ABSTRACT

As indicated earlier in this volume, norms for children and adolescents on all the Gottschalk-Gleser Content Analysis scales are now available (Gottschalk, 1982; Gottschalk & Gleser, 1969; Gottschalk & Hoigaard, 1986) (see Tables 4 .1 -4 .6 , 4.19, and Figs. 4.1 and 4.2). This has facilitated the calculation of percentile and 7-scores for normal children and adolescents on most of these Content Analysis scales. Various studies that have been reviewed earlier in this volume on medical and psychiatric samples of youngsters have helped consolidate and validate what kinds of content analysis scores provide markers over the range of mental health to mental illness. In addition to these broad gradations, the subtle influences of age, gender, and race may have relevance to scores derived from the content analysis of verbal behavior, and such information can be considered in the clinical assessment of these scores. Furthermore, whether or not a child has a neuropsychological component to his behavior disorder can be ascertained from Cognitive-Intellectual Impairment scale scores. Even more refined and spe­ cialized neuropsychological assessments can be obtained by use of the multiple regression formulas now available for 18 distinct neuropsychological tests, as indicated earlier (See Tables 5.1 and 5.2). The translation of these content analy­ sis derived scores into neuropsychiatric diagnostic classifications corresponding to those in the American Psychiatric Association DSM-III-R or DSM-fV has not been perfected, because the Gottschalk-Gleser Content Analysis scales were not originally developed to provide some form of diagnostic nomenclature. How­ ever, using the normative percentile and/or 7-scores obtained from a spectrum of content analysis scores can provide a close approximation to the APA neuropsy­

152 6. APPLICANTS TO CLINICAL MEDICINE AND PSYCHIATRY

chiatric diagnostic classification system. Such a spectrum of content analysis scale scores would include the following:

1. Total anxiety plus the six anxiety subscale scores, namely, death, mutila­ tion, separation, guilt, shame, and diffuse anxiety scores.