Quantifying Construct Validity: Two Simple Measures

Construct validity is one of the most central concepts in psychology. Researchers generally establish the construct validity of a measure by correlating it with a number of other measures and arguing from the pattern of correlations that the measure is associated with these variables in theoretically predictable ways. This article presents 2 simple metrics for quantifying construct validity that provide effect size estimates indicating the extent to which the observed pattern of correlations in a convergent-discriminant validity matrix matches the theoretically predicted pattern of correlations. Both measures. based oil contrast analysis, provide simple estimates of validity that can be compared across studies, constructs. and measures meta-analytic ally, and can be implemented without the use of complex statistical procedures that may limit their accessibility.Psycholog

Official and unofficial data

Unofficial data are empirical findings that guide our research but are generally not reported. This article delineates four forms of unofficial data: casual observation of ourselves and others, unsystematic naturalistic observation, uncodable forms of clinical and phenomenological data, and accidental and nonquantifiable incidents and findings arising during pilot testing and data analysis. The article argues for a broadened conception of empiricism that recognizes unofficial data as data, explores the different contexts of the scientific process in which official and unofficial data are useful, and suggests the implications of the existence and utility of unofficial data for research and publication practices.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27535/1/0000579.pd

Transference and information processing

The importance of transference has been emphasized by psychodynamically oriented clinicians since Freud. This article examines transference phenomena from an information processing perspective, delineates several different aspects of transference experience, and shows how experimental research documents processes involved in transference. It distinguishes between transference as person schemas/object representations, attachment, schema-triggered affect, interpersonal expectancies, scripts, and defenses, and argues for the importance of making such distinctions. It attempts, further, to demonstrate the clinical utility of examining and working with transference phenomena in the alteration of dysfunctional schemas and maladaptive mechanisms of affect-regulation.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27493/1/0000537.pd

Agreement Between Clinician and Patient Ratings of Adaptive Functioning and Developmental History

Objective: Psychiatric researchers rely heavily on patient report data for clinical research. However, patient reports are prone to defensive and self-presentation biases. Recent research using practice networks has relied on clinician reports, and both forensic and personality disorder researchers have recently turned to quantified data from clinically expert observers as well. However, critics have raised legitimate concerns about the reliability and validity of data from clinician informants. The aim of this study was to assess the validity and diagnostic efficiency of clinician reports of their patients\u27 adaptive functioning and developmental histories, using patient reports as the comparative standard traditionally used in psychiatric research. Method: Eighty-four clinicians and their patients completed a clinical data form designed to assess a range of patient functioning, clinical history, and developmental relationship variables used in multiple clinician report studies. The authors correlated clinician and patient reports across a number of clinically relevant adaptive functioning variables and calculated diagnostic efficiency statistics for a range of clinical history variables, including suicide attempts, hospitalizations, arrests, interpersonal conflicts affecting employment, and childhood physical and sexual abuse. Results: Across variables, patient-therapist correlations (0.40-0.66) and overall correct classification statistics (0.74-0.96) were high. Conclusions: The data demonstrate that clinicians\u27 judgments about their patients\u27 functioning and histories agree with patients\u27 self-reports and that in areas of discrepancy, clinicians tend to make appropriately conservative judgments in the absence of clear data. These findings suggest that quantified clinical judgment provides a vast untapped potential for large-sample research on psychopathology and treatment

Assessment of Clinical Information: Comparison of the Validity of a Structured Clinical Interview (the Scid) and the Clinical Diagnostic Interview

Adaptive functioning is a key aspect of psychiatric diagnosis and assessment in research and practice. This study compared adaptive functioning validity ratings from Structured Clinical Interviews (SCIDs, symptom-focused structured diagnostic interviews), and Clinical Diagnostic Interviews (CDIs, systematic diagnostic interviews modeling naturalistic clinical interactions focusing on relational narratives). Two hundred forty-five patients (interviewed by two independent interviewers) and their interviewers completed the Clinical Data Form which assesses adaptive functioning and clinical information. Both interviews converged strongly with patient-reports, with no significant differences in validity of the interviews in measuring global and specific domains of adaptive functioning variables. Findings suggest that CDIs provide adaptive functioning data comparable to SCIDs (often considered gold standard for assessment but difficult to use in practice) and have important implications for bridging the research-practice gap. By incorporating clinicians\u27 everyday methods, CDIs yield information that is psychometrically sound for empirical investigation, diagnostically practical, and clinically meaningful and valid

