Eating disorder NOS (EDNOS): an example of the troublesome "not otherwise specified" (NOS) category in DSM-IV

The “Not Otherwise Specified” (NOS) category within DSM-IV is designed for disorders of clinical severity that are not specified within broad diagnostic classes. “NOS” diagnoses are intended to be residual categories and they tend to be neglected by researchers. This can be inappropriate. The problems associated with certain NOS diagnoses are well illustrated by “Eating Disorder NOS” (sometimes termed EDNOS), which is the most common category of eating disorder encountered in routine clinical practice yet it has barely been studied. Indeed, there has been no research on its treatment. Interim and longer-term conceptual and practical solutions to the anomalous status of eating disorder NOS are proposed including the creation of a new diagnosis termed “mixed eating disorder”. Several of these solutions are of relevance to NOS categories in general. All the solutions should fulfil criteria for clinical utility.     

Control over the time course of cognition in the tempo-naming task

Five experiments are reported in which standard naming and tempo-naming tasks were used to investigate mechanisms of control over the time course of lexical processing. The time course of processing was manipulated by asking participants to time their responses with an audiovisual metronome. As the tempo of the metronome increased, results showed that (a) the rate of lexical errors increased, whereas the rate of regularization errors remained constant; (b) onset errors increased at a faster rate than body errors; (c) stimulus effects weakened on latencies, whereas they strengthened on durations and errors; and (d) naming durations decreased more slowly when stimuli were presented prior to the response cue. These results constitute evidence that time pressure in the tempo-naming task caused a compression in the time course of lexical processing. Compression is discussed in terms of threshold mechanisms and rate mechanisms of control.     

Mea culpa: predicting stock prices from organizational attributions

People's causal attributions for events in their lives have been shown to relate to individual and interpersonal outcomes. Groups and organizations also make causal attributions, and this article examines whether their publicly communicated attributions predict organizational-level outcomes. By content analyzing attributions contained in corporate annual reports from 14 companies during a 21-year period, the authors found that organizations that made "self disserving" attributions- internal and controllable attributions for negative events-had higher stock prices 1 year later. The authors argue that claiming personal responsibility for negative events made the organizations appear more in control, leading to more positive impressions.     

Depression proneness in treatment-seeking smokers: a taxometric analysis

Using taxometric procedures, we examined latent distribution of depression proneness and the construct validity of the Depression Proneness Inventory (DPI) within a group of 439 non-depressed smokers participating in a smoking cessation trial. Three taxometric procedures MAMBAC, MAXEIG, and L-MODE, supported the presence of a distinct subgroup of depression prone smokers. A set of indicators including cognitive vulnerabilities, self-reported tendencies to feel inadequate and experience depressive symptoms, as well as recent experiences of depressive symptoms prior to anticipated cessation treatment behaved taxonically suggesting a shared relationship with an underlying taxonic causal factor. The DPI was found to be an efficient index of taxon membership and a strong predictor of depression history. The DPI identifies a subgroup of smokers seeking cessation treatment that carry affective risk factors known to impede successful smoking cessation and might benefit from interventions targeting depression and negative mood.     

Is light in pictures presumed to come from the left side?

For good ecological reasons humans assume that the illumination in pictures comes from overhead rather than from below. Recent work has also raised the possibility that the preferred angle of illumination is between 20 degrees and 30 degrees to the left of vertical, although the ecological basis for that is obscure. We describe two studies of this question. In study 1, twenty subjects looked in free, unrestricted vision, at a picture of a single 'bubble' which appeared either convex if the illumination was from above, or concave if the illumination was from below. There was no evidence in study 1 that illumination from the left produced a different appearance from illumination from the right, the preferred angle of illumination being 0.5 degrees to the right of vertical. In study 2, on forty subjects, there was fast presentation (200 ms) of an array of 16 bubbles, one of which, the target, was illuminated from the opposite direction to the others, and hence 'popped out' from the display, appearing concave if the others were convex, or vice-versa. The preferred angle of illumination for detection of the target was about 14 degrees to the left of vertical in study 2. The estimates from studies 1 and 2 did not differ significantly, and when combined gave a preferred angle of 9 degrees to the left of vertical. The reasons for the seeming discrepancy between studies 1 and 2, or the smaller overall effect than that found in previous studies are not clear since the methodologies seem equivalent. In both studies 1 and 2 there was a highly significant association between the direction of spontaneous head tilt and preferred direction of illumination, and this factor has not previously been taken into account in studies of the phenomenon. Contrary to the study of Sun and Perona (1998, Nature Neuroscience 1 183-184), there was no association with handedness or other measures of functional lateralisation.     

