The diagnostic process as a statistical-causal analysis

The model of statistical-causal analysis developed by Stegmüller (1973) with reference to Salmon (1970, 1971) is applied to the diagnostic process and suggested as a replacement for the model of inductive-statistical systematization in the context of normative diagnostics (Westmeyer, 1972). For a generalization of the model with respect to discrete random variables, an algorithmic construction of the diagnostic process is given generally and then elucidated by a simple example. It becomes apparent that this model avoids important problems which confront normative diagnostics relying on the model of inductive-statistical systematization.     

被访者驱动抽样：基于多种方法的估计诊断

本文利用RDS样本数据，使用RDS估计器、收敛图、瓶颈图、经纬度信息等，对违反“随机招募假设”的RDS估计进行综合诊断。诊断结果表明，适度违反“随机招募假设”并不会导致严重的RDS偏差，RDS估计仍然是有效的。因此，本文较为系统地介绍了多种诊断方法的实际操作及判断假设违反适度的可能标准，为国内研究者理解RDS方法，推动和发展RDS抽样和统计估计提供了思路。     

On the Value and Meaning of Trauma-Informed Practice: Honoring Safety,Complexity, and Relationship

ABSTRACT

In social work, as in other mental health fields, there has been a surge of literature regarding trauma-informed practice. Even so, the value and meaning of being a trauma-informed practitioner still call for further explication and analysis, especially in the realm of clinical social work practice. Approaching and engaging traumatized clients with a trauma-informed lens carry profound implications in the assessment, diagnostic, and intervention stages of treatment, and these implications warrant further unpacking. Additionally, it is critical to explore, through real-world case examples, the significance of working with a trauma-informed lens. This article develops a stage-based, relational definition of trauma-informed practice and argues that trauma-informed practice prioritizes client complexity, social context, and the therapeutic relationship throughout the assessment, diagnostic, and treatment process. In addition, it prioritizes the nuanced experiences and needs of the client, in particular the need for safety, above specific treatment modalities. In this way, it has vital importance to the field of social work. The significance of being trauma informed is considered at all stages of treatment and will be illuminated through practice examples and a longer clinical vignette.     

A Model for Implementing an Evidence-Based Practice in Student Fieldwork Placements: Barriers and Facilitators to the Use of “SBIRT”

ABSTRACT

This article reports on focus group data analysis that was used to understand initial, largely positive outcomes from a university-based initiative to disseminate and implement an evidence-based practice (EBP)—Screening, Brief Intervention, and Referral to Treatment for Substance Use (SBIRT)—into student fieldwork placements, which are usual care social work settings. Focus groups were conducted with three groups of stakeholders involved in the ongoing project: social work department faculty (n = 10), bachelor- and master-level social work students (n = 8), and social work fieldwork instructors (n = 6). Dimensional analysis of the focus group data yielded results indicating that dissemination and implementation of SBIRT was influenced by agency- and school-level factors and perceived fit between the EBP and individual professional identity, intrapersonal characteristics, and timing. The resulting model, developed through the focus group analysis, is offered and shows how these factors interacted and affected training, supervision, and use of the EBP. The model provides social work educational programs and agencies a working tool for diagnosing and proactively addressing barriers and breakdowns in the EBP implementation process. Future research that tests the model as a diagnostic tool and generates knowledge about its influence in developing competent evidence-based practitioners is indicated. Future focus groups in relation to this initiative are needed to better understand these barriers and facilitators in the EBP implementation process and their critical roles in the process of translating SBIRT into standard social work practice.     

Reactive and proactive aggression in children with and without ADHD and negative emotional lability

Children with attention‐deficit/hyperactivity disorder (ADHD) exhibit marked difficulty with frequent and intense shifts in negative or positive emotions, referred to as emotional lability. This study examines the relationships between negative emotional lability (NEL), ADHD, and reactive and proactive aggression. A community sample of 96 children (53 with ADHD, 43 control) ages 8–12 and their parents completed a baseline session include a diagnostic structured interview and the Reactive–Proactive Aggression Questionnaire (RPAQ). Parents then rated their child's NEL using the Positive and Negative Affect Scale as part of an Ecological Momentary Assessment protocol 3 times a day for 28 days. Seventy‐three participants (37 with ADHD, 36 control) completed the RPAQ at follow‐up. Hierarchical regression analyses indicated that NEL significantly and independently estimates reactive aggression at baseline and follow‐up, regardless of ADHD status. NEL and ADHD status significantly estimates concurrent proactive aggression, but not at follow‐up. Results of this study suggest that NEL accounts for a significant amount of the variability in reactive aggression, a common difficulty in children with ADHD. Further, individuals that are reportedly emotionally labile become more reactively aggressive over time. Both ADHD diagnostic and NEL are predictors of proactive aggression at baseline, although no interaction occurred.     

