Left thalamic hemorrhage with dysphasia: a report of five cases.

A specific type of “thalamic speech” is being recognized with increasing frequency. Paucity of spontaneous speech, fading vocal volume, anomia, perseveration, and neologisms, with intact comprehension and word repetition, characterize the speech disorder associated with thalamic lesions. Nine cases of left thalamic hemorrhage and speech disturbance have been reported previously. This report details the speech, neurological, and neuroradiological findings in five additional cases of thalamic hemorrhage with dysphasia.     

The relationship among guilt, dysphoria, anxiety and obsessions in a normal population--an attempted replication

The results of a previous study indicated that guilt as rated on the Perceived Guilt Index (PGI), predicted unpleasant intrusive thoughts, but self-reported anxiety and depression did not. In the present investigation, subjects indicated whether or not they experienced both pleasant and unpleasant intrusive thoughts, their frequency and a rating of how pleasant or unpleasant these thoughts were. They also completed self report ratings of depression, anxiety, obsessional ritualizing, and the PGI. Results of a regression analysis indicate that the best standardised questionnaire predictor of unpleasant intrusive thoughts is depression as rated on the BDI, and anxiety as rated on the BAI. The best standardised questionnaire predictor of pleasant intrusive thoughts is low anxiety. The PGI does not independently predict pleasant or unpleasant intrusive thoughts.     

Mandated Reporting of Abuse/Maltreatment of Older Adults: A Primer for Counselors

Maltreatment of older adults is a serious and underrecognized problem. Every state and 6 Canadian provinces have enacted legislation to protect vulnerable older adults from abuse, and many require that mental health professionals report disclosures of abuse to authorities. However, these laws have received little attention in the counseling literature. This article examines the scope of maltreatment of older persons and describes the content of elder abuse and elder maltreatment laws, with special focus on counselors' responsibilities to report maltreatment to authorities. It concludes with strategies for assessing maltreatment and with implications of these laws for confidentiality and informed consent.     

“What if There's Something Wrong with Her?”-How Biomedical Technologies Contribute to Epistemic Injustice in Healthcare

While there is a steadily growing literature on epistemic injustice in healthcare, there are few discussions of the role that biomedical technologies play in harming patients in their capacity as knowers. Through an analysis of newborn and pediatric genetic and genomic sequencing technologies (GSTs), I argue that biomedical technologies can lead to epistemic injustice through two primary pathways: epistemic capture and value partitioning. I close by discussing the larger ethical and political context of critical analyses of GSTs and their broader implications for just and equitable healthcare delivery.     

Moral awareness and ethical predispositions: investigating the role of individual differences in the recognition of moral issues

The impact of the role of individual ethical predispositions, preferences for utilitarian and formalistic ideals, on managerial moral awareness was examined in 2 studies. Results suggested that a manager's ethical predispositions influence his or her responses to the characteristics of the moral issue. Both utilitarianism and formalism shaped moral awareness, but formalism demonstrated a greater capacity to do so in that formalists recognized both harm and the violation of a behavioral norm as indicators of the moral issue, whereas utilitarians responded only to harm. These findings provide support for the basic arguments underlying theories of moral development and offer several implications for the study and practice of moral awareness in organizations.     

What happens to unplaced internship applicants in psychology?

Placement outcomes of students who did not secure internship offers on Uniform Notification Day 1997 were examined. An initial survey of unplaced students (n = 168) suggested mixed outcomes for students in obtaining sites after notification day, including negative emotional effects as a result of nonplacement. A follow-up survey completed by 77 students (43 who had not been placed during the original survey and 34 who had) suggested generally high satisfaction and optimism with internship and employment outlook despite their experiences with the internship application process. Accreditation concerns, emotional, time, and financial expenditures, and potential courses of action are discussed. Concrete suggestions for improving the selection system are provided.     

Teaching Buddhism in the Postmodern University: Understanding,Critique, Evaluation

A contemporary liberal education in the humanities and social sciences should introduce students to the serious exploration of various kinds of worlds that human beings articulate and within which they live. Teachers in Buddhist studies can make a significant contribution by offering courses that focus attention on distinctively Buddhist worlds that are directly relevant to postmodern interests and concerns. These courses should also be designed to empower students with the kind of interpretive skills that are needed in a postmodern environment to generate viable modes of sympathetic understanding, convincing forms of critical analysis, and the capacity to formulate and defend responsible personal and social judgments. This article is a revised version of the keynote lecture given at a McGill University conference on “Teaching Buddhism: The State of the Art,” October 8–10, 1999.     

Metacognitive errors in change detection: missing the gap between lab and life

Studies of change detection suggest that people tend to overestimate their ability to detect visual changes. In a recent laboratory study of change detection and human intention, Beck et al., found that individuals have an inadequate understanding that intention can improve change detection performance and that its importance increases with scene complexity. We note that these findings may be specific to unfamiliar situations such as those generated routinely in studies of change detection. In two questionnaire studies, we demonstrate that when participants consider real world scenarios such as driving, people are well aware that the intention to detect changes improves detection performance, especially in complex scenes. We suggest several reasons why change detection findings like Beck et al.'s do not generalize to real world situations. More broadly, we suggest a possible way to bridge the gap between lab and life.     

Non-pharmacologic Interventions for CFS: A Randomized Trial

Non-pharmacological behavioral treatments for CFS have been suggested as promising. These trials have tested protocols composed of behavioral, cognitive and cognitive–behavioral interventions but there have been few efforts to differentially evaluate their outcomes. The primary purpose of the current study was to evaluate the effectiveness of nurse delivered non-pharmacologic interventions. In the present study, 114 participants diagnosed with CFS were randomly assigned to four 6-month interventions. The interventions were: cognitive–behavior therapy, cognitive therapy, anaerobic activity, and a relaxation control group. The study found that these interventions led to increases in several areas of functioning, with more consistent changes occurring among those participants in the cognitive condition. For the 25 variables in this study, significant change occurred for 28%, 20%, 16%, and 12% of the variables for the cognitive, cognitive behavior therapy, anaerobic activity, and relaxation conditions, respectively. However, the majority of participants continued to be diagnosed with CFS following the treatment trial. Implications of these findings are discussed.     

Online data collection for psychotherapy process research.

A preliminary investigation addressed the feasibility of using a specially designed online database to collect psychotherapy session impact and therapist-client alliance data and compared these online measures to published results of their paper-and-pencil counterparts. Participants drawn from a psychology department clinic, a student counseling center, and community agencies visited an online site to report on each of their sessions. Some clients and therapists visited the online database on a regular basis; however, client recruitment and participation was problematic. Equivalence between the online and paper-and-pencil forms was supported, with minor qualifications, by comparable distributions of participant responses on the measures' scales. More direct contact with clients might increase their participation.