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Biomedical subjects

F M McPherson

Publications and source records attributed to F M McPherson.

10 recordsLinked to original sources

Clinical psychology training in Europe.

Clinical psychology training in the United Kingdom (UK) and in the remainder of Europe differs in several respects; in particular, the latter allows for greater variability and clinical specialization with much more training taking place postqualification than in the UK; differences in content and in the balance between the supply of, and demand for, clinical psychologists also exist. These differences reflect employment arrangements and, to a lesser extent, the structure of higher education and legal regulation. Various current and predicted changes in health-care systems and in the legal and educational context will probably lead to training in the UK and elsewhere in Europe becoming more similar in the years after 1992.

Education

Prediction of survival in dementia by cognitive tests: a six-year follow-up.

One hundred and sixteen elderly female in-patients with confirmed diagnoses of senile or arteriosclerotic dementia were tested on the Paired-Associate Learning Test (PALT) and Cognitive Assessment Scale (CAS) of CAPE and were followed up annually for six years. Comparison of those patients who had died by each follow-up date with those who had survived showed that in general the latter had had better PALT and CAS scores.

Aged

Prediction of survival by the Clifton Assessment Procedures for the Elderly (CAPE).

A sample of 261 elderly patients, most with a diagnosis of dementia, consecutively admitted to a geriatric psychiatry assessment ward, was assessed using the cognitive assessment scale (CAS) and behaviour rating scale (BRS) of CAPE. Scores of patients alive at four follow-up intervals were compared with those of non-survivors. On CAS, survivors scored significantly better at 18- and 48-month follow-up; and better, but not significantly so, at nine- and 36-month follow-up. On BRS, survivors scored significantly better at all four follow-up intervals. Only at 36-month follow-up did the scales predict survival of individual patients more efficiently than did base rates.

Activities of Daily Living

The analysis of interactions in experiments on the specificity of schizophrenic thought disorder: a reply to Phillips.

Phillips (1977) has criticized the investigation of statistical interactions in a series of related papers concerned with the specificity hypothesis of schizophrenic thought disorder. In a discussion of these criticisms, some are accepted and some rejected. However, when the relevant data are reanalysed by a correct method for the investigation of nominated interactions, the specificity hypothesis is broadly supported. A new finding to emerge from the reanalysis is that, in two experiments where level of 'difficulty' of constructs was controlled, the specificity effect appears much reduced or non-existent when intensity scores are employed while remaining intact for consistency scores.

Factor Analysis, Statistical

Psychological construing and thought disorder: another test of the 'difficulty' hypothesis.

Two versions of the grid test of thought disorder were derived which used similar elements, and were of equal difficulty, but one of which employed psychological, and the other non-psychological, constructs. They were administered to thought-disordered schizophrenic patients and to psychiatric and normal controls. On one measure (consistency), although not on the other (intensity), the results strongly supported the hypothesis that thought-disordered patients are maximally disordered in the area of psychological construing. The results support those of an earlier study (McPherson et al. 1975) and are compatible with those theories which postulate a role for social factors in the aetiology of thought disorder.

Adult

A test of the hierarchical model of personal illness.

To test the Foulds and Bedford hierarchical model of personal illness, the Delusions-Symptoms-States Inventory (DSSI) was administered to 100 psychiatric in-patients. Ninety-six had symptom patterns compatible with the hierarchy. This is significantly more than expected on the basis merely of the number of DSSI items affirmed, and overall the results support the model.

Adolescent