Obsessive intrusive thoughts in nonclinical subjects. Part I. Content and relation with depressive, anxious and obsessional symptoms

The present study reports on the development and preliminary validation of a 52 item self-report instrument designed to assess intrusive thoughts, images and impulses that are similar to the aggressive, sexual and disease-related thinking characteristic of clinical obsessions. Two hundred and ninety-three students completed the Obsessive Intrusions Inventory (OII) as well as standard self-report measures of negative cognitions and obsessive, anxious and depressive symptoms. Regression analysis revealed that intrusive thinking was a significant and unique predictor of obsessional but not anxious or depressive symptoms. Furthermore, intrusive thinking showed a moderate correlation with anxious but not depressive cognitions. The results indicate that the intrusive thoughts assessed by the OII are distinct from other forms of negative thinking and may, in fact, constitute an analogue form of clinical obsessions in nonclinical populations.     

Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patient outcomes

Described the Physical and Architectural Characteristics Inventory (PACI), which assesses the physical characteristics of hospital- and community-based psychiatric and substance abuse residential treatment programs for adults. Developed using data from 94 representative programs, the PACI has 7 dimensions that assess community accessibility, physical features that add convenience, aid recreation, and provide support for patients, and space for patient and staff functions. In comparison to community-based programs (n=63), hospital programs (n=31) had more social-recreational and prosthetic aids, safety features, staff facilities, and space. The PACI dimensions were also related to other organizational features, such as facility ownership and program size and staffing level. Programs with more physical amenities had patients who were more involved in self-initiated and community activities and were more likely to successfully complete the program and be discharged to independent living situations and paid jobs. Programs with more social-recreational and prosthetic aids, space, and access to community resources also had better patient outcomes. In addition, PACI dimensions were related to observers' ratings of facility attractiveness. Potential applications of the PACI and the full inventory of which it is a part are discussed.     

A house divided? Cognitive functioning with callosal agenesis

An anatomical and behavioral review of 29 reported cases of corpus callosum agenesis is presented. This review addresses itself to two questions: (1) Do acallosals manifest split-brain symptoms? (2) Is the corpus callosum necessary for the establishment of lateralization? Unlike the commissurotomy cases, acallosals show few symptoms of hemispheric disconnection. Behavioral strategies, use of noncallosal commissures, elaboration of ipsilateral pathways, and bilateral representation of function are discussed and evaluated as possible mechanisms of compensation. An impairment in spatiomotor functioning often accompanies callosal agenesis. Results of acallosal lateralization testing are examined and problems in interpretation are discussed. Current evidence does not conclusively establish that the corpus callosum is needed for lateralized development of some functions. However, the corpus callosum may play a role in the satisfactory performance of “lateralized” (i.e., spatial, linguistic) functions.     

Construction of new scales for the Multiple Affect Adjective Check List

Factor analyses were used to develop new scales for the Multiple Affect Adjective Check List (MAACL) measuring anxiety, depression, hostility, positive, and sensation-seeking affects. Anxiety, depression, and hostility scales were moderately intercorrelated and a combined score called “dysphoria” was formed from their addition. Positive and sensation-seeking affects were also correlated and combined in a summary score (PASS). The dysphoric and PASS scores were not highly correlated. The number of items checked correlated highly with the positive affect scale, moderately with sensation seeking, and relatively low with the negative affect scales. Internal reliabilities were high and retest reliabilities were low, in conformance with the model for state scales. The anxiety score increased and the positive affect score and number of items checked decreased just prior to a classroom examination. Further plans for scale development are discussed.     

Local and global mechanisms of one- and two-dimensional orientation illusions.

One-dimensional (1-D) orientation illusions induced on a test grating by a tilted and surrounding 1-D inducing grating have a well-known angular function that exhibits both repulsion and attraction effects. Two-dimensional (2-D) orientation illusions are those induced on a test grating by 2-D image modulation, such as a pair of superimposed inducing gratings at different orientations, usually orthogonal (a plaid). Given the known angular functions induced by the plaid component gratings, two hypotheses were developed that predicted different plaid-induced illusion functions. Hypothesis 1 states that the 1-D component-induced effects simply add linearly; Hypothesis 2 states that there is an additional mechanism that responds to the virtual axes of mirror symmetry of the plaid and adds to the effect. The data of two experiments were consistent with the predictions from the second hypothesis but not the first. Possible neural substrates of mechanisms that extract axes of symmetry are discussed; it is suggested that such global symmetry axes may underlie the perceived orientation of complex shapes.