PROMPTED VOIDING TO REDUCE INCONTINENCE IN COMMUNITY-DWELLING OLDER ADULTS

In-home caregivers were taught to implement a prompted voiding procedure with 2 older adults with cognitive impairments and urinary incontinence. Results suggested that the procedures can be implemented by family caregivers, and the intervention reduced incontinence for both participants.     

Simplified formulas for item selection and construction

The formula for the Pearson correlation coefficient of a dichotomous variable with a multiple-categoried variable is simplified for computational purposes by effecting in the multiple-categoried variable two types of arbitrary distributions: (1) rectangular and (2) proportional to binomial expansion coefficients. The formulas which result are convenient for the selection of test items and are applicable to the objective estimation of the comparative merits of the alternatives in multiple-choice test items. It is shown that the authoritative answer should have a high positive criterion coefficient, while the omissions and several wrong-answer alternatives should each have low (algebraic) negative criterion coefficients.     

Everybody needs to know?

I propose an amendment to Sosa’s virtue reliabilism. Sosa’s framework assigns a central role to sophisticated, conceptual, motivational states: ‘intentions to affirm aptly’. I argue that the suggestion that ordinary knowers in fact are motivated by such intentions in everyday belief-forming situations is at best problematic, and explore the possibility of an alternative virtue reliabilist framework. In this alternative framework, the role Sosa assigns to ‘intentions to affirm aptly’ is played instead by non-conceptual motivational states, which I call ‘needs’. The first part of the paper sketches Sosa’s framework. The second develops the need-based alternative. I close by comparing the two proposals, concluding that the onus is at least on Sosa to say why his intention-based framework should be preferred.     

Aging and visual 3-D shape recognition from motion

Two experiments were conducted to evaluate the ability of younger and older adults to recognize 3-D object shape from patterns of optical motion. In Experiment 1, participants were required to identify dotted surfaces that rotated in depth (i.e., surface structure portrayed using the kinetic depth effect). The task difficulty was manipulated by limiting the surface point lifetimes within the stimulus apparent motion sequences. In Experiment 2, the participants identified solid, naturally shaped objects (replicas of bell peppers, Capsicum annuum) that were defined by occlusion boundary contours, patterns of specular highlights, or combined optical patterns containing both boundary contours and specular highlights. Significant and adverse effects of increased age were found in both experiments. Despite the fact that previous research has found that increases in age do not reduce solid shape discrimination, our current results indicated that the same conclusion does not hold for shape identification. We demonstrated that aging results in a reduction in the ability to visually recognize 3-D shape independent of how the 3-D structure is defined (motions of isolated points, deformations of smooth optical fields containing specular highlights, etc.).     

Use of the Personality Assessment Inventory in Assessment of Posttraumatic Stress Disorder in Women

This study investigated the utility of the Personality Assessment Inventory (PAI) for the assessment of posttraumatic stress disorder (PTSD). Participants were 55 community-residing adult women who were administered a comprehensive battery that included the PAI and the Clinician-Administered PTSD Scale (CAPS). Participants were classified as either PTSD or non-PTSD based on the CAPS, and PAI profiles were compared between the two groups. Significant group differences were found for seven PAI clinical scales (Anxiety, Depression, Anxiety-Related Disorders, Somatic Complaints, Paranoia, Borderline Features, and Schizophrenia), one validity scale (Negative Impression), and two treatment scales (Nonsupport and Treatment Rejection). When all PAI scales and component subscales are considered, the largest group differences were found for the physiological subscale of the Depression scale (DEP-P) and the Traumatic Stress subscale of the Anxiety-Related Disorders scale (ARD-T). ARD-T and DEP-P also demonstrated excellent diagnostic utility. Finally, correlations between PAI scales and four CAPS symptom clusters provided additional validity evidence, in particular supporting a distinction between effortful avoidance and numbing. Taken together, these results support the use of the PAI in the assessment of PTSD.This study was the basis of a Masters thesis for Meghan McDevitt-Murphy. Portions of this study were presented at the annual meeting of the Association for Advancement of Behavior Therapy, November 2000.     

Induced mood change and dysfunctional attitudes in remitted bipolar I affective disorder

This study investigated the possibility that, in remitted bipolar I affective disorder, dysfunctional attitudes are mood-state dependent. Participants were 120 individuals with remitted bipolar I disorder, remitted unipolar depression, or no history of affective disorder. The Dysfunctional Attitudes Scale (DAS; Weissman, 1979) was completed before and after positive or negative mood challenge. Following mood increase, the bipolar group changed significantly less in DAS total score than did the other 2 groups, and in goal-striving and achievement attitudes relative to the unipolar group. These findings did not provide clear support for the mood-state dependency theory in bipolar disorder, arguing instead for the presence in bipolar I disorder of dysfunctional cognitions that show characteristic resilience in the face of minor positive mood increase.     

Counselling Older Adults Living in Residential Aged Care Settings: Four Illustrative Case Studies

The role of psychologists and other mental health professionals in long‐term care settings is undefined in Australia. Graduate psychology students receive little training in clinical geropsychology, and residential aged care providers do not routinely employ psychologists within such settings. Further, despite high rates of depression, neurocognitive problems, and other mental health problems, residents are rarely referred for evidence‐based psychological treatment. This article presents four case studies showing how psychology services may be employed in such settings within the context of a postgraduate psychology placement programme. These case studies emphasise the importance of engagement, the use of flexible and individualised treatment approaches, and the involvement of family and professional carers in the provision of psychological services. Psychology services in residential settings can have a positive impact on the care of older adults and their families.     

The Sortal Dependence of Demonstrative Reference

Abstract: ‘Sortalism about demonstrative reference’ is the view that the capacity to refer to things demonstratively rests on the capacity to classify them according to their kinds. This paper argues for one form of sortalism. Section 1 distinguishes two sortalist views. Section 2 argues that one of them is false. Section 3 argues that the other is true. Section 4 uses the argument from Section 3 to develop a new response to the objection to sortalism from examples where we seem to succeed in referring even though we get sortal classification wrong, or do not attempt to classify at all.