Prototype personality diagnosis in clinical practice: A viable alternative for DSM–5 and ICD–11

Several studies suggest that a prototype-matching approach yields diagnoses of comparable validity to the more complex diagnostic algorithms outlined in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Furthermore, clinicians prefer prototype diagnosis of personality disorders to the current categorical diagnostic system or alternative dimensional methods. An important extension of this work was to investigate the degree to which clinicians are able to make prototype diagnoses reliably. The aim of this study was to assess the interrater reliability of a prototype-matching approach to personality diagnosis in clinical practice. Using prototypes derived empirically in prior research, outpatient clinicians diagnosed patients' personality after an initial evaluation period. External evaluators independently diagnosed the same patients after watching videotapes of the same clinical hours. Interrater reliability for prototype diagnosis was high, with a median r ϭ .72. Cross-correlations between disorders were low, with a median r ϭ .01. Clinicians and clinically trained independent observers can assess complex personality constellations with high reliability using a simple prototype-matching procedure, even with prototypes that are relatively unfamiliar to them. In light of its demonstrated reliability, efficiency, and versatility, prototype diagnosis appears to be a viable system for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and the 11th edition of the International Classification of Diseases, with exceptional utility for research and clinical practice

DSM-III and DSM-III-R schizotypal symptoms in borderline personality disorder

The frequency of DSM-III and DSM-III-R schizotypal personality disorder (SPD) symptoms and diagnosis was explored in 39 inpatients classified as borderline by the Diagnostic Interview for Borderlines (DIB) and 19 inpatient major depressive disorder (MDD) controls. Most SPD symptoms in all groups, except the nondepressed borderlines, derived from social-interpersonal items. By DSM-III, 24 borderlines (62%) but only six controls (32%) had cognitive-perceptual SPD symptoms (P = .03), whereas by DSM-III-R only 14 borderlines (36%) and seven controls (37%) had such symptoms. Of the 24 borderlines showing cognitive-perceptual symptoms, 16 also had MDD, a significant difference from the non-MDD borderlines (P = .04). This difference disappears in DSM-III-R. The results suggest that some SPD symptoms in borderlines may be related to a concurrent affective episode.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/28693/1/0000513.pd

Assumption without representation: the unacknowledged abstraction from communities and social goods

We have not clearly acknowledged the abstraction from unpriceable “social goods” (derived from communities) which, different from private and public goods, simply disappear if it is attempted to market them. Separability from markets and economics has not been argued, much less established. Acknowledging communities would reinforce rather than undermine them, and thus facilitate the production of social goods. But it would also help economics by facilitating our understanding of – and response to – financial crises as well as environmental destruction and many social problems, and by reducing the alienation from economics often felt by students and the public

Cognitive-behavioral interventions in the psychoanalytic psychotherapy of borderline personality disorders

A pathology of affect regulation and of object relations (the cognitive and affective processes that mediate interpersonal functioning in close relationships) are two features that define much of borderline pathology. Cognitive-behavioral interventions that target self-regulation and social-cognitive processes (such as perspective-taking and attribution) can be usefully integrated into psychodynamically oriented treatment of borderline patients. Strictly psychodynamic approaches tend to be limited by factors such as a lack of attention to processes by which conscious insight and coping strategies can be transformed into automatic or adaptive unconscious procedures in these patients. Cognitive approaches tend to be limited by rationalistic assumptions about motivation and an underestimation of the complexities of cognitive-affective interactions and unconscious processes.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/29577/1/0000665.pd