The clinical utility of the Intermediate Category Test, a measure of executive functioning in children 9 to 14 years of age, is currently limited by the availability of only a Total Error score for normative interpretation. The Process Scoring System (PSS) was developed to provide a standardized method of assessing specific processing patterns and problem-solving errors. The purpose of this study was to determine the ability of the PSS scores to discriminate between children with and without suspected executive deficits, thereby providing evidence of criterion-related validity.

Reitan and Wolfson's General Neuropsychological Deficit Scale and Left and Right Neuropsychological Deficit Scales were applied to Halstead-Reitan test data of individuals with psychotic or substance abuse disorders with and without a head injury.

The capacity of Raven's Standard Progressive Matrices (SPM) and the Booklet Category Test (BCT) to discriminate between groups of brain-injured, simulated malingering, and normal participants was investigated in this study. Exploratory analyses were also conducted to examine the differences between groups categorized as sophisticated and naive fakers. Clinical decision rules and discriminant function analyses were utilized to identify malingerers. Clinical decision rules ranged in hit rates from 41% to 78%, in sensitivity from 2% to 100%, and in specificity from 86% to 100%. Discriminant functions ranged in hit rates from 81% to 86%, in sensitivity from 68% to 73% and in specificity from 82% to 87%. Overall, the least helpful detection method examined was below chance responding on either measure, while the most efficient was gross errors for SPM.

The purpose of the study was to determine the point prevalence of cognitive dysfunction in patients with systemic lupus erythematosus (SLE) and to investigate its association with corticosteroids and depression. The severity of dysfunction and the pattern of cognitive changes were examined. This study hypothesized that cognitive dysfunction is common in SLE and many previous studies have underestimated its prevalence, partially due to using limited neuropsychological batteries and insensitive test instruments. It was further hypothesized that the pattern of cognitive changes in SLE patients will resemble that observed in subcortical dementias.

Psychopathic criminals commit more crimes, are more prone to recidivism, and more likely to engage in violent crimes and other aggressive behavior than nonpsychopathic criminals. Less is known about forensic patients, both with and without psychopathy, and their aggression. In the current study, patients in a maximum security hospital were examined with respect to their psychopathy and its predictive value on institutional management and dangerousness. In this regard, the Psychopathy Checklist (PCL) and the Psychopathy Checklist - Revised (PCL-R) have proven to be valid and reliable measures of psychopathy. The present study was an attempt to establish predictive validity for a new version: the Psychopathy Checklist Screening Version (PCLSV). As such, this study examined the PCL-SV's relationship to (a) diagnoses of Antisocial Personality Disorder according to DSM-III-R criteria and (b) the Personality Assessment Inventory (PAI) Aggression, Drug Problems, and Antisocial Features scales. The influence of major Axis I disorders on the assessment of psychopathy with the PCLSV was also examined. Participants were 150 male forensic psychiatric patients at Vernon State Hospital who were committed for various reasons: incompetence to stand trial, initial evaluation and treatment after having been found not guilty by reason of insanity, and manifest dangerousness. Chart reviews …

Recently, researchers have begun to explore the associated impacts of ADHD on parent and family functioning, with an increasing focus on parenting stress. Accumulating empirical evidence is mixed, suggesting that parents of children with ADHD report increased levels of parenting stress when compared to parents of children with learning disabilities, and parents of non-referred children, but report equally stressful parenting levels when compared to parents of children with externalizing behavior problems. Results of the present study comparing reported parenting stress levels between parents of children with ADHD, children with internalizing behavior problems, and nonreferred children, were partially supportive of results found in past studies indicating higher levels of parenting stress among parents of children with ADHD. However, strong gender effects were found between mothers and fathers, which mediated the overall results.

The purpose of the present investigation was to explore the relationship of the adolescent experience of parental death to the variables of identity formation, adjustment, and coping. The inclusion of adolescents who had experienced parental divorce and those who had not experienced either loss condition allowed for group comparisons.

The purpose of this study was to examine the degree to which several psychological and personality variables relate to anorexic and bulimic symptomatology in female undergraduates. Past research investigating the relationship between such variables and eating disorders has been contradictory for several reasons, including lack of theoretical bases, discrepant criteria, or combination of anorexia and bulimia nervosa. Recent investigators have concluded that it is important to examine subdiagnostic levels of eating pathology, especially within a college population. Thus, the present investigation used a female undergraduate sample in determining the extent to which several psychological factors--obsessiveness, dependency, over-controlled hostility, assertiveness, perceived control, and self-esteem--account for anorexic and bulimic symptomatology. Regression analyses revealed that anorexic symptoms were best explained by obsessiveness and then two measures of dependency, emotional reliance on another and autonomy. Bulimic symptoms were related most strongly to lack of social self-confidence (a dependency measure) and obsessiveness. Clinical implications and directions for future research are addressed.

Psychological assessment of mentally disordered offenders requires a systematic consideration of response styles, including malingering and defensiveness. Important components of these evaluations are standardized diagnostic interviews. However, the ability of offenders to feign mental disorders on such measures to achieve such external incentives as treatment, placement on safer units, or possible release from jail remains uninvestigated. With a known-groups comparison with the data from the Structured Interview of Reported Symptoms as a criterion, 24 suspected malingerers were compared to 64 genuine patients on the Schedule of Affective Disorders and Schizophrenia (SADS), the abbreviated SADS-C, the Suicide Probability Scale, and the Referral Decision Scale.

