The Development of a Substance Abuse Treatment Program for Forensic Patients With Cognitive Impairment

The Substance Abuse and Mental Illness (SAMI) program combines cognitive rehabilitation and dual‐diagnosis substance abuse treatment within a stages of change context. This article describes the development, implementation, and preliminary outcome analysis of the SAMI program in a forensic hospital.     

Incremental validation of situational judgment tests.

Using 3 different samples, the authors assessed the incremental validity of situational judgment inventories (SJIs), relative to job knowledge, cognitive ability, job experience, and conscientiousness, in the prediction of job performance. The SJI was a valid predictor in all 3 samples and incrementally so in 2 samples. Relative to the other predictors, SJI's partial correlation with performance, controlling for the other 4 predictors, was superior in most comparisons. Subgroup differences on the SJI also appear to be less than those for cognitive ability and job knowledge, but greater than differences in conscientiousness. The SJI should prove to be a valuable additional measure in the prediction of job performance, but several additional areas of research are suggested.     

The effects of schematic and affective processes on metaphorical invention

This research predicted that greater knowledge, stronger affect, and positive attitudes concerning a topic would lead to the construction of laboratory-induced metaphorical statements. Subjects (n=45) were given a list of 13 politicians and instructed to create metaphors about several of their choosing. Politicians selected as the topics of metaphors were compared to those not selected. Respondents possessed more knowledge, had stronger feelings, and intended to vote for the politicians who were the topics of metaphors more than for those not selected. Future research should futher investigate the role of knowledge, prevailing mood, and attitudes on metaphorical invention, and examine spontaneously occuring metaphors.     

Working memory for relations among objects

Across many areas of study in cognition, the capacity of working memory (WM) is widely agreed to be roughly three to five items: three to five objects (i.e., bound collections of object features) in the literature on visual WM or three to five role bindings (i.e., objects in specific relational roles) in the literature on memory and reasoning. Three experiments investigated the capacity of observers’ WM for the spatial relations among objects in a visual display, and the results suggest that the “items” in WM are neither simply objects nor simply role bindings. The results of Experiment 1 are most consistent with a model that treats an “item” in visual WM as an object, along with the roles of all its relations to one other object. Experiment 2 compared observers’ WM for object size with their memory for relative size and provided evidence that observers compute and store objects’ relations per se (rather than just absolute size) in WM. Experiment 3 tested and confirmed several more nuanced predictions of the model supported by Experiment 1. Together, these findings suggest that objects are stored in visual WM in pairs (along with all the relations between the objects in a pair) and that, from the perspective of WM, a given object in one pair is not the same “item” as that same object in a different pair.     

Assessing object-to-picture and picture-to-object matching as prerequisite skills for pictorial preference assessments

Tangible and pictorial paired-stimulus (PPS) preference assessments were compared for 6 individuals with developmental disabilities. During tangible and PPS assessments, two edible items or photographs were presented on each trial, respectively, and approach responses were recorded. Both assessments yielded similar preference hierarchies for 3 participants who could match pictures and objects but different hierarchies for 3 participants who could not. Reinforcer assessments verified that items identified as high preference on PPS assessments functioned as reinforcers only for participants with matching skills.     

Semantic distance as a predictor of metaphor selection

Empirical research on metaphor has focused on the interpretation and comprehension of figurative language, while ignoring the production or encoding of metaphors. This research presents a basic model that attempts to explain the encoding of metaphors in expressive communication. A basic premise of the model is that similarity in connotative meaning, measured as proximity in semantic space, leads to metaphor selection. Two experiments that tested the premise are described here. The first utilized a semantic differential based on Osgood's work, while the second utilized a specially developed instrument. Results of both experiments supported the hypothesis.     

Expansion of Genetic Services Utilizing a General Genetic Counseling Clinic

We established a general genetic counseling clinic (GCC) to help reduce long wait times for new patient appointments and to enhance services for a subset of patients. Genetic counselors, who are licensed in Tennessee, were the primary providers and MD geneticists served as medical advisors. This article describes the clinic referral sources, reasons for referral and patient dispositions following their GCC visit(s). We obtained patients by triaging referrals made to our medical genetics division. Over 24 months, our GCC provided timely visits for 321 patients, allowing the MD geneticists to focus on patients needing a clinical exam and/or complex medical management. Following their GCC visit(s), over 80 % of patients did not need additional appointments with an MD geneticist. The GCC allowed the genetic counselor to spend more time with patients than is possible in our traditional medical genetics clinic. Patient satisfaction surveys (n?=?30) were very positive overall concerning the care provided. Added benefits for the genetic counselors were increased professional responsibility, autonomy and visibility as health care providers. We conclude that genetic counselors are accepted as health care providers by patients and referring providers for a subset of clinical genetics cases. A GCC can expand genetic services, complement more traditional genetic clinic models and utilize the strengths of the genetic counselor health care provider.