VERBAL SAMPLE ANALYSIS REPORT Gottschalk-Gleser Content Analysis Method (Computer Version) Report Date: July 23, 2002 This report is copyright (c) 2002 by GB Software, and may not be reproduced without written permission. GB Software, 4607 Perham Road, Corona del Mar, CA 92625 Telephone: (949) 824-6415 Fax: (949) 824-7012 Page 1 INTRODUCTION This assessment procedure is designed to provide the clinician with useful information concerning patients with mental disorders who are being evaluated. It may not be entirely reliable in individuals who are functioning, for the most part, in a healthy way mentally and physically. It is important, also, to realize that mentally ill individuals often behave in ways that are indistinguishable from people who are mentally well. And people who enjoy good mental health are able to express their fear, anger, and sadness appropriately. Hence, the assessment of emotions from verbal samples may reveal an individual's reactions to distressing current events. What distinguishes mental health from mental disorders is not merely the intensity of emotional reactions, but also the timeliness and appropriateness of these emotions as well as the defenses and coping mechanisms the person has available. These are matters about which the clinician has to make the major judgments. These evaluations from verbal samples are capable of detecting signs of minor and major mental disorders as well as signs of early cognitive impairment and cerebral organic malfunctioning. Trait-like features derived from five-minute verbal samples are not so convincing as the averages of several five-minute (or longer) verbal samples taken over periods of days, weeks, or months. Single five-minute verbal samples tend to be indicative of state-like (relatively transient) psychobiological dimensions, such as, the emotions of anxiety or hostility outward or hostility inward. However, content analysis scores on the Social Alienation-Personal Disorganization scale, Depression scale, and Cognitive Impairment scale tend to show less variation over time than the content analysis scores from the Anxiety or Hostility scales, unless the subjects are taking some psychoactive medication, which generally may be capable of reducing these scores derived from all these Content Analysis Scales. The diagnostic classifications, conforming to the DSM-IV criteria, that are offered for consideration here to the clinician do not include all the conditions that may be legitimate areas of treatment or research efforts. Also, the clinician should be reminded that the diagnostic classifications suggested are based solely on the content analysis of single verbal samples produced by an individual, and all the specialized clinical training and skills of the clinician should be included in order to corroborate which suggestions are most relevant and valid. The reliability of this psychiatric assessment with regard to giving a description of the typical trait-like characteristics of an individual is more stable if at least three speech samples are used. Scoring is not reliable on samples of less than 80 words. This evaluation consists of a single verbal sample containing 215 words. Page 2 SPECIFIC ANALYSIS This individual's total anxiety score is mildly elevated. Mildly increased anxiety may occur transiently in normal persons with stressful events of everyday life. Long-standing mild anxiety, by itself, is suggestive of a mild anxiety disorder. With other elevated psychopathological dimensions it may signify other mental disorders. Certain anxiety subscale scores are moderately elevated. These are: death anxiety mutilation anxiety diffuse anxiety Those anxiety subscale scores which are elevated provide clues concerning the dynamics of the contributions to the total anxiety. This information offers guidelines to the clinician for psychosocial or biomedical areas meriting more inquiry and investigation. This individual has a normal range of hostility outward scores. This individual's hostility inward score falls within the range of normal individuals. This individual has a normal range of ambivalent hostility. This individual's social alienation-personal disorganization score falls within a normative range. The lower this score within this