The suppression model remains unsound: A reply to Deutsch

In the present issue, we critically review the influentialsuppression model of the octave illusion (Chambers, Mattingley, & Moss, 2004). In a rejoinder to our article, Deutsch (2004b) defends the utility of the suppression model. Here, we respond to Deutsch’s arguments, many of which are based on criticisms of our recent experimental report (Chambers, Mattingley, & Moss, 2002). We argue that Deutsch’s criticisms of this previous investigation are unfounded and that her defense of the suppression model fails to account for the most important weaknesses of this theory. We conclude that the suppression model remains inadequate as an explanation of the octave illusion.     

Death and organ procurement: public beliefs and attitudes

Although "brain death" and the dead donor rule--i.e., patients must not be killed by organ retrieval--have been clinically and legally accepted in the U.S. as prerequisites to organ removal, there is little data about public attitudes and beliefs concerning these matters. To examine the public attitudes and beliefs about the determination of death and its relationship to organ transplantation, 1351 Ohio residents >18 years were randomly selected and surveyed using random digit dialing (RDD) sample frames. The RDD telephone survey was conducted using computer-assisted telephone interviews. The survey instrument was developed from information provided by 12 focus groups and a pilot study of the questionnaire. Three scenarios based on hypothetical patients were presented: "brain dead," in a coma, or in a persistent vegetative state (PVS). Respondents provided personal assessments of whether the patient in each scenario was dead and their willingness to donate that patient's organs in these circumstances. More than 98 percent of respondents had heard of the term "brain death," but only one-third (33.7%) believed that someone who was "brain dead" was legally dead. The majority of respondents (86.2%) identified the "brain dead" patient in the first scenario as dead, 57.2 percent identified the patient in a coma as dead (Scenario 2), and 34.1 percent identified the patient in a PVS as dead (Scenario 3). Nearly one-third (33.5%) were willing to donate the organs of patients they classified as alive for at least one scenario, in seeming violation of the dead donor rule. Most respondents were not willing to violate the dead donor rule, although a substantial minority was. However, the majority of respondents were unaware, misinformed, or held beliefs there were not congruent with current definitions of "brain death." This study highlights the need for more public dialogue and education about "brain death" and organ donation.     

Reconsidering evidence for the suppression model of the octave illusion

The octave illusion is elicited by a sequence of tones presented to each ear that continuously alternate in frequency by one octave, but with high and low frequencies always in different ears. The percept for most listeners is a high pitch in one ear, alternating with a low pitch in the other ear. The influentialsuppression model of the illusion proposed by Deutsch and Roll (1976) carries three postulates: first, that listeners perceive only the pitch of the tones presented to their dominant ear; second, that this pitch is heard in whichever ear received the higher frequency tone; and third, that this apparent dissociation betweenwhat andwhere mechanisms arises from sequential interactions between the tones. In the present article, we reappraise evidence for the suppression model and demonstrate (1) the incompatibility of the theory with the existing literature on pitch perception, sound localization, and ear dominance and (2) methodological limitations in studies that have claimed to provide support for the suppression model. We conclude by proposing an alternative theory of the octave illusion that is based on established principles of fusion, rather than suppression, between ears.     

Institutional culture and individual behavior: Creating an ethical environment

Much of the work in professional ethics sees ethical problems as resulting from ethical ignorance, ethical failure or evil intent. While this approach gets at real and valid concerns, it does not capture the whole story because it does not take into account the underlying professional or institutional culture in which moral decision making is imbedded. My argument in this paper is that this culture plays a powerful and sometimes determinant role in establishing the nature of the ethical debate; i.e., it helps to define what are viable action options, what is the organization’s genuine mission, and what behaviors will be rewarded or criticized. Given these conclusions, I also argue that consulting ethicists need more than an understanding of ethics theory, concepts and principles; they also need a sufficiently rich understanding of organizational culture and a willingness and an ability to critique that culture. An earlier version of this paper was presented at the “Ethics and Social Responsibility in Engineering and Technology” meeting, New Orleans, 2003.     

Using latent trait modeling to conceptualize an alcohol problems continuum

Recent research points toward the viability of conceptualizing alcohol problems as arrayed along a continuum. Nevertheless, modern statistical techniques designed to scale multiple problems along a continuum (latent trait modeling; LTM) have rarely been applied to alcohol problems. This study applies LTM methods to data on 110 problems reported during in-person interviews of 1,348 middle-aged men (mean age=43) from the general population. The results revealed a continuum of severity linking the 110 problems, ranging from heavy and abusive drinking, through tolerance and withdrawal, to serious complications of alcoholism. These results indicate that alcohol problems can be arrayed along a dimension of severity and emphasize the relevance of LTM to informing the conceptualization and assessment of alcohol problems.