Small Group Predictions on an Uncertain Outcome: The Effect of Nondiagnostic Information

Research has established that exposure to a combination of diagnostic (i.e., relevant) and nondiagnostic (i.e., irrelevant) information results in predictions that are more regressive than predictions based on diagnostic information (Hackenbrack, 1992; Hoffman and Patton, 1997). This phenomenon has been labeled the dilution effect (e.g., Tetlock and Boettger, 1989) and has been documented when individuals make predictions. This study tests for the dilution effect when small groups make predictions, and examines the effect of using a procedure designed to reduce the dilution effect. Results indicate that group predictions are influenced by nondiagnostic information in the same manner as are individual predictions, and allowing participants to rate the diagnosticity of information prior to making predictions does not reduce the dilution effect.     

Pictures from the Past:

In this paper, the diagnostic and treatment implications of reminiscence are analyzed. It is argued that the social worker can enlist clients' memories of the post in order to help them cope with the present. Care histories are presented, and the author suggests four ways in which reminiscence may serve therapeutic purposes.     

The Significance of the Early Stage of Illness as a Focus for Social Work Help

Summary This paper considers the experience of illness as a series ofinterrelated phases, in which the beginning phase which is thetransition from health to illness is shown to have special significance.The common responses to this stage of illness are denial, welcomeor inertia, each of which may give some forewarning of problemsthat may be encountered later in the illness. Traditionallysocial work help has focused onto the acute or convalescentstages, but it is suggested here that the beginning phase ofillness offers a rewarding point for intervention, not onlywhen opening new cases, but also among clients who are alreadyknown and where health problems may interact with other problems.The implications of this are explored both for agency policyas well as an added dimension of diagnostic understanding ofindividual clients no matter what the agency     

Perspectives on family caregiving of people aging with intellectual disability affected by dementia: Commentary from the International Summit on Intellectual Disability and Dementia

ABSTRACT

This article, an output of the 2016 International Summit on Intellectual Disability and Dementia, examines familial caregiving situations within the context of a support-staging model for adults with intellectual disability (ID) affected by dementia. Seven narratives offer context to this support-staging model to interpret situations experienced by caregivers. The multidimensional model has two fundamental aspects: identifying the role and nature of caregiving as either primary (direct) or secondary (supportive); and defining how caregiving is influenced by stage of dementia. We propose staging can affect caregiving via different expressions: (1) the “diagnostic phase,” (2) the “explorative phase,” (3) the “adaptive phase,” and (4) the “closure phase.” The international narratives illustrate direct and indirect caregiving with commonality being extent of caregiver involvement and attention to the needs of an adult with ID. We conclude that the model is the first to empirically formalize the variability of caregiving within families of people with ID that is distinct from other caregiving groups, and that many of these caregivers have idiosyncratic needs. A support-staging model that recognizes the changing roles and demands of carers of people with ID and dementia can be useful in constructing research, defining family-based support services, and setting public policy.     

Testing the Effects of Similarity on Risky Choice: Implications for Violations of Expected Utility

Our aim in this paper was to establish an empirical evaluation for similarity effects modeled by Rubinstein; Azipurua et al.; Leland; and Sileo. These tests are conducted through a sensitivity analysis of two well-known examples of expected utility (EU) independence violations. We found that subjective similarity reported by respondents was explained very well by objective measures suggested in the similarity literature. The empirical results of this analysis also show that: (1) the likelihood of selection for the riskier choice increases as the pair becomes more similar, (2) these choice patterns are consistent with well-known independence violations of expected utility, and (3) a significant proportion of individuals exhibit intransitive choice patterns predicted under similarity effects, but not allowed under generalized expected utility models for risky choice.     

