Short-term memory impairment in vestibular patients can arise independently of psychiatric impairment,fatigue, and sleeplessness

Vestibular dysfunction is associated with visual short-term memory impairment; however, it remains unclear if this impairment arises as a direct result of the vestibular dysfunction or is a consequence of comorbid changes in mood, affect, fatigue, and/or sleep. To this end, we assessed the concurrence and interdependence of these comorbidities in 101 individuals recruited from a tertiary balance clinic with a neuro-otological diagnosis. Over fifty per cent of the sample showed reduced visuospatial short-term memory, 60% and 37% exceeded cut-off on the Beck Anxiety and Depression Inventories, respectively, 70% exceeded cut-off on the Fatigue Severity Scale, 44% reported daytime sleepiness on the Epworth Sleepiness Scale, and 78% scored above cut-off on the Pittsburgh Sleep Quality Index. The high concurrence of these symptoms gives reason to infer the existence of a vestibular cognitive affective syndrome. Structural equation modelling indicated that the significant statistical association between general unassisted posture (a marker of chronic vestibular dysfunction and strong predictor of falls risk) and short-term memory was not mediated by mood and wakefulness. Instead, the memory impairment related more directly to vestibular dysfunction. From a rehabilitation perspective, the implication is that if the vestibular disorder is treated successfully then the memory problem will likewise improve.     

Transcending the Quantitative‐Qualitative Divide With Mixed Methods Research: A Multidimensional Framework for Understanding Congruence and Completeness in the Study of Values

Quantitative research dominates published literature in the helping professions. Mixed methods research, which integrates quantitative and qualitative methodologies, has received a lukewarm reception. The authors address the iterative separation that infuses theory, praxis, philosophy, methodology, training, and public perception and propose a dimensional viewpoint as a framework for successful integration of mixed methods research. This dimensional perspective demonstrates that mixed methods research techniques are necessary but not sufficient to study spiritual, ethical, and religious value issues. Research of career development, “best practices,” nature‐nurture, and prayer illustrate weaknesses and opportunities for evaluating dimensional mixed methods approaches.     

The role of personality in exposure and reactivity to interpersonal stress in relation to arthritis disease activity and negative affect in women.

The role of personality in the stress process was examined in older women with rheumatoid arthritis (RA) and osteoarthritis (OA) and in healthy controls (HCs). Reactivity was examined in relation to arthritis disease activity and negative affect. Interpersonal sensitivity and neuroticism were measured in questionnaires, and interpersonal stress, negative affect, and disease activity were assessed weekly for 12 weeks. Interpersonal sensitivity was defined as an excessive sensitivity to the behavior and feelings of others. Regarding exposure, neuroticism was related to interpersonal stress for all groups. Regarding reactivity, interpersonal sensitivity interacted with interpersonal stress to predicted elevations in negative affect in all groups and elevations in disease activity in the arthritis groups. There were no significant differences in the effects.     

Self‐knowledge in childhood: Relations with children's imaginary companions and understanding of mind

Relations between interior self‐knowledge and (a) imaginary companion (IC) status and (b) theory of mind (ToM) abilities were investigated in a sample (N= 80) of 4‐ to 7‐year‐olds. Interior self‐knowledge was assessed in terms of the extent to which children acknowledged that they (rather than an adult) were the authority on unobservable aspects of themselves (e.g., dreaming, thinking, hunger). Compared with children without an IC, those who possessed a parentally corroborated IC ascribed less interior self‐knowledge to an adult, with a trend for them to assign more interior self‐knowledge to themselves. Children's interior self‐knowledge judgments were not associated with their ToM performance. IC status was also unrelated to ToM performance. We consider how having an IC may provide children with opportunities to distinguish between knowledge that is inaccessible to an external observer and that which an external observer may glean without being told.     

Drugs, Morality and the Law

Arguments for and against the legal prohibition of drugs are surveyed. Various kinds of argument are identified and analysed: arguments against prohibition from a moral right to personal liberty; utilitarian and contractualist arguments for a right to personal liberty; arguments for prohibition from liberty–limiting principles (the harm principle, legal paternalism, legal moralism, Kantian duties to oneself, legal perfectionism, traditional conservatism, and communitarianism); utilitarian argument for prohibition; utilitarian argument against prohibition. It is concluded that none of the arguments for drug prohibition is convincing.