range the less likely the individual has some form of psychiatric problem or tendency to such and the greater the person's ego strength. This individual has a cognitive impairment score that falls within the normal range. This individual has a hope score within the normal range. This individual's depression scale score is within the normal range. The clinician should examine the subscale scores to see if there are specific areas with significant elevations, which would indicate 'hidden' depression. The health-sickness scale records verbal statements that denote or connote states of health versus sickness. Included in these verbal designations of health and sickness are not only physical and mental disorders, but also verbal descriptions of dyssocial or asocial disorders, including, immoral or criminal disorders, behaviors, and mental events. This scale is not able to distinguish which kind of disorder is being specified in the spoken verbal samples or written verbal texts. Page 3 Health-sickness scale scores are divided into three categories: health, sickness, and health-sickness. Previous research has indicated that medically and psychiatrically healthy people, when they are asked to give a speech sample in response to purposely ambiguous instructions for example, to talk about any interesting or dramatic personal life experiences or to simple free-associate, do not usually talk about their health. Hence, their statements regarding their health are relatively infrequent. However, people who are ill or getting a medical check-up and their speech sample is elicited by the above purposely ambiguous instructions in a medical or psychiatric outpatient clinic or a hospital (or a physical fitness center) do tend to make more statements about their physical health, including the status of their general health. The health score for this individual is mildly elevated. This may be a healthy individual interviewed at a Health Center of some kind or a person who has a mild preoccupation with health issues for one reason or another. This score suggests a transient state influenced by some current event. This individual has a highly elevated sickness score or health- sickness score (three standard deviations) above the norms. This person is clearly preoccupied with the sickness (in a broad sense) of the self, others, or both. Page 4 In the process of selecting a diagnostic classification that fits a patient's circumstances and life history from among the many possibilities that need to be considered, the clinician needs to review a number of factors: 1. Is the patient currently taking some sort of medication or drug, legal or illegal? a. Many legal drugs have definite effects on cognitive functions. Some antihistamines, anticholinergic agents, most benzodiazepines, and many sedatives reduce cognitive performance, especially when using timed testing procedures. Lithium, especially at higher dosages, may interfere with cognitive competence. The major tranquilizers and antidepressant psychoactive pharmacological agents can have adverse effects on cognitive and intellectual function. b. Illegal drugs can inhibit the quality of cognition. Current use of marihuana impairs cognitive performance. So do the psychotomimetic drugs, for example, LSD. Morphine and heroin at higher dosages produce sedative effects that slow down cognition. Although the psychomotor stimulants, such as the amphetamines and cocaine, may have a temporary initial stimulating effect on intellectual function, the withdrawal effect from such drugs is often associated with impairment of cognitive function. c. All of the legal psychoactive drugs, such as antianxiety agents, antidepressants, and major tranquilizers, do have effects on their so-called target symptoms--for example, the emotional states of anxiety and hostility, depressed mood, social alienation-personal disorganization, and/or psychotic manifestations. Hence, patients taking such drugs are likely to have reduced manifestations of these target symptoms. d. Many other medications administered routinely for nonpsychiatric medical disorders may produce cognitive or psychological side-effects. Even the birth control pills tend to block the emotional variations peculiar to each woman and associated with the menstrual cycle. And the anticancer drugs can have temporary adverse effects on memory and cognition. 