Is Speech Arrest during Wada Testing a Valid Method for Determining Hemispheric Representation of Language?

Background and objective: The intracarotid amobarbital procedure, or Wada test, is the method of choice to determine hemispheric representation of language, and is routinely used in the presurgical evaluation for intractable epilepsy. Some investigators perform comprehensive language assessments, but others base language lateralization solely on speech arrest. This study sought to determine whether speech arrest alone during Wada testing provides valid data regarding language lateralization. Methods: The subjects (previously reported) were 21 patients evaluated for intractable epilepsy, who underwent language lateralization by Wada testing and functional MRI (FMRI). For each patient, language representation was determined by calculating: (1) a Wada laterality index based exclusively on speech arrest; (2) a Wada laterality index based on comprehensive language assessment; and (3) an FMRI laterality quotient. Correlation coefficients and categorical classifications were analyzed. Results: There was no significant correlation between the Wada laterality quotient derived from duration of speech arrest and either the comprehensive Wada language laterality score (r= .35,p= .12) or FMRI language laterality score (r= .32,p= .16). Categorical classification as left, right or bilateral language also showed marked discordance between speech arrest and the other two methods. Conclusion: Duration of speech arrest during Wada testing is not a valid measure of language dominance.     

Prevalence of ADHD and comorbid disorders among elementary school children screened for disruptive behavior

In the context of a school-based prevention of conduct disorder program, 7,231 first- through fourth-grade children were screened for cross-setting disruptive behavior. Frequencies of DSM-III-R psychiatric disorders and patterns of comorbidity were assessed. We also examined the association of psychiatric diagnosis with child and parent characteristics to determine differential risk based on diagnostic subgroups. Attention deficit hyperactivity disorder (ADHD) and oppositional-defiant disorder (ODD) were the most frequent diagnoses. Mood and anxiety disorders were infrequent as single diagnoses. Patterns of comorbidity demonstrated that both externalizing and internalizing disorders commonly cooccurred with ADHD. More severe degrees of psychopathology and psychosocial risk accrued to the subgroup of youths with ADHD plus a comorbid externalizing disorder.This study was supported by grant MN-46584 from the National Institute of Mental Health.     

An investigation of the validity of the SPSI and SPSI-R in differentiating high-suicidal from depressed,low-suicidal college students

The present study examined the validity of the Social Problem-Solving Inventory (SPSI) and SPSI—Revised in differentiating 65 high-suicidal from 63 depressed, low-suicidal college students. Results from multivariate analyses indicated overall differences in problem-solving between these two groups as measured by the SPSI but not by the SPSI-R. Further examination of these differences revealed the high-suicidal group was different in problem-solving orientation, rather than problem-solving skills, compared to the depressed, low-suicidal group. However, when depression was statistically controlled in hierarchical regression analyses, none of the problem-solving measures predicted group membership. The superiority of the SPSI to the SPSI-R in differentiating these two groups appears to be accounted for by the elimination of 28 items in the revised version, many of which measure orientation to problem-solving. Also explored was the possibility that objective measures of problem-solving provide a better prediction of adjustment than do self-report measures.     

Case vignette: cybertherapy

Dr. Neuro Transmitter, a psychotherapist in Paramus, New Jersey, provides services through an online, real-time consultation service known as CyberShrink, Inc., of Dallas, Texas. He is paid by the hour for his consultation services to subscribers who are billed by credit card through CyberShrink. One afternoon he logs on and is connected via private "chat channel" to a new subscriber to the service. She is Ann Hedonia of Simi Valley, California. Ten minutes into the session, Dr Transmitter recognizes that Ms. Hedonia is seriously depressed with suicidal ideation and is feeling on the edge of her ability to cope. He gently suggests that perhaps she ought to think about hospitalization near her home. Ms. Hedonia replies, "Even you don't care about me! That's it. I'm going to do it!" and disconnects. Discussion questions: Is offering psychotherapy services online ethical? What are Dr. Transmitter's obligations in general and at this particular moment to Ms. Hedonia? Suppose Ms. Hedonia has a complaint about Dr. Transmitter. From whom can she seek a remedy? Which state's laws apply regarding professional practice, confidentiality, or licensing qualifications? Must Dr. Transmitter be licensed in any state to offer this service?     