Disability pensions granted from 1988 to 1990 in two municipalities in Norway: the importance of occupational status

The prevalence of people with disability pensions in Norway has increased sharply from 1980, without evidence of a concomitant change in morbidity or in occupational panorama. The incidence of granted disability pensions in 2 small rural municipalities from 1988 to 1990 (n =507) were compared with professional or occupational background and the diagnostic basis of granting the disability pension. Information on occupation and diagnosis was collected manually. Efforts were made to ascertain whether the applicants' work had been strenuous or not. Data giving such information was not available for the total population at risk. Manual workers made up three fourths (n =395) of the incidence. Disability pension was granted with musculoskeletal disorders as the diagnosis in half of all cases. There was also a tendency towards cardiovascular and mental disorders being more frequent in the group of non-manual workers. Incidence rates were higher than the mean rates for the whole country for the diagnostic groups musculoskeletal disorders, cancer, cardiovascular disorders and mental disorders, and the rates did not change over the 3 years. The study indicates that disability pensioners still are more prevalent among manual workers. Increased availability of vocational rehabilitation for this group may be needed, certainly if a reduction in the incidence of disability pensions is aimed at.     

Young immigrants on long-term sick-leave

Sickness certification data for all immigrants 16–45 years of age on long-term sick-leave enlisted at a local health insurance office were studied. The diagnostic pattern was remarkably homogeneous, characterized by imprecise pain and/or imprecise mental disorders. Clinical data were provided by a multiaxial evaluation of 52 people (mean age 38 years, mean length of sick-leave 1 year, full-time). Ratings of pain behavior and functional ability regarding occupational duties were also included. Nearly half (44%) had few social contacts both within their ethnic group and Swedish society. Half (58%) were assessed as being exposed to moderate or severe psychosocial stressors, and many had an associated mild or moderate depressive disorder. Muscular pain was the most frequent physical disorder. Pain behavior was common and was associated with the length of sick-leave. Two-thirds were assessed as being able to work at least part-time. The multiaxial evaluation system proved useful for differentiating important incapacitating diagnostic factors. Nevertheless, the examining doctors seemed to have been influenced by the participants' pain presentations when rating their functional ability. The study thus illustrates the ease with which a vicious circle of pain behavior and further sickness certification could be created. In conclusion, social distress and iatrogenic factors may have played an important part in the sick-leave pattern seen in this group of young immigrants.     

Developing creative solutions to the problems of children and their families: communicative reason and the use of forum theatre

The paper represents a further development of work previously reported in this journal by Spratt & Houston (1999) and Spratt et al. (2000) . The authors have sought to develop ways of understanding current social work with children and families in line with the critical theory of Jurgen Habermas. This analysis has been complemented by an adoption of the methodology of the radical dramatist, Augusto Boal. In synthesizing Habermas's analysis of communicative discourses with the consciousness raising methodology of Boal, the authors have already demonstrated the effectiveness of this hybrid in problem‐solving exercises with social workers. The present paper reports on an application of this developing theory to practice, utilizing the centrepiece of Boal's method, forum theatre. A forum theatre project, concerned with the issue of bullying, is described and evaluated. It is argued that the project provides an exemplar of an innovative, democratizing and effective methodology that might profitably be utilized in social work with children and families. Finally, suggestions are made as to how these ideas could be developed in practice.     

Estimating educational production functions: The problem of multicollinearity

This article attempts to address the problem of multicollinearity in the estimation of educational production functions. Past studies consistently indicate the seeming lack of importance of school input variables such as teacher salary, class size, and expenditure per student in influencing educational outcomes. Our ordinary least squares results were consistent with these past studies, but collinearity diagnostics revealed the presence of at least four potentially serious sources of collinearity within the data, possibly degrading the coefficients on the school input variables. Ridge regression and principal components regression techniques were employed in an effort to “solve” the collinearity problem. The coefficients of the school input variables continue to have the hypothesized signs, but with smaller standard errors. The results indicate that researchers should be cautioned against reaching the conclusion that school input variables don't matter on the basis of ordinary least squares estimates of these parameters.     

Spirituality Among Alzheimer's Caregivers: Psychometric Reevaluation of the Intrinsic Spirituality Scale

ABSTRACT

The purpose of this study was to reevaluate psychometric properties of the Intrinsic Spirituality Scale (ISS) and to compare its results to the original psychometric report. Attendees of Alzheimer's caregiver support groups constituted the sample, relevant to this measure given their traditional, frequent use of spirituality as a coping resource. Data were randomly split for factor and reliability analyses (N ₁= 152) and validity analysis (N ₂= 152). Factor analysis on the ISS loaded all items on a single dimension of spirituality. Reliability was strong. Convergent validity was suggested via significant correlations with prayer measures. Enhanced with the original findings, these results lend credibility to the ISS as a viable spiritual assessment tool. The ISS offers social service professionals a valuable tool for assessing spirituality that is inclusive of individuals whose spirituality is nontheistic or for whom spirituality exists independently from, or outside of, organized religious structures. Future analyses with additional populations may broaden the ISS applicability among persons with diverse demographic and spiritual backgrounds.     

