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.     

A comparison of alternative theoretical approaches to smoking cessation and relapse

Two theoretical approaches to smoking cessation were compared. Participants were randomly assigned either to (a) a traditional treatment program that used contingency contracting and that emphasized the necessity for absolute abstinence (AA) or to (b) a relapse-prevention (RP) treatment that focused on gradual acquisition of nonsmoking skills. It was hypothesized that participants in the RP treatment would be less successful initially but would have better maintenance skills and thus would relapse less during a 1-year follow-up period. Each program was evaluated in two formats: group-based treatment and self-help materials. Results indicated comparable 1-year abstinence rates for all treatments, although more participants dropped out of the self-help formats. Participants in the RP intervention were more likely to lapse sooner after quitting and were more likely to quit again during the 1-year maintenance period. Exploratory analyses of successful participants suggested that women were more successful in the RP program and that men had greater success with the AA approach.     

Pigeons can discriminate locations presented in pictures

The present experiments were designed to teach pigeons to discriminate two locations represented by color photographs. Two sets of photographs were taken at two distinctive locations on a university campus. These sets represented several standpoints at each location. For the true-discrimination group, pictures from the two locations were differentially associated with reward; for the pseudodiscrimination group, half of the views from each location were arbitrarily but consistently associated with reward. The former group acquired the discrimination much more rapidly. These birds also showed good transfer to new views from the standpoints used in training and to a new standpoint at each location not used in training. In a second experiment, another group of pigeons could terminate any training trial by pecking an “advance” key. Three of 4 subjects used this option to reduce the duration of trials in which pictures from the negative location were presented. These data suggest that pigeons can integrate views shown in pictures into a “concept” of a location. The method used here may be the experimental analogue of a common, natural process by which animals learn to identify locations.