Measuring Judgments of Professionals: Using Vignettes in a Social Survey About Patient Confusion

The use of a factorial survey to measure the clinical judgments of professionals is described. This design allows the researcher to partial out the effects of variables on clinical decision making while using probability sampling. Methods frequently used to study judgments are reviewed and a study of nurses' judgments about patients' confusional episodes are used to illustrate the application of the factorial survey. Acute confusion in patients is a common clinical problem for nurses working in medical-surgical units in acute care hospitals. Using the factorial survey to study a real-life problem such as confusion demonstrates how this design can be used to test judgments in complex clinical situations, to aid in concept development, and to identify consensus among professionals.     

Color categories and color appearance

We examined categorical effects in color appearance in two tasks, which in part differed in the extent to which color naming was explicitly required for the response. In one, we measured the effects of color differences on perceptual grouping for hues that spanned the blue-green boundary, to test whether chromatic differences across the boundary were perceptually exaggerated. This task did not require overt judgments of the perceived colors, and the tendency to group showed only a weak and inconsistent categorical bias. In a second case, we analyzed results from two prior studies of hue scaling of chromatic stimuli (De Valois, De Valois, Switkes, & Mahon, 1997; Malkoc, Kay, & Webster, 2005), to test whether color appearance changed more rapidly around the blue-green boundary. In this task observers directly judge the perceived color of the stimuli and these judgments tended to show much stronger categorical effects. The differences between these tasks could arise either because different signals mediate color grouping and color appearance, or because linguistic categories might differentially intrude on the response to color and/or on the perception of color. Our results suggest that the interaction between language and color processing may be highly dependent on the specific task and cognitive demands and strategies of the observer, and also highlight pronounced individual differences in the tendency to exhibit categorical responses.     

Positive affect facilitates social problem solving

We conducted two experiments to test the impact of positive affect on social problem solving. In Experiment 1, participants induced to experience a positive (vs. neutral) affective state generated a greater number of relevant steps to solve fictitious interpersonal problems as well as more effective solutions to the problems. In Experiment 2, participants induced to experience a positive (vs. negative) affective state generated more functional solutions to their own social problems. The positive mood effects observed in Experiment 2 were moderated by dispositional optimism. Our findings have practical implications, as the extent to which individuals are able to generate effective solutions to social problems has far‐reaching consequences with respect to personal adjustment and social functioning.     

Sociodemographic Differences in Humility: The Role of Social Relations

This study examines whether humility is associated with gender, education, and racial/ethnic group. We also investigate how social relations mediate these links across the life course. Data are from the Detroit Community Study, which focused on three prominent groups in the area: Arab Americans, African Americans, and White Americans (N=907). Findings indicate that Arab Americans and African Americans report greater humility than Whites. Further, social relations partially mediate this association, but only among older Arab Americans. Findings are discussed within a developmental science perspective to consider the relational aspects of the individual and context over the life course.     

Short-Term Assessment of Risk and Treatability (START): The case for a new structured professional judgment scheme

The Short-Term Assessment of Risk and Treatability (START) is a new structured professional judgment scheme intended to inform multiple risk domains relevant to everyday psychiatric clinical practice (e.g. risk to others, suicide, self-harm, self-neglect, substance abuse, unauthorized leave, and victimization). The article describes the processes involved in establishing an interdisciplinary approach to risk assessment and management. The authors present a review of the rationale for START, including the value of dynamic variables, the importance of strengths, and the extent to which clinicians must be attentive to multiple risk domains, reflecting theoretical and scientific evidence of the overlap among risks. Using the development, validation, and implementation of START as an example, the authors describe the processes by which other researchers, clinicians, and administrators could adapt existing assessment schemes or create new ones to bridge some remaining gaps in the risk assessment and management continuum.     

The big, the bad, and the boozed-up: Weight moderates the effect of alcohol on aggression

Most people avoid the “big, drunk guy” in bars because they do not want to get assaulted. Is this stereotype supported by empirical evidence? Unfortunately, no scientific work has investigated this topic. Based on the recalibrational theory of anger and embodied cognition theory, we predicted that heavier men would behave the most aggressively when intoxicated. In two independent experiments (Ns = 553 and 327, respectively), participants consumed either alcohol or placebo beverages and then completed an aggression task in which they could administer painful electric shocks to a fictitious opponent. Both experiments showed that weight interacted with alcohol and gender to predict the highest amount of aggression among intoxicated heavy men. The results suggest that an embodied cognition approach is useful in understanding intoxicated aggression. Apparently there is a kernel of truth in the stereotype of the “big, drunk, aggressive guy.”     

Putting the “IRT” in “Dirty”: Item response theory analyses of the Dark Triad Dirty Dozen—An efficient measure of narcissism,psychopathy, and Machiavellianism

The Dark Triad Dirty Dozen is a new, concise personality inventory designed to measure individual differences in narcissism, psychopathy, and Machiavellianism in sub-clinical populations. To date, the psychometric work on this measure has used classical test theory to assess its validity, reliability, and structure. In two independent samples (N = 1014), we provide the first analyses of this measure using item response theory. In both samples, the Dark Triad Dirty Dozen efficiently recovered information and showed some evidence of differential scale functioning by sex, with a lower endorsement threshold for men compared to women. Results shed new light on the measurement of these “dark” personality traits.     

THE SECOND SPHERE AND THE STORY OF NO STORY

The author discusses Roy Schafer's ideas of the second self and second reality, as well as his consistent theme of storyteller and story. The latter theme is also explored in the context of more recent psychoanalytic influences, such as Bionian thought, trauma theory, the French approach, and the interpersonal perspective. To illustrate the idea of the nonstory in today's clinical encounters, the author presents two clinical vignettes.     

Moderators of the relationship between exercise and mood changes: gender,exertion level,and workout duration

Although the role of exercise in improving mood is well established, less is known about moderators of this effect, particularly outside of the laboratory. The current study examined the effect of gender, type of exercise, level of exertion, and duration of workout on the exercise–mood relationship in a naturalistic setting. One hundred and thirty five participants (64 females) either engaged in weight training (n = 52) or cardiovascular (n = 83) exercise. Pre- and post-exercise assessments of mood were collected and changes in two types of mood, negative mood and exhaustion, were examined. Overall, participants reported improved mood after exercise in both domains. Workout duration and level of exertion significantly moderated the relationship of exercise to mood improvement (i.e., an increase in either corresponded to greater improved mood, ps<0.05). Overall, women showed more improved mood than men in the domain of exhaustion (p = 0.001).