Illustrates the complexity of recognizing and defining learning disabilities. Argues that English teachers and LD specialists need a cooperative sequential process of identifying learning-disabled writers. Attempts to clarify the often mysterious-seeming process of clinical testing and diagnosis by examining two case studies. (RS)

Method of treatment of self-injurious behaviors for three severely retarded students (ages six-seven) was selected by matching one of three hypotheses (self-stimulation, positive reinforcement, negative reinforcement) to a judgment concerning cause. Results supported the argument that treatment programs should be based on a functional analysis of…

Only the Social Withdrawal and Social Competence subscales of the Child Behavior Checklist (CBCL) tapped a Social Competence factor in common with Social Competence subscales from a parent rating scale (Social Skills Rating System) and a scale (Pupil Evaluation Inventory) for teachers. Mothers of 93 boys (aged 7 to 11 years) completed the CBCL.…

Investigated the psychiatric comorbidity, health, and functioning of 1,000 primary care patients with alcohol abuse and dependence (AAD). Psychiatric symptomatology was assessed with the Primary Care Evaluation of Mental Disorders (PRIME-MD) diagnostic system, which resulted in a 71 percent increase in physician recognition of AAD. Other findings…

Fifty children and adolescents with affective disorders and mental retardation admitted to a psychiatric inpatient unit were compared with 50 inpatients without depression. Behavioral symptoms occurred significantly more often in the affective group than in the comparison group. The behavioral presentation of affective symptoms in children and…

Describes a geriatric wellness program in which social work practitioners played a major role. Compared results of a telephone screening test to detect depression with the clinical judgment of social workers. The screening instrument proved effective in assessing a population with a high rate of major depression. (RJM)

This study found chronic regurgitation in 23 of 220 institutionalized adults with severe mental retardation. A high prevalence of dysphagia and gastroesophageal abnormalities was found, suggesting the importance of full evaluation and treatment prior to a diagnosis of rumination in this population. (Author/DB)

Comparison of scores from a normative sample of 880 children and 276 sexually abused children on the Child Sexual Behavior Inventory (CSBI), a checklist for 2- through 12-year-old children, supports the reliability and validity of the instrument. The CSBI is directly related to specific features of sexual abuse. (SLD)

In this study an artificial intelligence assessment tool used disease-by-feature frequency estimates to create disease prototypes for nine common causes of acute chest pain. The tool then used each subject's prototypes and a pattern-recognition-based decision-making mechanism to diagnose 18 myocardial infarction cases. (MLW)

Medical students (N=284) from four Northeastern medical schools interacted with standardized patients, then were given a free-response form (blank form for writing diagnostic impressions) and then they completed a cued-response form, which listed a series of diagnoses generated by the case author. The patients also completed a checklist. (MLW)

The extent that order effects in multiple-station clinical examinations are prevalent is addressed and an analysis of individual student score profiles pertaining to order effects is included. A clinical skills examination using standardized patients was administered to 157 medical students at the University of Illinois College of Medicine at…

This study compared four commonly used vocabulary tests to screen or identify preschool children for specific language impairment (SLI). Four- and five-year olds with (N=31) and without (N=31) SLI were compared on the tests. Despite moderate to strong inter-test correlations, no test was a strong identifier of SLI. (Author/DB)

The psychometric properties and validity of the Reasons for Living (RFL) Inventory were examined among psychiatrically hospitalized adolescents (N=253) identified as suicide ideators, suicide attempters, and psychiatric controls. Factor analysis provided support for RFL for clinical and research assessment while producing slightly different…

A study explored classroom reading assessments, IQ and achievement scores, and placement decision of 26 students referred to Student Study Teams for intervention and determination of special-education eligibility. Congruence was moderate between placement decisions and discrepancy-based determination of learning disabilities and between placement…

Twelve African American and 12 Caucasian preschool children were administered items from the Preschool Language Assessment Instrument under standard conditions and in thematic interactions. The African American group earned significantly higher test scores when items were administered in the thematic mode, with major score increases on the more…