Physician-assisted suicide: the role of mental health professionals

A review of the literature was conducted to better understand the (potential) role of mental health professionals in physician-assisted suicide. Numerous studies indicate that depression is one of the most commonly encountered psychiatric illnesses in primary care settings. Yet, depression consistently goes undetected and undiagnosed by nonpsychiatrically trained primary care physicians. Noting the well-studied link between depression and suicide, it is necessary to question giving sole responsibility of assisting patients in making end-of-life treatment decisions to these physicians. Unfortunately, the use of mental health consultation by these physicians is not a common occurrence. Greater involvement of mental health professionals in this emerging and debated area is advocated. Beyond describing mental health professionals' role in the assessment of patient competency or decision making capacity, other areas of potential involvement are described. A discussion of ethical principles relevant to this area follows, along with comments on the training necessary to adequately serve patient needs.     

Richard L. Solomon and learned helplessness

This article reviews the course of development of research on a currently popular explanatory approach to dysfunctional behavior, the learned helplessness analysis. The early history is prominent in this review as it reflects the inspirations of Richard L. Solomon, a scholar who fostered the resurgence of psychologists’ interests in Pavlovian conditioning in the 1950s and 1960s. Current research is characterized as having four separate themes: elaboration of “symptoms,” elucidating the role of fear, explicit modeling, and extensions involving attributional constructs.     

Comparing patients treated in special security civil state hospital units with patients in forensic programs

Psychiatric inpatients in special units designed for the treatment/management of violence (secure care) are compared with inpatients in three forensic programs. Although program designers anticipated that secure care and forensic patients would be similar, they were not. Principally, secure care patients were lower functioning in the psychiatric areas and were more likely to have engaged in a physical assault in the last 30 days.     

Progressive changes in articulatory patterns in verbal apraxia: A longitudinal case study

This research reports findings in a 10-year study of an apraxic adult, who was one of five subjects described by Shankweiler and Harris, (Cortex, ,2 277–292, 1966). Confusion matrices and feature analysis were used to compare 1965 and 1975 performances. Results indicate that over the 10-year period, errors of place, manner, and omission were markedly reduced. Voicing errors, however, while reduced in total number, still constituted a significant percentage of the patient's residual errors. Implications of these findings are discussed.     

Microprocessors in the laboratory: Dedicated computation and time-shared peripherals with REMOTE-11

This article describes a new solution to the dilemma faced by investigators who need dedicated computers but cannot afford the cost of expensive peripherals. An available software-hardware combination is described that permits users to timeshare expensive peripherals but to have a dedicated microprocessor at their disposal.     

Individual loudness functions determined from direct comparisons of loudness intervals

Five subjects were required in each trial to directly compare two pairs of tones and indicate which pair of tones had the greater loudness difference. Ten 1,200-Hz tones differing only in intensity were employed. Subjects made binary comparisons among the 45 tone pairs that can be formed from these 10 tones. The loudness difference comparisons of each subject were found to satisfy two properties (transitivity and monotonicity) that are required for an interval scale representation of loudness. Therefore, individual loudness scales were constructed using a nonmetric scaling technique designed for comparisons of sensory intervals. These loudness scales differed significantly from subject to subject. Since a nonnumerical scaling procedure was employed, these individual differences could not be attributed to biases in the way in which observers use numbers or numerical concepts to describe the loudness of tones. Hence, they suggest strong individual differences in the coding of sound intensity.     

Loudness and loudness discrimination

A model is developed which holds that pure-tone intensity discrimination and suprathreshold loudness judgments are based on the same sensory representation. In this model, loudness is a power function of sound intensity. When two tones are presented sequentially, each gives rise to a loudness value along the sensory continuum. In intensity-discrimination experiments, threshold is reached when the loudness difference between the tones exceeds a criterial value. For suprathreshold presentations of tone pairs, judgments of loudness differences are based on the loudness difference between the two tones. The model is shown to accord well with data from both classes of experiments.     

The use of averaged electroencephalic response techniques in the study of auditory processing related to speech and language

This paper reviews a number of studies done by the authors and others, who have utilized various averaged electroencephalic response (AER) techniques to study speech and language processing. Pertinent studies are described in detail. A relatively new AER technique, auditory brainstem responses (ABR), is described and its usefulness in studying auditory processing activity related to speech and language is outlined. In addition, a series of ABR studies, that have demonstrated significant male—female differences in ABR auditory processing abilities, is presented and the relevance of these data to already established differences in male—female language, hearing, and cognitive abilities is discussed.     

Cortical stimulation and speech timing: A preliminary observation

Audio recordings of the speech of seven patients receiving cortical stimulation during epilepsy surgery were acoustically analyzed, and duration measurements of the sound /s/ under stimulation and nonstimulation conditions were compared. It was found that in the dominant hemisphere, stimulation tended to significantly increase the duration of /s/; but not all stimulation sites were comparably affected. Stimulation of frontal lobe locations was also observed to more frequently result in durational increases than when temporal or parietal sites were stimulated. However, for sites affected, the actual magnitude of durational increase was comparable among the three lobes.