Use of the Rorschach test as a diagnostic criterion.

In his American Psychologist article, Joseph Lerner (see record 1964-01189-001) kindly ascribed to me words which properly belong to Samuel J. Beck. Beck does refer to my Perceptanalysis (Piotrowski & Lewis, 1957), but not on the same page. His words express my past belief. At present my attitude is more complex. It changed after I checked some "blind" Rorschach diagnoses and clinical psychiatric diagnoses on the same patients (Piotrowski, 1950, p. 363), and read published reviews of the reliability and validity of clinical psychiatric diagnoses. These revealed that a considerable percentage of first admission patients, discharged as psychoneurotics, are rediagnosed as schizophrenics after a re-examination several years later. In fact, some schizophrenic conditions escape detection through clinical observations for as long as 10 years, despite intermittent clinical examinations. The Rorschach test definitely is highly sensitive to schizophrenia even though at times some remitted or much improved schizophrenics produce test records failing to give any indication of the psychosis, let alone of the past acute psychotic episodes Lerner stated that "the Rorschach alone is of little assistance unless it is an integral part of the total evaluation." Well, if the Rorschach is never used as an independent diagnostic criterion, we shall never know how good or bad a diagnostic criterion it is. Using it as a part source of information, is to contaminate it (that is why "blind" diagnoses are important). The second point is: It seems advisable to follow the rule that if clinical observations or the Rorschach test--or both--suggest schizophrenia, this diagnosis is likely to be valid. This rule is compatible with Lerner's conclusion that an evaluation based on all available sources of information is better than one which utilizes only one diagnostic criterion, be it test, anamnesis, or clinical examination. To be certain that the Rorschach test is a dependable diagnostic criterion in neuropsychiatry we must have first highly reliable diagnostic test procedures. A digital computer program of Rorschach interpretation, including numerous diagnostic formulae, has been written to achieve objective and perfectly reliable application of the diagnostic test rules to individual cases. The computer program will be submitted to a stringent test of validity. We shall then be in possession of a test which will yield independent and uncontaminated diagnoses. These, in turn, will be available for use independently or as part of a "total evaluation." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multiple criteria for evaluating the magnitude of experimental effects.

L. W. Murray and D. A. Dosser (see record 1987-09258-001) addressed several problems with the interpretation of measures of strength of association (e.g., η–2, ε–3, and ω–2) in counseling psychology research. They based many of their arguments on the assertion that the most meaningful criterion for judging the magnitude of an experimental effect is an inferential test of statistical significance. We take the view that tests of statistical significance and measures of magnitude do not provide the same information. We argue that interpreting the magnitude of experimental effects must be a two-stage decision process. The second stage of the process is conditioned on the results of a test of statistical significance and entails an evaluation of the absolute magnitude of the effect. We suggest several possible standards for judging practical or clinical significance that do not rely solely on inferential criteria. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of a performance test as a criterion in a differential validity study.

Examined the relationships among scores on traditional college entrance tests and scores on a 45-min essay placement test for women and men and for 4 ethnic groups. The use of a performance test (the essay) as a criterion avoided the problem of possible criterion bias. The performance-test samples were scored independently by 2 readers. College entrance measures (the Scholastic Aptitude Test and the Test of Standard Written English) and special English placement tests correlated highly with essay performance. However, women tended to be underestimated and men and ethnic minorities overestimated by these measures. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of job information as a criterion in employment decisions of interviewers.

Conducted 2 factorially designed experiments to investigate the extent to which job information was used by interviewers as a criterion for their decisions. In Exp I 48 experienced and 48 unexperienced job interviewers received identical job information. Applicant information was either relevant or irrelevant to the job information. Ss' judgments were based on composites of relevant and irrelevant information segments. Each of the segments was either favorable or unfavorable. Exp II replicated Exp I, except that the 48 Ss did not receive job information. Findings indicate extensive use of job information. Availability of such information reduced the effect of irrelevant attributes on decisions but did not eliminate it. Use of job information was not enhanced by experience in interviewing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of exit examinations: a criterion for graduation?

This study sought to measure the use of exit examinations in nursing schools at Historically Black Colleges and Universities (HBCU). Fifteen participants from HBCU nursing schools throughout the United States were surveyed to determine current practices related to exit exams. Overall, fourteen schools (93.33%) used an exit exam at the end of their nursing program. However, 73.33% of the participants (11 schools) reported it was mandatory for students to pass the exam as a requirement for graduation. Almost 47% of the participants (7 schools) reported the use of the exit exam was related to NCLEX-RN pass rates, while others reported identification of student needs as the primary reason for using an exit exam. Most participants were very helpful by sharing their innovations. While this small study provided some information on the use of exit examinations, more research is needed to substantiate both the appropriateness and usefulness of their use in baccalaureate degree nursing programs.     

