Book Review

Arnheim, Rudolf, “Picasso's Guernica, The Genesis of a Painting,” University of California Press, Berkeley, California, 1962. Pp. 139, $8.50. Reviewed by Irving R. Stone     

Non-directive counselling in a general practice

Many patients in general medical practice are not ill in the physical sense, but bring their unhappiness to the surgery. An experiment is described in which a counsellor was attached to a general practice in north London, to help to deal with problems of this kind.     

Description and Evaluation of a Measurement Technique for Assessment of Performing Gender

The influence of masculinity and femininity on behaviors and outcomes has been extensively studied in social science research using various measurement strategies. In the present paper, we describe and evaluate a measurement technique that uses existing survey items to capture the extent to which an individual behaves similarly to their same-gender peers. We use data from the first four waves of The National Longitudinal Study of Adolescent to Adult Health (Add Health), a nationally representative sample of adolescents (age 12–18) in the United States who were re-interviewed at ages 13–19, 18–26, and 24–32. We estimate split-half reliability and provide evidence that supports the validity of this measurement technique. We demonstrate that the resulting measure does not perform as a trait measure and is associated with involvement in violent fights, a pattern consistent with theory and empirical findings. This measurement technique represents a novel approach for gender researchers with the potential for expanding our current knowledge base.     

Perception of structure in novel music

Two experiments demonstrated the way in which musicians and nonmusicians process realistic music encountered for the first time. A set of tunes whose members were related to each other by a number of specific musical relationships was constructed. In Experiment 1, subjects gave similarity judgments of all pairs of tunes, which were analyzed by the ADDTREE clustering program. Musicians and nonmusicians gave essentially equivalent results: Tunes with different rhythms were rated as being very dissimilar, whereas tunes identical except for being in a major versus a minor mode were rated as being highly similar. In Experiment 2, subjects learned to identify the tunes, and their errors formed a confusion matrix. The matrix was submitted to a clustering analysis. Results from the two experiments corresponded better for the nonmusicians than for the musicians. Musicians presumably exceed nonmusicians in the ability to categorize music in multiple ways, but even nonmusicians extract considerable information from newly heard music.     

Word-finding abilities of three types of aphasic subjects

Word-finding difficulties are often observed among different types of aphasic patients. This investigation analyzed the word-finding abilities of 30 aphasic subjects (10 Broca's, 10 Wernicke's, and 10 anomic). Forty nouns counterbalanced according to word length and frequency of occurrence in English language usage were used as stimuli and presented through four modalities (oral expression, writing, auditory comprehension, and reading comprehension). It was expected that patterns of word finding abilities would help in the classification of the different types of aphasia. In addition, long words and less frequently occurring words in English language usage should prove more difficult in word-finding ability, regardless of modality. The results of this study found long words and less frequent words were more difficult for aphasic subjects. Among the modalities, long words were significantly harder than short words for the writing modality only. It was also found that semantic errors were the most common errors for all types of aphasic subjects. Broca's subjects produced significantly moreno response errors in oral expression; Wernicke's subjects produced significantly more semantic and phonemic errors in reading comprehension; and, Wernicke's subjects produced significantly more unrelated errors in both oral expression and reading comprehension. Clinical implications were also discussed.The present study was based on a doctoral dissertation completed at the City University of New York in partial fulfillment of the requirements of the doctoral degree in Speech and Hearing Sciences by the first author under the direction of the second author. The authors wish to thank Dr. Louis J. Gerstman for his assistance with the statistical analysis of this research and Dr. Robert Goldfarb for all his helpful suggestions and editorial comments.     

Beyond Pathologizing Harm: Understanding PTSD in the Context of War Experience

An alternative to objectifying approaches to understanding Post-traumatic Stress Disorder (PTSD) grounded in hermeneutic phenomenology is presented. Nurses who provided care for soldiers injured in the Iraq and Afghanistan wars, and sixty-seven wounded male servicemen in the rehabilitation phase of their recovery were interviewed. PTSD is the one major psychiatric diagnosis where social causation is established, yet PTSD is predominantly viewed in terms of the usual neuro-physiological causal models with traumatic social events viewed as pathogens with dose related effects. Biologic models of causation are applied reductively to both predisposing personal vulnerabilities and strengths that prevent PTSD, such as resiliency. However, framing PTSD as an objective disease state separates it from narrative historical details of the trauma. Personal stories and cultural meanings of the traumatic events are seen as epiphenomenal, unrelated to the understanding of, and ultimately, the therapeutic treatment of PTSD. Most wounded service members described classic symptoms of PTSD: flashbacks, insomnia, anxiety etc. All experienced disturbance in their sense of time and place. Rather than see the occurrence of these symptoms as decontextualized mechanistic reverberations of war, we consider how these symptoms meaningfully reflect actual war experiences and sense of displacement experienced by service members.     

How does discourse among like-minded individuals affect their thinking about a complex issue?

Is there reason to be concerned about what has been seen as an increasing trend for discourse on complex issues to be confined to an “echo chamber” of like-minded individuals? To investigate how thinking regarding an issue changes in form following concentrated discourse with like-minded peers, we undertook a qualitative examination of changes in the reasoning that 34 older adults used to justify their positions prior to and following such discourse. They showed a divergence of patterns. A minority abandoned mention of previously expressed ideas at odds with their own positions or otherwise narrowed the reasoning used to justify their positions. Consistent with findings from previous studies, only a minority showed increased certainty and/or extremity (polarisation) on quantitative scales. Countering this minority were a larger proportion whose thinking appeared to benefit from such engagement in several respects that we describe. A follow-up study compares results for a sample of young adults.