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Biomedical subjects

R H Dana

Publications and source records attributed to R H Dana.

At least 19 recordsLinked to original sources

When does a difference make a difference? MMPI scores and African-Americans.

The group difference MMPI literature relevant to African-Americans was reexamined for major methodological issues including the criteria used for ethnic/racial group membership and socieconomic status. These issues are of sufficient magnitude to question the traditional scientific methods used in MMPI research and the current interpretations of African-American MMPI profiles. This cultural variance can be identified in item content and consistent scale elevations for African-American samples. The magnitude of cultural variance has been found to vary across samples. Recent empirical data indicate that such variance may be appreciable and significant for African-Americans who are in process of realizing a distinct cultural identity as evidenced by racial consciousness and moderator variables.

Black or African American

An update of the Millon Clinical Multiaxial Inventory (MCMI).

Reviews, commentary, and recent research on the MCMI are examined. There has been controversy over the impact on research of delayed availability of hand scoring materials, the discrepancies between Millon's diagnostic conceptualizations and DSM-III, and MCMI construction idiosyncrasies. MCMI use for clinical diagnosis continues to be suspect, but clinicians now have an augmented awareness of DSM limitations as a result of this version of the Millon instrument.

Depressive Disorder

Use of the Millon Clinical Multiaxial Inventory (MCMI) as a screening instrument at a community mental health center.

Comparison of the Millon Clinical Multiaxial Inventory (MCMI) and clinician-generated DSM-III diagnoses for a sample of psychiatric outpatients (N = 72) indicated only chance agreement. The MCMI was of limited use as a screening device because of overdiagnosis and failure to identify individuals who prematurely terminated treatment. Other potential problems with the instrument included substantial intercorrelation among scales and possible pathologizing of stereotypic feminine traits. The characteristic structure of the MCMI appeared stable across patient samples; there was evidence for identification of a mean profile for psychiatric patients who voluntarily seek treatment for subjective distress.

Adult

16PF source traits associated with DSM-III symptoms for four diagnostic groups.

Provided evidence of 16PF validity by meta-analysis of source-trait profiles from nine studies for four psychiatric groups (N = 916) (nonparanoid schizophrenics, major depressives, anxiety disorders, alcoholics). All groups had mean sten profiles that deviated markedly from normal personality, and there was considerable convergence between salient traits and diagnostic criteria except for alcoholics.

Humans

A comparison of six MMPI short forms: code type correspondence and indices of psychopathology.

Compared six MMPI short forms for their ability to identify code-types and indices of psychopathology obtained from the full length MMPI for samples of renal dialysis patients (N = 53) and paranoid schizophrenics (N = 58). Results suggest that the accuracy of the short forms fluctuates for different patient populations and diagnostic criteria. The longer abbreviated forms are generally more accurate, especially the MMPI-168 and the FAM.

Adolescent

Feedback of client-relevant information and clinical practice.

Feedback refers to client-relevant information that is communicated directly to the client. A review of the literature suggests that how one reacts to feedback is influenced by the kind of feedback, the conditions under which feedback is presented, and a variety of relevant subject variables. The most frequent design has resulted in acceptance of false feedback by college students leading to derogation of instruments and assessors. Honest feedback has led to a variety of positive effects in both research studies and clinical examples. The beginnings of a human science rationale for honest feedback are presented.

Attitude