clinical family interview

Though multiple task interviews are often preferable for family interaction research, clinical-style interviews have a rôle to play. The 'Standardized Clinical Family Interview', whose development, structure and mode of administration have been described in an earlier paper, is designed to elicit family interaction in a clinically relevant fashion. A series of studies which evaluated the reliability, sensitivity, validity and acceptability of this instrument is now provided. The results suggest that the SCFI is useful and deserves further study; however, interviewer training is a major task.     

Feminist directions in medical ethics

I explore some new directions—suggested by feminism—for medical ethics and for philosophical ethics generally. Moral philosophers need to confront two issues. The first is deciding which moral issues merit attention. Questions which incorporate the perspectives of women need to be posed—e. g., about the unequal treatment of women in health care, about the roles of physician and nurse, and about relationship issues other than power struggles. “Crisis issues” currently dominate medical ethics, to the neglect of what I call “housekeeping issues.” The second issue is how philosophical moral debates are conducted, especially how ulterior motives influence our beliefs and arguments. Both what we select—and neglect—to study as well as the “games” we play may be sending a message as loud as the words we do speak on ethics.     

Prosodic Effects in Minimal Attachment

This experiment explores the role of prosodic cues in resolving temporary morphosyntactic ambiguities in spoken language comprehension. Using a cross-modal naming task, we find that prosodic cues are as effective as overt lexical cues in controlling how the listener resolves attachment ambiguities. This suggests that prosodic factors can affect the early stages of parsing and interpretation.