Diagnostic causal reasoning with verbal information

In diagnostic causal reasoning, the goal is to infer the probability of causes from one or multiple observed effects. Typically, studies investigating such tasks provide subjects with precise quantitative information regarding the strength of the relations between causes and effects or sample data from which the relevant quantities can be learned. By contrast, we sought to examine people’s inferences when causal information is communicated through qualitative, rather vague verbal expressions (e.g., “X occasionally causes A”). We conducted three experiments using a sequential diagnostic inference task, where multiple pieces of evidence were obtained one after the other. Quantitative predictions of different probabilistic models were derived using the numerical equivalents of the verbal terms, taken from an unrelated study with different subjects. We present a novel Bayesian model that allows for incorporating the temporal weighting of information in sequential diagnostic reasoning, which can be used to model both primacy and recency effects. On the basis of 19,848 judgments from 292 subjects, we found a remarkably close correspondence between the diagnostic inferences made by subjects who received only verbal information and those of a matched control group to whom information was presented numerically. Whether information was conveyed through verbal terms or numerical estimates, diagnostic judgments closely resembled the posterior probabilities entailed by the causes’ prior probabilities and the effects’ likelihoods. We observed interindividual differences regarding the temporal weighting of evidence in sequential diagnostic reasoning. Our work provides pathways for investigating judgment and decision making with verbal information within a computational modeling framework.     

The Life and Work of Sigmund Freud. Vol. III: The Last Phase by Ernest Jones

This paper describes the ward group, a modified version of group psychotherapy, designed for use in conjunction with comprehensive long-term treatment for severely disturbed adolescents and young adults. The authors examine the structural features of the ward group and discuss the group in relation to the unit and the hospital regarding such issues as membership, confidentiality, space, time, and ward group identity. The complex issues of task boundaries, the ward group as both an administrative unit and as a therapy group, are given special attention. The ward group transmits unit and hospital values and expectations, maintains behavioral controls over patients, exercises administrative decision-making authority, operates as a reflective–explorational therapy group, and represents an important means through which patients can achieve a sense of significance within the institutional setting.     

Implementing an Intercultural Psychology Undergraduate Unit: Approach,Strategies, and Outcomes

The relative absence of Indigenous and multicultural perspectives in core undergraduate psychology curriculum is said to hamper the preparation of students for engaging with culturally diverse communities. An intercultural unit that includes perspectives on Australia's history of race relations, Indigenous issues, and migration as the basis from which to research and practise intercultural psychology was introduced into the psychology undergraduate syllabus at Victoria University. This article describes the unit framework, structure, and evaluation of the unit. Content analysis of survey data showed that students appeared to develop greater critical awareness of psychological perspectives on cultural and social diversity. Although many students reported positive learning and an increased awareness of cultural matters, there were also student responses that suggested dissatisfaction or disengagement from what was being taught. These responses are consistent with the dynamics of learning about self and other, and of dominance and subjugation. It is argued that promoting an understanding of psychological phenomena as socially, culturally, and historically embedded is important in preparing students to be culturally safe and respectful mental health practitioners.     

The interpretation of change in verbal reports: Implications for health psychology

Abstract

This paper raises a number of issues for health psychology in relation to the interpretation of change in verbal reports. Drawing on a typology of change developed to evaluate organisational interventions, it is suggested that change may occur at an alpha level (e.g. changed health status), beta level (e.g. a recalibration of the respondent's scale for assessing health status) or gamma level (e.g. a reconceptualisation of the meaning attached to health). Given the likely presence of beta and/or gamma change in intervention data in health psychology, researchers may be analysing their change data at an inappropriate level. A number of existing methodologies which attempt to detect beta and gamma change are presented and discussed. The need to develop further methodologies which focus more explicitly on the nature of change is highlighted. Finally, the proposed typology has a number of practical implications for the design of health promotion interventions.     

