Communication amongst medical specialists helps display the tensions between localism and transnationalisation. Some quantitative sampling of psychiatric journals provides one framework for understanding the history of psychiatry and, to some extent, the history of medicine in general in the twentieth century. After World War II, extreme national isolation of psychiatric communities gave way to substantial transnationalisation, especially in the 1980s, when a remarkable switch to English-language communication became obvious. Various psychiatric communities used the new universal language, not so much as victims of Americanisation, as to gain general professional recognition and to participate in and adapt to modernisation.

This paper describes a study of the computer essay-scoring program BETSY. While the use of computers in rating written scripts has been criticised in some quarters for lacking transparency or lack of fit with how human raters rate written scripts, a number of essay rating programs are available commercially, many of which claim to offer comparable reliability with human raters. Much of the validation of such programs has focused on native-speaking tertiary-level students writing in subject content areas. Instead of content areas with native-speakers, the data for this study is drawn from a representative sample of scripts from an English as a second language (ESL) Year 11 public examination in Hong Kong. The scripts (900 in total) are taken from a writing test consisting of three topics (300 scripts per topic), each representing a different genre. Results in the study show good correlations between human raters’ scores and the program BETSY. A rater discrepancy rate, where scripts need to be re-marked because of disagreement between two raters, emerged at levels broadly comparable with those derived from discrepancies between paired human raters. Little difference was apparent in the ratings of test takers on the three genres. The paper concludes that while computer essay-scoring programs may appear to rate inside a ‘black box’ with concomitant lack of transparency, they do have potential to act as a third rater, time-saving assessment tool. And as technology develops and rating becomes more transparent, so will their acceptability.

This paper describes an English language listening test intended as computer-based testing material for secondary school students in Hong Kong, where considerable attention is being invested in online and computer-based testing. As well as providing a school-based testing facility, the study aims to contribute to the knowledge base regarding the efficacy and reliability of computer-based testing. The paper describes the construction of an item bank of over 400 short listening items calibrated on item response theory principles. Items from this bank were used to form a traditional paper-based listening test, and an adaptive computer-based test. Both forms of the test were administered to two Hong Kong Grade 11 and Grade 12 classes. Descriptive test statistics indicated that both test types discriminated effectively between school grades. In terms of comparability between test types, there was significant difference between the Grade 11 classes’ performance although not with that of Grade 12. Test takers generally performed better on the computer-based test than on the paper-based test, confirming earlier research. Interviews with test takers after taking both tests indicated an even split in terms of preference, with boys opting for the computer-based test and girls the paper-based test. Correlations between test takers’ performance on the two test types were high enough to indicate the computer-based test’s potential as a low-stakes test (its intended purpose as a school-based testing facility), although not as a high-stakes test (for example, as a territory-wide test replacing a traditional paper-based test).