Appendix A Hypothesis List Concerning Social-Emotional Presentation in School

All of us, especially early in our careers, struggle to come up with explanatory hypotheses.  In other words, we look at our accumulating data and only to scratch our head. Perhaps we may envision only a single hypothesis. The HR Worksheet often affords help. As you saw in Chapters 1 and 2, there are often both nomothetic and idiographic possible explanations, and the HR Worksheet prompts you to consider both. This Appendix offers further help. Its two columns fleshes out viable hypotheses for you to consider. The left is a list of common mental health conditions (diagnoses). This is nomothetic. The right provide a host of explanations that spring from situations and perceptions in the students life. This is idiographic. The left column helps you to remember that some conditions have relatively low prior probability (base rate in your setting), whereas others have relatively high prior probability (base rate). Population prevalence rates are listed for some conditions. You are urged to consider local prevalence rates as well as to consider age and gender as a influence the prevalence of various mental health conditions.

Table A.1 Potential Hypotheses (such as in the HR Worksheet)

Principally nomothetic  Principally idiographic 
  • Anxiety (6% to 10%)
  • Depression (2% to 6%)
  • Behavior, including ODD and CD (7% to 9%)
  • ADHD (5%)‡
  • Tourette syndrome (< 1%); tics (as high as 12%)
  • Obsessive Compulsive Disorder
  • PTSD (1% to 15%)
  • Autism, including spectrum (1.8%)
  • Bipolar disorder in youth (0% to 3%)†
  • Psychoses, including schizophrenia and its prodrome in youth
  • Eating disorder (0.3% to 5.2%)
  • PANDAS (<1%)
  • Symptoms of earlier traumatic brain injury
  • Variations in temperament that do not reach diagnostic threshold (slow-to-warm up; intense positive and negative emotions)

 

 

  • Poor academic instruction
  • Interpersonal conflict with teacher
  • Frustration associated with improper grade placement
  • Embarrassment associated with improper grade placement
  • Violence in the home
  • Violence in the neighborhood
  • History of trauma (not sufficient to qualify as PTSD)
  • Attention seeking behavior that has been reinforced
  • Escape behavior that has been reinforced
  • Reactions to bullying
  • Reactions to peer rejection and lack of friendships
  • Behavioral/emotional expression of a health problem (e.g., diabetes, asthma)
  • Medication side effect (e.g., anti-epileptic drugs, psychotropic medication)
Note: Do not list OHI, ED, ID, or LD as hypotheses. Although these are important administrative considerations, they offer no explanation of students’ behavior or emotions.
‡See Chapter 12 for details; See Chapter 11 for details; †See Chapter 2, including local prevalence rates

As you saw in Chapter 2, prevalence (especially local prevalence or base rate) can help you judge the prior probability of hypotheses. This is true because some of the nomothetic conditions are common; other rare. Figure A.1, as one example, provide population prevalence for three common conditions. Students’ age obvious matters.

Figure A.1. The population prevalence of three common conditions depicted by age. Photo by CDC.

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Social-Emotional Assessment in Schools Copyright © by David L. Wodrich. All Rights Reserved.

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