Although research on homosexuality has utilized psychiatric patients as subjects, few studies have examined the use of homosexuality as a psychiatric diagnosis. Using the Diagnostic and Statistical Manual of Mental Disorders (DSM) definition of homosexuality as a psychiatric disorder only when homosexuality is ego-dystonic, an intensive review of…

The conceptualization of clinical problem solving which is described attempts to clarify and quantify the nature of clinical decision making independent of content, and centers around the clinical encounter and preceptor. The Inquiry Theory is described from three perspectives: (l) as a set of statements about clinical problem solving, (2) as a…

This investigation used a clinical interview technique to identify the difficulties of kindergarten children who are unable to develop models or representations of simple arithmetic story problems. It is hypothesized that effective human problem solvers first generate some type of "physical model" and use this model to create a…

The present study investigated differences between referred and nonreferred children and their families on the basis of home and clinic observations and parent questionnaires. Subjects were 28 families with children between 4 and 8 years of age who had been referred to a clinic for acting-out behavior and 28 nonreferred controls matched on several…

The objective of this study was to reveal operational problems by objectively describing the service-delivery situation in the Children's Aid Society. A second goal was to add knowledge of social work practice. Major areas of concern were investigated: the undue length of time that some children tended to stay in the reception-assessment facility;…

Described is the program of the Georgetown Adolescent Intervention Team (Washington, D.C.), which provides interdisciplinary evaluations and diagnoses, and identifies appropriate alternative placements for developmentally disabled juvenile offenders (10-16 years old and older). The program is discussed in terms of a review of procedures for…

The study examined differences between 23 younger (ages 5-11) and 32 older (ages 12-19) children diagnosed with overanxious disorder (OAD). Expression of OAD varied by developmental level, with older children more frequently exhibiting major depression or simple phobia, while younger children had coexisting separation anxiety or attention deficit…

Examines the way bureaucratic practices and background or schematized knowledge can influence physician-patient and physician-physician interaction and language in medical diagnostic reasoning. Provides a case study that illustrates the bureaucratic processes presupposed in the production and reproduction of knowledge in practical scientific…

This study investigated the effects of therapists' observer-client race pairing and client self-disclosure on observers' descriptive and attitudinal ratings of clients. A major implication is that observer race, client race, and client self-disclosure influence clinical decision-making. (Author/LHW)

A study to explore the characteristics of premature diagnostic conclusions in a group of physicians, medical students, and residents is reported. When the subjects are asked to construct complete, precise problem lists from three case abstracts, premature closure occurred frequently. (Author/MLW)

The Week-end Intervention Program (WIP) used by Wright State University School of Medicine, which assesses the alcohol problems of those convicted of offenses such as drunk driving and then assists in finding treatment, is described. The impact of the program in educating medical students about alcoholism is discussed. (MLW)

The demographic, diagnostic, and prognostic characteristics of patients treated by house staff members rotating through the general medical wards of the Houston Veterans Administration Medical Center was studied. The data indicate that VA hospitals make a significant contribution to internal medicine training. (Author/MLW)

Syntactic development in the oral language of learning disabled and normal students at two intermediate and two secondary-school age levels was compared using two indices, the T-unit and the Syntactic Density Score. It was concluded that no single, sensitive, numerical index exists to quantify syntactic development. (SW)

The American Board of Internal Medicine has requested that residency program directors certify the clinical competence of their candidates. The clinical evaluation exercise (CEX) was used by residents at the University of Michigan Hospitals and the results raised questions as to the validity of the CEX. (Author/MLW)

This study evaluated 102 patients (ages 5 to 13) at the Medical University of South Carolina's Pediatric Neurology Clinic for incidence of psychiatric or language disorders. Parents completed the Pediatric Symptom Checklist (PSC), the Child Behavior Checklist, and the Language Problems Scale; phone interviews were conducted to determine child…