2. Very recent alcohol use definitely impairs cognition. A history of prolonged alcohol abuse, although the patient is now a 'recovered' alcoholic, is associated with persisting signs of cognitive impairment by neuropsychological testing. A history of alcohol abuse by the patient's mother during the patient's fetal life is accompanied by evidence of cognitive impairment during later development. 3. Medical disorders associated with occasional cerebral anoxia or circulating biochemical abnormalities can adversely affect cognitive function of mental well-being. 4. And, certainly, age, educational level, and gender influence cognition and, to some extent, mental function. These Page 5 are taken into consideration with the normative scores that are used, but they must be thought of in selecting a diagnostic classification. In summary, the clinician needs to be aware of the influence of these factors on the patient's mental status. Since this computerized program does not have access to all of these important and relevant data, the diagnostic classifications suggested cover disorders with overlapping or shared descriptive manifestations and yet are broadly scattered in terms of possible pathogenesis. So the clinician must make selections among the possible classifications suggested that take into consideration these causative factors. If the clinician is in the process of making a neuropsychiatric diagnosis, the DSM-IV diagnostic classifications to consider are: For Adults: Axis I: Panic Disorder or Anxiety Disorder, with agoraphobia (300.21) or without agoraphobia (300.01). Adjustment Disorder with anxious mood, mild (309.24) Adjustment Disorder with mixed anxiety and depressed mood (309.28) For Children: Axis I: Separation Anxiety Disorder (309.21) Anxiety Disorder not otherwise specified (300.00) Page 6 TABULATION OF VERBAL SAMPLE CODED FOR ANXIETY Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Total Weight Raw Score Subscale Score `Human' Score (W.) (W. x C.F.) SqRt(RS+1/2CF) Death . . . . . . . . 1 0.465 0.835 0.928 1c1 X 1 Mutilation. . . . . . 4 1.860 1.447 1.069 2b2 X 1 2c1 X 2 Separation. . . . . . 2 0.930 1.078 0.736 3c1 X 2 Guilt . . . . . . . . 0 0.000 0.482 0.559 Shame . . . . . . . . 0 0.000 0.482 0.700 Diffuse . . . . . . . 3 1.395 1.276 1.175 6a3 X 1 TOTAL . . . . . . . 10 4.651 4.651 + (1/2 * C.F.) = 4.884 Square Root = 2.210 Human Equivalent = 2.265 Based on norms for white male adults, the score is slightly high for the Anxiety scale. It is between one and two standard deviations above the mean. Page 7 TABULATION OF VERBAL SAMPLE CODED FOR HOSTILITY DIRECTED OUTWARD Word Count = 215 Correction Factor (C.F.) = 0.465 OVERT Subcategory Total Weight Total 0 Raw Score 0.000 Corrected Score (+ 1/2 C.F.) 0.233 Square Root 0.482 Human Equivalent 0.798 Based on norms for white male adults, the score is in the normal range for the Hostility Outward (Overt) subscale. It is less than one standard deviation above the mean. Page 8 COVERT Subcategory Total Weight IIa3 x 1 3 Total 3 Raw Score 1.395 Corrected Score (+ 1/2 C.F.) 1.628 Square Root 1.276 Human Equivalent 0.734 Based on norms for white male adults, the score is in the normal range for the Hostility Outward (Covert) subscale. It is less than one standard deviation above the mean. Page 9 TOTAL Total (overt+covert) Total 3 Raw Score 1.395 Corrected Score (+ 1/2 C.F.) 1.628 Square Root 1.276 Human Equivalent 1.124 Based on norms for white male adults, the score is in the normal range for the Hostility Outward scale. It is less than one standard deviation above the mean. Page 10 TABULATION OF VERBAL SAMPLE CODED FOR HOSTILITY DIRECTED INWARD Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Total Weight Total 0 Raw Score 0.000 Corrected Score (+ 1/2 C.F.) 0.233 Square Root 0.482 Human Equivalent 0.750 Based on norms for white male adults, the score is in the normal range for the Hostility Inward scale. It is less than one standard deviation above the mean. Page 11 TABULATION OF VERBAL SAMPLE CODED FOR AMBIVALENTLY DIRECTED HOSTILITY Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Total Weight Total 0 Raw Score 0.000 Corrected Score (+ 1/2 C.F.) 0.233 Square Root 0.482 Human Equivalent 0.676 Based on norms for white male adults, the score is in the normal range for the Ambivalent Hostility scale. It is less than one standard deviation above the mean. Page 12 TABULATION OF VERBAL SAMPLE CODED FOR SCHIZOPHRENIA Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score IA1 IA2 IB1 IB2 IC1 3 -6.00 IC2 IC3 1 -2.00 ID1 3 0.00 ID2 3 -3.00 IIA1 IIA2 IIA3 IIB1A IIB1B 1 1.00 IIB1C IIB2 IIB3A 1 -1.00 IIB3B IIB4 IIB5 1 0.50 IIC IID1 IID2 IIE1 IIE2 IIF1 IIF2 IIIA1 IIIA2 IIIA3 IIIB1 IIIB2 3 3.00 IVA IVB 1 0.50 V Total -7.000 Corrected Score (R.S. x C.F.) -3.256 Human Equivalent -2.830 Based on norms for white male adults, the score is in the normal range for the Social Alienation/Personal Disorganization scale. It is less than one standard deviation above the mean. Page 13 TABULATION OF VERBAL SAMPLE CODED FOR COGNITIVE IMPAIRMENT Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score IB1 IC1 3 -1.50 IC2 1 -0.50 IC3 1 -0.50 IIA IIB1 1 -0.50 IIB3 1 0.25 IIB5 1 1.00 IIC IID2 IIIA2 IIIB2 3 3.00 IVA Total 1.250 Corrected Score (R.S. x C.F.) 0.581 Human Equivalent 0.456 Based on norms for white male adults, the score is in the normal range for the Cognitive Impairment scale. It is less than one standard deviation above the mean. Page 14 TABULATION OF VERBAL SAMPLE CODED FOR HOPE Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score H1 4 4.00 H2 3 3.00 H3 H4 H5 H6 3 -3.00 H7 Total 4 Corrected Score (R.S. x C.F.) 1.860 Human Equivalent 0.888 Based on norms for white male adults, the score is in the normal range for the Hope scale. It is less than one standard deviation above the mean. Page 15 TABULATION OF VERBAL SAMPLE CODED FOR DEPRESSION Word Count = 215 Correction Factor (C.F.) = 0.465 Weighted Human Subcategory Count Score Equivalent I. Hopelessness I1 I2 3 3.00 I3 Subscale I 1.276 0.562 II. Self-Accusation IIA. Guilt Depression IIAA IIAB IIAC Subscale IIA 0.482 0.559 IIB. Shame Depression IIBA IIBB IIBC Subscale IIB 0.482 0.700 IIC. Hostility Directed Inward IIC1A IIC1B IIC2A IIC2B IIC3A IIC3B IIC3C IIC4A IIC4B IIC4C Subscale IIC 0.482 0.750 Subscale II 0.482 0.839 III. Psychomotor Retardation III Subscale III 0.482 0.322 IV. Somatic Concerns IVA IVB IVC IVD IVE Subscale IV 0.482 0.701 V. Death and Mutilation Depression Page 16 VA. Death Depression VAA VAB VAC 1 1.00 VAD Subscale VA 0.835 0.928 VB. Mutilation Depression VBA VBB 1 2.00 VBC 2 2.00 VBD Subscale VB 1.447 1.069 Subscale V 1.599 1.412 VI. Separation Depression VIA VIB VIC 2 2.00 VID Subscale VI 1.078 0.736 VII. Hostility Directed Outward VIIA. Hostility Directed Outward (Overt) VIIA1A VIIA1B VIIA1C VIIA2A VIIA2B VIIA2C VIIA2D VIIA3A VIIA3B VIIA3C Subscale VIIA 0.482 0.798 VIIB. Hostility Directed Outward (Covert) VIIB1A 1 3.00 VIIB1B VIIB1C VIIB2A VIIB2B VIIB2C VIIB2D VIIB2E VIIB2F VIIB3A VIIB3B VIIB3C VIIB3D VIIB3E VIIB3F Subscale VIIB 1.276 0.734 Subscale VII 1.276 1.124 Final Score 6.676 Human Equivalent 6.471 Page 17 Based on norms for white male adults, the score is in the normal range for the Depression scale. It is less than one standard deviation above the mean. Page 18 TABULATION OF VERBAL SAMPLE CODED FOR HUMAN RELATIONS Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score A1a A1b 1 1.00 A2a A2b A3a A3b A3c A4a A4b A4c B1a B1b B1c B2a B2b B3 C1a C1b C1c C2a C2b C2c C3a C3b D1a D2a D2b D3a D3b D4(1)a D4(1)b D4(2)a D4(2)b D4(3)a D4(3)b D5 D6a D6b E1 E2 E3 Human Relations Raw Score: 1 Human Relations Corrected Score (R.S. x C.F.) 0.465 (Human equivalents not yet established.) Page 19 Based on norms for white male adults, the score is in the normal range for the Human Relations scale. It is less than one standard deviation above the mean. Page 20 TABULATION OF VERBAL SAMPLE CODED FOR ACHIEVEMENT STRIVINGS Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score IAa IAb IBa IBb ICa ICb 2 2.00 IIAa IIAb IIBa IIBb IICa IICb 1 -1.00 Achievement Strivings Raw Score: 1 Achievement Strivings Corrected Score ((R.S. + 0.5) x C.F.) 0.698 (Human equivalents not yet established.) TABULATION OF VERBAL SAMPLE CODED FOR DEPENDENCY STRIVINGS Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score A1a A1b A1c A2a A2b A2c B1a B1b B1c B2a B2b B2c C1a C1b C1c C2a C2b C2c Dependency