Brief report: A clinical tracking system for helping see the forest through the trees

Adults with developmental disabilities who display behavior disorders repressent some of our field's biggest challenges. Those who provide direct support for such individuals are sometimes frightened and often frustrated by the occurrence of these behaviors parrticularly if neither they nor the agencies for whom they work have been successful in alleviating them. Under such circumstances the agency may secure the services of a consultant. At such times the consultant may find it diffcult to obtain information [from which to generate plausible hypothese and design interventionl plans] that is not unduly influenced by the emotions of the moment. This article describes a stop-gap system that can be used under such circumstsances to gather and analyze valuable longitudinal behavioual ecological data. The basic assumptions and strategies of this system are explained and illustrated through three case studies.     

A psychometric evaluation of the Rorschach comprehensive system's perceptual thinking index

In this study, we investigated evidence for reliability and validity of the Perceptual Thinking Index (PTI; Exner, 2000a, 2000b) among an adult inpatient population. We conducted reliability and validity analyses on 107 patients who met the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision; American Psychiatric Association, 2000) criteria for a schizophrenia-spectrum disorder (SSD) or mood disorder with no psychotic features (MD). Results provided support for interrater reliability as well as internal consistency of the PTI. Furthermore, the PTI was an effective index in differentiating SSD patients from patients diagnosed with an MD. Finally, the PTI demonstrated adequate diagnostic statistics that can be useful in the classification of patients diagnosed with SSD and MD. We discuss methodological issues, implications for assessment practice, and directions for future research.     

Association of pathological gambling with depression in Scotland

Is most research concerning gambling and depression has been conducted on clinical populations, the present study examined the relationship between gambling and depression across a large sample in Scotland in higher education and the community. A questionnaire-based cluster design involved the distribution of the South Oaks Gambling Screen and the Centre for Epidemiologic Studies Depression Scale mainly to students and staff of higher educational establishments, with small community and gambling samples also included. Thirty-seven colleges and universities across Scotland participated in the research, with a sample of 2259 people aged sixteen years of age or over (M = 28.9 yr., SD = 13.4) being obtained. It was found that past-year probable pathological gamblers had significantly higher depression than problem gamblers, nonproblem gamblers, and nongamblers. However, when probable pathological gamblers who had sought treatment were omitted from the analysis, the nontreatment-seeking probable pathological gambling group no longer had significantly higher depression than the problem gambling group. Female problem and probable pathological gamblers had particularly high depressive symptomatology, suggesting co-morbid depression may be a prominent feature of problematic female gambling.     

Drawing: its contribution to naming in aphasia

Drawing in aphasia therapy has been used predominately as a substitution for speech or to augment communication when other modalities are non-functional. The value of drawing as a route for facilitating verbal expression has not been a focus of prior research. We compared the usefulness of drawing and writing as compensatory strategies for improving naming in individuals with aphasia. Activation patterns of writing and drawing in healthy adults were examined using fMRI. Clinical results suggest that drawing facilitated naming whereas writing diminished accurate naming responses, and that drawing quality is not relevant to this facilitatory effect. Functional MRI findings revealed strong bi-hemispheric activation of semantic and phonological networks while drawing that may support our clinical findings.     

Object recognition is mediated by extraretinal information

Many previous studies of object recognition have found view-dependent recognition performance when view changes are produced by rotating objects relative to a stationary viewing position. However, the assumption that an object rotation is equivalent to an observer viewpoint change ignores the potential contribution of extraretinal information that accompanies observer movement. In four experiments, we investigated the role of extraretinal information on real-world object recognition. As in previous studies focusing on the recognition of spatial layouts across view changes, observers performed better in an old/new object recognition task when view changes were caused by viewer movement than when they were caused by object rotation. This difference between viewpoint and orientation changes was due not to the visual background, but to the extraretinal information available during real observer movements. Models of object recognition need to consider other information available to an observer in addition to the retinal projection in order to fully understand object recognition in the real world.     

Is there a problem with enhancement?

This article examines arguments concerning enhancement of human persons recently presented by Michael Sandel (2004). In the first section, I briefly describe some of his arguments. In section two, I consider whether, as Sandel claims, the desire for mastery motivates enhancement and whether such a desire could be grounds for its impermissibility. Section three considers how Sandel draws the distinction between treatment and enhancement, and the relation to nature that he thinks each expresses. The fourth section examines Sandel's views about parent/child relations and also how enhancement would affect distributive justice and the duty to aid. In conclusion, I briefly offer an alternative suggestion as to why enhancement may be troubling and consider what we could safely enhance.