Stimulus timing by people with Parkinson's disease

Previous literature suggests that Parkinson’s disease is marked by deficits in timed behaviour. However, the majority of studies of central timing mechanisms in patients with Parkinson’s disease have used timing tasks with a motor component. Since the motor abnormalities are a defining feature of the condition, the status of timing in Parkinson’s disease remains uncertain. Data are reported from patients with mild to moderate Parkinson’s disease (both on and off medication) and age- and IQ-matched controls on a range of stimulus timing tasks without counting. Tasks used were temporal generalization, bisection, threshold determination, verbal estimation, and a memory for duration task. Performance of patients was generally “normal” on all tasks, but significant differences from performance of controls were found on the memory for duration task. Among the “normal” effects noted were arithmetic mean bisection, asymmetric temporal generalization gradients, and subjective shortening on the memory for duration task. The results suggest (a) that some previous reports of timing “deficits” in Parkinson’s patients were possibly due to the use of tasks requiring a timed manual response and (b) small differences between patients and controls may be found on tasks where two stimuli are presented on each trial, whether patients are on medication or off it.     

Conceptualizing Patient Barriers to Nonadherence with Homework Assignments

Nonadherence with homework assignments and, by implication, “barriers” to homework assignments are a frequent occurrence in the practice of standard cognitive therapy (Beck, A.T., Rush, A.J., Shaw, B.F., Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press). The clinical examples in this article illustrate some of the ways in which environmental, patient, task, and therapist factors can serve as barriers to homework completion. Although these classes of barriers may be discussed independently, they are actually overlapping processes and are more helpful when discussed in tandem. This article illustrates how the therapist’s ability to conceptualize can serve as the context for making sense of the patient’s perceived ability to undertake an activity, the patient’s beliefs about the specific task, and how our ability to use the conceptualization to anticipate barriers is part of evaluating our own therapeutic skills. Several clinical case examples are discussed.     

Dementia in Parkinson disease: A neuropsychological analysis

An extensive set of neuropsychological measures was administered to 60 Parkinson's disease patients and age-, sex-, and education-matched controls in order to investigate the nature and prevalence of the cognitive deficit in the disease. Parkinsonian patients performed significantly poorer on all measures with the exception of tests for apraxia and object recognition, and on a test of vocabulary knowledge. Discriminant analysis of the test data revealed that over 93% of patients are impaired relative to matched controls, but that assigning a prevalence rate for dementia in the disease may be difficult due to the continuous distribution of cognitive deficits.     

Emotion and object processing in Parkinson’s disease

The neuropsychological literature on the processing of emotions in Parkinson’s disease (PD) reveals conflicting evidence about the role of the basal ganglia in the recognition of facial emotions. Hence, the present study had two objectives. One was to determine the extent to which the visual processing of emotions and objects differs in PD. The other was to assess the impact of cognitive load on the processing of these types of information. Thirty-one patients with idiopathic PD (IPD) under dopamine replacement therapy (DRT) were compared to 30 control subjects on emotion and object recognition tasks. Recognition of objects was more accurate and faster than recognition of facial expressions of emotion, for both groups of subjects. In a second experiment using an N-back procedure with the same stimuli—a more demanding task with a higher cognitive load—patients with IPD were as accurate as control subjects in detecting the correct sequential presentation of stimuli, but were much slower in their decision responses. This indicates that IPD patients under DRT are not impaired in encoding emotion or object information, but that they have difficulty with the processing demands of the N-back task. Thus, patients with IPD appear to be more sensitive to cognitive load than to type of information, whether facial emotions or objects. In this perspective, one must consider that a deafferented dopaminergic system has problems processing more complex information before one can posit the existence of deficits affecting a specific type of information.     

On-line story representation in boys with attention deficit hyperactivity disorder

Children with attention deficit hyperactivity disorder (ADHD) face an increased risk of poor achievement in school. Thus, knowledge of the cognitive processing abilities of children with ADHD is critical to understanding and improving their academic performance. Although many studies have focused on the specific nature of the attention deficit experienced by children with ADHD, few have examined higher order cognitive processing such as comprehension of stories. The present study examined the processes of encoding story information, building a story representation, and modifying a story representation in boys with ADHD and nonreferred boys. Boys were asked to narrate a story from a picture book twice. Boys with ADHD showed deficits in representing goals and goal plans in their narrations, as compared to nonreferred boys. Boys with ADHD also committed more errors than nonreferred boys, but did correct certain types of errors on their second telling. Implications are discussed in terms of future research needed to identify the cognitive deficits that account for these narrative deficits.     

