Clinical judgment, clinical training, and professional experience

Reviews studies on training, experience, and clinical judgment. The results on the validity of judgments generally fail to support the value of on-the-job experience in mental health fields. The validity results do provide limited support for the value of training. Other results suggest that experienced clinicians are better than less experienced judges at knowing which of their judgments are likely to be correct and which are likely to be wrong. Reasons why clinicians have trouble learning from experience are given. Recommendations are made for improving training and clinical practice.     

The perception of temporal deviations in isochronic patterns

In a study of perceptual synchronization with an isochronic sequence, subjects were given the following task: They heard an isochronic sequence of tones in which the last interval was either correct or too long. Their task was to detect irregularity. The independent variables were the number of tones heard and the time interval between them. The dependent variable was the difference limen (DL) for the detectability of the irregularity. Two experiments were performed in this study, differing in the way in which the trials were blocked: In Experiment 1, stimuli with the same period were presented in blocks, whereas in Experiment 2, the period of the stimulus was randomized. The results show that in Experiment 1 the number of tones in the stimulus did not affect the detectability of the anisochrony. In Experiment 2, the number of the DL was a decreasing function of the number of tones heard. Moreover, the decrease of the DL was larger than one would expect from a simple model of information integration, which assumes that subjects improve their performance by averaging their percepts of the first intervals in the sequence. The difference between this task and experiments on the discrimination of temporal intervals is discussed.     

Negative afterimages and the McCollough effect

Four experiments were conducted to test earlier claims about the relationship between the negative afterimage and the McCollough effect. The first claim (Hansel & Mahmud, 1978) is that long-lasting afterimages occur when induced by the same alternating-stimulus procedure as that used to induce the McCollough effect. The second claim (Murch & Hirsch, 1972) is that afterimages can themselves induce McCollough effects if they are induced and paired sequentially with grating patterns. In testing these claims, a reliable computer-controlled color-cancellation technique developed earlier was used to measure the apparent color of both afterimages and McCollough effects objectively. No support was found for the first claim following alternative presentation of two homogeneously colored regions for total periods of 5 min (Experiment 1) and 20 min (Experiment 2). The second claim was fully supported: After an induction period of 7.3 min, a McCollough effect occurred for a red-vertical pairing but not for a green-horizontal pairing (Experiment 3); but after an induction period of 20 min, McCollough effects occurred strongly for both pairings (Experiment 4). The theoretical implications of these outcomes are considered in the context of recent theories of color and pattern processing in the visual system.     

Extraretinal information about eye position during involuntary eye movement: optokinetic afternystagmus

Despite importance for theories of perception, controversy exists as to whether information is available to the perceptual system about involuntary as well as voluntary eye movements. We measured the perceived direction of targets flashed briefly in an otherwise dark field during the primary phase of optokinetic afternystagmus (OKAN), an involuntary eye movement that persists in darkness following optokinetic stimulation. Perceived direction was measured by unseen pointing in one experiment and by pointing made under visual control in a second experiment. Pointing was essentially veridical in both experiments, indicating that accurate extra-retinal information about eye position (presumably, as efference copy) exists for OKAN. Illusory motion of visual targets, which can occur during involuntary oculomotor responses, therefore cannot be attributed to a lack of efference-copy signals for such eye movements.     

Stressed vowel perception in word recognition

The purpose of this study was to measure subjects' ability to detect deliberate stressed, front-vowel misarticulations embedded in two-syllable words. Reaction times to words with various vowel-height misarticulations were examined for 25 women to assess the effect of a specific vowel height change on listeners' ability to recognize a word. Statistical analysis indicated no significant differences between reaction times to initial, stressed vowel changes along the height dimension, suggesting that subjects responded similarly to all vowel errors on the detection task. This finding provides further evidence that stressed-vowel information may serve as a perceptual anchor in guiding a listener during word recognition.     

Spatial frequencies and the cerebral hemispheres: contrast sensitivity, visible persistence, and letter classification

The hypothesis that the two cerebral hemispheres are specialized for processing different visual spatial frequencies was investigated in three experiments. No differences between the left and right visual fields were found for: (1) contrast-sensitivity functions measured binocularly with vertical gratings ranging from 0.5 to 12 cycles per degree (cpd); (2) visible persistence durations for 1- and 10-cpd gratings measured with a stimulus alternation method; and (3) accuracy (d') and reaction times to correctly identify digitally filtered letters as targets (L or H) or nontargets (T or F). One significant difference, however, was found: In Experiment 3, a higher decision criterion (beta) was used when filtered letters were identified in the right visual field than when they were identified in the left. The letters were filtered with annular, 1-octave band-pass filters with center spatial frequencies of 1, 2, 4, 8, and 16 cpd. Combining four center frequencies with three letter sizes (0.5 degrees, 1 degree, and 2 degrees high) made some stimuli equivalent in distal spatial frequency (cycles per object) and some equivalent in proximal spatial frequency (cycles per degree). The effective stimulus in the third experiment seemed to be proximal spatial frequency (cycles per degree) not distal (cycles per object). We conclude that each cerebral hemisphere processes visual spatial frequency information with equal accuracy but that different decision rules are used.     

Perceptual localization of visual stimuli flashed during saccades

Subjects were asked to make a saccade to a visual target flashed in the dark during a prior primary saccade, and to report its apparent position by moving an adjustable light spot to that position. When targets were presented at the beginning of the primary saccade, subjects perceptually mislocated them in the direction of the saccade, whereas when targets were presented immediately before the end of the primary saccade, the flashed targets were mislocated in the opposite direction. The perceptually localized position of the target was primarily determined by its retinal position. However, at all actual and retinal positions of the target, the localized position shifted from the position that would be predicted if the location of the target was determined only by its retinal position to the prior primary saccade direction. The results were discussed in relation to extraretinal eye position signals. Subjects moved their eyes not to the actual position of the target, but to its apparent position. In some trials, there was a discrepancy between perceptual and oculomotor localization, which was interpreted as having been caused by the imprecise localization ability of the oculomotor system.     

Obstacle perception by congenitally blind children

The ability to perceive objects from a distance and navigate without vision depends principally on auditory information. Two experiments were conducted in order to assess this ability in congenitally blind children aged 4 to 12 years who had negligible amounts of visual experience or formal mobility training. In Experiment 1, children walked along a sidewalk toward a target location to get some candy. A box was placed along the path on some trials, and the children were instructed to avoid the box if it was present. The children spent more time in the region just in front of the box than in the region just behind it, indicating that they perceived the box and acted so as to navigate around it. In Experiment 2, children attempted to discriminate whether a nearby disk was on their left or on their right. The children performed at above-chance levels, again indicating distal perception of objects. The results of both experiments suggest that blind children with little or no visual experience or formal training utilize nonvisual information, presumably auditory, to perceive objects. The specific nature of this auditory information requires further investigation, but these findings imply that the underlying perceptual ability does not require experience in spatial vision or deliberate training and intervention.