Cognitive functioning, behavior, and quality of life after stroke in childhood.

Rationale: To provide a better understanding of cognitive functioning, motor outcome, behavior and quality of life after childhood stroke and to study the relationship between variables expected to influence rehabilitation and outcome (age at stroke, time elapsed since stroke, lateralization, location and size of lesion). Methods: Children who suffered from stroke between birth and their eighteenth year of life underwent an assessment consisting of cognitive tests (WISC-III, WAIS-R, K-ABC, TAP, Rey-Figure, German Version of the CVLT) and questionnaires (Conner's Scales, KIDSCREEN). Results: Twenty-one patients after stroke in childhood (15 males, mean 11;11 years, SD 4;3, range 6;10-21;2) participated in the study. Mean Intelligence Quotients (IQ) were situated within the normal range (mean Full Scale IQ 96.5, range IQ 79-129). However, significantly more patients showed deficits in various cognitive domains than expected from a healthy population (Performance IQ p = .000; Digit Span p = .000, Arithmetic's p = .007, Divided Attention p = .028, Alertness p = .002). Verbal IQ was significantly better than Performance IQ in 13 of 17 patients, independent of the hemispheric side of lesion. Symptoms of ADHD occurred more often in the patients' sample than in a healthy population (learning difficulties/inattention p = .000; impulsivity/hyperactivity p = .006; psychosomatics p = .006). Certain aspects of quality of life were reduced (autonomy p = .003; parents' relation p = .003; social acceptance p = .037). Three patients had a right-sided hemiparesis, mean values of motor functions of the other patients were slightly impaired (sequential finger movements p = .000, hand alternation p = .001, foot tapping p = .043). In patients without hemiparesis, there was no relation between the lateralization of lesion and motor outcome. Lesion that occurred in the midst of childhood (5-10 years) led to better cognitive outcome than lesion in the very early (0-5 years) or late childhood (10-18 years). Other variables such as presence of seizure, elapsed time since stroke and size of lesion had a small to no impact on prognosis. Conclusion: Moderate cognitive and motor deficits, behavioral problems, and impairment in some aspects of quality of life frequently remain after stroke in childhood. Visuospatial functions are more often reduced than verbal functions, independent of the hemispheric side of lesion. This indicates a functional superiority of verbal skills compared to visuospatial skills in the process of recovery after brain injury. Compared to the cognitive outcome following stroke in adults, cognitive sequelae after childhood stroke do indicate neither the lateralization nor the location of the lesion focus. Age at stroke seems to be the only determining factor influencing cognitive outcome.     

Relationships matter in personality development: evidence from an 8-year longitudinal study across young adulthood

Personality-relationship transactions were investigated in a general population sample of young German adults with three assessments over 8 years. Four general findings were obtained. First, personality development was characterized by substantive individual differences in change. Second, bivariate latent growth models indicated that individual differences in personality change were substantially associated with change in peer and family relationships. Third, forming a partner relationship for the first time moderated the maturation of personality. This finding was replicated over two subsequent time intervals with independent subgroups. Fourth, higher neuroticism and higher sociability predicted which of the singles began a partner relationship during the next 8 years. The results confirm that individual differences in personality development predict and result from life transitions and relationship experiences.     

The Logic of Theory Assessment

This paper starts by indicating the analysis of Hempel’s conditions of adequacy for any relation of confirmation (Hempel, 1945) as presented in Huber (submitted). There I argue contra Carnap (1962, Section 87) that Hempel felt the need for two concepts of confirmation: one aiming at plausible theories and another aiming at informative theories. However, he also realized that these two concepts are conflicting, and he gave up the concept of confirmation aiming at informative theories. The main part of the paper consists in working out the claim that one can have Hempel’s cake and eat it too — in the sense that there is a logic of theory assessment that takes into account both of the two conflicting aspects of plausibility and informativeness. According to the semantics of this logic, α is an acceptable theory for evidence β if and only if α is both sufficiently plausible given β and sufficiently informative about β. This is spelt out in terms of ranking functions (Spohn, 1988) and shown to represent the syntactically specified notion of an assessment relation. The paper then compares these acceptability relations to explanatory and confirmatory consequence relations (Flach, 2000) as well as to nonmonotonic consequence relations (Kraus et al., 1990). It concludes by relating the plausibility-informativeness approach to Carnap’s positive relevance account, thereby shedding new light on Carnap’s analysis as well as solving another problem of confirmation theory. A precursor of this paper has appeared as “The Logic of Confirmation and Theory Assessment” in L. Běhounek & M. Bílková (eds.), The Logica Yearbook 2004, Prague: Filosofia, 2005, 161–176.     

Differential effects of cognitive inhibition and intelligence on creativity

There are different conceptions about how cognitive inhibition is related to creativity. Creativity has either been associated with effective inhibition, or with disinhibition, or with an adaptive engagement of inhibition. In this study, we examined the relationship of cognitive inhibition, assessed by means of the random motor generation task, with different measures of creativity. We also analyzed whether this relation is mediated by intelligence. We generally found a positive correlation of inhibition and creativity measures. Moreover, latent variable analyses indicate that inhibition may primarily promote the fluency of ideas, whereas intelligence specifically promotes the originality of ideas. These findings support the notion that creative thought involves executive processes and may help to better understand the differential role of inhibition and intelligence in creativity.     

A psychological approach to human voluntary movement

The author argues that movements are planned, executed, and stored in memory as perceptible events, without regard to efferent patterns. Spontaneous bimanual coordination phenomena are hypothesized to originate on a perceptual-cognitive level, with the muscles automatically tuned in service to preferred perceptible movement properties. The perceptual-cognitive system is hypothesized to control skilled complex movements as well. In perceptual-cognitive control, the full potential of the perceptual-cognitive system could be exploited. Thus, movements could be enormously flexible, with a strong potential for improvisation and creativity. An effective representation might be organized in a surprisingly sparse and economic way. In sum, the author argues that a psychological approach is most promising as a possible unifying perspective for understanding human voluntary movements.     

Strategic influence on the time course of predictive inferences in reading

In the present study, we investigated how reading strategies affect the time course of online predictive inferences. Participants read sentences under instructions either to anticipate the outcomes of described events or to understand the sentences. These were followed by a target word to be named, with stimulus onset asynchronies (SOAs) of 500 or 1,000 msec (50- or 550-msec interstimulus interval, respectively). Sentences either were predictive of events or were lexically matched control sentences. There was facilitation in naming latencies for predictable target words in the strategic-anticipation condition at both SOAs, but not in the read-to-understand condition, with a significant improvement in the former condition in comparison with the latter. This suggests that predictive inferences, which are typically considered to be resource demanding, can be speeded up by specific goals in reading. Moreover, this can occur at no cost to comprehension of explicit information, as was revealed by a comprehension test.