Patient collaboration as a criterion for the therapeutic alliance.

In this article we show that a focus on patient collaboration, as a marker for the therapeutic alliance, is advantageous not only for theory and research but also for clinical practice. This point of view in no way minimizes the importance of the therapist's activity or the clinical significance of the interaction between patient and therapist. Rather, it focuses attention on how the therapist's personality, skill, and technique interact with the problems the patient brings to psychotherapy. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A theory of criterion setting: An alternative to the attention band and response ratio hypotheses in magnitude estimation and cross-modality matching.

Discusses the attention band and response ratio hypotheses of D. M. Green and R. D. Luce (1974) and Luce and Green (1974) and notes some difficulties. An alternative hypothesis is put forward, based on a Thurstonian model for magnitude estimation in which the presented stimulus intensities are subjected to a logarithmic transformation. Response criteria are then applied to the resulting quantities to select corresponding responses. The setting and maintenance of these response criteria are accounted for by a theory of criterion setting previously developed by the present author and T. C. Williams (1984). A similar model is developed for cross-modality matching, and it is shown that these models can predict the V pattern for the coefficient of variation of response ratios, can predict the inverted V pattern for correlations between successive responses, and can account for some of the difficulties found in the literature. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Akinetic mutism as a classification criterion for the diagnosis of Creutzfeldt-Jakob disease

OBJECTIVES: Among the classification criteria for the diagnosis of Creutzfeldt-Jakob disease, akinetic mutism is described as a symptom which helps to establish the diagnosis as possible or probable. Akinetic mutism has been anatomically divided into two forms--the mesencephalic form and the frontal form. The aim of this study was to delimit the symptom of akinetic mutism in patients with Creutzfeldt-Jakob disease from the complex of symptoms of an apallic syndrome and to assign it to the individual forms. METHODS: Between April and December 1996, 25 akinetic and mute patients with Creutzfeldt-Jakob disease were consecutively examined. The patients were classified according to the definition of akinetic mutism by Cairns and secondly in accordance with the features constituting the complete picture of an appalic syndrome (defined by Gerstenbrand). RESULTS: From 25 patients with definite Creutzfeldt-Jakob disease, 24 patients showed impoverishment of speech and, after a mean duration of four (range 1.1-11.2) months, almost complete absence of voluntary movements and speech. Seven patients were classified as being mute and akinetic and assigned to the mesencephalic form whereas 13 patients were classified as apallic. One patient was mute without being akinetic and four patients were comatose. CONCLUSION: Diffuse brain damage underlies akinetic mutism in patients with Creutzfeldt-Jakob disease. The term can be used as a classification criterion for the diagnosis of Creutzfeldt-Jakob disease; however, it should be applied very carefully and delimited clearly from the apallic syndrome.     

Use of endometrial measurement as an exclusion criterion for in vitro fertilization using clomiphene citrate

OBJECTIVE: Previous reports have indicated an association between endometrial development and pregnancy outcome for patients treated with clomiphene citrate (CC) in conjunction with intrauterine insemination or intercourse. We expanded the use of CC for ovulation induction in association with in vitro fertilization (IVF). This study was designed to determine if endometrial thickness should be used as an inclusion or exclusion criterion for CC-IVF. STUDY DESIGN: One hundred twenty-eight patients were enrolled in an ovulation-induction regimen using CC for expected IVF-ET between January 1992 and December 1992. A total of 81 patients met inclusion criteria for CC-IVF and had endometrial measurement performed prior to human chorionic gonadotropin administration. Patients were categorized on the basis of endometrial measurement as follows: (A) > 4 - < 7 mm, (B) > or = 7 - < or = 10 mm, and (C) > 10 mm. Standard IVF was performed, and pregnancy rates for each category were evaluated. RESULTS: A total of 23 pregnancies (28% per retrieval) were established. Pregnancy rates were not different by category (P > .10, Fisher's Exact Test): (A) 3/15 (20%), (B) 13/41 (32%), and (C) 7/25 (28%). CONCLUSION: These data suggest that for CC-IVF. endometrial measurement should not be used as an exclusion criterion since pregnancies occurred at comparable frequencies in all the groups.     

