Global scales : Strengths, uses and problems of global scales as an evaluation instrument

A global scale can provided means for integrating a variety of client/patient assessment techniques to complement each other in a useful manner. Global scales have been applied to service planning and evaluation as well as being useful for the on-going communication of clients' clinical/functioning status. Global scales are attractive to many service programs because of their apparent ease of implementation and their apparent face validity. Furthermore, there is an extensive body of literature describing global scales as hightly reliable and valid when properly implemented and maintained. The literature also suggests that there are some serious pitfalls. While initial implementation of a global scale is easy, the maintenance of a reliable, valid and useful scale appears to require their active use in treatment planning, treatment review and clinical supervision processes. It also requires that more extensive multidimensional ratings be made at intake, review and termination. Furthermore, staff training and development sessions two or three times a year are needed to surface and deal with differences in clinician ratings. Given these sorts of supports, then, a global scale has been demonstrated as a useful tool in service program management as well as clinical process and outcome studies, including studies of cost effectiveness. Since the major use of a global scale is as an integrating construct, a quantitative model is offered to describe the relationship between global scale ratings and multidimensional facets influencing the global ratings.     

Modernity and Fertility Preference in Taiwan*

Data from interviews with 973 Taiwan women between the ages of 15 and 44 having at least one child and living with husbands are used to study the effects of modernity and social status on fertility preferences. The modernity attitude contributes significantly to the explanation of fertility preferences independent of social status variables. Social status variables also contribute directly to the explanation of fertility preferences. But there is little evidence to support theories that modernity acts as an intervening variable between social status and fertility preference.     

Visual Context Effects in Web Surveys

There are many examples of context effects in survey measurement.Responses to survey questions can be shaped by the order ofquestions, the format of response options, the broader surveyenvironment, and so on. For Web surveys, the inclusion of visualimages is a trivial design issue, but may have consequencesfor the responses obtained because they change the visual context.We report a series of experiments examining how responses maybe affected by the use of images in Web surveys. Specifically,we examine the effect that pictures of a healthy woman exercisingversus a sick woman in a hospital bed have on self-rated health.We replicated the experiments in three different surveys, varyingsuch factors as the size and placement of the image and thelocation of the question within the questionnaire. In general,we find that when exposed to a picture of a fit woman, respondentsconsistently rate their own health lower than when exposed toa picture of a sick woman.     

Borderline and antisocial personality scores as mediators between attachment and intimate partner violence

Court-mandated male batterers (n = 192) attending an intervention program completed measures examining adult attachment orientations (anxious and avoidant), personality disorders (borderline and antisocial), type of violence (psychological and physical), and social desirability. Structural equation modeling was used to determine whether there were significant relationships between anxious attachment and physical and psychological violence that are mediated by either borderline or antisocial personality disorders. Social desirability was included in both models as a covariate. Results indicated that personality disorders fully mediated the relationship between avoidant attachment and physical as well as psychological violence. Personality disorders only partially mediated the relationship between anxious attachment and psychological violence. Implications for intervention are discussed.     

Peering into the Abyss: Andreev’s Rejoinder to Tolstoi’s Kreutzer Sonata

This essay argues that Leonid Andreev’s (1871–1919) short story “The Abyss” (Bezdna) is an important and often misunderstood response to Lev Tolstoi’s (1828–1910) novella Kreutzer Sonata (Kreitserova Sonata), representing a fundamental shift in the way that pessimistic philosophy and degeneration theory would be incorporated into the cultural, intellectual and literary discourse of the Russian fin de siècle. For Andreev, intellectual currents were suggesting that civilized society was under attack by forces beyond its control. Tolstoi, however, asserted that celibacy and mortification of the flesh could conquer humanity’s primitive urges. In response, Andreev animated popular theories on sexual degeneracy to reject moral restraint as an option against sexual aggression. This rejoinder is significant for many reasons, not the least of which as an important intellectual segue between Tolstoi and subsequent decadent literary discourse on sexuality. After all, morality was no longer solely resident within religious thought in fin de siècle Russia, especially in light of mounting evidence that moral insanity was the result of hereditary taints and biological regression. Consequently, “The Abyss” should be reinterpreted as an important intellectual bridge between what would be deemed high- and lowbrow literature on human sexuality at the turn of the century.