Reliability and validity of the Multiple Affect Adjective Check List - Revised

A recent factor analysis of the Multiple Affect Adjective Check List (MAACL) changed the Anxiety, Depression, and Hostility scales from bipolar to unipolar scales and added two new scales: Positive Affect and Sensation Seeking. Internal reliability of the MAACL-R scales, computed for normal and patient samples, was adequate for state and trait forms except for Sensation Seeking. Test-retest reliability in college students was higher for the trait form with retest intervals of from 2 to 8 weeks than for the state form with retest intervals of from 2 to 5 days. The pattern of correlations among self-, peer, and counselor ratings and the MAACL-R scales for normal and patient samples indicates improved discriminant validity and equally good convergent validity as the old scales. The use of standard scores that are indexed to the number of items checked reduced scale intercorrelations by controlling the acquiescence set.The financial support of the Weldon Springs Endowment Fund, University of Missouri at Kansas City, toward the completion of this research project is gratefully acknowledged.     

An empirical investigation of the specificity and sensitivity of the automatic thoughts questionnaire and dysfunctional attitudes scale

Cognitive assessment of depression is not well advanced and the evidence for the validity and reliability of measures is incomplete. This study examined two cognitive assessments of depression-the Automatic Thoughts Questionnaire (ATQ) and the Dysfunctional Attitudes Scale (DAS). There were two major objectives of this study. The first objective was to examine the ability of these two measures of cognitions to discriminate depressive symptomatology within a variety of sample populations-university undergraduate students, medical and psychiatric outpatients, and acute psychiatric inpatients. The second objective was to examine the ability of the ATQ and DAS succesfully to classify depressed and nondepressed patients. The results of this study suggest that the ATQ is a sensitive and specific measure of depression. Nonspecificity to the ATQ, however, was demonstrated in the substance abuse disorder group and the personality disorder group. In contrast, the DAS, although correlated with depressive symptomatology, was not found to be specific to depression.Part of this project is supported by a Special Project Grant from the University of Queensland to Dr. Oei.     

Psychological and sexual functioning among outpatient sexual offenders against children: A Minnesota Multiphasic Personality Inventory (MMPI) cluster analytic study

Multivariate clustering procedures were used to identify homogeneous subgroups of outpatient sex offenders against children (n=110)on the basis of the Minnesota Multiphasic Personality Inventory (MMPI). Results indicated a five-subgroup solution. Two within-normal-limits and two clinically elevated profile subgroups replicated subtypes found in previous cluster analytic studies of child sex offenders. The fifth subgroup appeared similar in MMPI profile pattern and elevation to a previously identified subtype of rapists. Discriminant analyses showed that subgroups differed along dimensions of cognitive disturbance and sexual functioning. Furthermore, levels of psychopathology corresponded with levels of sexual pathology. Results are discussed with reference to previous MMPI cluster analytic studies of sex offenders and theories of sexual aggression.Portions of this paper were presented at the meeting of the Midwestern Psychological Association, 1992, Chicago, Illinois.     

Pour une poétique des jeux de langage

Malgré le refus que Wittgenstein semble avoir toujours opposé à l'idée d'une esthétique philosophique, son oeuvre et les nombreuses suggestions que contiennent ses divers propos se révélent riches d'enseignements, en particulier pour ce qui concerne les voies dans lesquelles certaines formes de discours sur l'art se sot engagées. La notion wittgensteinienne dejeu de langage est, sous ce rapport, éclairante. Elle permet de mettre au jour, ou du moins d'entrevoir, deux catégories de faits. Tout d'abord, elle offre une perspective critique intéressante sur le programme de ce que l'on s'est plu à nommer une poétique, dans le prolongement d'Aristote, de Jakobson et de Valéry. La poétique structuraliste, en particulier, se révéle solidaire d'une philosophie que ses ambitions théoriques ne suffisent pas à occulter. En second lieu, la notion de jeu de langage, chez Wittgenstein lui-même, est associée à une pratique d'écriture originale qui obscurcit les frontiéres que la philosophie, depuis Platon, s'est toujours souciée de tracer. Pour une poétique des jeux de langage, il existe, entre la poétique et la philosophie une double symétrie. La premiére — celle des structuralistes ou des néo-structuralistes —obéit à un programme plus philosophique qu'on ne croit; la second, en revanche, comme on le voit avec Wittgenstein, intégr une démarche poétique qui nous invite à penser à nouveaux frais ce que nous faisons.     