Sting challenge outcome as a selection criterion for venom immunotherapy

We report a case of dysplastic arterial vascular abnormality in a 32-year-old man with overlying neuronal cell migration disorder. MR images showed a thickened left insular cortex adjacent to the abnormal vascular network. These findings suggest the possibility of leptomeningeal damage during neuronal cell migration as the cause of the overlying vasculopathy. The true pathogenesis of these seemingly associated abnormalities is unknown.     

Evaluation of interleukin-6 in rheumatoid arthritis as an activity criterion

This study evaluated interleukin-6 levels as an activity criterion in rheumatoid arthritis (RA) and compared if with other activity criteria. We evaluated 35 patients with active RA, 31 with inactive RA, and 25 patients with osteoarthritis, in addition to 28 healthy individuals. Serum interleukin-6 levels were higher in active RA patients than in those with inactive RA, or osteoarthritis and healthy individuals (P < 0.001). Serum interleukin-6 levels of patients with active RA were positively correlated with the erythrocyte sedimentation rate, C-reactive protein, and alpha 2-globulin levels (P < 0.001), but there was a negative correlation with serum albumin levels (P < 0.05). We conclude that interleukin-6 can be responsible for both the most systemic manifestations of RA and for its local manifestations.     

Further support for the criterion validity of the Alcohol Use Inventory.

Reports evidence for the criterion validity of the Alcohol Use Inventory (AUI) by showing that the instrument accurately identifies expected differences in a specific condition (alcohol severity) in 2 contrasting groups of alcohol abusers. 200 male veterans admitted to an inpatient alcohol program were categorized as to whether or not they had a father who abused alcohol. Ss with a father who abused alcohol scored significantly higher on AUI scales measuring alcohol abuse severity and alcohol-related problems than veterans with no such history. Differences in patterns of and benefits from alcohol use were not found. Results provide further evidence of the validity of the AUI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Systematic functional analysis of the yeast genome

The genome sequence of the yeast Saccharomyces cerevisiae has provided the first complete inventory of the working parts of a eukaryotic cell. The challenge is now to discover what each of the gene products does and how they interact in a living yeast cell. Systematic and comprehensive approaches to the elucidation of yeast gene function are discussed and the prospects for the functional genomics of eukaryotic organisms evaluated.     

Criterion significance of erythrocyte membranes adrenoreceptors functional index for evaluating the functional state of human operator

In 30 human volunteers who performed operator activity for 25 min on the stand trainer there have been determined the pre- and post-operation magnitude of beta-adrenoception of the cellular membranes (beta-APM) by applying the author's method (Russian Federation Patent), hemodynamic indices, osmoresistance of erythrocytes and the content of total bilirubin in the blood. The quality of operator activity was determined from the amount of erroneous actions and from time (T) spent for their clearing. There exists the direct correlation between the magnitudes of beta-APM and T within the mean ranges of their magnitudes (on evidence derived from histograms). The moderately increased magnitudes of beta-APM (10-16 units) which are in the limits of the norm (10-16 units) determined by us are the criterion of high working capacity of an operator. Magnitudes of beta-APM which are higher than 16 units mesh perfectly with the high quality of operator activity, however, on the screening examination remain, to be considered as the risk factor of developing the stressor-induced diseases.     

Edge-to-edge plane matching as a criterion for interphase boundaries of low energy

As demonstrated by Aaronson and his colleagues over five decades or so, the structure, energy, and dynamic response of interphase boundaries in metallic systems are strongly correlated. It has also become clear that very few, if any, solid/solid transformation interfaces can be considered truly “incoherent.” Most treatments of the geometry of irrational interfaces (facet planes) have focused on the density of coincidence sites or near-coincidence sites (NCS); this naturally involves consideration of the matching of densely packed atomic planes lying parallel to the facet. Edge-to-edge plane matching represents an alternative and, perhaps, more general approach to the geometry of transformation interfaces. For diffusional transformations, growth ledges are required to displace and reproduce the structure of the facet plane; their geometrical properties are distinct from those of the interfacial facets. The role of local thermodynamic driving force in determining the migration mode is assessed. Several recent observations of the transient faceting of irrational interfaces, for which the density of NCS is relatively low, have stimulated considerations of the significance of the invariant-line condition and of edge-to-edge plane matching as criteria for local minima in interfacial free energy. This article is based on a presentation made in the “Hume-Rothery Symposium on Structure and Diffusional Growth Mechanisms of Irrational Interphase Boundaries,” which occurred during the TMS Winter meeting, March 15–17, 2004, in Charlotte, NC, under the auspices of the TMS Alloy Phases Committee and the co-sponsorship of the TMS-ASM Phase Transformations Committee.     

