The MMPI and clinical diagnosis: a comparison of classification system outcomes with discharge diagnoses

This study examined the agreement or congruence rate between clinical-discharge diagnoses rendered by a psychiatrist, and admission and discharge MMPI-derived diagnoses from four diagnostic classification systems that have been developed for the MMPI. The four classification systems included a simple high-point code based on the most elevated clinical scale in the profile, the Henrichs revision of the Meehl-Dahlstrom rules, the Goldberg equations, and a system developed by Lachar. Subjects consisted of 150 patients selected from a larger pool of patients who had completed a 9-week adult residential treatment program. Overall, this study yielded modest hit rates between 26% and 34% for MMPI-derived diagnoses and psychiatric diagnoses across the various classification systems. In addition, stability of MMPI-based diagnoses from admission to discharge assessments ranged from 48% to 51% depending on the classification system employed. Findings are discussed in terms of their implications for the use of the MMPI in patient diagnosis. It is recommended that the MMPI be used in conjunction with other sources of clinical and test information in deriving clinical diagnoses.     

The sociobiology of bereavement: a reply to Littlefield and Rushton

This article offers a critique of Littlefield and Rushton's (1986) application of sociobiological principles to bereavement following the death of a child. The following general issues are considered: (a) whether behavior is always adaptive and (b) the distinction between proximate and ultimate explanations. It is argued that grief is a maladaptive by-product of another, adaptive feature and that hypotheses about the severity of grief are best derived from proximate considerations rather than genetic relatedness. The use of a single-item rating scale to measure grief is questioned, and it is noted that interspouse reliabilities reported in the article were low, a problem not solved (as claimed) by aggregation. Criticisms are made of the specific hypotheses, notably in terms of their origins in sociobiological theory. It is argued that functional hypotheses are not alternatives to proximate mechanisms, but enable some proximate mechanisms to be viewed from the perspective of evolutionary biology.     

Rorschach records of Nazi war criminals: a reanalysis using current scoring and interpretation practices

The Nuremberg trials focused worldwide attention on 22 Nazi war criminals. Rorschach Inkblot tests were administered to these Nazi leaders in an attempt to understand the Nazi personality. Past studies which have described and interpreted these Rorschach records have made at least two types of errors in their analyses. One is that of overinterpretation and excessive inference. A second common error has been the failure to detect meaningful distinctions between protocols that represent significant differences in personality style. This latter error is shown in repeated attempts to group all Nazi protocols into one distinct "Nazi personality." This investigation attempted to quantify the analysis of these Nazi Rorschach records, specifically those Nazi leaders who were sentenced to life imprisonment or execution for their war crimes against humanity, by utilizing Exner's (1985a) standardized Comprehensive Scoring System as well as computerized objective interpretation software based on the Exner system (1986). This modern analysis of the Rorschach records demonstrates that the Nazi war criminals cannot be grouped together into one specific mental disorder that would adequately characterize these diverse individuals. The varying degrees of psychopathology of the Nazi leaders are illustrated by analyses of individual Rorschach protocols.     

Can Jean Piaget explain the possibility of knowledge?

The purpose of this article is to show that Piaget's use of the equilibrium principle cannot explain the possibility of correct understanding. That is, it cannot explain the possibility of knowledge, as opposed to simple change in belief. To make the argument, I begin by describing Piaget's explanatory model, which is known as the equilibrium principle. I then argue that correct understanding, or knowledge of any x as a case of y, requires a concept of correctness, i.e., the recognition that words and concepts apply under some conditions but not others. I try to show that because he uses the equilibrium principle as a basis for his explanation, Piaget cannot explain how a concept of correctness is acquired. Finally, I argue that to explain the possibility of knowledge, one must show how the conditions for word and concept application are determined by a community of language users. Again, I claim that Piaget's use of the equilibrium model precludes such an account.     

The prediction of drug use among college students from MMPI, MCMI, and sensation seeking scales

This study examines the ability of five self-report assessment measures to predict college students' drug use across 12 pharmacological drug categories. Subjects were 125 female and 61 male university undergraduate students. The test battery included the following instruments: the Psychopathic Deviancy (Pd) scale of the Minnesota Multiphasic Personality Inventory (MMPI); the MacAndrew Alcoholism scale (MAC), a special scale of the MMPI; the Sensation Seeking Scale (SSS); the Millon Alcohol Abuse Scale; and the Millon Drug Abuse Scale. Scores from these instruments were utilized in linear combinations to predict individual drug use outcomes as well as polydrug versus single drug use patterns. The drug categories included in this investigation are coffee, tobacco, alcohol, marijuana, tranquilizers, depressants, amphetamines, LSD, other hallucinogens, solvents, narcotics, and cocaine. Results demonstrate significant and meaningful relationships between predictors and drug use levels among college students. Weighted equations derived from linear discriminant function analyses were generally capable of accurately classifying subject's drug use levels across drug categories and in discriminating single drug use from polydrug use patterns. Typically, the Sensation Seeking Scale entered as the most powerful predictor of substance use and abuse.     

Animal sociobiology and comparative psychology: A review

The implications of sociobiology for comparative psychology are discussed. First, the following preliminary topics are considered: (a) the historical origins of sociobiology, and (b) the general criticisms leveled at this field. Second, the characteristics of the evolutionary functional approach to animal behavior are outlined: (a) the individual focus of natural selection, with its associated implications for the evolution of altruism, and (b) the use of mathematical models, notably optimality and games theory models. Third, it is suggested that the evolutionary functional approach can enrich the study of comparative psychology in the following ways: (a) by providing a broad framework for interspecific comparisons based on the principle of natural selection, and (b) by aiding the study of motivation and learning mechanisms through focusing attention on the function of such mechanisms.     

Conceptualising,designing and drafting a monthly multi-family therapy programme and manual for adolescents with anorexia nervosa

The written transmission of therapists' expertise in manuals is an important issue which is highlighted in the literature. Manuals are essential for research, training and therapeutic guidance. However, the conceptualisation, design and drafting of therapy manuals have received little attention. Our team conceptualised and designed a 10-monthly session multi-family therapy programme for adolescents suffering from anorexia nervosa. This paper presents the methodology used to evolve from training and theoretical models to designing a programme and drafting the accompanying manual. We then describe how our team reached a consensus regarding the role to be attributed to food-related symptoms in the programme. These arduous tasks were rewarded by fruitful discussions among team members, which led to a shared theory of treatment. The methodology presented here is drawn from both the experience of specialised teams and from that of families in providing care to adolescents with anorexia nervosa.