“What if It’s not Just an Item of Clothing?” – A Narrative Review and Synthesis of the White Coat in the Context of Aged Care

Although increasingly disputed, the white coat uniform is ubiquitous in geriatric care, which may reflect a phenomenon called medicalisation of ageing. This narrative review is the first attempt at integrating several theoretical approaches, such as the “white coat effect” and “enclothed cognition”, in order to gain a comprehensive understanding of the use of this clothing item. Based on extensive empirical evidence, we will examine the consequences of wearing a uniform, not only on patients (in this case, older patients) and healthcare professionals, but also on their relationship. The white coat has powerful symbolic functions for healthcare professionals and is still preferred by older adults. However, the negative repercussions of wearing a uniform require us to question its use, particularly in environments where older persons live, such as nursing homes.     

A cross-validation of Paulson's discriminant function-derived scales for identifying "at risk" child-abusive parents

Paulson, Afifi, Chaleff, Liu, & Thomason (1975) developed a series of special subscales from the MMPI for identifying individuals who are at risk for child-abusive behavior. The initial results were highly encouraging, with the scales correctly identifying 93 to 100% of the subjects in their sample. Unfortunately, Paulson et al. (1975) failed to cross-validate their findings before publication. When the six scales were cross-validated on an independent sample from the population of child-abusing parents, significant shrinkage in the accuracy of prediction was found. The use of the special subscales for identifying "at risk" parents in prenatal clinics, pediatric clinics, pediatric clinics and mental health centers as originally suggested by Paulson and his colleagues is seriously questioned.     

Effect of Questioning Techniques and Interview Setting on Young Children's Eyewitness Memory

The goal of this research was to learn if supposed ineffective questioning techniques (e.g., question repetition within the interview) would reduce the accuracy of five-year-olds' eyewitness memory. In the first study, children viewed a slide show depicting a minor crime and were then interviewed either with a standard interview or one which incorporated ineffective questioning techniques. The results indicated that the type of interview did not affect children's eyewitness memory. In a second study, children were presented with the ineffective interview by an authoritative interviewer in a formal office setting. The results again indicated little influence of interview setting or question technique on children's eyewitness memory, identification accuracy, and suggestibility.     

Book Reviews

K ing , P. and S teiner , R. (eds) The Freud-Klein Controversies, 1941-45
B rooke , R. Jung and Phenomenology
W hitmont , E. and P erera , S. B. Dreams: A Portal to the Source: A Guide to Dream Interpretation
S chaverien , J. The Revealing Image: Analytical Art Psychotherapy in Theory and Practice
W ilmer , H. (ed.) Creativity: Paradoxes and Reflections
S chwartz -S alant , N. and S tein , M. (eds). Liminality and Transitional Phenomena     

Book Reviews

S amuels , A. (Ed.) Psychopathology: Contemporary Jungian Perspectives.
S idoli , M ara . The Unfolding Self.
F abricius , J ohannes . Alchemy: The Medieval Alchemists and their Royal Art.
A ziz , R obert . C. G. Jung' Psychology of Religion and Synchronicity.     

Knowledge assessment of mental health advisory boards

Informed citizen advisory boards are vital to the operation of community mental health programs. In order to provide relevant educational experiences, a continuing education program conducted a survey of the self-judged level of knowledge of a sample of board members in a large city. The sample consisted of 57 respondents representing 16 of 19 city mental health centers and the three federally funded community health centers located in the city. The results indicated areas of strength and weakness. Also, knowledge assessments differeed in relation to years of experience on advisory boards. Several suggestions are made about designing curricula for mental advisory boards.     

The effects of simulated stuttering and prolonged speech on the neural activation patterns of stuttering and nonstuttering adults

Functional magnetic resonance imaging was used to investigate the neural correlates of passive listening, habitual speech and two modified speech patterns (simulated stuttering and prolonged speech) in stuttering and nonstuttering adults. Within-group comparisons revealed increased right hemisphere biased activation of speech-related regions during the simulated stuttered and prolonged speech tasks, relative to the habitual speech task, in the stuttering group. No significant activation differences were observed within the nonstuttering participants during these speech conditions. Between-group comparisons revealed less left superior temporal gyrus activation in stutterers during habitual speech and increased right inferior frontal gyrus activation during simulated stuttering relative to nonstutterers. Stutterers were also found to have increased activation in the left middle and superior temporal gyri and right insula, primary motor cortex and supplementary motor cortex during the passive listening condition relative to nonstutterers. The results provide further evidence for the presence of functional deficiencies underlying auditory processing, motor planning and execution in people who stutter, with these differences being affected by speech manner.     

Personality Predictors of Extreme Response Style

ABSTRACT Extreme response style (ERS) refers to the tendency to overuse the endpoints of Likert-type scales. This study examined the extent to which ERS is accounted for by measures of personality, specifically, intolerance of ambiguity, simplistic thinking, and decisiveness. One hundred and sixteen pairs of undergraduate students and one of their respective peers completed a battery of questionnaires assessing these personality measures, alongside three measures of extreme responding. Results indicate that peer ratings of intolerance of ambiguity and simplistic thinking interact with the primary participant's time spent on the survey to predict the primary participant's extreme responding. Thus, those who quickly complete surveys and are intolerant of ambiguity or are simplistic thinkers are most likely to exhibit ERS. These results have implications not only for surveys using rating scales, but also illustrate how epistemic personality factors more generally influence the processing of new information.