Effects of diagnostic classification systems on clinical hypothesis-generation

In this study it was determined whether (a) classification as opposed to absence of classification has an effect on the quality of clinical hypotheses (b) the DSM-III-R and the CBCL have a different effect on the quality of clinical hypotheses, and (c) the potential difference between the DSM-III-R and the CBCL is moderated by the different number of syndromes identified by these systems. To investigate these questions, an experiment was conducted in which 86 clinicians generated hypotheses for six cases. The clinicians were divided into a DSM-III-R, a CBCL, and a control group. Of the six cases, two were classified by both classification systems as one syndrome, two were classified as one syndrome by the DSM-III-R but as two syndromes by the CBCL, and two were classified as two syndromes by the DSM-III-R but as one syndrome by the CBCL. The quality of the hypotheses was determined by means of four dependent variables selected from an overview of qualitative criteria: explanatory value, redundancy, possibility of operationalization, and specificity. No differences between the CBCL and the control groups were found. The DSM group performed better than the control group regarding explanatory value and redundancy. The DSM-III-R group also scored better than the CBCL group regarding explanatory value, particularly when the number of identified syndromes was two for the CBCL and one for the DSM-III-R.     

A challenge to vocational psychology: How important are aspirations in determining male career development?

Nationally representative longitudinal data on 1394 employed white men aged 15 to 24 in 1966 were used to assess whether job opportunities or vocational aspirations are the more important determinants of later job held. Support was found for two hypotheses: (a) men more often achieve congruence between their aspiration and their field of employment by changing aspirations to match the job rather than vice versa; and (b) aspirations for field of work generally are not as useful as actual job field for predicting the field of jobs held 1 to 5 years later. Contrary to expectation, middle-class young men were no more able to attain their aspirations either for field of employment or for status level of occupation than were lower-class male youths. These results suggest that although aspirations have some predictive power, the opportunity structure—which both conditions aspirations to narrow ranges early in life and affects the direction of early career development—is too often neglected by vocational psychology. One suggestion for counseling practice is that interest and maturity assessments be used as sources of information to both client and counselor about past influences. Attempts to actually counteract those influences should be clearly specified as such and separated from the assessment process.     

Creating and criticizing theory

F. W. Vondracek, R. M. Lerner, and J. E. Schulenberg (Journal of Vocational Behavior, 1983, 23, 179–202) criticize the vocational literature for failing to “follow acceptable scientific procedures for building a theory” and for failing to attend to important methodological and substantive developments. It is argued here that no single acceptable process for creating theory exists and three strategies useful for developing a theory are illustrated: immerse yourself in data, pick a specific set of results to explain, and try to resolve inconsistencies in the literature. Three criteria for evaluating theories and criticisms of them are discussed: comprehensiveness (content value), accuracy (truth value), and clarity (form). The paper by Vondracek et al. is examined from this perspective and is shown to lack the specificity, clarity, and accuracy necessary to be an effective guide to better vocational research or theory.     

New assessment systems for residential treatment,management, research,and evaluation: A symposium

An introduction and overview are presented to new observational assessment systems for ongoing assessment and monitoring of both staff and resident (client or patient) functioning in residential treatment programs for emotionally disturbed and mentally retarded adults.Preparation of articles and the research and development on which the articles are based was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from the Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.A symposium presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979.     

Systems use to objectify program evaluation,clinical, and management decisions

The utility of the observational assessment systems at different levels — from local clinical to systemwide management — is outlined. An overview is provided of TSBC information applied to individualized problem identification and programming/monitoring, discharge and competency determinations, and both absolute and comparative program evaluation. The utility of SRIC information for prgoramming/monitoring and for staff training and evaluation is outlined in addition to the applied uses of the information of the assessment systems in combination. Once implemented, the continuous data from the systems allow for empirically based self-corrective improvements in the quality of mental health services while automatically providing a basis for legal documentation and accurate cost/effectiveness comparisons of mental health programs.Preparation of this article and the research and development on which the article is based were supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from The Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Structural complexity as a determinant of serial pattern learning

