Development of a Staff Informant Measure of Lucidity

Lucidity Measure Development: An existing questionnaire measuring lucidity length, degree, content, coinciding circumstances, and time from lucid episode to death was expanded to include time of day, expressive and receptive communication and speech the month prior to and during the lucid event. Pilot Study: 33 interviews with staff were conducted; 73% reported ever witnessing paradoxical lucidity. Among 29 events reported, 31% lasted several days, 20.7%, 1 day, and 24.1% less. In 78.6% the patient engaged in unexpected activity. 20% died within 3 days and 17% within 3 months after the event. Qualitative Analyses: To refine the measure, 10 family caregivers and 20 LTSS staff caregivers completed a web-based focus-group type exercise using QualtricsXM. A content-thematic analysis with an inductive approach was applied to make qualitative inferences by analyzing the meaning and semantic relationship of words, phrases, and concepts. Using the reduction method of selection, conceptual content categories will be developed.

HiTOP Assessment of Externalizing Antagonism and Disinhibition

This article outlines the Phase 1 efforts of the HiTOP Measure Development group for externalizing constructs, which include disinhibited externalizing, antagonistic externalizing, attention deficit hyperactivity disorder, substance use, and externalizing/maladaptive behaviors. We provide background on the constructs included and the process and issues involved in developing a measure for this diverse range of psychopathology symptoms, traits, and behaviors.

Measurement to Improve Treatment Delivery: A Commentary on the HiTOP Measure Development Project

The focus on this commentary will be on how dimensional models of psychopathology, particularly HiTOP model, have the potential to significantly streamline treatment efforts and increase the likelihood that evidence-based interventions are more widely integrated in clinical practice. The approach to assessment adopted by the HiTOP consortium is likely to have an outsized impact on whether these innovations are adopted in routine clinical practice. Toward that end, I provide suggestions for a measurement strategy that can maximize clinical utility. In particular, the tension between creating items that reflect all phenomena at the sign/symptom level to refine our understanding of relationships among psychopathological constructs and creating a measure that is suitable for clinical practice is explored.

Assessment of HiTOP Constructs Across the Population: A Commentary on the HiTOP Measure Development Project

The set of articles in this issue demonstrates the promise of the HiTOP collaborative effort in advancing a viable alternative dimensional taxonomy of psychopathology. Besides transcending the limitations of our current taxonomic system and categorical diagnoses, the potential contributions of HiTOP should extend to also critically examining long-standing notions of psychopathology and mental wellness, evaluating the ability of symptom measures to capture the various manifestations of disorder in the population, and questioning the emphasis on predominant Western cultural norms as a basis for our definitions of psychopathology and their measurement. This commentary addresses the extent to which the implementation of the measurement studies featured in the special issue centered these goals, drawing on the work of scholars from within and outside the fields of psychiatry and clinical psychology, some who have taken a critical view of these fields. The hope is that we work to challenge some basic assumptions and increase self-reflection, with an eye toward reducing bias and mental health disparities.

What Motivates Family Historians? A Pilot Scale to Measure Psychosocial Drivers of Research into Personal Ancestry

Participation in family history research may be a passing phase for some, but for others, it is a recreational pursuit exciting passionate intensity that goes beyond idle curiosity or short-term interest. In this paper, we explore some of the underlying motives that drive amateur genealogists, including the search for self-understanding, the desire to give something of value to others and the enjoyment of the many intellectual challenges that this hobby can provide. Using data accessed from an online survey of 775 Australian family historians, we developed a reliable and valid measure of the intensity of these psychosocial motives and used research participants’ qualitative data to suggest four further motives of interest for future research and measure development.