Public/private information sharing in healthcare fraud investigations.

Private insurers have good reason, both in their private interest and in the public interest, for pursuing and rooting out fraud in the healthcare system; moreover, they often have sophisticated data systems, substantial investigative information, and management expertise that can be useful to prosecutors. It makes sense, as a public policy matter, to undertake steps to encourage insurers to be aggressive in pursuing legitimate fraud cases, and to provide a framework for effective cooperation and information sharing with law enforcement. At the same time, prosecutors are responsible for enforcing equal justice under the law; thus, any such relationship must be handled in an appropriate manner, with safeguards to protect privacy and the reputation of investigative subjects. While the courts have not yet explored many of the relevant legal and factual issues in this area, the author surveys existing guidance under governing laws and policies applicable to state and federal prosecutors, and suggests techniques to prevent inappropriate communication or use of such information.

Prognostic validity of the Rorschach.

Fifty adult stutterers entering therapy at the UCLA Psychology Clinic were administered the Rorschach, with a Klopfer method inquiry, scoring, form level rating, and calculation of scores on the Rorschach Prognostic Rating Scale (RPRS). On the basis of independent clinician ratings of attitudinal or psychotherapeutic improvement, subjects were divided into groups of Improved Most (n = 21) and Improved Least (n = 29). Subjects were also divided into Continued (n = 43) and Dropped (n = 7). Logistic regression was employed to compare groups on the following Rorschach dimensions: Prognostic Score (RPRS); Human Movement; Animal Movement; Inanimate Movement; Shading; Color; Form Level. The Improved Most group was significantly higher in M, FM, Shading, and Productivity. The finding that M and FM discriminates between improvement groups corroborates results obtained in a previous study (Sheehan et al., 1954). The Rorschach movement variables, particularly M and FM, seem to be stable indicators of capacity for improvement in psychotherapy.

Level of aspiration in female stutterers: changing times?

In a study designed to cross-check a previous finding that females who stutter suffer from markedly low self-esteem and low levels of aspiration, 21 female stutters and 35 female controls were compared on the Rotter Level of Aspiration Board. For the female stutterers, the mean D score was +1.46, while for the female nonstutterers, it was +3.11 (t = 2.75; p less than 0.005). It was concluded that females who stutter do indeed suffer from low self-esteem, as reflected in their greater reluctance to bid for scores promising higher achievement. Comparison of the 1979 sample with a 1955 sample indicated that female stutterers may be making some generational gains in self-esteem perhaps reflecting improved status of females in our society.

Self-disclosure in relation to psychotherapist expertise and ethnicity.

The self-disclosure styles of Mexican Americans and their possible role in the limited participation of Mexican Americans in mental health services were explored. Ninety-four Mexican American and 93 Anglo American junior college students listened to one of four therapist introductions, then responded to questionnaires designed to measure self disclosure and self acceptance. Both groups indicated a substantial willingness to disclose about themselves to therapists. Mexican Americans proved lower in self-disclosure scores than Anglo Americans. Mexican Americans were found to disclose less to Mexican American therapists than did Anglo Americans to Anglo American therapists. Sex differences in self-disclosure were negligible. Both Mexican Americans and Anglo Americans scored in the direction of high self-acceptance. The findings held for comparable socioeconomic levels.

A reexamination of the role of heredity in stuttering.

In the light of recent breakthrough in the study of schizophrenia indicating a far stronger genetic factor than has been previously suspected, the role of heredity in stuttering is critically reexamined. Present knowledge of the role of heredity in stuttering springs from four principal data sources: (1) studies of familial incidence; (2) spontaneous recovery studies; (3) twin studies; and (4) studies of parental disfluency. It is hypothesized that the 4:1 sex ratio in stuttering may be the product of selective genetic factors. Critical examination of earlier and more recent studies leads to substantial evidence that a familial predisopsing factor exists in about 25% cases of stuttering.