Interference in memory for pictorial information

Subjects studied either faces composed from visual features or verbal facts composed from concepts. Recognition times were increased for both faces and facts when they were composed of elements that occurred in multiple study items. In Experiment 1 the interfering effect of other study items was much larger for verbal facts than for faces. This difference was largely eliminated in Experiment 2 where care was taken to control the features by which the faces were encoded. Experiment 2 also showed that verbal information could interfere with pictorial information and vice versa. However, this cross-modality interference was much weaker than within-modality interference. The data are consistent with the ACT theory in which pictorial material and verbal material are stored together in an abstract propositional network. The subnode model (Anderson, Language, memory, and thought, Hillsdale, N. J.: Lawrence Erlbaum, 1976) can account for the greater within- than cross-modality interference.     

Behavioural analysis of ward rounds within a general hospital psychiatric unit.

A naturalistic observational procedure was used to examine the content of staff verbal interaction during the ward rounds of two inpatient teams in a general hospital psychiatric unit. Observers reliably rated staff discussion of 10 neurotic and 10 psychotic inpatients, using a nine category behavioural scale. The major focus of this scale was the extent to which three broad orientations, viz the medical, psychotherapeutic and sociotherapeutic models, were utilized by the staff. It was found that an eclectic approach was used by staff in their discussion of patients' aetiology, treatment and prognosis. However, the medical model was primarily utilized to formulate patient care, with the sociotherapeutic approach being employed for approximately one-third of the time. The psychotherapeutic orientation was only used 2.9% of the total time that patients were discussed. This pattern of use of the three orientations was consistent across the psychotic and neurotic patient groups. The behavioural data were found to be at variance with the degree to which staff believed the models should be applied. Analysis of the amount of time during which each professional group spoke in the ward rounds, and the rate at which they were found to make denned ‘authority statements’, indicated that a hierarchical model of management operated in the unit. These findings are related to the concept of shared power and responsibility within the therapeutic team.     

The verbal label: Mediator or classifier?

Three experiments on the role of verbal labels and perceptual cues in concept attainment are reported. Ss were kindergarten and second-grade upper-middle-class children. The results indicated that when Ss learned to associate two labels (or two perceptual cues) with each stimulus no positive transfer resulted, despite the fact that one of the labels (or cues) was relevant to solution. When one label only (or one perceptual cue) was associated with each stimulus, substantial positive transfer was observed. The effects of verbal labeling and perceptual cuing were identical.On the basis of these finding the authors reject the hypothesis that labels give rise to representational responses which act as mediators, and instead propose a new hypothesis, that labels and perceptual cues facilitate performance because they facilitate the division of the stimulus set into subsets which are correlated with the response systems the subjects are expected to learn.     

Running: An adjunctive group therapy technique

Group therapists who work with severely disturbed patients know that group sessions are often characterized by verbal rambling, frequent and prolonged pauses and high levels of anxiety on the part of group members. This article focuses on the use of a group activity— namely, running—as an adjunct to group psychotherapy. A brief case report will illustrate the application of this innovative treatment technique; then issues that may arise when one leads a running group are dealt with in a question- and -answer format.The author wishes to express his appreciation to Mrs. Vera Kohn for editorial assistance in the preparation of this article.     

Attachment,Mental Health,and Verbal Aggressiveness in Personal Relationships

This study examined the association between verbal aggressiveness and individual differences in attachment orientations and mental health, defined as a state of emotional well-being. One hundred and thirty-two college-aged students completed measures assessing their attachment orientations, mental health, and verbal aggressiveness. Results indicated that security in attachment was negatively associated with verbal aggressiveness, and preoccupation with relationships was positively associated with verbal aggressiveness. In addition, mental health was negatively associated with verbal aggressiveness. Results indicated support for a statistical model in which mental health mediated the association between attachment orientations and verbal aggressiveness.     

REDUCING RAPID EATING IN ADULTS WITH INTELLECTUAL DISABILITIES

Rapid eating is a frequent problem among individuals with developmental disabilities that can pose a threat to health. This study sought to reduce the rate of eating behaviors in two adults diagnosed with moderate intellectual disability. Assessment of eating rate took place in the participants' group homes during lunch or dinner meals. Procedures included the use of vibrating pagers with and without verbal prompts to prompt eating and prevent rapid eating behaviors. Results demonstrate a clear reduction in rate of eating when using vibrating pagers and verbal prompts for both participants. Copyright © 2012 John Wiley & Sons, Ltd.     

