Family satisfaction with medical care after traumatic brain injury

Ratings during acute and follow-up care by 35 families having members with traumatic brain injury showed none of the medical facilities met families' needs though some aspects of patients' care were rated higher in hospitals. Findings suggest comprehensive surveys are needed.     

Questions at the general hospital. Ulcerative colitis and Crohn disease in the light of a discussion on the body and soul

The author is an internist in a non-university hospital. He discusses the possibilities and limits of dealing with patients suffering from ulcerative colitis and Crohn's disease. He demonstrates the clinical importance of a psychoanalytic perspective with three case illustrations.     

The number of active sweat glands (PSI, palmar sweat index) in stress caused by blood donation

The number of active sweat glands (PSI), heart rate, systolic (SBP) and diastolic blood pressure (DBP) were assessed every 2 minutes in 109 male blood donors. Three measurements were taken at the beginning (adaptation phase), three later but before blood donation (baseline), one during the venous puncture (phase 3), three thereafter but still during donation (phase 4), and four after removal of the cannula (phase 5). Analysis of variance yielded significant differences between phases; PSI and SBP behaved similarly, decreasing from adaptation to baseline, rising during puncture, and decreasing again thereafter. Mean within-subject correlations between variables were significantly above 0. Between-subjects correlations were significantly negative for PSI and DBP. This is best explained by the influence of age on both variables. Correlations of PSI values as determined by three raters had a mean of 0.90. The study shows that the PSI is a very sensitive indicator of stress that is easily accessible also in field studies.     

Smiling of preschool children in performance-oriented situations: assessment of the emotional significance in relation to other facial expressions

The goal of the reported experiment was to study how adults judge the meaning of different kinds of smiling and laughing by preschool children, and the role played by other facial movements in determining this meaning. Videotapes and photographs of spontaneous facial expressions of children in a play situation served as stimuli. The results show that different kinds of smiling were judged by the adult subjects as being significantly different from each other. In order to find subgroups within the stimuli, cluster analyses were performed, and the resulting clusters indicated different mixtures of positive and negative emotions contained within the pictures. Regression analyses showed that the adults' judgements were dependent on the number of indicators for positive and negative emotions which could be seen in the pictures. The most important indicator movement for the judged strength of the positive emotion expressed in the smile was the raising of the cheeks and, for negative emotions, the lowering of the lip corners. The significance of the components of the expressions as well as the strength of the expressed emotion were, however, dependent on the mode of presentation (video/photo).     

On differentiating embarrassment from shame

Four experiments were conducted to demonstrate that embarrassment and shame are distinct emotions that result from violations of different types of internalized standards. Embarrassment results from violating one's particular persona; shame results from violating a shared, objective ideal. Subjects vividly imagined themselves in situations and indicated their emotional reactions. In Experiment I, we demonstrate that people differentiate between embarrassment and shame systematically (F(1,27) = 74.4, p < 0.001). In Experiments 2 and 3, we demonstrate that embarrassment results from violating a persona (n = 34, p < 0.001; n = 23, p < 0.001), and shame results from violating an objective ideal (n = 34, p < 0.001; n = 23, p < 0.001). In Experiment 4, we demonstrate that it is the type of standard that is violated (n = 30, p < 0.001), not whether or not the violation was intentional, that determines whether one experiences embarrassment or shame. We argue that both shame and embarrassment play an important role in maintaining personal identity.     

Bilingual language processing after a lesion in the left thalamic and temporal regions. A case report with early childhood onset.

This case study concerns an 18-year-old bilingual girl who suffered a radiation lesion in the left (dominant) thalamic and temporal region when she was 4 years old. Language and memory assessment revealed deficits in auditory short-term memory, auditory word comprehension, nonword repetition, syntactic processing, word fluency, and confrontation naming tasks. Both languages (English and Dutch) were found to be affected in a similar manner, despite the fact that one language (English) was acquired before and the other (Dutch) after the period of lesion onset. Most of the deficits appear to be related to verbal (short-term) memory dysfunction. Several hypotheses of subcortical involvement in memory processes are discussed with reference to existing theories in this area.     

