This is a conceptual question about index construction and reliability. I'm not actually doing a study right now, but I have seen this and wonder what people think. Assume you are creating an index out of several survey items. Typically you would use positively correlated items. A positive correlation suggests the items are measuring the same underlying construct and contribute to the reliability of a measure. (Of course, if you have an item that is worded in the opposite direction, you reverse it. That was not my question). My question is - can you defend sometimes including negatively or poorly correlated items in an index, even though they reduce reliability? A hypothetical example, not from a real study, might be how much kale people eat and how much spinach people eat on a given night. If you are measuring consumption of green leafy vegetables these two items would represent the same construct, but they would be negatively or poorly correlated. Some people will eat both, but in most cases it's one or the other. You might avoid the problem by counting number of veggies eaten, instead of asking about quantity, but that avoids the question. Now consider this example from an actual study - Mac use and PC use. These are negatively correlated overall, but heavy computer users do use both, or some use one at home and the other at work. If you are measuring overall computer use, do you agree it s okay to combine the two into an index, even though they are negatively correlated? I know that ideally you may try to avoid this -- create strong measures of both types separately, or ask about types of software used (since WordPerfect and Word will have the same problem you might ask about word processing generically, etc.) I think it's an interesting question and I wonder what people think.