The art of the tincture: analytical supervision

Using the alchemical metaphor, effective supervision can be seen as an excellent example of the tincture: a little goes a long way. This paper offers a model of the dynamics in analytical supervision: a mirroring of the professional-self of the supervisee, the opportunity to learn through empirical factual knowledge, and, most importantly, experiential, interactive and dynamic learning. The container of supervision will be amplified using an image of the triple vessel of alchemy. The materia of supervision is discussed as 'amalgams' of complex related material. The supervisory field is seen in a triadic intersubjective and interimaginal manner. Jung's diagram of all the possible conscious and unconscious connections between patient and therapist is expanded to include the supervisory situation. Moving beyond projective identification as explanatory process, the concept of the mundus imaginalis is used as the medium for this triadic structure. The 'analytic third' expands to include the 'supervisory fourth' while incorporating the supervisor's imaginings of the patient as the quintessential experience of the imaginal other. The supervisor's attitude and state of mind are seen through the paradigm of active imagination. This state of mind is called supervisory reverie.     

Exact tests for the rasch model via sequential importance sampling

Rasch proposed an exact conditional inference approach to testing his model but never implemented it because it involves the calculation of a complicated probability. This paper furthers Rasch’s approach by (1) providing an efficient Monte Carlo methodology for accurately approximating the required probability and (2) illustrating the usefulness of Rasch’s approach for several important testing problems through simulation studies. Our Monte Carlo methodology is shown to compare favorably to other Monte Carlo methods proposed for this problem in two respects: it is considerably faster and it provides more reliable estimates of the Monte Carlo standard error.This Research was supported in part by National Science Foundation grant DMS-0203762 and a University of Pennsylvania Research Foundation grant.The authors are grateful to Don Burdick for helpful comments. In addition, the authors wish to thank the editor, the associate editor, and the referees for their helpful suggestions.This revised article was published online in August 2005 with the PDF paginated correctly.     

Neuropsychological Differences Between Frontotemporal Dementia and Alzheimer's Disease: A Review

This paper surveys the similarities and differences between frontotemporal dementia (FTD) and Alzheimer's disease (AD). The review covers findings primarily from neuropsychological studies on memory, language, attention/executive function, and visuospatial abilities. However, neuropsychiatric and neuroimaging data are also briefly discussed. Distinguishing features of both FTD and AD are described in order to present a comprehensive clinical picture of these dementing diseases, which is essential for the process of differential diagnosis. The cause of specific cognitive deficits is also considered. Our comprehensive review of the empirical literature reveals that AD is characterized by early memory loss and visuospatial problems, while among the main features of FTD are behavioral abnormalities and executive dysfunctions.     

A data-driven approach to neuropsychological features in isolated REM behaviour disorder: A latent class analysis

Recent evidence demonstrated that neuropsychological assessment may be considered a valid marker of neurodegeneration in idiopathic REM sleep behaviour disorder (iRBD). However, little is known about the possible neuropsychological heterogeneity within the iRBD population. This retrospective study aimed to identify and describe different neuropsychological phenotypes in iRBD patients by means of a data-driven approach using latent class analysis. A total of 289 iRBD patients underwent a neuropsychological assessment evaluating cognitive domains: global cognition, language, short- and long-term memory, executive functions and visuospatial abilities. The presence of mild cognitive impairment (MCI) was also assessed. Latent class analysis was carried out to identify iRBD subtypes according to neuropsychological scores. The most parsimonious model identified three latent classes. Groups were labelled as follows: Class 2 “severely impaired” (n = 83/289): mean pathological scores in different tests, a high percentage of MCI multiple-domain and impairment in all neuropsychological domains. Class 1 “moderately impaired” (n = 44/289): mean neuropsychological score within the normal value, a high percentage of MCI (high risk to phenoconversion) and great impairment in the visuospatial domain. Class 3 “slightly impaired” (n = 162/289): no deficit worthy of attention except for short- and long-term memory. Our results suggest three different clinical phenotypes within the iRBD population. These findings may be relevant in the future for predicting the clinical trajectories of phenoconversion in iRBD.     

