Recognition memory for tactile sequences.

In three experiments participants were required to compare the similarity in item order for two temporally separated sequences of tactile stimuli presented to the fingers of the hand. Between-sequence articulatory suppression but not tactile interference impaired recognition accuracy (Experiment 1), and the null effect of tactile interference was not due to the second tactile sequence overwriting the sensory record of the first sequence (Experiment 2). Experiment 3 showed that compared to a condition where the second sequence was presented in the tactile modality only, recognition was enhanced when the second sequence was seen presented either to the hand or on a diagrammatic representation of a hand. A final experiment showed that the effects of Experiment 1 were replicated when the underside of the forearm was used for stimulus presentation, suggesting that the data are not idiosyncratic to the first method of presentation. The pattern of results suggests memory for a sequence of tactile stimuli involves the deployment of strategies utilising a combination of verbal rehearsal and visuo-spatial recoding rather than relying solely on the retention of sensory traces. This is taken to reflect limitations in both the capacity and duration of tactile sensory memory.     

Patient Adherence With Medical Treatment Regimens: An Interactive Approach

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the value of an interactionalist perspective. We illustrate the framework using some of our past work involving treatment adherence among patients with chronic renal failure.     

Integration and Rebirth through Confrontation: Fight Club and American Beauty as Contemporary Religious Parables

This article discusses the religious significance of two recent American films which raise pertinent questions about the nature and quality of human existence, its anxieties and aspirations, at the turn of the millennium. Both David Fincher's Fight Club and Sam Mendes's American Beauty wrestle with the efficacy of confrontation as a means of attaining redemption from the disconnectedness and estrangement that characterise the lives of the protagonists in each of these pictures. The import that the trajectories of the characters have for the film audience will also be examined, insofar as the films are accredited by some viewers with helping to facilitate a remedy to the malaise and disaffection in their lives, which the protagonists exemplify.     

Resolving the Confusion in the Spiritual Development Debate

This paper argues that there is a need to make a distinction between 'spiritual development' (educational in intent, relevant for all) and 'developing spirituality' (catechetical in intent and therefore inappropriate for some). Making this distinction resolves much of the confusion in the spiritual development debate that results from (i) problems concerning definition; (ii) co-terminous usage of related but distinct concepts; and (iii) a plurality of competing models of spiritual development. This confusion is illustrated with reference to a variety of authors, particularly Hay, Erricker, Wright, Bradford, Mott-Thornton, Carr and Thatcher. Further, distinguishing between 'spiritual development' and 'developing spirituality' will bring clearer thinking to discussions about spiritual education and will overcome some of the weaknesses in the work of specified authors.     

Lorenz Curves: A New Model for the Distribution of Psychiatric Services

The growth of child and adolescent psychiatric services based on the wraparound philosophy raises new questions for medical directors, investigators, and clinicians interested in improving quality of care and outcomes. Typically, quality improvement studies have focused on standardizing care and decreasing variation while community based services following a wraparound model are by definition individualized. To date, little information on how to evaluate such services in a managed care environment has been available. We present one option for evaluating the distribution of medical services and the extent to which providers individualize services for children with severe emotional disorders. Specifically, we (a) review the philosophy and goals of wraparound services, (b) introduce the Lorenz curve as a tool for determining the degree of inequality in service distribution at a given institution, and (c) present a case study on the use of Lorenz curves by a Medicaid Behavioral Health Organization in profiling behavioral providers.     

Assessing the Readability of Mental Health Internet Brochures for Children and Adolescents

We investigated the readability of seven mental health brochures on mental, emotional, and behavioral disorders in children that were selected from a website developed by the Center for Mental Health Services at http://www.mentalhealth.org. The reading grade levels of the brochures ranged from 11.1 to 14.8 (mean 13.23), considerably higher than the 8th grade level recommended for educational material by the U. S. Department of Education (1986). On other readability variables, assessed using the Readability Assessment Instrument (RAIN; Singh, 1994), all brochures met criterion on most variables but failed on those for new words (audience appropriateness) and print size. This is a favorable result in comparison with other studies that have assessed readability of mental health information on the Internet using the RAIN, although less so with reading grade levels.     

Psychotic dream-related aggression: A critical review and proposal

The relationship among parasomnias, sleep-related violence (SRV), and psychosis has neither been reported nor studied. The authors introduce the phenomenon of psychotic dream-related aggression (PDRA) and, through a review of the research on manifest dreams, the continuity of thinking across the sleep–wake cycle, and SRV, argue for its inclusion alongside the parasomnias of DSM-IV. Five cases are presented that illustrate this phenomenon, usually a male diagnosed with paranoid schizophrenia whose violent act toward another was closely associated with the manifest content of his nocturnal dreams and his inability to test reality. Differential diagnostic criteria are proposed to separate PDRA from other parasomnias that may be related to violence. Treatment and forensic implications are discussed.