The detection of malingering in neuropsychological assessment

Although malingering, or the manipulation of data by the patient, is a problem commonly faced by neuropsychologists, there has been little systematic investigation of this problem. This paper reviews the literature on the detection of malingering in assessment instruments commonly used by clinical neuropsychologists. Criticism of previous research is discussed, and suggestions are made both for future research and for clinical practice.     

Letter familiarity does not aid feature extraction

Summary Familiarity effects in visual letter processing were examined by means of a mutilation detection task. The uppercase E was used as the non-mutilated letter. One or two horizontal bars of the E were delected, to produce an upright or inverted F or L. These four mutilations of the E were assigned to the same response. In Experiment 1, brief exposure of the stimuli was followed by a backward mask. Experiment 2 was identical to Experiment 1, except that the display duration of the stimulus was increased and the backward mask was omitted. In Experiment 3, the overall luminance of the stimuli (luminance per point times length of the constituent line segments) was held constant. In Experiment 4, the upright and inverted non-E letter occurred in different blocks to encourage a normal (upright) letter processing strategy in the upright letter blocks. Accuracy (Experiment 1) and mean correct response times (all experiments) were not different for the upright and inverted F or for the upright and inverted L. These findings and converging results from other studies indicate that the higher familiarity of the upright letters did not aid feature extraction.     

Die Abschaffung der somatoformen Störungen durch DSM-5 – ein akademischer Schildbürgerstreich?

The new fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has introduced “somatic symptom disorder” as a diagnosis which is no longer differentiated into medically unexplained and explained physical symptoms. As a consequence, the status of somatoform disorders as an independent clinical group is called into question. Against all original intentions, the semantic, conceptual and practical problems of the previous classification have not been solved. The validity of the new diagnosis is doubtful because of its over-inclusive character. Further points of criticism are the less than optimal selection of psychological features, the abandonment of hypochondriasis as a homogeneous concept and imprecise workmanship of the diagnostic criteria where exclusion criteria needed for differential diagnosis are missing.     

Music as a way of knowing: tentative steps towards extending the boundaries of traditional music philosophy

Based on Howard Gardner's theory of Multiple Intelligences and Ray Jackendoff s theory of a Universal Musical Grammar this article proposes that music be regarded as a way of knowing by which man endeavours to make sense of, interpret and articulate—by means of a system of sound symbols—an aspect of reality which cannot be expressed in any other way. The four main points of this hypothesis are: (1) Music refers to a reality that is neither solely a product of my imagination, my feelings or the constitution of my body, nor to a reality that can be explained solely in empirical terms. Rather, it includes both these dimensions, but at the same time is more than both of them put together. (2) The language of music is unique in that it is structured like no other language; it is structured in accordance with the reality it refers to. (3) Unlike mathematics (or even spoken language), the language of music, in its manifestation as culturally diverse musics, is semantically and ethically not a neutral language. (4) The emergence of art music can be explained particularly well by means of the model of music as a way of knowing.     

When we like what we know – A parametric fMRI analysis of beauty and familiarity

This paper presents a neuroscientific study of aesthetic judgments on written texts. In an fMRI experiment participants read a number of proverbs without explicitly evaluating them. In a post-scan rating they rated each item for familiarity and beauty. These individual ratings were correlated with the functional data to investigate the neural correlates of implicit aesthetic judgments. We identified clusters in which BOLD activity was correlated with individual post-scan beauty ratings. This indicates that some spontaneous aesthetic evaluation takes place during reading, even if not required by the task. Positive correlations were found in the ventral striatum and in medial prefrontal cortex, likely reflecting the rewarding nature of sentences that are aesthetically pleasing. On the contrary, negative correlations were observed in the classic left frontotemporal reading network. Midline structures and bilateral temporo-parietal regions correlated positively with familiarity, suggesting a shift from the task-network towards the default network with increasing familiarity.     

