Within-modal and cross-modal reliabilities of two laterality tests

Sixteen right handers were given four tests of a dichotic listening recall task (concrete words) and a visual half-field recall task (letters). There was a significant right ear and right visual half-field superiority for the four test sessions, with improvement in recall scores over sessions. Pearson correlations for each ear on the four dichotic tests ranged from .74 to .90. Correlations on the visual half-field scores, however, were significant only after the first session. Analysis of stability in lateral preferences across modalities revealed stable and reliable performance, particularly in the last two testings, where 81.3% of the subjects had a right-sided asymmetry. Cross-modal correlations, however, were not significant. Implications regarding predictions of speech laterality are discussed in the light of these findings.     

Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients

Thirteen obsessive-compulsive clients were treated with different methods of response prevention. Four experimental conditions were obtained through a 2 × 2 factorial design, in which the two main variables were varied: (1) gradual treatment vs flooding; and (2) modeling vs no-modeling. Clients were treated at their homes, three times weekly. Each session lasted 2 hr. Results at the post-test revealed, that modeling was superior to no-modeling (p < 0.05) on avoidance-other compulsions, therapist-rating only. On anxiety-main compulsions, clients rating the gradual method of treatment had been superior to flooding (p < 0.05). No other significant differences were found.     

Reliability of diagnosis in older psychiatric patients using the structured clinical interview for DSM-III-R

We conducted one of the few studies that has examined the reliability of the Structured Clinical Interview for DSM-III-R Axis I (SCID-I) with a mixed inpatient and outpatient population of adults 55 years old and over (range, 56–84 years; mean, 67.33 years). All SCID interviews were videotaped or audiotaped and were administered by Master's-level clinicians working toward their doctorate degrees in clinical psychology. Interrater reliability estimates (kappa and percentage agreement) were calculated for current major depressive episode (47% base rate) and the broad diagnostic categories of anxiety disorders (15% base rate) and somatoform disorders (12% base rate). Kappa values were .70, .77, and 1.0. Respective percentage agreement was 85% for major depression, 94% for anxiety disorders, and 100% for somatoform disorders. Overall percentage agreement was 91%. We conclude that the SCID-I can be effectively administered by relatively inexperienced clinicians to diagnose older psychiatric patients reliably. Directions that future research might take are offered.     

The aftermath of heresy: a response to Pendery et al.'s (1982) critique of "Individualized Behavior Therapy for Alcoholics"

A point-by-point response is presented to Pendery et al.'s (1982) critique of the study “Individualized Behavior Therapy for Alcoholics (IBTA)”. Two independent, external investigations have critically examined the original records from the IBTA study. The IBTA study compared two different techniques for treating poor-prognosis, chronic alcoholic state hospital patients. It was found that a broad-spectrum behavioral treatment oriented to controlled drinking was a more effective treatment than was the standard hospital treatment program based on conventional wisdom. The Pendery et al. critique gave the appearance of being a refutation by presenting findings for only one group of Ss in a comparative study. In this response, it is shown that the experimental and control Ss were justifiably classified as gamma alcoholics, that Ss were randomly assigned to groups, and that the two groups were comparable in terms of pretreatment characteristics. Moreover, as regards the originally reported 2-yr treatment outcome findings, it is shown that Pendery et al, reported no specific events which were not already documented in the original study records which formed the basis for publications about the IBTA study. Finally, even in terms of long-term outcomes, i.e. mortality rates 10–11 yr after treatment, the experimentally-treated group (20% mortality) continued to fare better than the traditionally-treated group (30% mortality). Ironically, rather than Pendery et al.'s report being a refutation of the original published accounts of the IBTA study, it is concluded that the data reported by Pendery el al. actually strengthen the validity of the original publications. The attack on the IBTA study can be meaningfully viewed as a reflection of the scientific revolution presently underway in the alcohol field. The central impetus for conceptual change in the alcohol field, however, derives less from controlled-drinking research than from the lack of empirical support for conventional wisdom. Ideas are changing because the traditional view no longer inspires progress.     

Visuospatial competency, handedness, and cerebral dominance

The present study addressed the question of Levy's (1974, Psychobiological implications of bilateral assymetry. In S. Dimond &; J. G. Beaumont, Hemispheric function in the human brain, NY: Halstead. Pp. 121–183.) proposal that left handers would have lowered spatial skills relative to verbal skills. In the first part of the study, performance on the PMA (visuospatial subtest) and WAIS Block Design subtest were compared between right and left handed high school and college samples. No support could be found for deficient visuo-spatial performance in the left handers. In the second part of the experiment, no relative impairment of visuospatial skills was found when subjects were classified into predicted speech dominance groups on the basis of a dichotic listening task and/or a visual half-field task. An extreme groups comparison of the most left dominant and most right dominant groups again yielded no significant differences in visuo-spatial performance. Finally, the relationship between degree of speech lateralization and visuo-spatial skills was examined. Only partial support for differences in cerebral organization for speech in left handers was found in the college sample.