Edge-to-edge plane matching as a criterion for interphase boundaries of low energy

As demonstrated by Aaronson and his colleagues over five decades or so, the structure, energy, and dynamic response of interphase boundaries in metallic systems are strongly correlated. It has also become clear that very few, if any, solid/solid transformation interfaces can be considered truly “incoherent.” Most treatments of the geometry of irrational interfaces (facet planes) have focused on the density of coincidence sites or near-coincidence sites (NCS); this naturally involves consideration of the matching of densely packed atomic planes lying parallel to the facet. Edge-to-edge plane matching represents an alternative and, perhaps, more general approach to the geometry of transformation interfaces. For diffusional transformations, growth ledges are required to displace and reproduce the structure of the facet plane; their geometrical properties are distinct from those of the interfacial facets. The role of local thermodynamic driving force in determining the migration mode is assessed. Several recent observations of the transient faceting of irrational interfaces, for which the density of NCS is relatively low, have stimulated considerations of the significance of the invariant-line condition and of edge-to-edge plane matching as criteria for local minima in interfacial free energy. This article is based on a presentation made in the “Hume-Rothery Symposium on Structure and Diffusional Growth Mechanisms of Irrational Interphase Boundaries,” which occurred during the TMS Winter meeting, March 15–17, 2004, in Charlotte, NC, under the auspices of the TMS Alloy Phases Committee and the co-sponsorship of the TMS-ASM Phase Transformations Committee.     

Right axis deviation as a criterion for echocardiographic evaluation of aircrew candidates

BACKGROUND: Significant pressures exist in the resource-limited environment of military aviation to select only those candidates for flight training who are both physically able to withstand the demands of the flight environment and likely to complete a career in aviation. As medical technology has advanced, uncertainty has arisen regarding the appropriate use of additional studies in the screening of aircrew candidates. At the Naval Operational Medicine Institute (NOMI), where all U.S. Navy aviation duty candidates' medical qualifications are reviewed, current policy is to perform 2D-echocardiography on all candidates who exhibit a right axis deviation of +95 degrees or greater on their initial electrocardiogram. METHODS: The records of all aircrew candidates referred to the Department of Internal Medicine for evaluation of right axis deviation during the years 1993, 1994, and 1995 were reviewed. A cost benefit analysis was performed to assess the cost effectiveness of using echocardiography to screen candidates suspected of having disqualifying physical defects based on a finding of right axis deviation on electrocardiogram. RESULTS: Of the 69 cases reviewed, only 1 candidate was disqualified due to cardiovascular disease. He suffered from a large atrial septal defect initially discovered on physical examination. CONCLUSIONS: It is not cost effective to use 2D-echocardiography to screen aircrew candidates for disqualifying cardiac defects based on a finding of a right axis deviation of +95 degrees or greater on electrocardiogram.     

Edge-to-edge plane matching as a criterion for interphase boundaries of low energy

As demonstrated by Aaronson and his colleagues over five decades or so, the structure, energy, and dynamic response of interphase boundaries in metallic systems are strongly correlated. It has also become clear that very few, if any, solid/solid transformation interfaces can be considered truly “incoherent.” Most treatments of the geometry of irrational interfaces (facet planes) have focused on the density of coincidence sites or near-coincidence sites (NCS); this naturally involves consideration of the matching of densely packed atomic planes lying parallel to the facet. Edge-to-edge plane matching represents an alternative and, perhaps, more general approach to the geometry of transformation interfaces. For diffusional transformations, growth ledges are required to displace and reproduce the structure of the facet plane; their geometrical properties are distinct from those of the interfacial facets. The role of local thermodynamic driving force in determining the migration mode is assessed. Several recent observations of the transient faceting of irrational interfaces, for which the density of NCS is relatively low, have stimulated considerations of the significance of the invariant-line condition and of edge-to-edge plane matching as criteria for local minima in interfacial free energy. This article is based on a presentation made in the “Hume-Rothery Symposium on Structure and Diffusional Growth Mechanisms of Irrational Interphase Boundaries,” which occurred during the TMS Winter meeting, March 15–17, 2004, in Charlotte, NC, under the auspices of the TMS Alloy Phases Committee and the co-sponsorship of the TMS-ASM Phase Transformations Committee.