Listening to discourse in distracting settings: the effects of aging

Younger and older adults listened to discourse in quiet and in conversational noise, before answering questions concerning the material. Some questions required listeners to recall specific details; others were of a more integrative nature. When the listening situation was adjusted for individual differences in hearing, younger and older adults were equally adept at remembering the gist of the passages in both quiet and in two levels of noise. The two age groups also did not differ with respect to memory for specific details when listening in quiet or in a moderate level of noise, even when required to perform a concurrent task. Only at the loudest noise level did younger adults tend to recall more detail than older adults. However, when no adjustments were made to compensate for the poorer hearing of older adults (all participants tested under identical listening conditions), older adults could not recall as much detail as younger adults, either in quiet or in noise. The results indicate that the speech-comprehension difficulties of older adults primarily reflect declines in hearing rather than in cognitive ability.     

Evaluating fidelity: predictive validity for a measure of competent adherence to the Oregon model of parent management training

When efficacious interventions are implemented in real-world conditions, it is important to evaluate whether or not the programs are practiced as intended. This article presents the Fidelity of Implementation Rating System (FIMP), an observation-based measure assessing competent adherence to the Oregon model of Parent Management Training (PMTO). FIMP evaluates 5 dimensions of competent adherence to PMTO (i.e., knowledge, structure, teaching skill, clinical skill, and overall effectiveness) specified in the intervention model. Predictive validity for FIMP was evaluated with a subsample of stepfamilies participating in a preventive PMTO intervention. As hypothesized, high FIMP ratings predicted change in observed parenting practices from baseline to 12 months. The rigor and scope of adherence measures are discussed.     

Tinnitus als soziale Infektion?

Background

11 out of 35 male employees of a central alert team with rescue coordination function developed a tinnitus disorder. This clinical case-study highlights the psychodynamic background of this accumulation.

Methods

Employees were investigated by psychometric questionnaires and semistructured psychodynamic biografical interviews. Additionally aspects of group dynamics and organisational structure were assessed.

Results

All staff members reported adverse work conditions. Medical and psychometric examination of the tinnitus patients did not reveal severe pathological findings. The interviews identified psychodynamic conflicts dealing with autonomy and regulation of self-esteem. All tinnitus patients reported a very adverse or punitive father relation and difficulties in performing a stabile male role and self-image. Group dynamics was dominated by paranoid and regressive tendencies complicated by maladaptive coping, crude perception of external facts and a pronounced experience of aggressive impulses.

Conclusion

The remobilisation of infantile powerlessness, ineffectiveness and helplessness triggered by adverse work conditions and the introduction of a new culture of personal responsibility within the work organisation together with an impaired coping of separation conflicts enforced by traumatic aspects of the relation with the father may have promoted the tinnitus symptomatology. Additionally, due to the missing awareness of the importance of such group dynamical processes the employers contributed to an increasing psychosocial distress, which promoted the accumulated manifestation of tinnitus as a conflict expressive symptom.     

Cognition and Self-Control: Cognitive Control of Painful Sensory Input

Eighty Ss were first tested for base-level response to a pain-producing stimulus and then were re-tested on the same pain stimulus after receiving 1 of 8 experimental treatments. The 8 treatments were arranged in a 2 x 2 x 2 factorial design: presence or absence of hypnotic induction procedure; presence or absence of instructions for anesthesia; and presence or absence of demands for honest reports. Neither the hypnotic-induction procedure nor the demands for honesty affected the Ss'reports of the degree of pain experienced. The anesthesia instructions--"think of the hand as numb and insensitive as if it were a piece of rubber..."--produced an equal degree of pain reduction in hypnotic and non-hypnotic Ss and in Ss who were and those who were not exposed to demands for honesty. The results indicate that (a) Ss' reports of pain are less affected by demands for honesty and are more closely related to their actual experiences than has been previously assumed and (b) instructions which direct Ss to exercise cognitive control over painful sensory input are effective (with or without 'hypnosis') in reducing the experience of pain.     

Modeling task switching without switching tasks: a short-term priming account of explicitly cued performance

Switch costs in task switching are commonly attributed to an executive control process of task-set reconfiguration, particularly in studies involving the explicit task-cuing procedure. The authors propose an alternative account of explicitly cued performance that is based on 2 mechanisms: priming of cue encoding from residual activation of cues in short-term memory and compound cue retrieval of responses from long-term memory. Their short-term priming account explains the repeated cue encoding benefit, switch cost, reduction in switch cost with preparation time, and other effects. The authors develop a mathematical model of their priming account and fit it to data from 3 experiments, demonstrating that a set of basic psychological processes can produce several effects--including putative switch costs--without switching tasks.     

Speech comprehension difficulties in older adults: cognitive slowing or age-related changes in hearing?

Speech comprehension declines more rapidly in older adults than in younger adults as speech rate increases. This effect is usually attributed to a slowing of brain function with age. Alternatively, this Age X Speed interaction could reflect the inability of the older adult's auditory system to cope with speed-induced stimulus degradation. When the authors speeded speech in a way that produced minimal degradation, both age groups were equally affected. However, when speech was speeded using other methods, word identification declined more in older than in younger adults. Hence, auditory decline rather than cognitive slowing may be responsible for older adults' poorer performance in speeded conditions.     

The Association of American Medical Colleges and the Association of Medical School Psychologists: Finding Psychology’s Place in Academic Medicine

This paper highlights the role of the Association of Medical School Psychologists (AMSP) as a bridge between academic medicine and psychology. AMSP’s affiliation with Division 12 of the American Psychological Association is discussed, but the primary focus is AMSP’s affiliation with the Association of American Medical Colleges (AAMC) and the AAMC’s Council of Academic Societies (CAS). The history, structure, activities, and goals of AAMC and CAS are examined. AMSP’s affiliation with AAMC is important for psychologists in medical schools and academic medical centers, and for psychology in general, because AAMC is the major voice of academic medicine in the US. AAMC activities affect medical education at all levels, as well as research and health services at academic medical centers, and health care policy at the national level. AMSP’s dual affiliation with AAMC’s CAS and APA’s Society of Clinical Psychology will increase psychology’s visibility and influence in academic medical centers and enhance the two-way flow of ideas and information between academic medicine and psychology.