Social and psychiatric influences on urban-rural differentials in Australian suicide

The purpose of this study was to investigate urban-rural differentials in Australian suicide rates, and to examine influences that previously have remained largely speculative. Suicide rates for males (all ages and young adults) were significantly higher in rural areas compared to urban areas. Urban-rural suicide rate differences in males were rendered nonsignificant after adjustment for migrant and area socioeconomic status. Adjusting for mental disorder prevalence, in addition to migrant status, reduced the excess suicide risk in rural areas; the excess was reduced further with addition of mental health service utilization. The implications of this study are that socioeconomic circumstances in rural populations contribute to higher male suicide rates compared to urban areas, but these conditions may be partly mediated by mental disorder prevalence and mental health service utilization.     

Increasingly informed consent: discussing distinct aspects of psychotherapy at different points in time

Psychologists are ethically obligated to obtain informed consent to psychotherapy "as early as is feasible" (American Psychological Association, 2002, p.1072). However, the range of topics to be addressed includes both information that may be immediately and uniformly applicable to most clients via policy or rule, as well as information that is not immediately presentable because it varies widely across clients or emerges over time. In this study, licensed psychologists were surveyed regarding the earliest feasible point at which they could provide information regarding specific aspects of psychotherapy. Results indicate that, although psychologists believe that they are capable of presenting some information, such as payment and confidentiality policies, at the outset, they believe that a discussion of more substantive issues, such as psychotherapy duration, goals, orientation, and activities, can take place only after some therapy has transpired. Implications are discussed regarding the process and event models of informed consent.     

Prefrontal cortex and the mediation of proactive interference in working memory

Mediating proactive interference (PI), the deleterious effect of antecedent information on current memory representations, is believed to be a key function of prefrontal cortex (PFC). Item-specific PI results when an invalid probe matches a memorandum from the preceding trial; item-nonspecific PI is produced by the accumulation of no-longer-relevant items from previous trials. We tested the hypothesis that these two types of PI are mediated by common PFC-based processes with an fMRI study of a delayed-recognition task designed to produce both types of PI. Our results indicated that the fMRI correlates of both effects were restricted both to Brodmann’s area 45 in the left hemisphere and to the memory probe epoch of the trial. These results suggest that a unification of the literatures and approaches that have independently studied these phenomena might offer a fruitful new perspective from which to study the relations between working memory, executive control, and the PFC.     

Event-related potentials indicate that reality monitoring differs from external source monitoring

This experiment investigated differences in event-related potentials (ERPs) observed in 2 types of source monitoring decisions. Participants discriminated between self-generated, heard, and new words (reality monitoring) in one condition; in another they discriminated between words heard in a male or female voice and new items (external source monitoring). The data support the source monitoring framework, which argues that reality monitoring discriminations differ from external source monitoring discriminations. Analysis revealed better overall source accuracy during reality monitoring than during external source monitoring. In the external source monitoring task, an early old-new ERP difference was observed at parietal electrodes followed by frontal old-new effect that persisted longer, replicating previous ERP results. However, early ERP amplitude differences between sources were observed at parietal electrode sites during reality monitoring, suggesting that self-generated items activate more differentiated information during remembering. Furthermore, there were no frontal old-new ERP differences during reality monitoring, suggesting that different decision processes are used in these types of source monitoring decisions.     

Manipulations that disrupt generative processes decrease conformity to examples: evidence from two paradigms

Participants in six experiments viewed experimenter-provided examples of space creatures (Experiments 1-3) or nonwords (Experiments 4-5b) and then created their own novel space creatures or nonwords. Consistent with previous research, people borrowed many of the features found in the examples despite instructions to avoid using any aspects of the experimenter's examples. However, requiring people to include a designated shape in their space creatures or a designated letter in their nonwords attenuated this effect. Additionally, the type of shape or letter (conventional versus unconventional) also affected conformity. These results suggest that the strategies that people use to create novel products can affect the level of conformity and also highlight the importance of adopting unconventional, or at the very least, new strategies when creating new products.     

Brain mechanisms of extinction of the classically conditioned eyeblink response

It is well established that the cerebellum and its associated circuitry are essential for classical conditioning of the eyeblink response and other discrete motor responses (e.g., limb flexion, head turn, etc.) learned with an aversive unconditioned stimulus (US). However, brain mechanisms underlying extinction of these responses are still relatively unclear. Behavioral studies have demonstrated extinction as an active learning process distinct from acquisition. Experimental data in eyeblink conditioning suggest that plastic changes specific to extinction may play an important role in this process. Both cerebellar and hippocampal systems may be involved in extinction of these memories. The nature of this phenomenon and identification of the neural substrates necessary for extinction of originally learned responses is the topic of this review.     

Roll-over characteristics of human walking on inclined surfaces

Roll-over characteristics of able-bodied human subjects walking on ramped surfaces were examined in this study. Ten subjects walked at their normal self-selected speed on a level surface, a 5-deg ramp, and a 10-deg ramped surface. Ramps were designed such that ground reaction forces and center of pressure of the ground reaction forces could be measured on their surfaces. This set-up facilitated calculation of the effective rockers that the ankle-foot (AF) and knee-ankle-foot (KAF) systems conformed to during single-limb stance (contralateral toe off to contralateral heel contact). Since our original "roll-over shapes" were characterized between heel contact and opposite heel contact, we label the shapes found during single-limb stance as "truncated roll-over shapes". We hypothesized that the ankle-foot system would adapt to the various surfaces, creating a roll-over shape that would change in orientation with different levels of inclination. The truncated AF roll-over shapes supported this hypothesis for uphill walking but did not support the hypothesis for downhill walking. However, truncated roll-over shapes of the KAF system did adjust their orientation to match both the positive and negative levels of surface inclination. In general, the ankle appears to be the main adapting joint when walking up inclined surfaces while the knee becomes important for the overall adaptation in downhill walking. Knowledge of physiological lower-limb roll-over characteristics on ramped surfaces may help in the development of biomimetic prostheses and orthoses that will automatically adapt to changes in walking surface inclination.     

How does clients' method of payment influence psychologists' diagnostic decisions?

To what extent does payment method (managed care vs. out of pocket) influence the likelihood that an independent practitioner will assign a Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) diagnosis to a client? When a practitioner does diagnose, how does payment method influence the specific choice of a diagnostic category? Independent practitioners responded to a vignette describing a fictitious client with symptoms of depression or anxiety. In half of the vignettes, the fictitious client intended to pay via managed care; in the other half, the fictitious client intended to pay out of pocket. Payment method had a very significant impact on diagnosis such that relative to out-of-pocket clients, managed care clients were much more likely to receive diagnoses and more likely to receive adjustment disorder diagnoses in particular. We discuss implications involving informed consent and other ethical issues.     

Constructing visual representations of natural scenes: the roles of short- and long-term visual memory

A "follow-the-dot" method was used to investigate the visual memory systems supporting accumulation of object information in natural scenes. Participants fixated a series of objects in each scene, following a dot cue from object to object. Memory for the visual form of a target object was then tested. Object memory was consistently superior for the two most recently fixated objects, a recency advantage indicating a visual short-term memory component to scene representation. In addition, objects examined earlier were remembered at rates well above chance, with no evidence of further forgetting when 10 objects intervened between target examination and test and only modest forgetting with 402 intervening objects. This robust prerecency performance indicates a visual long-term memory component to scene representation.