Metabolic and endocrine disturbances in psychiatric disorders: a multidisciplinary approach to appropriate atypical antipsychotic utilization

Patients with psychiatric disorders have an increased rate of cardiovascular morbidity and mortality compared with the general population. Metabolic issues such as weight gain, dyslipidemia, diabetes mellitus, diabetic ketoacidosis,and pancreatitis have been reported with the use of antipsychotic agents. Although atypical antipsychotics have not been linked directly to the development of metabolic syndrome, these medications have been shown to increase risk factors that can lead to metabolic and endocrine disturbances. Therefore, clinicians should provide ongoing monitoring for patients who are being treated for psychiatric disorders with these agents. According to the 2004 Consensus Report on Antipsychotics, screening measures should include baseline and follow-up monitoring of personal/family histories, weight (body mass index), waist circumference, blood pressure, fasting plasma glucose, and fasting lipid profile.     

Sustained change blindness to incremental scene rotation: a dissociation between explicit change detection and visual memory

In a change detection paradigm, the global orientation of a natural scene was incrementally changed in 1 degree intervals. In Experiments 1 and 2, participants demonstrated sustained change blindness to incremental rotation, often coming to consider a significantly different scene viewpoint as an unchanged continuation of the original view. Experiment 3 showed that participants who failed to detect the incremental rotation nevertheless reliably detected a single-step rotation back to the initial view. Together, these results demonstrate an important dissociation between explicit change detection and visual memory. Following a change, visual memory is updated to reflect the changed state of the environment, even if the change was not detected.     

Social antecedents of children's eyewtness testimony a single-subject experimental analysis

In a laboratory simulation, a single-subject design was used to examine the effects of two types of social influence on children's eyewitness testimony, which has not been the subject of systematic behavioral analyses. This study replicates and extends findings from group-comparison studies, and shows that a topic of pressing social importance is amenable to analysis at the individual level, and therefore, potentially, to a behavioral analysis.     

Assessing working memory and language comprehension in Alzheimer's disease.

Studies of language impairments in patients with Alzheimer's disease have often assumed that impairments in linguistic working memory underlie comprehension deficits. Assessment of this hypothesis has been hindered both by vagueness of key terms such as "working memory" and by limitations of available working memory tasks, in that many such tasks either seem to have little relationship to language comprehension or are too confusing or difficult for Alzheimer's patients. Four experiments investigated the usefulness of digit ordering, a new task assessing linguistic working memory and/or language processing skill, in normal adults and patients with probable Alzheimer's disease. The digit ordering task was shown to be strongly correlated with the degree of dementia in Alzheimer's patients. The task correlated with measures of language processing on which patients and normal controls performed differently. The results are interpreted as indicating that linguistic representations, linguistic processing, and linguistic working memory are intertwined, such that a deficit of one (e.g., working memory) cannot be said to "cause" a deficit in the other. The implications of this approach are explored in terms of task demands in comprehension and memory measures, and interpretation of previous results in the literature.     

Book reviews

Classical Probability in the Enlightenment. LORRAINE DASTON, 1988. Princeton, Princeton University Press. xviii + 423 pp., US$19.95 (paperback). ISBN 0–691–08497–1, 0–691–00644‐X (paperback)

Following Form and Function: a Philosophical Archaeology of Life Science. STEPHEN T. ASMA, 1996. Evanston, IL, Northwestern University Press. xiii + 232 pp., price not available

Concepts and Methods in Evolutionary Biology. ROBERT N. BRANDON, 1996. Cambridge, Cambridge University Press. xiv+221 pp., $US59.95 (hardback), $Can 27.50 (paperback). ISBN 0–521–49545–9 (hardback), 0–521–49888–0 (paperback)

The Completeness of Scientific Theories: on the Derivation of Empirical Indicators within a Theoretical Framework: the Case of Physical Geometry. The University of Western Ontario Series in Philosophy of Science, Volume 53. MARTIN CARRIER, 1994. Dordrecht, Kluwer. xviii + 248 pp., price not available. ISBN 0–7923–24757 (hardback)

The Philosophy and History of Molecular Biology: New Perspectives. Boston Studies in the Philosophy of Science, Volume 183. SAHOTRA SARKAR (Ed.), 1996. Dordrecht, Kluwer. 264 pp., $US127. ISBN 0–7923–3947–9

Awareness: What it is, What it does. CHRIS NUNN, 1996. London and New York, Routledge. price not available. ISBN 0–415–13227–4     

Does infancy matter? predicting social behavior from infant temperament

In this essay we argue that infant temperament, defined as behavioral styles that appear early in life as a direct result of neurobiological factors, plays a significant role in the development and expression of social behavior. Temperament may be studied using a typological or dimensional approach and the relations between early temperament and later behavior can be examined in terms of homotypic or heterotypic continuity. The implication of each of these approaches for understanding the influence of infant temperament on social development is examined. As well, utilizing data from our laboratory, we suggest that under certain circumstances one can predict social behavior by identifying two temperament types in infancy. These types are high reactive/high negative infants and high reactive/high positive infants. A significant proportion of the high reactive/high negative infants display behavioral inhibition and social reticence through the preschool years, whereas a significant proportion of the high reactive/high positive infants display exuberance and positive social interaction through the preschool period.     