A developmental study of children's preferences for paintings

In order to study the influence of style and subject matter on the development of children's art preferences, 60 randomly selected subjects from three grade levels, with an equal number of males and females, were shown ten color slides of paintings representing five categories of subject matter and two broad categories of style. Results indicated that style was the dominant variable at each grade level, and consistently accounted for more of the overall variance than subject matter. Unexpectedly, no appreciable developmental differences were evident in preference judgments across grade levels observed in this study.     

An ecological study of the reliability of clinical judgment in executive appraisal

This research was a study of the reliability of clinical judgment findings (multitrait) across three different information sources (psychometric tests, structured interview, and psychometric tests and interview). Subjects (N = 74) were middle and senior executives of Western Canadian technical companies; clinicians (N = 3) were trained and experienced industrial psychologists. The study investigated the similarity of clinical evaluation of personological characteristics (based on an 18-factor multitrait paradigm) across the three different information sources. Subjects were independently rated by a single clinician on 18 criterion factors in each of the three information source categories. Test information source categories required the administration of approximately 12 hrs of standardized psychological assessment questionnaires to each of the 74 subjects. Interview source category involved a 1.5-hr structured interview per subject. Combined condition pooled both test and interview conditions. Generalizability of the findings was maximized by the undertaking of the experiment in a natural situation thus increasing ecological validity. Statistical treatments used were designed to assess the similarity of a clinician's evaluation of a subject based on the different category of information available about that client. Convergence (intrarater reliability) indexes range from a high of .64 to a low of .05. Results indicate a varying degree of convergence of multitrait clinical ratings dependent on clinician and trait being rated. Results are discussed in terms of implications for practitioners involved in executive personnel selection.     

Multiple-answer multiple-choice test items: Responding and scoring through bayes and minimax strategies

A multiple-answer multiple-choice test item has a certain number of alternatives,any number of which might be keyed. The examinee is also allowed to mark any number of alternatives. This increased flexibility over the one keyed alternative case is useful in practice but raises questions about appropriate scoring rules. In this article a certain class of item scoring rules called thebinary class is considered. The concepts ofstandard scoring rules and equivalence among these scoring rules are introduced in the misinformation model for which the traditional knowledge model is a special case. The examinee's strategy with respect to a scoring rule is examined. The critical role of a quantity called the scoring ratio is emphasized. In the case of examinee uncertainty about the number of correct alternatives on an item, a Bayes and a minimax strategy for the examinee are developed. Also an appropriate response for the examiner to the minimax strategy is outlined.Research partially supported under Grants N00014-67-A-0314-0022 from the Office of Naval Research and GS-32514 and MPS 75-07539 from the National Science Foundation.     

Selective attention and changes in clinical state

Thirty inpatients of a psychiatric unit were given the Mini-Mult and a series of auditory selective attention tasks in order to test the hypotheses that (1) impaired attention is related to degree of pathology, and (2) improvement in clinical state leads to improved ability to selectively attend. The results showed that the relationship between the Mini-Mult and the listening tasks is significant only when the subjects had to exclude irrelevant stimuli (interference condition). The results also indicated that the relationship between clinical changes and changes in attentional performance is significant. The findings were discussed in terms of a quantitative theory of attention.     

In defence of a ratio model for movement detection at threshold

Sutherland (1961) proposed that the detection of motion might depend upon the ratios of firings in cells sensitive to movement in opposite directions. Sekuler and his collaborators have argued that the notion of a ratio mechanism at threshold is wrong. The findings and arguments upon which this conclusion was based are challenged, an explicit model is described which provides an account of data previously held to be inconsistent with a ratio model, and an experiment is reported which provides unequivocal support for the ratio model and whose findings are inconsistent with the predictions from Sekuler's “independence” model.