The Interaction of Motivation and Therapist Adherence Predicts Outcome in Cognitive Behavioral Therapy for Panic Disorder: Preliminary Findings

This report is a post-hoc, exploratory examination of the relationships among patient motivation, therapist protocol adherence, and panic disorder outcome in patients treated with cognitive behavioral therapy within the context of a randomized clinical trial for the treatment of panic disorder (Barlow, Gorman, Shear, & Woods, 2000). Results suggested that motivation and adherence interacted to predict change in panic severity. Among patients rated as less motivated, greater therapist protocol adherence was associated with poorer outcome. Among patients rated as more motivated, adherence was not significantly associated with outcome. Further process research is needed to confirm these preliminary results and to understand the interactions of patient and therapist factors and how they are related to outcome in standardized protocols such as cognitive behavioral therapy for panic disorder.     

Social interactional behaviors and symbolic play competence as predictors of language development and their associations with maternal attention-directing strategies

Children’s early social interactional behaviors and symbolic play competence were studied at 14 months in a sample of 111 mother-infant pairs. The categories of social interactional behaviors, joint visual attention, socially coordinated and object oriented interactions were assessed via observations of mother-infant joint play. An index of symbolic play was derived from the child’s solitary play, which was assessed independently. We examined both the interrelations of these two types of early language predictors, and their relation to children’s language skills and maternal attention-directing strategies. Measures of children’s language comprehension and production were obtained using the MacArthur Communicative Development Inventories at 14 months, and Reynell Developmental Language Scales at 18 and 30 months. We found that at 14 months, social interactional behaviors and symbolic play competence were not statistically significantly related to each other. In line with our hypotheses, social interactional skills were associated more strongly with language production, and symbolic play competence more strongly with language comprehension. Maternal attention-directing strategies were strongly related to both children’s social interactional behaviors and symbolic play competence. Our findings indicated that maternal strategies that expanded the infant’s level of functioning were more effective in stimulating the children’s language development than were the other types of strategies.     

Awareness of the saccade goal in oculomotor selection: Your eyes go before you know

The aim of the present study was to investigate how saccadic selection relates to people’s awareness of the saliency and identity of a saccade goal. Observers were instructed to make an eye movement to either the most salient line segment (Experiment 1) or the only right-tilted element (Experiment 2) in a visual search display. The display was masked contingent on the first eye movement and after each trial observers indicated whether or not they had correctly selected the target. Whereas people’s awareness concerning the saliency of the saccade goal was generally low, their awareness concerning the identity was high. Observers’ awareness of the saccade goal was not related to saccadic performance. Whereas saccadic selection consistently varied as a function of saccade latency, people’s awareness concerning the saliency or identity of the saccade goal did not. The results suggest that saccadic selection is primarily driven by subconscious processes.     

Personality and cognitive processes in life and death decision making: An exploration into the source of judgment errors by police special squads

This study sought to understand judgment errors by special police units such as those documented after the assault by the Bureau of Alcohol, Tobacco and Firearms on the Branch Davidians near Waco, Texas. The study examined the relation between personality traits, the cognitive organization of safety and survival skills, and past deadly force encounters in 131 tactical and command officers of Violent Crimes and Fugitives Task Forces, and as they executed live high‐risk arrest warrants in an all‐inclusive decision‐making simulation environment. Logistic regressions showed that getting shot on the job was related to very low neuroticism and low sensation (experience) seeking among officers. Getting shot in a deadly force encounter during a simulated team entry was also related to low neuroticism and low experience seeking. Making safety and survival errors in a simulated entry was positively related to toughmindedness in Task Force tactical officers but negatively related to toughmindedness in Task Force leaders. Principle components factor analysis of 27 self‐reported safety and survival competencies showed that, generally, TF leaders reasoned with higher cognitive processes of analysis and deliberation while tactical personnel reasoned more in terms of reactive and procedural knowledge. Getting shot during a simulated dangerous encounter was more likely to occur when there was a mismatch between task demands and an officer's preference of one knowledge system over another. It was speculated that the poor judgment by command staff at Waco might have been related to their use of a procedural knowledge system when higher cognitive processes were needed. Greater experience with executing arrest warrants would have triggered the recognition of a serious anomaly, which would have primed the use of higher cognitive processes.     