Negative consequences of community group participation for women's mental health and well‐being: Implications for gender aware social capital building

Participation in community groups is argued to be an important way to create health‐promoting social capital. However, relatively little attention has been paid to the ways in which gender affects the health promotion potential of participation. This paper reports on a qualitative study of women's experiences of participation in a diverse range of community groups, and considers how such involvement can potentially have a negative impact upon mental well‐being. In‐depth interviews were conducted with 30 women in Adelaide, South Australia. Women's accounts of their group involvement reflected that their identities as mothers were particularly important in shaping their participation. Some women reported difficulties in combining group involvement with their family responsibilities. Stress attached to negotiating social interaction within groups was also raised as an issue. It was found that participation can reinforce gender inequality and potentially have severe negative consequences for mental health, issues that need to be considered alongside the potential health benefits. The findings are considered in light of Bourdieu's critical conceptualization of social capital. Copyright © 2008 John Wiley & Sons, Ltd.     

Executive functions in children with Autism Spectrum Disorders

Executive dysfunction is a characteristic impairment of individuals with Autism Spectrum Disorders (ASD). However whether such deficits are related to autism per se, or to associated intellectual disability is unclear. This paper examines executive functions in a group of children with ASD (N = 54, all IQ⩾70) in relation to a typically developing control group individually matched on the basis of age, gender, IQ and vocabulary. Significant impairments in the inhibition of prepotent responses (Stroop, Junior Hayling Test) and planning (Tower of London) were reported for children with ASD, with preserved performance for mental flexibility (Wisconsin Card Sorting Task) and generativity (Verbal Fluency). Atypical age-related patterns of performance were reported on tasks tapping response inhibition and self-monitoring for children with ASD compared to controls. The disparity between these and previous research findings are discussed. A multidimensional notion of executive functions is proposed, with difficulties in planning, the inhibition of prepotent responses and self-monitoring reflecting characteristic features of ASD that are independent of IQ and verbal ability, and relatively stable across the childhood years.     

Executive functions in children with Autism Spectrum Disorders

Executive dysfunction is a characteristic impairment of individuals with Autism Spectrum Disorders (ASD). However whether such deficits are related to autism per se, or to associated intellectual disability is unclear. This paper examines executive functions in a group of children with ASD (N = 54, all IQ?70) in relation to a typically developing control group individually matched on the basis of age, gender, IQ and vocabulary. Significant impairments in the inhibition of prepotent responses (Stroop, Junior Hayling Test) and planning (Tower of London) were reported for children with ASD, with preserved performance for mental flexibility (Wisconsin Card Sorting Task) and generativity (Verbal Fluency). Atypical age-related patterns of performance were reported on tasks tapping response inhibition and self-monitoring for children with ASD compared to controls. The disparity between these and previous research findings are discussed. A multidimensional notion of executive functions is proposed, with difficulties in planning, the inhibition of prepotent responses and self-monitoring reflecting characteristic features of ASD that are independent of IQ and verbal ability, and relatively stable across the childhood years.     

Lateralization of temporal lobe dysfunction and verbal encoding

The contribution of encoding deficits to verbal-learning difficulties known to be associated with temporal lobe dysfunction was investigated. Auditory and visual false-recognition tasks, which assess verbal encoding strategies, were given to patients with left-temporal-lobe (LTL) and right-temporal-lobe (RTL) surgical excisions and to a group of normal controls (NC). On both auditory and visual tasks, LTL patients made significantly more false-recognition errors than the other subjects on related, but not unrelated, words in the test list. The findings indicate that LTL patients are able to initially encode verbal material and that a breakdown in information processing occurs at a later stage. On the auditory tasks, the performance of RTL patients did not differ from that of NC subjects. However, on the visual tasks, RTL patients, as compared to both LTL and NC subjects, made fewer false-recognition errors. The performance of RTL patients, in contrast to LTL patients, could be interpreted as a reduced encoding of the visual attribute of verbal material. Another possible explanation considered was difficulty in familiarity discrimination.     

Is the learn unit a fundamental measure of pedagogy?