Stress and intraocular pressure in myopes

Abstract

The aim of the present study was to investigate whether the intraocular pressure (IOP) responses in myopes and normally-sighted controls differ when the subjects are exposed to a short-term achievement related stressor. A second aim was to examine to what extent IOP would decrease through relaxation in myopes as compared with the controls. Nineteen short-sighted and 19 normally-sighted adults were subjected to four conditions: (1) baseline I, (2) arithmetical mental operations under time pressure and noise, (3) baseline II, and (4) relaxation. IOP was assessed before and after each experimental condition. Heart rate was measured, and subjective ratings were obtained regarding the level of stress and relaxation subjects experienced. The stressing achievement situation led to significant increases in IOP and to significantly higher increases in myopes than in controls. Relaxation led to significant decreases of IOP in both groups. Heart rate and subjective ratings did not differ between groups under any condition. The present results point to specific intraocular reaction patterns to stress in myopic persons. The potential impact of this finding for a behavioral approach to shortsightedness is high since IOP is considered one of the main variables in the development of myopia.     

The Protestant work ethic,religious beliefs,and homonegative attitudes

The purpose of this study was to examine the influence of the Protestant Work Ethic (PWE) on negative attitudes towards gay men and lesbian women (homonegativity). The influence of religious beliefs and the notion of homosexuality as a choice were also examined in combination with PWE in regards to homonegativity. Previous research suggested that those who subscribe to the PWE have more negative attitudes towards societal out-groups (e.g., African–Americans). Thus, it was hypothesized that those with high PWE scores would display more homonegative attitudes. A significant correlation between PWE and homonegativity supported this hypothesis. Multiple regression analyses revealed that PWE interacted with religious beliefs, and religious beliefs interacted marginally with the idea of homosexuality as a choice. Those with high religious beliefs and who strongly believed that homosexuality was a choice were more likely to have negative attitudes towards homosexuals. The implications of these findings are discussed, with particular respect to reducing homonegative attitudes.     

Neuropsychological performance and suicidal behavior in adult psychiatric inpatients.

Although various studies have shown that suicidal persons exhibit greater cognitive deficiencies than both normals and other psychiatric patients, researchers as yet have been unable to account for the source(s) of the differences. Some of these differences (e.g., cognitive rigidity and impaired problem solving) hint of possible organic involvement. This study explored the relationship of neuropsychological functioning to suicidal behavior by comparing 20 suicidal and 27 nonsuicidal psychiatric inpatients on several tests of neuropsychological functioning. Although results showed no significant differences between the two groups on most measures, both groups showed evidence of notably high levels of cortical dysfunction relative to test norms. Thirty-five percent of suicidal patients and 44% of nonsuicidal patients scored in the impaired range. Implications of this high frequency of impairment for the treatment of suicidal and nonsuicidal psychiatric patients are discussed.     

Aesthetic appreciation of poetry correlates with ease of processing in event-related potentials

Rhetorical theory suggests that rhythmic and metrical features of language substantially contribute to persuading, moving, and pleasing an audience. A potential explanation of these effects is offered by “cognitive fluency theory,” which stipulates that recurring patterns (e.g., meter) enhance perceptual fluency and can lead to greater aesthetic appreciation. In this article, we explore these two assertions by investigating the effects of meter and rhyme in the reception of poetry by means of event-related brain potentials (ERPs). Participants listened to four versions of lyrical stanzas that varied in terms of meter and rhyme, and rated the stanzas for rhythmicity and aesthetic liking. The behavioral and ERP results were in accord with enhanced liking and rhythmicity ratings for metered and rhyming stanzas. The metered and rhyming stanzas elicited smaller N400/P600 ERP responses than their nonmetered, nonrhyming, or nonmetered and nonrhyming counterparts. In addition, the N400 and P600 effects for the lyrical stanzas correlated with aesthetic liking effects (metered–nonmetered), implying that modulation of the N400 and P600 has a direct bearing on the aesthetic appreciation of lyrical stanzas. We suggest that these effects are indicative of perceptual-fluency-enhanced aesthetic liking, as postulated by cognitive fluency theory.     

Kognitive Therapie des chronischen dekompensierten Tinnitus

Chronic earnoises lead to severe emotional disturbances in many individuals. At the moment, it is not possible to treat chronic tinnitus effectively on a medical basis. If the individual suffers strongly, psychological interventions can help reduce the degree of subjective tinnitus annoyance. Psychotherapists are often insecure when treating tinnitus sufferers, because of their tendency to strongly focus on the chronic earnoises. Knowledge about typical dysfunctional beliefs and systematic cognitive mistakes, that hinder the habituation process in tinnitus sufferers, help understand the patient and help find an anchor point for reducing tinnitus annoyance. In this paper, the most important cognitive characteristics of tinnitus sufferers are summarised and the cognitive modification process is systematically described.