Strivings Raw Score: 0 Page 21 Dependency Strivings Corrected Score (R.S. x C.F.) 0.000 (Human equivalents not yet established.) TABULATION OF VERBAL SAMPLE CODED FOR FRUSTRATED DEPENDENCY STRIVINGS Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score A1a A1b A1c A2a A2b A2c B1a B1b B1c B2a B2b B2c C1a C1b C1c C2a C2b C2c D1a D1b D1c D2a D2b D2c Frustrated Dependency Strivings Raw Score: 0 Corrected Score (R.S. x C.F.) 0.000 (Human equivalents not yet established.) TABULATION OF VERBAL SAMPLE CODED FOR HEALTH/SICKNESS Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Count Weighted Score HS1 2 2.00 HS2 2 2.00 Health Raw Score: 2 Health Corrected Score (R.S. x C.F.) 0.930 (Human equivalents not yet established.) Page 22 Based on norms for white male adults, the score is slightly high for the Health scale. It is between one and two standard deviations above the mean. Page 23 Sickness Raw Score: 2 Sickness Corrected Score (R.S. x C.F.) 0.930 (Human equivalents not yet established.) Based on norms for white male adults, the score is moderately high for the Sickness scale. It is between two and three standard deviations above the mean. Page 24 Health/Sickness Raw Score: 4 Health/Sickness Corrected Score (R.S. x C.F.) 1.860 (Human equivalents not yet established.) Based on norms for white male adults, the score is very high for the Health/Sickness scale. It is more than three standard deviations above the mean. Page 25 TABULATION OF VERBAL SAMPLE CODED FOR QUALITY OF LIFE Word Count = 215 Correction Factor (C.F.) = 0.465 Subcategory Weighted Score Positive Factors Human Relations 0.465 Hope (positive only) 1.306 Negative Factors Social Alienation/Personal Disorganization -2.830 Depression (including Hopelessness) 6.471 Health/Sickness 1.860 TOTAL -3.730 Based on norms for white male adults, the score is in the normal range for the Quality of Life scale. It is less than one standard deviation above the mean. Page 26 Ok, I guess / CLAUSE: OK AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(ID2);C:No Score;H:(H1);DEP:No Score;HR:No Score;AS:(ICb);DS:No Score; FS:No Score;HS:(HS1); CLAUSE: I GUESS AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; I'll tell you about my cat. CLAUSE: I WILL TELL YOU ABOUT MY CAT AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IVB);C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / She is a rather small black cat, but a rather vicious cat to other people. CLAUSE: SHE IS A RATHER SMALL BLACK CAT BUT AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: A RATHER VICIOUS CAT TO OTHER PEOPLE AX:(2c1);HO:No Score;HI:No Score;AH:No Score;S:(IIIB2);C:(IIIB2);H:(H6);DEP:(VBC I2);HR:No Score;AS:(IICb);DS:No Score; FS:No Score;HS:(HS2); / She's had eighteen litters of kittens in the last seven years. CLAUSE: SHE IS HAD EIGHTEEN LITTERS OF KITTENS IN THE LAST SEVEN YEARS AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IIIB2);C:(IIIB2);H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / One of her babies / CLAUSE: HER BABIES AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; that we kept / CLAUSE: THAT WE KEPT AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; was very friendly and gentle. CLAUSE: VERY AND WAS FRIENDLY GENTLE YN AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / She always protected him / CLAUSE: SHE PROTECTED ALWAYS HIM AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IC1);C:(IC1);H:(H1);DEP:No Score;HR:(A1b);AS:(ICb);DS:No Score; FS:No Score;HS:No Score; even when he bit her tail / CLAUSE: EVEN WHEN AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: HE BIT HER TAIL AX:(2c1);HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:(VBC);HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; when he was playing. CLAUSE: HE WAS PLAYING WHEN TIME AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(ID2);C:No Score;H:(H2);DEP:No Score;HR:No Score;AS:No Score; AX-Anxiety;HO-Hostility Outward;HI-Hostility Inward;AH-Ambivalent Hostility S-Social Alienation/Personal Disorganization;C-Cognitive Impairment H-Hope;DEP-Depression;HS-Health/Sickness Page 27 DS:No Score;FS:No Score;HS:No Score; CLAUSE: AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / But then he was killed out in front of the house. CLAUSE: BUT THEN HE