Neuropsychological evaluation in the assessment of personal injury

Neuropsychological evaluation offers unique potentials in the assessment of personal injury claims. Strengths and limitations of major approaches to testing are reviewed, and special attention is given to applications in the particular forensic areas of head injury, toxic environments, physical disease, and malpractice. The varieties of cognitive, emotional, and interpersonal damages which may occur with brain injury are described. Suggestions are provided for forensically appropriate neuropsychological assessment, as well as guidelines offered for discerning inappropriate practices. Issues of neurological malingering, credentialing of the expert, and forensic roles of the neuropsychologist in rehabilitation are discussed.     

Circadian factors during sustained performance: Background and methodology

Cornell University Medical College, Westchester Division, The New York Hospital, White Plains, New York It is well established that there is a complex timekeeping mechanism in the human brain. This mechanism is associated with a variety of physiological and psychological rhythms having a period of about a day, and thus referred to as circadian rhythms. The circadian system has recently been modeled in terms of two underlying oscillators, one much more resistant to changes in routine than the other. These oscillators are considered to be endogenous, that is, internal to the organism, and not reliant for their existence upon changes in the person’s environment or general behavior. They thus continue to run even when the sleep/wake cycle is suspended, as in sustained operations. Thus, by their very nature, sustained operations require the individual to override the inputs that are coming from his or her circadian system (especially the indication that sleep is required). The aim of this paper is to provide a background to the area of circadian rhythms research, including a section on the methodology, so that the impact of the circadian system on sustained operations can be better understood.     

Depth of processing: When the principle of congruity fails

Two factors, level of processing (Craik & Lockhart, 1972) and congruity (Schulman, 1974), known to have large effects on the recall of experimenter-provided responses to questions, were examined in a series of five incidental learning experiments using subject-generated responses. The data show that manipulation of level of processing has the same effect on recall of subjectgenerated responses as it does on experimenter-provided responses. However, the effect of congruity is reversed for subject-generated responses. The data suggest that the difficulty of generating unrelated responses (“incongruous“ items) may account, at least in part, for the failure of the “principle of congruity“ with subject-generated responses.     

SEVERE CLASSROOM BEHAVIOR PROBLEMS: TEACHERS OR COUNSELLORS

This experiment was designed to determine the relative effectiveness of teacher and counselling approaches in the reduction of disruptive or inappropriate classroom behavior. Inappropriate classroom behavior frequencies of 12 academically low achieving, seventh-grade, black male students, with a reported high rate of inappropriate classroom behavior, were recorded. Three groups, with nearly equal mean inappropriate behaviors, were randomly assigned to one of three treatment conditions: behavioral counselling, client-centered counselling, or no counselling. Each counselling group received fifteen 30-minute counselling sessions, at a rate of two to three times a week. In addition to counselling, all students subsequently received teacher approval within the classroom. Results indicated that the teacher was able to reduce inappropriate behavior more than any counselling group. There were also indications that behavioral counselling, but not client-centered counselling, was moderately helpful in reducing inappropriate classroom behavior.     

Sexual arousal and interpersonal evaluations

In an attempt to reconcile conflicting results concerning the effects of sexual arousal on interpersonal evaluations, hypotheses based on adaptation level, arousal-need gratification, and labeling of arousal explanations were tested. The variables of sexual arousal, technique of stimulus material presentation, physical attractiveness of the original stimulus female, and physical attractiveness of the final target person being judged were manipulated in a 2 × 2 × 2 × 2 design. A significant three-way interaction (Arousal × Stimulus Attractiveness × Target Attractiveness) obtained on all measures of interpersonal evaluation was interpreted as supporting a labeling of arousal explanation. It is suggested that subjects first interpret their arousal as being caused by their attraction toward the stimulus person. The characteristics of the stimulus person then become a factor used by subjects when they subsequently make judgments of target females. The adaptation-level and arousal-need gratification hypotheses were not supported.     

Pain as purgation: The role of pathologizing in the life of the mystic

Since Descartes, man has been defined in terms of body and spirit only. Yet there is a third term that is of crucial importance for the founding of a psychology of suffering. The realm of psyche, or soul, is a middle ground between the spirit and the body in which the psychological forces of one's life find expression. A psychological approach to the anguish of the suffering soul can be found within the writings of the early desert fathers as well as in the paintings of Hieronymus Bosch. The penitent must learn patience in the face of his suffering, before he can experience the joy of spiritual maturity.A famous anchorite came to take counsel on high things with the abbot Pastor, but the old man turned away his head, and the anchorite went away aggrieved. His disciple asked Pastor why he had refused to talk with a man so great and of such reputation in his own country, and the old man said that his visitor could speak of heavenly things, but that he himself was of earth. If he had spoken to me of the passions of the soul I could have answered him: but of the things of the spirit I am ignorant.Mr. Fischer is a member of the Psychology Department, University of Dallas, Irving, Texas 75060.