Cognitive Neuropsychology and Developmental Disorders: Uncomfortable Bedfellows

Cognitive neuropsychology provides a theoretical framework and methods that can be of value in the study of developmental disorders, but the "dissociation" logic at the centre of this approach is not well suited to the developmental context. This is illustrated with examples from specific language impairment. Within the developing language system there is ample evidence for interaction between levels of representation, with modularity emerging in the course of development. This means that one typically is seeking to explain a complex pattern of associated impairments, rather than highly selective deficits. For instance, a selective impairment in auditory processing can have repercussions through the language system and may lead to distinctive syntactic deficits that are seen in written as well as spoken language. Changes in the nature of representations and in the relationships between components of a developing system mean that cross-sectional data at a single point in development may be misleading indicators of the primary deficit. Furthermore, traditional cognitive neuropsychology places a disproportionate emphasis on representational (competence) deficits, with processing (performance) deficits being relatively neglected. Methods for distinguishing these two kinds of impairment are discussed, as well as other approaches for elucidating the underlying nature of developmental disorders.     

Evidence for disproportionate dual-task costs in older adults for episodic but not semantic memory

Previous research demonstrates that older adults are poor at dual tasking, but there is less agreement on whether their decrement is worse than that predicted from single-task performance. This study investigated whether task domain moderates dual-task costs in old age. In two experiments, young and older adults retrieved either previously learned associates (episodic retrieval) or overlearned category members (semantic retrieval) under single or working-memory load conditions, using cued recall (Experiment 1) and recognition (Experiment 2) procedures. In both experiments the proportional costs of dual tasking were age invariant for semantic retrieval but were particularly marked for episodic retrieval, although the size of the age effect was reduced in recognition compared to cued recall. The data suggest that age effects in dual tasking may be domain specific.     

The effect of varied physician affect on recall, anxiety, and perceptions in women at risk for breast cancer: an analogue study.

Evaluated the effect of varied physician affect on subject recall, anxiety, and perceptions in a simulated tense and ambiguous medical situation. Forty women at risk for breast cancer viewed videotapes of an oncologist presenting--with either worried or nonworried affect--mammogram results. Although the mammogram results and the oncologist were the same in both presentation, analyses indicated that, compared to the women receiving the results from a nonworried physician, the women receiving the results from a worried physician recalled significantly less information, perceived the clinical situation as significantly more severe, reported significantly higher levels of state anxiety, and had significantly higher pulse rates. These results suggest that physician affect plays a critical role in patient reaction to medical information. Implications for compliance research, patient satisfaction, and physician training are discussed.     

Delayed-matching-to-sample by marsh tits and great tits

The ability of two species of tits to remember the location and/or features of an object was tested in a delayed-matching-to-sample procedure. Three values of retention interval between presentation of the sample stimulus and the choice--30 sec, 5 min, and 15 min--were used. Both species performed at above-chance level at all retention intervals, and there was no significant decline in accuracy with increasing interval. A pool of 100 stimulus objects was used, but the results of control trials indicated that the birds responded primarily to location rather than stimulus features of the object itseif. Although the food-storing marsh tit tended to perform at a higher level than the non-storing great tit, the only significant difference between the species was in the first 50 trials of the first treatment, when the birds were acquiring the task. The results are discussed in relation to the hypothesized special memory capacity of food-storing birds.     

On the relation between feeling of knowing and lexical decision: persistent subthreshold activation or topic familiarity?

Experiment 1 replicated Yaniv and Meyer's (1987) finding that lexical decision and episodic recognition performance was better for words previously yielding high-accessibility levels (a combination of feeling-of-knowing and tip-of-the-tongue ratings) in comparison with those yielding low-accessibility levels in a rare word definition task. Experiment 2 yielded the same pattern even though lexical decisions preceded accessibility estimates by a full week. Experiment 3 dismissed the possibility that the Experiment 2 results may have been due to a long-term influence from the lexical decision task to the rare word judgment task. These results support a model in which Ss (a) retrieve topic familiarity information in making accessibility estimates in the rare word definition task and (b) use this information to modulate lexical decision performance.     

Biology of elderly suicide.

Most studies of suicide in younger patients have demonstrated significant alterations in the serotonin system. Although a high percentage of completed suicides occur in late-life, to date very few studies of the biology of suicide have focused on this age group. This chapter describes age-related changes in the central nervous system pertinent to the biology of suicide, then reviews post-mortem biological studies of the brains of suicides and suicide attempters. As suicide attempts in the elderly are characterized by the use of violent means, biologic studies of impulsive violence are discussed. Finally we describe data on the effect of degenerative diseases on the serotonin system and the possible link to increased suicidal behavior in affected patients. This review underscores the need for further study of the biology of suicide in the geriatric age group.