We propose a measure of teaching, the learn unit, that explicitly describes the interaction between teachers and their students. The theoretical, educational research, and applied behavior analysis literatures all converge on the learn unit as a fundamental measure of teaching. The theoretical literature proposes the construct of the interlocking operant and embraces verbal behavior, social interaction, and translations of psychological constructs into complex theoretical respondent-operant interactions and behavior-behavior relations. Research findings in education and applied behavior analysis on engaged academic time, opportunity to respond, active student responding, teacher-student responding, student-teacher responding, tutor-tutee responding, tutee-tutor responding, and verbal episodes between individuals all support a measure of interlocking responses. More recently, research analyzing the components of both the students' and teachers' behavior suggests that the learn unit is the strongest predictor of effective teaching. Finally, we propose applications of the learn unit to other issues in pedagogy not yet researched and the relation of learn units to the verbal behavior of students.     

Religion in Sexual Health: A Staff Perspective

This paper reports data on the complexities of delivering religious/spiritual care in sexual health from a staff perspective. A learning needs analysis, in survey format, was conducted with the nursing staff of a leading London, sexual health clinic. Recruitment took place in May 2011 over a period of 2 weeks. The sample consisted of 25 members of staff which included service support workers and registered nurses. The 25 question survey was conducted and reviewed using Survey Monkey?. The survey was divided into three sections, being population demographics, clinical experience and understanding and education. This article will explore the second section of being clinical experience and understanding. This section used six open-ended questions to investigate participant’s experience of common clinical episodes where religion was an influential part of the patient experience and decision-making. A range of contemporary sexual health and religious issues were extrapolated from the survey findings ranging from homosexuality to termination of pregnancy. Four main areas of complexity identified from participants responses were sexual dysfunction, treatment issues, sexual health knowledge and high-risk behaviour. Findings from the study highlight the diversity of influence of religion has on the sexual health of patients.     

Do as I say - or as I do?! How 18- and 24-month-olds integrate words and actions to infer intentions in situations of match or mismatch

Infants use behavioral and verbal cues to infer another person’s action intention. However, it is still unclear how infants integrate these often co-occurring cues depending on the cues’ coherence (i.e., the degree to which the cues provide coherent information about another’s intention). This study investigated how 18- and 24-month-olds’ (N = 88 per age group) action selection was influenced by varying the coherence of a model’s verbal and behavioral cues. Using a between-subjects design, infants received six trials with different stimulus objects. In the conditions Congruent, Incongruent, and Failed-attempt, the model uttered a telic verb particle that was followed by a matching or contradicting goal-directed action demonstration, or by a non goal-directed slipping motion, respectively. In the condition Pseudo-word, a nonsense word was combined with a goal-directed action demonstration. Infants’ action selection indicated an adherence to the verbal cue in Congruent, Incongruent, and Failed-attempt, and this was stronger in 24- than 18-month-olds. Additionally, in Incongruent and Failed-attempt, patterns of cue integration across the six trials varied in the two age groups. Regarding the behavioral cue, infants in Congruent and Pseudo-word preferentially followed this cue in both age groups, which also suggested a rather unspecific effect of the verbal cue in Congruent. Relatively longer first action-latencies in Incongruent and Failed-attempt implied that these types of coherence elicited higher cognitive demands than in Congruent and Pseudo-word. Results are discussed in light of infants’ flexibility in using social cues, depending on the cue’s coherence and on age-related social-cognitive differences.     

Individual Differences in Cognitive Editing Standards

This study is aimed at understanding how people edit their own arguments prior to uttering them (Hample, 1984; Hample & Dallinger, 1985a, 1985b). The main categories of editorial criteria are effectiveness, principled objection to type of argument, person-centered issues, and discourse competence standards. Our main purpose here is to begin an account of what sort of person prefers which criteria. Argumentativeness (Infante & Rancer, 1982), verbal aggression (Infante & Wigley, 1986), interpersonal orientation (Swap & Rubin, 1983), and respondent gender are associated with use of editorial criteria. Results point to two different approaches to editing one's own arguments. The task orientation focuses on effectiveness, and is taken by males, and by people high in verbal aggressiveness and low in interpersonal orientation. The relational orientation is taken by females, and by people low in verbal aggressiveness and high in argument avoidance and interpersonal orientation. Justification for using multiple arguments to instantiate each type of argument, and for using multiple situations was also found.