Enhanced recognition and recall of new words in 7- and 12-year-olds following a period of offline consolidation

Recent studies of adults have found evidence for consolidation effects in the acquisition of novel words, but little is known about whether such effects are found developmentally. In two experiments, we familiarized children with novel nonwords (e.g., biscal) and tested their recognition and recall of these items. In Experiment 1, 7-year-olds were then retested on either the same day or the following day to examine changes in performance after a short delay compared with a longer delay that included sleep. Experiment 2 used two age groups (7- and 12-year-olds), with all participants being retested 24h later. The 12-year-olds accurately recognized the novel nonwords immediately after exposure, as did the 7-year-olds in Experiment 2 (but not in Experiment 1), suggesting generally good initial rates of learning. Experiment 1 revealed improved recognition of the novel nonwords after both short (3- to 4-h) and longer (24-h) delays. In contrast, recall was initially poor but showed improvements only when children were retested 24h later, not after a 3- to 4-h delay. Similar improvements were observed in both age groups despite better overall performance in 12-year-olds. We argue that children, like adults, exhibit offline consolidation effects on the formation of novel phonological representations.     

Vision and intelligence at age 83 in the Lothian Birth Cohort 1921

The extent to which visual function, measured as near and distant visual acuity and contrast sensitivity, is correlated with concurrently measured cognitive function and prior intellectual ability was investigated in a narrow age range group known as the Lothian Birth Cohort of 1921 (LBC1921). Participants were aged ~ 83 years at the time of testing (N = 321). A well-fitting structural equation model highlighted a significant contribution of a latent visual trait to a general fluid intelligence factor in old age, independent of the contribution from childhood intelligence. Additionally, childhood intelligence made a significant contribution to the general visual factor in old age. However, the model fitted equally well when the fluid intelligence factor is assumed to be a cause of the visual function latent trait, in which case childhood intelligence does not significantly influence vision in old age. We discuss these results with respect to four possible mechanisms by which vision and cognition can come to be correlated over the lifecourse.     

Learning and consolidation of new spoken words in autism spectrum disorder

Autism spectrum disorder (ASD) is characterized by rich heterogeneity in vocabulary knowledge and word knowledge that is not well accounted for by current cognitive theories. This study examines whether individual differences in vocabulary knowledge in ASD might be partly explained by a difficulty with consolidating newly learned spoken words and/or integrating them with existing knowledge. Nineteen boys with ASD and 19 typically developing (TD) boys matched on age and vocabulary knowledge showed similar improvements in recognition and recall of novel words (e.g. ‘biscal’) 24 hours after training, suggesting an intact ability to consolidate explicit knowledge of new spoken word forms. TD children showed competition effects for existing neighbors (e.g. ‘biscuit’) after 24 hours, suggesting that the new words had been integrated with existing knowledge over time. In contrast, children with ASD showed immediate competition effects that were not significant after 24 hours, suggesting a qualitative difference in the time course of lexical integration. These results are considered from the perspective of the dual‐memory systems framework.     

Cognitive control moderates early childhood temperament in predicting social behavior in 7‐year‐old children: an ERP study

Behavioral inhibition (BI) is a temperament associated with heightened vigilance and fear of novelty in early childhood, and social reticence and increased risk for anxiety problems later in development. However, not all behaviorally inhibited children develop signs of anxiety. One mechanism that might contribute to the variability in developmental trajectories is the recruitment of cognitive‐control resources. The current study measured N2 activation, an ERP (event‐related potential) associated with cognitive control, and modeled source‐space activation (LORETA; Low Resolution Brain Electromagnetic Tomography) at 7 years of age while children performed a go/no‐go task. Activation was estimated for the entire cortex and then exported for four regions of interest: ventromedial prefrontal cortex (VMPFC), ventrolateral prefrontal cortex (VLPFC), dorsal anterior cingulate cortex (dorsal ACC), and dorsal lateral prefrontal cortex (DLPFC). BI was measured in early childhood (ages 2 and 3 years). Anxiety problems and social reticence were measured at 7 years of age to ascertain stability of temperamental style. Results revealed that BI was associated with increased performance accuracy, longer reaction times, greater (more negative) N2 activation, and higher estimated dorsal ACC and DLPFC activation. Furthermore, early BI was only associated with social reticence at age 7 at higher (more negative) levels of N2 activation or higher estimated dorsal ACC or DLPFC activation. Results are discussed in the context of overcontrolled behavior contributing to social reticence and signs of anxiety in middle childhood.