See the devil and tame him

Born in 1921, professor of philosophy at the University of Warsaw and art theory in the Polish Academy of Sciences; has published twelve books and more than three hundred articles (bibliography in volume 14 of A. Mercier (ed.).Philosophers on Their Own Work. Bern: 1990) ranging over the history of aesthetics, Marxist and Soviet aesthetics, and issues related to the status of the arts in contemporary Western culture.     

Wrapping community-based mental health services around children with a severe behavioral disorder: An evaluation of project wraparound

During the past two decades there has been a significant increase in community-based mental health and educational services for children and youth with serious emotional and behavioral problems and their families. However, in the vast majority of programs there are no reliable longitudinal data on the adjustment of the children that are served. Project Wraparound was a community-based individualized treatment program which served children and youth with severely maladjusted behavior and their families by providing intensive home and school-based services. The purpose of this paper is to provide a longitudinal analysis of client and family adjustment data. Data on client adjustment within the home and characteristics of the home environment were obtained at intervals of 3 months, 6 months, and 1 year. Data on client adjustment in school was obtained at four points over a period of 2 years. The results from 19 cases indicate that substantial change occurred on measures of the home environment and client adjustment in the home with no significant change in adjustment in the school. Implications of the findings are discussed.     

Wraparound care in vermont: Program development,implementation, and evaluation of a statewide system of individualized services

Over the past decade, there has been a dramatic shift in the provision of mental health services to children, adolescents, and their families. This shift has been marked by a movement away from restrictive treatment options toward the development of comprehensive community-based systems of care designed to keep the most challenging children in their homes, schools, and communities. Based on a model of intensive case management referred to as Wraparound Care, Vermont's statewide approach emphasizes aggressive outreach, use of the least restrictive treatment options, and care that is flexible, unconditional, and child- and family-centered. We chart the development of Vermont's Wraparound Care Initiative and present residential, educational, and behavioral outcome data for a cohort of 40 youth receiving Wraparound Care over a 12-month period. The results showed that after 12-months, youth who had been previously removed from their homes or were at imminent risk of such removal, were residing in significantly less restrictive community-based living arrangements and exhibiting significantly fewer problem behaviors than at intake. These results are discussed in light of recent national studies and previous studies on similar cohorts of Vermont youth receiving Wraparound Care.     

Cross-cultural investigations of stress: Conceptual and methodological considerations

Cross-cultural studios on stress are confounded by conceptual, methodological and applied problems. Although several comprehensive definitions of stress have been offered, the conceptual schema from which the definitions emerge reflect a Western perspective and are not always relevant when transposed into other cultures. The word stress itself is not easily translated into other languages which creates a problem for research workers in non-Western cultures. While studies in India of Westernized executives in organizations using Western models have offered valuable insights into problems related to organizational structures, executive stress, etc., they do not tell us a great deal about the nature and experience of stress in the rest of the population. A brief history of stress research is offered with a concentration on stress research in India. Conceptual and methodological issues are discussed leading to an assessment of the difficulties of stress research in India.     

The impact of defibrillator discharges on psychological functioning of implantable cardioverter defibrillator recipients

A lag exists with respect to our understanding of the psychological demands and rehabilitation needs of individuals who have undergone implantable cardioverter defibrillator (ICD) implantation. The ICD is designed to transmit an electric shock to the heart to treat a potentially life-threatening arrhythmia. This study specifically examined the impact of defibrillator discharges on the psychological functioning of ICD recipients. A questionnaire was self-administered to 33 individuals who have been living with the ICD for at least 6 months. Results revealed that levels of anger and depression were significantly higher in those subjects who reported a lower discharge rate, while sense of well-being was significantly higher in those subjects who reported a greater discharge rate. Possible explanations for our findings were proposed as well as implications for clinical intervention were discussed.