Thirty-six mothers of children with autism rated videotapes of behavior from young children later diagnosed with autism who were then assigned to a diagnostic or a no-diagnostic information group. No differences were found on overall ratings of intentionality. Mothers in the diagnostic information group rated stereotyped behavior as less…

A study was conducted of 201 adults with Down's syndrome to investigate the differential causes of decline in adaptive behavior. Results indicated that aging, dementia, and severity of mental retardation were significant factors, while absence of a medical illness predicted a higher level of adaptive behavior. (CR)

This article reviews the identification of students with learning disabilities, gifted children, and problems facing the remediation of their difficulties. An outline is given of an approach that applies neuroscience to understanding and treating the root cause of learning disabilities. A case study of a child labeled dyslexic is presented.…

This article examines the difficulties in diagnosing Asperger syndrome (AS) and differentiating AS from autism. It stresses the need for gathering a developmental history and reviews considerations in conducting different assessments related to medical condition, psychological condition, communication, language, occupational and physical therapy,…

Two charting strategies to help students organize patients' data are Weed's problem-oriented medical record and Russell's condition diagram. Students at the University of Texas Medical School at San Antonio were divided into study groups. The condition diagram group format may be helpful for students with lower academic achievement. (Author/MLW)

An approach to teaching assessment of mature and aging families in a graduate nursing course is described. Criteria for selection of clinical research measures, methods used to incorporate the approach, and theoretical and clinical issues are discussed. (MSE)

Records of 250 children and adolescents admitted to a psychiatric hospital were grouped according to their educational status prior to admission as follows: nondisabled students (46%), students with serious emotional disturbance (36%), and students with other disabilities (18%). Differences among the three groups were found on gender, psychiatric…

It is argued that the modification of the Nedelsky procedure proposed by L. J. Gross is a valid approach to setting standards when clinical reasoning is measured using multiple-choice questions. An example from the Medical Council of Canada's Qualifying Examination for approximately 2,400 examinees demonstrates the procedure's value. (SLD)

This case assessment of a man with dual diagnosis (mental retardation and mental illness) exemplifies the use of recent psychological measures, computerized programs, and structured assessment, including the Reiss Screen for Maladaptive Behavior, the Psychopathology Inventory for Mentally Retarded Adults, the Apperceptive Personality Test, and the…

Evidence-based health care, in which practitioners use technology to access medical databases in solving clinical problems, is seen as a major step in improving clinical diagnosis and treatment. Role-modeling, practice, and teaching of evidence-based health care require new skills of clinical teachers in addition to traditional teaching skills.…

This article reviews the concept and derivation of age-equivalent scores as evidence for speech-language deficits. It presents arguments against the use of age-equivalent scores in case management decisions and recommends that, when used, a report include a clear explanation of their true meaning and other summaries of test performance. (Author/DB)

A review of the literature on biological and environmental effects of cocaine use suggests that the classification of infants and young children as prenatally cocaine exposed is neither descriptive nor predictive of behavior. The classification of behavior rather than labeling of the child is encouraged, as are partnerships with families of…

The Achenbach and Edelbrock parent and teacher checklists were evaluated with boys, ages 6-11, with either severe emotional disturbance, psychiatric outpatient status, or in the general population. Logistic regression analyses showed the Total Problem scales of both checklists to be the most efficient and economical scales for classification.…

Three studies obtained teacher-reported prevalence rates for attention deficit hyperactivity disorder and other behavior disorders using the current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria; compared rates with the prevalence for DSM-III-R and DSM-III within the same population of elementary students; examined the…

The potential for clinical-judgment errors in assessing obsessive-compulsive disorder (OCD) makes this a good example for illustrating methods of debiasing and hypothesis testing. This article provides information about this frequently misdiagnosed disorder, delineates methods for assessment and treatment of OCD, and discusses implications of…