Cross-cultural differences in colour vision: Acquired ‘colour-blindness’ in Africa

We report a study of the incidence of ‘colour-blindness’ in southern and central Africa, and we compare the African data with data from various European groups. There was a surprisingly high incidence of tritan errors (yellow–blue defect). The likelihood of making tritan errors increased with age, and was greater in rural areas than in towns. In Europe, no tritan errors were made by samples from the U.K., Eire or Spain, but some tritan errors were made by a sample from southern Greece. In contrast, most of a British sample of people over sixty-five years old makes tritan errors. Although tritan errors were the most frequent, they were often accompanied by protan and deutan errors. This mixed pattern of errors is consistent with the condition being acquired rather than congenital. Many languages of southern Africa categorise blues and greens with the same term. If the tritanopia we report has been endemic, it may have reduced the ‘perceptual pressure’ to split the blue-with-green categories into separate blue and green terms; a speculation consistent with Rivers, W. H. R. (1901. Introduction to A. C. Haddon (Ed.), Reports on the Cambridge Anthropological Expedition to the Torres Straits. Cambridge: Cambridge University Press) © 1998 Elsevier Science Ltd. All rights reserved..     

“I've Got Some Bad News…”:Veterinarians' Recollections of Communicating Bad News to Clients1

The purpose of this investigation was to gain a better understanding of the transactional processes associated with communicating bad news. The authors asked 62 veterinarians to recall a time when they gave bad news and to respond to a series of statements designed to assess what they did in the transaction and how the transaction impacted the receiver of the news, as well as themselves. The majority of participants followed recommendations published in the medical and veterinary literatures, but rated some of these recommended strategies as making the news harder to give. Although these transactions were not rated as being overly stressful, for some veterinarians stress transcended the bounds of the interaction. Consistent with a transactional stress and coping perspective, preparation efforts were correlated with delivery efforts. However, preparation stress was unrelated to preparation or delivery efforts, and neither preparation efforts nor delivery efforts related to effectiveness appraisals or perceptions of client satisfaction.     

Rater Correction Processes in Applicant Selection Using Videoconference Technology: The Role of Attributions1

Increasing global competition for the best employees has resulted in a significant increase in the recruiting and selection of geographically dispersed applicants. Innovative telecommunication technologies (e.g., videoconferencing) have provided a means to interview distant applicants at relatively low cost, compared to face‐to‐face interviews. However, some have suggested that interviewer ratings could be affected by the use of communication media to conduct the interview. In the present laboratory study, we tested a model of rater decision processes to help explain a mechanism for inflated ratings of videoconference‐based applicants. Participants who believed that they were making judgments for a real selection process rated simulated videoconference or face‐to‐face interviews. Raters who perceived interview media to be lower in richness were more likely to make external attributions for the applicant's performance, and consequently rated him more favorably.     

Doc, what would you do if you were me? On self-other discrepancies in medical decision making

Doctors often make decisions for their patients and predict their patients' preferences and decisions to customize advice to their particular situation. We investigated how doctors make decisions about medical treatments for their patients and themselves and how they predict their patients' decisions. We also studied whether these decisions and predictions coincide with the decisions that the patients make for themselves. We document 3 important findings. First, doctors made more conservative decisions for their patients than for themselves (i.e., they more often selected a safer medical treatment). Second, doctors did so even if they accurately predicted that their patients would want a riskier treatment than the one they selected. Doctors, therefore, showed substantial self-other discrepancies in medical decision making and did not make decisions that accurately reflected their patients' preferences. Finally, patients were not aware of these discrepancies and thought that the decisions their doctors made for themselves would be similar to the decisions they made for their patients. We explain these results in light of 2 current theories of self-other discrepancies in judgment and decision making: the risk-as-feelings hypothesis and the cognitive hypothesis. Our results have important implications for research on expert decision making and for medical practice, and shed some light on the process underlying self-other discrepancies in decision making.     

Self‐Awareness Part 2: Neuroanatomy and Importance of Inner Speech

The present review of literature surveys two main issues related to self‐referential processes: (1) Where in the brain are these processes located, and do they correlate with brain areas uniquely specialized in self‐processing? (2) What are the empirical and theoretical links between inner speech and self‐awareness? Although initial neuroimaging attempts tended to favor a right hemispheric view of self‐awareness, more recent work shows that the brain areas which support self‐related processes are located in both hemispheres and are not uniquely activated during self‐reflective tasks. Furthermore, self‐awareness at least partially relies on internal speech. An activation of Broca’s area (which is known to sustain inner speech) is observed in a significant number of brain‐imaging studies of self‐reflection. Loss of inner speech following brain damage produces self‐awareness deficits. Inner speech most likely can internally reproduce social mechanisms leading to self‐awareness. Also, the process of self‐reflection can be seen as being a problem‐solving task, and self‐talk as being a cognitive tool the individual uses to effectively work on the task. It is noted that although a large body of knowledge already exists on self‐awareness, little is known about individual differences in dispositional self‐focus and types of self‐attention (e.g., rumination versus self‐reflection).     

