A 2 × 2 × 2 MANOVA was used to anlayze the effects of race (Black vs. White), education (high school graduate vs. less than high school education), and diagnosis (schizophrenic vs. nonschizophrenic) on the MCMI Asocial, Avoidant, Schizotypal, Psychotic Thinking, and Psychotic Delusions scales that were obtained from 310 newly admitted psychiatric patients. The scales were selected because, according to the MCMI manual (Millon, 1983), they would be most apt to show differences between the schizophrenic and nonschizophrenic patients who participated in this study. The special norms for Black and White patients provided in the MCMI manual supplement (Millon, 1984) were used to compute the scale scores for the patients in this study. Race was the only significant (p < .001) effect. Blacks scored higher than Whites on the Asocial, Avoidant, Psychotic Thinking, and Psychotic Delusions (P < .04 for all scales). The results are discussed in terms of racial bias diminishing the usefulness of the MCMI.
This study used 102 male, veteran, psychiatric inpatients to describe patterns of MMPI-2 clinical and content scales that most accurately discriminate among patients diagnosed with PTSD, schizophrenia, and depression. Single scale accuracy classification using scales PK and PS was unacceptably low. Optimally weighted scales, including PK, Sc, BIZ, and ANX, correctly classified 70% of the patients. Suggestions for facilitating the use of formal decision rules are offered.
A 2 × 2 × 3 MANOVA was applied to MCMI BR scores obtained from 310 newly admitted psychiatric inpatients. The study's purpose was to test the effect of patients' age (age < 36 vs. age > = 36), race (White/Black), and diagnosis (paranoid schizophrenic/nonparanoid schizophrenic/nonpsychotic, nonaffectively disturbed) across MCMI personality and clinical syndrome scales. On the MCMI personality syndrome scales, age, race, and diagnosis were significant. Racial differences were consistent with recently reported research (Davis, Greenblatt, & Pochyly, 1990), but the significant differences in diagnosis were opposite the direction that might be predicted from the MCMI manual. Older patients tended to produce lower symptom scale scores than younger patients, with the most meaningful difference found on the Drug Abuse scale.
The present study was the first of a number of studies exploring distribution of psychologists offering specialized services. A sample of 1,491 neuropsychological service providers listed in the National Register of Health Service Providers in Psychology were categorized in their appropriate Standard Metropolitan Statistical Area (SMSA) or nonmetropolitan area according to address. Results indicated that marked disparities in distribution of neuropsychological service providers exist between SMSAs within a given state, and between metropolitan and rural areas. Multiple regressions indicated that the variance in absolute distribution of providers can be explained through population in large SMSAs but not in small SMSAs. Per capita distribution of providers was to a limited extent explained by per capita distribution of psychology faculty in graduate psychology programs, by population density, and by median household income in large SMSAs but not in small SMSAs. Measures of health care availability were poor predictors.Interest in and need for information on the services of psychologists has increased, as demonstrated in a number of extensive surveys recently conducted regarding psychological personnel types of service provided, radical and age distribution of clients seen by psychologists, and employment settings for psychologists (
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