Confronting death: Group psychotherapy with terminally ill individuals

A model for group psychotherapy with terminally ill patients is proposed, one in which the group is homogeneous and open-ended. Cancer and HIV infection are used as examples of chronic, terminal illnesses, and the relevant literature on group psychotherapy with these conditions is reviewed. Treatment with both sets of patients has been characterized by considerable variation in the structure, composition, and duration of the group. Being diagnosed with a terminal illness is traumatic and leads to denial, which may be adaptive or maladaptive depending upon its behavioral manifestations. The homogeneous, open-ended group encourages adaptive denial, which fuels hope and the will to live. The mechanism through which this occurs involves the unconscious identification with the group as an entity. This causes the emergence of a fantasy of a mother-infant dyad, within which can occur reworking of the depressive position. Scheidlinger, Turquet and Anzieu are cited to demonstrate this unconscious function of the group. Finally, clinical implications of such a model are highlighted.     

The Continuum of Deep/Surface Dyslexia

A right-handed male sustained traumatic brain injury which resulted in anomia, dyslexia, and agraphia. The most severe CT (computed tomography)-identified brain damage was located in the right parieto-temporal lobe. In the first months following the injury, the pattern of reading errors was similar to that associated with deep dyslexia. However, nonlexical derivation of phonology from print was not abolished. As the patient's ability to associate letter patterns with sounds improved, oral reading also improved. Although he no longer produced semantic errors in oral reading, he continued to produce oral reading errors that were visually and phonologically related to the targets. Four months after the injury, the error pattern observed in the patient's oral reading was consistent with very mild surface dyslexia. The significance of these observations to dual-deficit models of acquired dyslexia is discussed, as are their implications for rehabilitation.     

Nonvisual judgment of the crossability of path gaps.

The ability of persons to locomote without vision with the aid of a hand-held probe was investigated in 4 experiments focusing on the negotiation of gaps in a pathway. In Experiment 1, Ss of extreme heights judged under sighted and blindfolded conditions whether gaps of different sizes could be crossed by walking. Crossability boundaries were lower for shorter Ss, but the height effect disappeared under normalization by leg length. Experiments 2-4 altered mechanical aspects of the probe (length and mass distribution) in the nonvisual case. Ss' performance was still reliable in each experiment, and their performances were constrained by parameters of the gap and of their action systems. Probe variables, however, had surprisingly little influence on the judgments of crossability. Results were discussed in terms of potential roles for information in different perceptual modalities.     

Role of the inertia tensor in perceiving object orientation by dynamic touch.

Ss wielded an occluded L-shaped rod and attempted to perceive the direction in which the rod was pointing with respect to the hand. The pattern of the rod's different resistances to rotation in different directions, quantified by the inertia tensor, changes systematically with the rod's orientation. Perception of orientation by wielding is possible if the tissue deformation consequences of the rod's inertia tensor are detectable. It was shown that perceived orientation was a linear function of actual orientation for both free and restricted wielding and for rods of different-size branches. The eigenvectors of the inertia tensor were implicated as the basis for this haptic perceptual capability. Results were discussed in reference to information-perception specificity and its implications for effortful or dynamic touch.     

Asymmetric dependencies in perceiving identity and emotion: Experiments with morphed faces

We investigated whether an asymmetric relationship between the perception of identity and emo-tional expressions in faces (Schweinberger & Soukup, 1998) may be related to differences in the rela-tive processing speed of identity and expression information. Stimulus faces were morphed across identity within a given emotional expression, or were morphed across emotion within a given identity. In Experiment 1, consistent classifications of these images were demonstrated across a wide range of morphing, with only a relatively narrow category boundary. At the same time, classification reaction times (RTs) reflected the increased perceptual difficulty of the morphed images. In Experiment 2, we investigated the effects of variations in the irrelevant dimension on judgments of faces with respect to a relevant dimension, using a Garner-type speeded classification task. RTs for expression classifica-tions were strongly influenced by irrelevant identity information. In contrast, RTs for identity classifi-cations were unaffected by irrelevant expression information, and this held even for stimuli in which identity was more difficult and slower to discriminate than expression. This suggests that differences in processing speed cannot account for the asymmetric relationship between identity and emotion per-ception. Theoretical accounts proposing independence of identity and emotion perception are dis-cussed in the light of these findings.     

Understanding covert recognition

An implementation of Bruce and Young's (1986) functional model of face recognition is used to examine patterns of covert face recognition previously reported in a prosopagnosic patient, PH. Although PH is unable to recognize overly the faces of people known to him, he shows normal patterns of face processing when tested indirectly. A simple manipulation of one set of connections in the implemented model induces behaviour consistent with patterns of results from PH obtained in semantic priming and interference tasks. We compare this account with previous explanations of covert recognition and demonstrate that the implemented model provides the most natural and parsimonious account available. Two further patients are discussed who show deficits in person perception. The first (MS) is prosopagnosic but shows no covert recognition. The second (ME) is not prosopagnosic, but cannot access semantic information relating to familiar people. The model provides an account of recognition impairments which is sufficiently general also to be useful in describing these patients.