The role of neuropsychology in the assessment and treatment of persons with epilepsy.

Several areas of current interest in the neuropsychology of epilepsy are briefly reviewed in this article. These include variables pertaining to seizures, seizure history, antiepileptic drugs, and methods of neuropsychological evaluation. It is apparent that epilepsy is a multifaceted area: Psychologists not only can be of great assistance to patients with this condition, but may also learn a great deal from this complex disorder.     

Book Reviews

F ordham , M ichael . The Making of an Analyst: A Memoir
R edfearn , J oseph . The Exploding Self: The Creative and Destructive Nuckus of the Personality
G ordon , R osemary . Bridges: Metaphor for Psychic Processes
J ackson , M urray and W illiams , P aul . Unimaginable Storms: A Search for Meaning in Psychosis
S tevens , anthony . Jung
W eissman , J udith . Of Two Minds: Poets Who Hear Voices     

Prediction of mood and risk appraisals from trait measures: Two studies of simulated driving

Two contrasting hypotheses concerning the relationship between personality and mood are distinguished. First, broad traits may relate to emotional temperament, and so predict mood across situations. Second, the interactionist approach to personality implies that narrow, context specific traits may sometimes be the most powerful predictors of mood within situations. This article reports correlations between mood and broad and narrow trait measures, the Eysenck Personality Inventory (EPI; Eysenck and Eysenck, 1964) and the Driving Behaviour Inventory (DBI; Gulian, Matthews, Glendon, Davies and Debney, 1989), within the context of vehicle driving. Mood was measured with the UWIST Mood Adjective Checklist (UMACL; Matthews, Jones and Chamberlain, 1990), in two samples before and after a simulated drive. One sample (N = 73) performed a ‘passive’ drive, in which little interaction with other traffic was required. The second sample (N = 93) performed an ‘active’ driving task, in which subjects had to decide when to overtake other vehicles. Results showed that the DBI traits were more strongly related to mood than EPI traits, particularly following the active drive. The DBI Dislike of Driving scale was the strongest single predictor of post-drive mood. Prior to the drive, subjects also rated accident risk, driving skill, and judgement, for themselves and for a ‘peer’ driver of similar age and sex. Analysis of these data in the combined sample (N = 166) showed that the DBI was the more consistent predictor of self-ratings of risk and driving competence, although some relationships between ratings and the EPI were found. Again, the DBI Dislike of Driving scale was the strongest single predictor of self-ratings. Drivers scoring high on this scale seem immune to drivers' general bias towards rating themselves as safer and more competent than their peers. It is concluded that narrow traits are more predictive than broad traits within the driving context. Data are consistent with the transactional model of driver stress, which proposes that dislike of driving is derived from negative secondary appraisals.     

Modelling cognition in emotional disorder: The S-REF model

Cognitive therapy techniques are applied to an ever-increasing range of psychological disorders. However, both basic methods and general theory of therapy have evolved more slowly. Although cognitive therapy is based on experimentally testable concepts derived from cognitive psychology, an integration of these areas capable of explaining cognitive-attentional phenomena and offering treatment Implications remains to be achieved. In this paper, we outline the Self-Regulatory Executive Function (S-REF) model of emotional disorder, which integrates information processing research with Beck's schema theory. The model advances understanding of the roles of stimulus-driven and voluntary control of cognition, procedural knowledge (beliefs), and of the interactions between different levels of information-processing. It also accounts for cognitive bias effects demonstrated in the experimental psychopathology literature. The model presents implications concerning not only what should be done in cognitive therapy, but how cognitive change may be most effectively accomplished.     

Pathways of Economic Influence on Adolescent Adjustment

An important part of a science aimed at the prevention of human dysfunction involves the development of empirically based models that identify processes of risk for or protection from emotional distress or behavioral problems over time. The present study developed and evaluated such a model that proposed two pathways through which family economic pressure was expected to influence change in adolescent internalizing symptoms (depression and anxiety) during the period from the eighth to the tenth grades. A total of 377 rural families in a midwestern state provided data for the analyses. The results were generally consistent with the conceptual model in that family economic pressure increased adolescent perceptions of family economic hardship, which, in turn, reduced the adolescent's sense of control or mastery over time. Lowered mastery was associated with increases in emotional distress. Also consistent with the model, prior levels of mastery appeared to reduce the magnitude of economic stress experienced by the adolescent, whereas prior emotional distress intensified the economic stress process. Although gender differences were found in these processes, the overall pattern of results suggests that girls and boys are both at risk for internalizing problems when families experience economic pressure. Implicatios of the findings for the dvelopment of effective preventive interventions with financially stressed families in rural areas are discussed.