Hypothesis generation has been proven to be a crucial phase in the clinical inquiry. The current instruments for measuring clinical problem-solving skills, however, are unable to differentially assess the hypothesis generating ability. For assessing this particular capability a new test is described. It is based upon exposing the examinee to an…

This second volume of the final report contains the statistical tables, coding key, and the rating manual for the coding key. Data on interrater reliability, factor analyses, and discriminant analyses are included and described. The manual for the coding key includes the data base and/or criteria for each item to be coded. (MNS)

In two studies, the role of biomedical knowledge in the diagnosis of clinical cases by physicians and medical students was explored. Experiment 1 demonstrated a decrease in the use of biomedical knowledge with increasing expertise. This result appeared to be at variance with some findings reported in some but not all of the literature. In…

This paper describes GUIDON-WATCH, a graphic interface that uses multiple windows and a mouse to allow a student to browse a knowledge base and view reasoning processes during diagnostic problem solving. The GUIDON project at Stanford University is investigating how knowledge-based systems can provide the basis for teaching programs, and this…

Six papers contributed by graduate students report on studies that focused on the application of theory to practice in speech-language pathology and audiology. The first study revealed the ability of an autistic child to adapt to conversational partners of various ages and linguistic abilities. In the second paper, a language impaired child's…

While diagnosis is generally considered a vital element in reading clinicians' expertise, research has revealed that even degreed, experienced reading clinicians display little personal consistency or agreement with one another when diagnosing simulated cases of reading difficulty. Three studies were conducted to determine if systematizing the…

The confusion surrounding all aspects of school refusal may rest partly on the misguided assumption that the disturbance represents a single syndrome. Five consistently emerging variables which may help distinguish among school phobic types were abstracted from the literature: extensiveness of disturbance, mode of onset, age, fear source, and…

The applicability of Rosch and coworkers' concept of prototypes to the mental categorization of medical disorders, and the influence of clinical experience on those memory structures were studied with 100 preclinical medical students and 77 experienced physicians from Quebec, Canada. The third-year medical students were French-speaking and read…

A comparison was made of Durrell Analysis of Reading Difficulty and informal reading inventory (IRI) independent and instructional level designations for 15 children, aged 9 to 11 years, who had been referred to a diagnostic clinic for reading assessment. The children's reading performance was first scored according to procedures outlined in the…

Three research projects were conducted at the University of Maryland's Reading Clinic (for students in grades one through twelve) to evaluate the efficiency of clinical procedures and to generate research hypotheses and techniques. Using data from randomly selected clinical case studies, the research projects focused on two diagnostic procedures:…

This study investigated the effects of therapist gender, client gender and sex-stereotypic behavior on ratings of maladjustment and prognosis made on four bogus clinical descriptions. Gender was manipulated by changing sex of client within each of two sex-stereotypic behavioral descriptions yielding two sex-appropriate and two sex-inappropriate…

Assessing and developing programs for children with a learning disability (LD) has been a complex and confusing task often involving professionals from the domains of health, education, and the social services in addition to the parents. The problems have included trying to agree upon a definition of LD, identifying interdisciplinary variations…

Assessment of clinically depressed and nondepressed children (ages 9-17) on measures of attributional style, hopelessness, depression, life stress, and child temperament suggested absence of a unique constellation of cognitive characteristics in depressed children compared with the nondepressed sample. Treatment appeared to affect self-reported…

A study of the influence of a psychiatrist accompanying pediatric residents in daily rounds on residents' attention to psychosocial issues in patient care showed no change in notes taken in the psychiatrist's presence, but the presence of notes did vary with follow-up plans, consultations ordered, and admission and discharge diagnoses. (MSE)

The tests used in the identification of learning disabilitis and the extent of knowledge specialists have regarding the technical aspects of tests were assessed. All groups of specialists tended to overrate the tests they used, and generally indicated a lack of familiarity with the psychometric properties of commonly used tests. (Author/SW)