WAS KILLED BY OUT IN FRONT OF THE HOUSE AX:(1c1);HO:No Score;HI:No Score;AH:No Score;S:(IIIB2);C:(IIIB2);H:No Score;DEP:(VAC);HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / We always thought / CLAUSE: WE THOUGHT ALWAYS AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; that he would be / CLAUSE: THAT HE WOULD BE AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; because he ran across the busy street frequently. CLAUSE: BECAUSE HE RAN FREQUENTLY THE BUSY STREET AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / Let's see. CLAUSE: LET AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: US SEE AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / Back to the mother, I guess. CLAUSE: BACK TO THE MOTHER AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IC1);C:(IC1);H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: I GUESS AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / Sometimes we'd find her sitting on the roof. CLAUSE: WE HAD SOMETIMES FIND HER SITTING ON THE ROOF AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / Then she'd pretend / CLAUSE: THEN SHE HAD PRETEND AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(ID1);C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; she couldn't get down, / CLAUSE: SHE GET T DOWN AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; and we'd always climb up for her on a ladder. CLAUSE: AND WE HAD CLIMB ALWAYS UP FOR HER ON A LADDER AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / One neighbor was afraid of our older cat, / AX-Anxiety;HO-Hostility Outward;HI-Hostility Inward;AH-Ambivalent Hostility S-Social Alienation/Personal Disorganization;C-Cognitive Impairment H-Hope;DEP-Depression;HS-Health/Sickness Page 28 CLAUSE: ONE NEIGHBOR WAS AFRAID OF OUR OLDER CAT AX:(6a3);HO:No Score;HI:No Score;AH:No Score;S:(IIB1B);C:(IIB1);H:(H6);DEP:(I2);HR:No Score;AS:No Score;DS:No Score; FS:No Score;HS:(HS2); and then another was allergic to them. CLAUSE: AND THEN ANOTHER WAS ALLERGIC TO THEM AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(ID1);C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / So my mother used to lock them out of the house / CLAUSE: MY MOTHER SO USED TO LOCK THEM OUT OF THE HOUSE AX:(3c1);HO:No Score;HI:No Score;AH:No Score;S:(ID1 IC3);C:(IC3);H:(H6 H1);DEP:(VIC I2);HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; when that neighbor came to visit. CLAUSE: THAT NEIGHBOR CAME TO VISIT WHEN TIME AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; CLAUSE: AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / Once we had a visitor along with her baby / CLAUSE: WE ONCE HAD A VISITOR ALONG WITH HER BABY AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:(IC2);H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; and we could see / CLAUSE: AND WE COULD SEE AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; that the baby was going to drop the ashtray / CLAUSE: THAT THE BABY WAS GOING TO DROP THE ASHTRAY AX:(3c1);HO:No Score;HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:(VIC);HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; she was playing with. CLAUSE: SHE WAS PLAYING WITH AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(ID2);C:No Score;H:(H2);DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / And the mother cat went over, stood up on the table with her front feet / CLAUSE: AND THE MOTHER CAT WENT OVER STOOD UP ON THE TABLE WITH HER FRONT FEET AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IC1);C:(IC1);H:(H1);DEP:No Score;HR:No Score;AS:No Score;DS:No Score; FS:No Score;HS:No Score; and she just smacked the baby's hands. CLAUSE: AND SHE SMACKED JUST THE BABY S HANDS AX:(2b2);HO:(IIa3);HI:No Score;AH:No Score;S:No Score;C:No Score;H:No Score;DEP:(VBB VIIB1A);HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:No Score; / I had to laugh out loud at that one. CLAUSE: I HADTA LAUGH OUT LOUD AT THAT ONE AX:No Score;HO:No Score;HI:No Score;AH:No Score;S:(IIB3A IIB5);C:(IIB3 IIB5);H:(H2);DEP:No Score;HR:No Score;AS:No Score; DS:No Score;FS:No Score;HS:(HS1); AX-Anxiety;HO-Hostility Outward;HI-Hostility Inward;AH-Ambivalent Hostility S-Social Alienation/Personal Disorganization;C-Cognitive Impairment H-Hope;DEP-Depression;HS-Health/Sickness