Bayesian boundedly rational agents play the Finitely Repeated Prisoner's Dilemma

In this paper a model of boundedly rational decision making in the Finitely Repeated Prisoner's Dilemma is proposed in which: (1) each player is Bayesianrational; (2) this is common knowledge; (3) players are constrained by limited state spaces (their Bayesian minds) in processing (1) and (2). Under these circumstances, we show that cooperative behavior may arise as an individually optimal response, except for the latter part of the game. Indeed, such behaviorwill necessarily obtain in long enough games if belief systems satisfy a natural condition: essentially, that all events consistent with the players' analysis of the game be attributed by them positive (although arbitrarily small) subjective probability.     

Human rights and the allocation of foreign aid: A cross-national analysis of the last years of the Cold War, 1980–1989

Studies of conflict behavior show that states act differently based on changes in the global system. However, studies of other types of foreign policy behavior, such as aid allocation, have neglected to focus on similar system effects. This study is among the first to look at the impact of the cold war system on the relationship between recipient human rights practices and foreign aid disbursements for eight major aid donors, Canada, France, Germany, the Netherlands, Norway, Sweden, the United Kingdom, and the United States. Through an analysis of aid allocations to a sample of 72 recipients from 1980 to 1989 (the only Cold War years for which reliable and valid human rights data are available) this paper reveals striking and unique findings. Contrary to previous studies, it appears that recipient human rights are a significant factor in whether or not a recipient gets any aid, the so-called gatekeeping stage, but are not a significant factor in how much aid a country receives in the level stage. This paper makes three major contributions to the field. It is the first direct test of the effect of the Cold War system on the relationship between recipient country human rights and aid. It also extends this analysis to donors other than the United States. Finally, the results serve as a baseline for assessing the relationship between human rights and aid during the post-Cold War period (1990–2001) and the so-called “age of terror” (2002 onwards).     

公众对转基因作物的接受度及其影响因素:基于六城市调查数据的社会学分析

本文利用一项大规模的入户抽样调查数据,分析了中国公众对转基因作物的接受度问题。与以往基于“消费者行为研究”框架而采取“个体决策行为模型”的研究不同,本文从风险社会学的理论视角出发,试图发展一个“社会行动模型”的理论框架,以解释个体在“风险社会”中面对一项新技术时的决策行动受到哪些社会性因素的影响。结果显示,中国公众对推广种植转基因大米的接受度不高,与2002年相比有明显下降;传统的“个体决策行为模型”有一定的解释力,但其决策行为是基于有限知识基础上的“有限理性选择”,大众媒体的影响、对“专家系统”的制度性信任都是重要的影响因素。     

G.H. Mead's Understanding of the Nature of Speech in the Light of Contemporary Research

The following analysis demonstrates that G.H. Mead's understanding of human speech (what Mead often referred to as “the vocal gesture”) is remarkably consistent with today's interdisciplinary field that studies speech as a natural behavior with an evolutionary history. Mead seems to have captured major empirical and theoretical insights more than half a century before the contemporary field began to take shape. In that field the framework known as “Tinbergen's Four Questions,” developed in ecology to study naturally occurring behavior in nonhuman animals, has been an effective organizing framework for research on human speech. It is used in this paper to organize the comparison of Mead with contemporary scholars. The analysis concludes that Mead was, in a sense, “beyond” the Four Questions by recognizing the limitations of reductionist methods in understanding the nature of conscious phenomena, especially language. Mead's socially situated model of the nature of human speech makes him relevant to today's field where some see an undervaluation of the treatment of language as a social process.     

The Psychology of Environmentally Sustainable Behavior: Fitting Together Pieces of the Puzzle

This paper considers the main features of four general psychological approaches to the analysis of environmentally sustainable behavior (rational–economic, social dilemmas, attitude–behavior models, and applied behavioral analysis), and focuses on the problems inherent in applying each approach to this issue. It also details the utility of a holistic Social–Ecological Framework that I believe is useful for analyzing environmentally sustainable behavior. This approach draws on concepts from ecological psychology such as Gibson's (1979) notion of "affordances," and shows how such a method can account for and help us understand the limitations of traditional psychological approaches to environmentally sustainable behavior, and provides a general guiding framework for the formulation of environmental policy decisions and intervention programs.