A new methodology extends the study of serial pattern learning to nonhuman organisms by constructing patterns using elements that are both familiar and motivationally meaningful to animals. Two experiments examine the ability of rats to anticipate various quantities of food as measured by running times in a runway when the quantities occur in a serial order. In Experiment 1, a serial monotonic pattern (14-7-3-1-0 food pellets) produced more rapid learning and more accurate anticipation of the various quantities (“tracking”) than a serial nonmonotonic pattern (14-1-3-7-0 food pellets), particularly with respect to the final 0-pellet element. In Experiment 2, the same monotonic pattern generated faster learning and more accurate anticipation of pattern elements than a weakly monotonic pattern (14-5-5-1-0 pellets). Associative explanations including simple excitatory or inhibitory effects, temporal anticipation, reinforcement contrast, and the number and discriminability of pairwise associations are not adequate to account for the data. Rather, the formally defined structural complexity of each pattern adequately predicts its relative difficulty.     

Paradoxical breathlessness in asthma

This study tested the hypothesis that breathlessness in asthma relates linearly to airway obstruction when situational, attentional and emotional influences are held constant via random presentation of different intensities of externally applied airflow obstruction. Adolescents with stable asthma and normal controls (n=25+25) with lung functions of approximately 3.5 l forced expiratory volume in 1 s (FEV₁) breathed through a device which obstructed airflow with five stimulus intensities, analogous to a mean reduction in FEV₁ of 8–66%. A session consisted of 10 blocks, each with presentation of five stimulus intensities plus the baseline resistance of the apparatus. Breathlessness was continuously reported by moving a lever along a 10-point scale. The mean breathlessness was computed per stimulus intensity. Lung function and anxiety were measured before and after the test.

Participants with asthma, not controls, manifested a paradoxical response: they reported significantly more breathlessness, but undifferentially. One patient against 12 controls reported consistently more breathlessness from baseline to severe obstruction. The hypothesis was only supported for controls. Breathlessness did not correlate with severity of asthma, lung function, duration of asthma, number of exacerbations over the last six months, age, sex or anxiety.

It was concluded that the meaning of airflow obstruction in patients with asthma has changed and underlies their paradoxical responses, even when situational, attentional and emotional factors are controlled.     

Measurement Structure of the Turkish Translation of the Child Behavior Checklist Using Confirmatory Factor Analytic Approaches to Validation of Syndromal Constructs

The new correlated 8-factor measurement structure of the Child Behavior Checklist for ages 6-18 (CBCL/6-18; T. M. Achenbach & L. A. Rescorla, 2001) derived from an American sample was used as a benchmark to evaluate its generalizability to Turkish general population (N = 5,195) and clinical (N = 963) samples. Item-level confirmatory factor analysis (CFA) was used to evaluate the adequacy of the correlated 8-factor model across 3 sample conditions (general population, clinical, and combined sample whose Total Problems scores were above the Turkish national median). The results supported the generalizability of the overall measurement structure of the CBCL to the Turkish population.     

Demographic characteristics,social competence,and behavior problems in children with gender identity disorder: a cross-national,cross-clinic comparative analysis

This study examined demographic characteristics, social competence, and behavior problems in clinic-referred children with gender identity problems in Toronto, Canada (N = 358), and Utrecht, The Netherlands (N = 130). The Toronto sample was, on average, about a year younger than the Utrecht sample at referral, had a higher percentage of boys, had a higher mean IQ, and was less likely to be living with both parents. On the Child Behavior Checklist (CBCL), both groups showed, on average, clinical range scores in both social competence and behavior problems. A CBCL-derived measure of poor peer relations showed that boys in both clinics had worse ratings than did the girls. A multiple regression analysis showed that poor peer relations were the strongest predictor of behavior problems in both samples. This study—the first cross-national, cross-clinic comparative analysis of children with gender identity disorder—found far more similarities than differences in both social competence and behavior problems. The most salient demographic difference was age at referral. Cross-national differences in factors that might influence referral patterns are discussed.