Compromised item detection: A Bayesian change-point perspective

Psychometric methods for accurate and timely detection of item compromise have been a long-standing topic. While Bayesian methods can incorporate prior knowledge or expert inputs as additional information for item compromise detection, they have not been employed in item compromise detection itself. The current study proposes a two-phase Bayesian change-point framework for both stationary and real-time detection of changes in each item's compromise status. In Phase I, a stationary Bayesian change-point model for compromise detection is fitted to the observed responses over a specified time-frame. The model produces parameter estimates for the change-point of each item from uncompromised to compromised, as well as structural parameters accounting for the post-change response distribution. Using the post-change model identified in Phase I, the Shiryaev procedure for sequential testing is employed in Phase II for real-time monitoring of item compromise. The proposed methods are evaluated in terms of parameter recovery, detection accuracy, and detection efficiency under various simulation conditions and in a real data example. The proposed method also showed superior detection accuracy and efficiency compared to the cumulative sum procedure.     

Multidimensional adaptive testing

Maximum likelihood and Bayesian procedures for item selection and scoring of multidimensional adaptive tests are presented. A demonstration using simulated response data illustrates that multidimensional adaptive testing (MAT) can provide equal or higher reliabilities with about one-third fewer items than are required by one-dimensional adaptive testing (OAT). Furthermore, holding test-length constant across the MAT and OAT approaches, substantial improvements in reliability can be obtained from multidimensional assessment. A number of issues relating to the operational use of multidimensional adaptive testing are discussed.     

标准参照测验中的信度估计公式

标准参照测验是与常模参照测验不同的一种测验,在标准参照测验中,一个人在测验上的分数不是和他人相比较而是和某个已经设定的标准作比较。如果测验是从某功课论域中随机抽样构造而成,则使用者希望知道考生在这份测验上的观测分数与其在该功课论域上的分数（假如已知）的接近程度;如果使用者想根据测验分数对考生作掌握分类,则他们关心这个推断与假设考生论域分数已知时所作推断一致程度有多高。本文对这两个问题的信度估计进行探讨,得到几个有用的估计公式。     

Linked arguments and the validity requirement

In this paper I demonstrate that most textbook accounts of the linked/convergent distinction fail to conform to the widespread intuition that all valid arguments ought to be classified as linked arguments. I also show that standard textbook accounts of linkage and convergence cannot provide a satisfactory treatment of fallacies of irrelevance and, due to their general insensitivity to the epistemic context in which arguments are offered, must be supplemented by subjective accounts of linkage and convergence which appeal exclusively to authorial beliefs and intentions.Drafts of this paper were read at the Ontario Philosophical Society meeting held at Trent University in October 1990 and the Central Division meeting of the American Philosophical Association held in Chicago in April 1991. I thank Trudy Govier, Hans Hansen and an anonymous referee for helpful and encouraging comments on various drafts.     

Bayesian Gaussian distributional regression models for more efficient norm estimation

A test score on a psychological test is usually expressed as a normed score, representing its position relative to test scores in a reference population. These typically depend on predictor(s) such as age. The test score distribution conditional on predictors is estimated using regression, which may need large normative samples to estimate the relationships between the predictor(s) and the distribution characteristics properly. In this study, we examine to what extent this burden can be alleviated by using prior information in the estimation of new norms with Bayesian Gaussian distributional regression. In a simulation study, we investigate to what extent this norm estimation is more efficient and how robust it is to prior model deviations. We varied the prior type, prior misspecification and sample size. In our simulated conditions, using a fixed effects prior resulted in more efficient norm estimation than a weakly informative prior as long as the prior misspecification was not age dependent. With the proposed method and reasonable prior information, the same norm precision can be achieved with a smaller normative sample, at least in empirical problems similar to our simulated conditions. This may help test developers to achieve cost-efficient high-quality norms. The method is illustrated using empirical normative data from the IDS-2 intelligence test.     

Working with psychosis Part 4: Therapy online – ending by email

This is the fourth and concluding paper from a series about psychotherapy with a man suffering from a psychotic illness. The paper describes the ending of the therapy which was precipitated by my decision to leave the country. News of ending was extremely disturbing for my client and stirred fears that he would again break down and need re-admission to hospital. Six weeks before the ending he stopped attending but continued to stay in contact by email. I decided to reply to his emails during the session times, and we developed what he came to call his ‘email therapy’. This online technology provided a means for my client and me to separate, to find a third perspective and to begin to mourn this ending without him losing his mind and breaking down. Following James Fisher's ideas about ‘mourning in the presence of the loved object’ I understand aspects of this email ending as enabling a relinquishing of projective identification used to possess and control, a recognition of the freedom of the other and of the need to mourn omnipotence. I discuss some of the problems presented by premature ending with a vulnerable client – problems which can be seen in my difficulty of mourning and working through the ending reflected in the long time it has taken to finish writing this paper.