Role of spatial location in integration of pictorial information across saccades

Identification of a fixated object in a visual display is facilitated by integrating information from a preview of that object in the periphery with information extracted on the subsequent foveal fixation (Pollatsek, Rayner, & Collins, 1984). These experiments investigated the extent to which this integration is dependent on the spatial location of the information remaining constant. Two preview objects were presented in the periphery; Ss fixated that region and named a single target object that appeared in the same spatial location in which one of the two preview objects had been presented. Of primary interest was the facilitative effect when a preview object was identical to the target object as a function of whether they were in the same spatial location. The major finding was that although there was a small effect of switching, there was still a substantial preview benefit even when the location of the identical object switched. In addition, the switching effect did not interact with the level of identity between the preview and target. There was also a preview benefit in conditions in which there were no eye movements and the preview and target objects were at least 5 degrees apart. Thus, the data indicate that the process object identification is relatively insensitive to location information and that object information and location information are coded fairly independently.     

Locus of information in words and the right visual field effect

The right visual field (RVF) advantage found for the identification or classification of words has usually been interpreted as evidence for left hemisphere language functions. It has more recently been explained as the result of the fact that the most informative part of the word, presumably the beginning, is in a region of better visual acuity. It is not clear from existing evidence that the beginnings of words are in fact more informative. The present study assessed the locus of information in words by deleting either the initial or terminal one or two letters. Subjects were required to generate a completion. Regardless of whether subjects were scored as correct for generating the original target word (as would be appropriate in a naming study) or for producing any legitimate word (as would be appropriate for a lexical decision study), the results indicated that most words have more information in the initial letters. Nevertheless, there are exceptions to this rule, and some words have more terminal information. Equal numbers of words with more initial information and with more terminal information were selected for two visual field studies in order to assess the effect of the locus of information on visual laterality. In neither a lexical decision study nor a naming study did locus of information affect the commonly observed right visual field superiority. Thus the distribution of information is not likely to be a major confounding variable in laterality studies employing horizontally presented words.     

Efficacy of behavioral management and patient education on vascular access cleansing compliance in hemodialysis patients

Compared four treatment conditions to test their ability to enhance compliance with vascular access cleansing (VAC) procedures in a group of 56 hemodialysis patients. The conditions were patient education, behavioral management with monetary incentive, patient education/behavioral management, and attention control. Behavioral observers rated VAC behavior at pretreatment, posttreatment 1-month follow-up, and 1-year follow-up. Knowledge of VAC procedures was also assessed via a questionnaire at pretreatment and posttreatment. Data were analyzed using repeated-measures multivariate analyses of variance. Results indicated that the patients in the education/behavioral, behavioral, and education groups gave significantly more correct answers on our VAC knowledge questionnaires at posttreatment than did patients in the attention control group. Further, patients in the education/behavioral and behavioral groups completed significantly more VAC steps at posttreatment and 1-month follow-up than did patients in the education group and in the attention control group. Differences were not maintained at 1-year follow-up, although more than 50% of the patients were lost to follow-up. Implications of the present findings for behavioral and educational interventions are discussed.     

A further validation of the bem sex role inventory: A multitrait-multimethod study

The present study used a multitrait-multimethod technique [D.T. Campbell and D. W. Fiske (1959) “Convergent and Discriminant Validation by the Multitrait-Multimethod Matrix,” Psychological Bulletin, 56, 81–105] to examine Bem's [(1974) “The Measurement of Psychological Androgyny,” Journal of Consulting and Clinical Psychology, 42, 152–162] use of an instrumental-expressive dichotomy to conceptualize the Masculinity and Femininity scales of the Bem Sex Role Inventory as statistically orthogonal constructs. Results indicate that while perhaps reliable, masculinity and femininity lack clear convergent and discriminant validity. Therefore, Bem's contention that masculinity and femininity are orthogonal constructs is questioned. Results are discussed in light of trait- vs. method-driven research.