The roles of sequencing and verbal working memory in sentence comprehension deficits in Parkinson's disease

Studies of sentence comprehension deficits in Parkinson's disease (PD) patients suggest that language processing involves circuits connecting subcortical and cortical regions. Anatomically segregated neural circuits appear to support different cognitive and motor functions. To investigate which functions are implicated in PD comprehension deficits, we tested comprehension, verbal working memory span, and cognitive set-switching in a non-linguistic task in 41 PD patients; we also obtained speech measurements reflecting motor sequencing processes that may be involved in articulatory rehearsal within working memory. Comprehension of sentences with center-embedded or final relative clauses was impaired when they could not be understood from lexical semantic content alone. Overall comprehension error rates correlated strongly with impaired set-switching and significantly with reduced working memory span and speech motor sequencing deficits. Correlations with comprehension of different sentence structures indicate that these impairments do not represent a single deficit; rather, PD comprehension deficits appear to arise from several independent mechanisms. Deficits in cognitive set-switching or underlying inhibitory processes may compromise the ability to process relative clauses. Deficits in verbal working memory appear to impair comprehension of long-distance dependencies. Speech sequencing correlated with neither set-switching nor verbal working memory span, consistent with their being supported by independent, segregated cortico-subcortical circuits.     

Effects of salience and time pressure on ratings of social causality

A model is proposed to account for the effects of a target person's salience on judgments of that target. It is argued that salience leads to more extreme inferences in the direction implied by prior knowledge that is relevant to the judgment. This knowledge may include both specific information about the target being rated and general information about the class of stimuli to which the target belongs. Two experiments supported these hypotheses. When subjects were under time pressure to make judgments of a target person's influence in a social situation, their judgments increased with the salience of the target when they had prior knowledge that the target was generally high in social influence. However, their judgments decreased with the target's salience when subjects had prior knowledge that the target was generally low in social influence. When subjects were given ample time to make their judgments, however, the effects of target salience were attenuated. Possible implications of these findings for prior research on salience effects are discussed.     

The accuracy of self-administration and scoring on Holland's Self-Directed Search

This study assesed the extent to which Ss commit various types of errors when completing Holland's Self-Directed Search (SDS) entirely on their own. Nearly all Ss made some type of error and approximately half of the Ss made errors which affected their final three-letter summary codes. Almost one-fifth of the Ss made errors resulting in an incorrect high-point code. Whether or not Ss made errors that affected their summary codes was unrelated to the extent to which they were interested in knowing more about occupations or academic majors they might like. Neither were such errors related to whether Ss felt the occupations suggested by their summary codes seemed reasonable. Only slightly over one-third the Ss actually did feel that the occupations seemed reasonable.     

The impact of information from similar or different advisors on judgment

People rely on others’ advice to make judgments on a daily basis. In three studies, we examine the differential impacts of similarity between the source of that advice and the person making the judgment in two settings: judging others’ behavior and judging one’s own actions. We find that similarity interacts with the target of the judgment. In particular, information received from a different advisor is more heavily weighed than from a similar advisor in judging others’ actions, but information from a similar advisor is more heavily weighed than from a different advisor in judging one’s own. We provide two potential explanations for this interaction, difficulty of the judgment and informativeness of the advice. Our analyses show a moderated mediating role of informativeness and difficulty in the relationship between the advisor’s similarity by judgment type interaction and advice use.     

Decision support for real-time, dynamic decision-making tasks

By definition, dynamic decision making dictates that multiple and interrelated decisions be made in a continuously changing environment. Such decision making is difficult and often taxes individuals’ cognitive resources. Here I investigated ways in which to support decision making in these environments. I evaluated three forms of decision support: outcome feedback, cognitive feedback, and feedforward that incorporated (to varying degrees) common features of learning theories associated with dynamic tasks. Participants in a laboratory experiment performed a real-time, dynamic decision-making task while receiving one of the different types of decision support. During the first 2 days, individuals received one type of decision support, but on the third day they performed the task without this support. Participants who received feedforward improved their performance considerably and continued to exhibit improved performance even after discontinuation of the decision support on the third day. Neither outcome feedback nor cognitive feedback resulted in improved performance. More research is necessary to conclusively identify the best forms of dynamic decision-making support and their durability when transferred to new tasks.