Who uses community mental health centres? A study of one health district

A caseload analysis was undertaken to investigate those clients seen by five community mental health centre teams within one healthcare district. The 985 clients are described in terms of demographic and clinical features and questions relating to service provision are discussed.     

An investigation into the relationship between perceived control,attitude variability and the consumption of two common foods

The study reported here takes its lead from the literatures which emphasize the importance of attitude variability and the role of perceived control over action. Within-person variability and perceptions of control are investigated in the context of people's attitudes towards the consumption of two common foods. The role of attitude ambivalence is also examined. The findings indicate that higher attitude variability is associated with weaker relationships between the components of the theory of reasoned action and that attitude variability is negatively related to perceived control. Moreover, perceived control is shown to be related to different sorts of control problem for different behaviours. It is advocated that a more in-depth assessment of attitude variability and the perceived control construct is merited and that recent calls for more serious examination of attitude ambivalence are well-founded.     

Primacy of dimensions in vibrotactile perception: An evaluation of early holistic models

Early holistic models of perception presume that stimuli composed of interacting dimensions can be experienced initially as undifferentiated. This view, formalized through recourse to a Euclidean geometry of perceptual space, predicts that the orientation of axes used to create stimulus sets is unimportant to performance in speeded classification. We tested this idea by using the interacting vibrotactile dimensions of pitch and loudness. Despite perceivers’ relatively poor experience with these dimensions, we showed that the orientation corresponding to pitch and loudness was unique in vibrotactile perceptual space; subjects classified stimuli more efficiently at this orientation than at other orientations. Certain holistic models also claim that when stimulus differences are small, perceivers can recognize change without distinguishing the kind of change. We tested this idea by using a signal detection analysis of unspeededsame—different decisions. We found that subjects’ ability to notice the kind of change equaled their ability to notice the change alone. In view of these results, which indicate that pitch and loudness are primary in vibrotactile perception, we detail a new conception of dimensional interaction.     

Countering perfectionism in research on clinical practice I: Surveying rationality changes after a single intensive ret intervention

The failure of controlled experimental research on therapy out-come to produce findings of clinical as well as statistical significance seems at least partly due to irrational, perfectionistic, beliefs about how research can be used to infer causes of therapeutic change. Irrational beliefs about controlled experimental designs and about incomplete sampling, in particular, appear to prevent appropriate consideration of probatively valuable quasi-experimental research. Models of more rational alternatives are identified, and an example of the functional advantages of adopting these rational beliefs is explicated. The example demonstrates that single-shot pre-post survey data from self-selected catch-as-catch-can samples can permit legitimate, but not absolutely certain, conclusions about the efficacy and efficiency of RET.Albert Ellis, Ph.D. is executive director of the Institute for Rational-Emotive Therapy in New York City.     

Probability of relapse after recovery from an episode of depression

Examined relapse rates in those individuals who have experienced an episode of unipolar depression as a function of the number of previous episodes, gender, age at onset of the episode (less than 40 vs. greater than 40), time since a previous episode, and depression level at time of interview. From of 6,742 participants, 2,046 were interviewed; of these, 1,130 had at least one, 513 reported a second and 173 reported a third episode. The probability for relapse was positively related to number of previous episodes, being female, depression level at time of interview, but not to age at onset (less than 40 vs. greater than 40). Women were also more likely to have more severe episodes. Participants with elevated depression symptoms reported a greater number of previous episodes. Following the first episode, there was a decline in hazard rate for men but not women; following the second episode, there was no change in vulnerability for men; for women, the results were ambiguous.