Feasibility of validating survey self-reports of mental health service use

Survey respondents may inaccurately report mental health service utilization for motivational and cognitive reasons. There is little evidence on accuracy of self-reports of mental health service use, and this evidence suggests that respondents tend to underreport inpatient utilization. This study addressed the question of self-report accuracy by comparing survey data from a large probability sample to data from computerized records of publicly funded mental health services. Few inaccuracies in self-reporting were detected. However, despite the use of data bases that were unusually appropriate for verifying self-reports, several problems limited the feasibility of validation. Suggestions are offered for increasing the feasibility of validation in future studies.     

An evaluation of the yellow brick road test through a full prediction-performance comparison matrix

The purpose of the present study was to evaluate the predictive validity of the Yellow Brick Road Test (YBRT) relative to performance in reading as measured by the Metropolitan Achievement Test (MAT). A full prediction-performance comparison matrix was employed to compare three different cutoff scores for the YBRT for the identification of “at-risk” children. Four hundred and fourteen kindergarten-aged children were administered the YBRT, 214 of whom were followed to the end of second grade. It was concluded that the YBRT is a moderately valid instrument for predicting the level of reading achievement in a population with a different average performance level from the normative sample. However, the results of this study failed to support the utility of the test author's suggested use of a score of 120 as the cutoff score. Finally, it is recommended that a prediction-performance comparison study be considered standard methodology for the evaluation of the validity and efficiency of screening instruments.     

THE WILL ROGERS ILLUSION IN JUDGMENTS ABOUT SOCIAL GROUPS

Abstract— Subjects' judgments of the mean of 12 scores were influenced by the way in which the scores were dichotomized. The estimated mean was higher when the three highest scores formed one group (e.g., payments for women) and the nine lowest formed the other (e.g., payments for men) than when the nine highest were one group and the three lowest the other. We call this phenomenon the Will Rogers Illusion (WRI). The WRI occurred only when estimates of the subgroup means were made prior to the estimates of the mean of the whole group. When the latter mean was judged first, the WRI was reversed. These and other data indicate that the means of subgroups can influence judgments of group means, a finding that is relevant to research on social stereotypes.     

Clergy sexual misconduct: The affair everyone remembers

Reported instances of clergy sexual misconduct have risen significantly in recent years. Allegations of sexual misconduct have long lasting effects on the career of the clergy, the persons involved, and the congregations. A distinction is made between those clergy who engage in this behavior due to a personality disorder, and those who engage in sexual misconduct as a response to spousal or congregational conflict. In working with the women who have been sexually involved with the clergy, there needs to be a recognition of both the damage done to the woman and the woman's perception that some benefits may have resulted from this relationship. Congregations who have been through this experience will be reluctant to deal with it Unless there is ongoing consultation, there is an increased risk that the congregation will project their unresolved issues on the subsequent clergyperson thereby severely jeopardizing his or her chances of succeeding in the position. Arlene B. Brewster is a psychologist in private practice and is on the adjunct faculty of the Northeastern Ohio College of Medicine. Additional information may be requested by writing her at Associates in Counseling, #205 5500 Market St., Boardman, Ohio 44512.     

Attentional Focus of Students with Hyperactivity During a Word-Search Task

Mirrors have been used to focus attention to aspects of the self (e.g., to known strategies, standards). We hypothesized that this could be important for students with hyperactivity/inattention, who typically direct attention outward to external novelty. In this study, we administered a partially solvable word puzzle to 43 middle school students, with and without hyperactivity/inattention, in the presence and absence of a mirror, counterbalanced for condition and form order. Differences between students with hyperactivity/inattention and comparisons in accuracy were found only in the no mirror condition. Furthermore, the beneficial effect of the mirror for children with hyperactivity/inattention was most pronounced for those who looked at the mirror. Findings were interpreted in terms of their potential to remedy the production deficits of these children.     

Violent behavior in adolescents and young adults: A person and environment model

We explore a model that examines how personal and environmental variables explain violent behavior by adolescents. Repeated interviews with youths from 1984–1992 from 10 cities across the United States provided the data. These interviews first occurred with 2,787 youths when they were adolescents (1984–85 and 1986–87) and the interviews were repeated on a subsample of 602 youths when they were young adults (1989–90 and 1991–92). Longitudinal multivariate analyses showed that almost a third of the variance in adolescent violent behaviors was predicted by a combination of personal variables (gender, substance misuse) and environmental variables (history of child abuse, stressful events, traumatic events, and city rates of unemployment). Further, almost a third of the variance in change in violent behaviors from year to year was predicted by prior violent behavior and a combination of personal variables (gender, suicidality, and substance misuse) and environmental variables (stressful events).     

Psycholegal standards and the role of psychological assessment in personal injury litigation

Conceptual and procedural aspects of the forensic practitioner's role in personal injury litigation are identified relative to the provision of evaluative, consultative, and court-related services. A model is presented for comprehensive clinical and psychodiagnostic assessment consistent with concepts of legal relevance and probative value. The model facilitates rendering psycholegal formulations and opinions regarding compensatory damages when retained to examine mental and emotional elements entered as causes of action in tort. The differential contribution of state and trait level conditions, and of proximate, pre-existing, and coexisting factors to the causal nexus of impairment is considered in this context toward establishing preincident baseline functioning and making pre-post comparisons. Approaches toward delineating the range and severity of impairments that are related to the instant event, and separating these from nonproximate factors and from the dynamics of primary and secondary gain, are considered.     

Working through a group's fantasy of the deceased leader's wish for the group's continuation

This paper reflects the working through of a group's fantasy that the deceased group leader wished the group to continue. As in any defense, the fantasy protected members from the pain of the finality of the leader's death. This article reveals the subjective experience concerning the effect of the leader's death on the group and members' intrapsychic struggle to separate and individuate from the deceased leader, while attending to and striving toward the group's continuation. The group's painful and growing individuation enabled the group to follow its own tasks without the spector of the deceased leader.