Treatment recommendations for mentally disordered offenders: More than roulette?

Clinical judgments on the treatability and prognosis of mentally disordered offeenders (MDO) may strongly influence legal dispositions and the availability of treatment resources. This study examined 1,238 discharge summaries for MDOs referred for court assessments. Psychiatrists evidenced marked variability in how often they recommended treatment and how frequently they judged patients to have a poor prognosis. Two logit analyses suggested that diagnosis and consultation by other clinicians were associated with (a) treatment recommendations (i.e., Axis I diagnosis and social work consultations) and (b) prognosis (i.e., Axis II diagnosis and psychology consultations).     

Triadic consistency and false heart-rate feedback

Subjects viewed slides of the Rorschach cards while listening to heart sounds that were supposedly but not actually their own. For some of the subjects the heart rate increased when they were exposed to the five achromatic cards and for some subjects the heart rate increased when they were exposed to the five chromatic cards. In addition, some subjects were told that increased heart rate was a sign of mental health (positive condition), and some that the increased heart rate was a sign of mental abnormality (negative condition) Since the heart-rate increase (behavior) and Rorschach cards associated with the increase (attitude object) are connected by a positive causal relation, triadic theory predicts that the sign of the heart-rate increase should generalize to the associated cards (i e, be positive in the positive condition and negative in the negative condition) An analysis of variance revealed such an overall significant effect Closer examination of the data, however, revealed that the triadic effects were not unambiguously occurring when the increased heart rate was associated with achromatic cards It was suggested that in this condition the unique characteristics of the cards facilitated the generation of complicating anxiety. Supportive data for this interpretation were offered     

Culturally Sensitive AIDS Educational Videos for African American Audiences: Effects of Source, Message, Receiver, and Context

The importance of using culturally sensitive educational materials in HIV-related interventions with racial and ethnic minority groups is widely recognized. However, little empirical research has been conducted to assess the relative effectiveness of different techniques for creating culturally sensitive AIDS educational videos. Two field experiments with three samples of African American adults (N = 174, 173, and 143) were conducted to assess how source characteristics (race of communicator), message characteristics (multicultural message vs. culturally specific message), and audience characteristics (racial distrust and AIDS-related distrust) influence proximate (perceptions of the message's credibility and attractiveness) and distal (AIDS-related attitudes, beliefs, and behavioral intentions) output variables for AIDS educational videos. In Study 1, an AIDS video with a culturally specific message was rated as more credible, more attractive, and of higher quality than was a video with a multicultural message. The multicultural message was rated less favorably when delivered by a White announcer than when the announcer was Black. In Study 2, the same pattern was replicated with a second community sample and a campus-based sample. Study 2 also indicated that a multicultural message might be more effective if delivered in a culturally specific context, namely, after audience members watch a culturally specific video. Minimal changes were observed in distal outcome variables. It is argued that influencing proximate output variables is necessary, though not sufficient, for effecting long-term change in AIDS-related attitudes, beliefs, and behaviors.