This article reports interrater reliability among 4 teams of raters who independently evaluated thought disorder in 20 Rorschach protocols using the Thought Disorder Index (TDI). Intraclass correlation coefficients were calculated to assess the degree of association among the 4 teams for total thought disorder scores, severity levels, and qualitative thought disorder factors. Highly acceptable agreement was obtained. Spearman rank order correlation coefficients for these same variables were significant for all possible pairings of teams. A repeated-measures analysis of variance indicated that the absolute amount of thought disorder tagged by each team differed even though the teams' relative rankings of thought disorder among subjects was very similar. Such scoring differences reflect individual differences in threshold for detecting deviant thinking.
This article is a brief introduction to several different Eastern systems of philosophy and therapy. It surveys the Buddhist contributions and several contemporary applications of traditional meditation techniques within the framework of modern psychologic science. It is suggested that meditative exercises produce three therapeutic gains: insight into repetitive, self-defeating patterns of behavior, desensitization of painful thoughts, and the conditioning of the central nervous system.
The author critically examines F. Alexander's seminal and prescient 1963 paper and contends that it authoritatively delineated theoretical and technical variables and constructs in psychotherapy. It foreshadowed and contributed to the evolution, proliferation, exploration, and scientific documentation of psychotherapy theory and technique as it is broadly understood. It anticipated biographical examinations of early innovators and the assimilation and accommodation of changes in the psychotherapy knowledge base. The paper also anticipated the evolution and democratization of new forms of therapy in the medical marketplace. It ignored the potential multidisciplinary contributions in general systems theory, hermeneutics and linguistics, gender and cultural differences, and psychopharmacotherapy. However, its conclusions have been generally incorporated in generic clinical psychotherapeutic training. A more complex incorporation of the paper's findings in real-time practice has yet to occur.
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