Pain has been described as the most complex human experience and most frequent reason patients seek medical treatment. Few people fail to experience the pain associated with disease, injury, or medical/surgical procedures. However, the impact of unemployment that results from chronic pain suffering has not been widely researched. To present a comprehensive view of the effect unemployment has upon the chronic pain experience, this study focused upon stress philosophy, chronic pain, employment, and coping effectiveness. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), and a Personal Data Questionnaire (PDQ) were administered to 96 persons (four groups of 24 subjects) representing either unemployed or employed and either chronic or non-chronic (acute) pain populations.

The Minnesota Multiphasic Personality Inventory (MMPI) was one of the most widely used psychological tests administered to adolescents. The MMPI-A is a revised version of the MMPI that was developed specifically for adolescents. The purpose of this study is to establish clinical correlates for the MMPI-A standard scale codetypes.

The purpose of this study was to examine the hypotheses that the external factors of family environment, gender, and clinical status and the internal factors of self-esteem and impression management would have either a positive influence or a negative influence on individuals' congruence between their sexual attitudes and their sexual behavior. The hypotheses that the external and internal factors would be significant predictors of congruence between sexual attitudes and behavior were not supported by regression analyses. Clinical status and impression management were significant predictors of congruence but in the opposite direction than hypothesized. When age was factored out of the regression equation, clinical status was no longer a significant predictor of congruence. However, impression management remained a significant predictor of congruence.

The purpose of this study was to compare pre- and post-treatment differences in posttraumatic stress disorder (PTSD) symptoms in male adolescents with conduct disorder. The Children's PTSD Inventory and the PTSD Reaction Index were used to diagnose PTSD and determine trauma type (Type I single trauma or Type II recurring trauma). Pre- and post-treatment measures included the PTSD Reaction Index, the Children's Depression Inventory, the State-Trait Anxiety Inventory, the State-Trait Anger Expression Inventory, the Dissociative Experiences Scale, and the Youth Self-Report. The six-week, biweekly group treatment included education, exposure, and cognitive elements. Primary hypotheses that the abused group would statistically differ from the non-abused group in terms of pre- and post-treatment levels of avoidance, dissociation, anger/aggression, self-destructiveness, social problems, and overall levels of PTSD symptoms, were not confirmed. Overall, group therapy participants experienced statistically significant decreases in PTSD symptoms over the course of therapy. Results are discussed in light of clinical implications, recommended cautions given the lack of a robust control group, and directions for future research.

Predictors of institutional adjustment for juvenile offenders were examined using a sample of 120 males in a detention facility. While demographic information failed to differentiate between well and poorly adjusted juveniles, psychological measures appeared to be more effective. Several MMPI-A clinical scales were useful predictors with the overall elevation in clinical scales being one of the strongest predictors. In addition, the Psychopathy Checklist - Clinical Version (PCL-CV) was a strong predictor of adjustment. Major ethnic differences occurred in the prediction of adjustment, with the MMPI-A and PCL-CV scales predicting infraction rates for the African American group but not Anglo American or Hispanic American groups.

This controlled descriptive study was designed to investigate the psychological status of couples who are engaged in advanced fertility treatments. A battery of psychological test instruments, including the Millon Behavioral Health Inventory (MBHI), the Health Attribution Test (HAT), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Marlowe-Crowne Social Desirability Scale (MCSDS), was used to measure psychological variables that have been shown in the infertility research literature to be associated with the psychological experiences of infertility patients. The scores from the four assessment instruments were compared with those of pregnant couples in childbirth education classes to differentiate the impact of stress associated with fertility treatment from the stress experienced by third trimester pregnant couples. Eighty-five subjects (42 male and 43 female) volunteered for the study and completed packets of questionnaires. The groups were designated Treatment (infertile couples) and Control (pregnant couples). The resulting data were collected and analyzed on the basis of group mean scores on the test instruments.

Three recent studies attempted to substantiate Sewell and Cromwell's (1990) theory of Posttraumatic Stress Disorder (PTSD; American Psychiatric Association, 1994) based on personal construct theory (Kelly, 1955). One crucial aspect of the model that was tested in each of the studies is "elaboration," which is the process of bringing more of a person's repertoire of understanding (constructions) to a certain experience to give it meaning. Elaboration is representative of whether or not the individual is using an integrated set of constructs to deal with a traumatic event. A two-part study (1) reanalyzed existing data to assist in understanding discrepancies in past findings, and (2) content analyzed constructs given by subjects in all three studies. Findings concerning elaboration remained somewhat discrepant but suggested possible differences when investigating the emergent versus submerged poles of constructs.

Research has documented an association between sustained overt psychological abuse and women's self-concept and psychological distress. However, the focus on overt domination and control limits our understanding of its impact and is a weakness addressed in this study. Women in distressed relationships who had sustained severe psychological abuse from a partner and either no, moderate, or serious violence met inclusion criteria.