Reliability and Validity of the Gamblers Anonymous Twenty Questions

One of the earliest instruments to screen for problem gambling, the Twenty Questions (20Q), was developed within Gamblers Anonymous. This instrument has not received serious research attention, however, and its psychometric properties are generally unknown. This study reports reliability and validity data for this instrument in 3 independent samples totaling 456 participants: two samples of problem gamblers in treatment and a non-treatment sample of problem gamblers. The Twenty Questions was shown to possess high reliability as measured by Cronbach’s alpha. Concurrent, convergent and predictive validity of the 20Q supported the use of this instrument as an acceptable screening instrument. Classification analyses indicated that the 20Q is comparable to the DSM-IV diagnostic criteria for pathological gambling in specificity, sensitivity and rates of false negatives and false positives. The 20Q appears to be a reliable and valid measure of problem gambling and warrants continued research attention.     

Psychological Illness in Presidents: A Medical Advisory Commission and Disability Determinations

Although the 25th Amendment is intended to provide for instances of presidential disability, critics claim that it is impractical since it requires vice presidents and cabinet members to move overtly against the president—which they are unlikely to do. Also, they warn that medical information about the president is likely to be concealed. To overcome these problems, they recommend that a Medical Advisory Commission be established at the outset of every presidential administration to examine the president annually and then provide formal medical input so that the vice president and cabinet would be "compelled" to act in the presence of medically determined "inability," whether physiological or psychological. This paper argues, however, that such a proposal is badly flawed and quite unworkable, particularly in the case of psychological illness where accurate diagnosis typically depends on long-term, continuous doctor-patient interaction rather than through sporadic and superficial interchange. It concludes that less draconian measures in implementing the Amendment are far more sensible, such as those proposed by the Working Group on Presidential Disability which are discussed here.     

War: Mentalization and Totalitarian State of Mind

For most residents of Europe, war is a new experience in which they find themselves both as witnesses and participants. In this paper the war in Ukraine serves as an illustration and case example. Like any unfamiliar experience, war elicits profound emotional responses which can be so overwhelming that an individual may be unable to fully process them and to create mental representations of the reality of war. When the psyche becomes entrapped in an unprocessed state, without the capacity to derive meaning from it, this results in the “fossilization” of the psyche akin to what McGinley and Segal describes as a totalitarian state of mind. Subjectivity and individual differences come under collective or personal attack, or both. This state of being prioritizes the needs of the collective psyche over the individual psyche. The image of Gorgon Medusa, who transformed living people into “fossilized” ones, is presented as a metaphor of total identification with the collective dimension. In contrast, the psyche can reveal a creative approach to resolving war-induced trauma. This is depicted in the concept of the Alchemical Stone and its creation, which symbolizes a harmonious connection between the external and internal realms, the subjective and objective experiences, and the real and the imaginal dimension.     

The Toronto Alexithymia Scale (TAS-20): A measure of general psychological distress

The Toronto Alexithymia Scale (Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.) is the most commonly used measure of Alexithymia (= difficulties identifying and describing one’s own feelings). Sixty-three persons (34 psychiatric inpatients, 29 healthy controls) first filled in the TAS-20 and were then interviewed about their interpersonal relationships. Two raters coded the emotional experiences that the participants reported during these interviews. Contrary to expectations, participants with higher TAS-20 scores reported more emotions (particularly negative ones), and more different emotions, questioning the validity of the TAS-20 as a measure of Alexithymia. Based on correlation patterns and a joint factor analysis with two well-established measures of psychopathology, it is concluded that the TAS-20 assesses a general psychological distress factor.     

Gender associations in the twentieth-century English-language literature

Gender associations may be partly learned from print media, including literature. Using Google Books Ngram corpus, we explored the depiction of male and female characters in the twentieth-century English-language fiction. By analyzing adjective-noun bigrams, we examined adjectives used in association with “man”, “woman”, “boy”, and “girl”. Men were described in more positive terms than women. Girls were depicted more positively than boys at the beginning of the twentieth century, but the tendency reversed in the middle of the century. Boys were described in more masculine terms than girls; however, men were described in similarly masculine adjectives as women. Despite limitations of interpretability of the results, the study presents a possible approach of exploring past characterization of the two genders.     

Facet theory applied to the construction and validation of the Aachen Aphasia Test

The linguistic performance of 120 aphasic patients of the four standard syndromes assessed by the Aachen Aphasia Test (AAT) is analyzed by a nonmetric (ordinal) multidimensional scaling procedure (Smallest Space Analysis, SSA1). The linguistic structure of the test items is characterized within the framework of L. Guttman's facet theory. Three systematic components (facets) are discerned: linguistic modality, unit, and regularity. Properties of the facets as well as their relations are assessed and tested empirically by analyzing the interrelations among different items or sets of items. The spatial configurations obtained by the scaling procedure fit only partially the expectations derived from the facet-theory model. The modality facet was found to have a strong overriding influence on the aphasic test performance. The facets unit and regularity were only found for the most rigorously designed subtests, Written Language and Comprehension. The results suggest the introduction of a new combined facet linguistic complexity which reflects the dependency of the facets regularity and unit.     

The independence of face identity and facial expression recognition mechanisms: relationship to sex and cognitive style

Two tasks, one mapping the recognition of unfamiliar face identity and the other the identification of six facial expressions were unilaterally presented to field dependent and field independent individuals of both genders. Regardless of sex, field independent subjects showed faster-response times (RTs) in the left visual field (LVF) for face identity and for the identification of disgust and fear and faster RTs in the RVF for the identification of anger. A trend toward LVF superiority was found over the whole sample for the facial expression task; this effect was still present when the face identity task was partialled out, indicating the independence of the underlying mechanisms.     

Language function and dysfunction among Chinese- and English-speaking polyglots: Cortical stimulation, Wada Testing, and clinical studies

Language functions in a group of Chinese- and English-speaking polyglots living in a multiracial society have been investigated by several methods: the effects of cortical stimulation on object-naming and reading tasks in patients who required awake craniotomy, lateralization of cerebral dominance for speech by the Wada Test, and the pattern of language loss and recovery following stroke. The data indicate that these polyglots were all left hemisphere dominant for the languages tested: no consistent evidence for increased participation by the right hemisphere for language functions was found. The cortical stimulation experiments provided data most compatible with the "differential localization" model of cerebral localization in bilingualism. The variable which most influenced performance in all of these investigations was which language was used primarily for speaking as well as reading and writing at the time of the study.