Health‐adjusted neuropsychological test norms based on 463 older Swedish car drivers

There is a need for improved normative information in particular for older persons. The present study provides neuropsychological test norms on seven cognitive tests used in a sample representing the general older driving population, when uncontrolled and controlled for physical health. A group of 463 healthy Swedish car drivers, aged 65 to 84 years, participated in a medical and neuropsychological examination. The latter included tests of visual scanning, mental shifting, visual spatial function, memory, reaction time, selective attention, and simultaneous capacity. Hierarchical regression analyses demonstrated that, when uncontrolled for health, old age was associated with significant impairment on all seven tests. Education was associated with a significant advantage for all tests except most reaction time subtests. Women outperformed men on selective attention. Controlling for health did not consistently change the associations with education, but generally weakened those with age, indicating rises in normative scores of up to 0.36 SD (residual). In terms of variance explained, impaired health predicted on average 2.5%, age 2.9%, education 2.1% and gender 0.1%. It was concluded (1) that individual regression‐based predictions of expected values have the advantage of allowing control for the impact of health on normative scores in addition to the adjustment for various demographic and performance‐related variables and (2) that health‐adjusted norms have the potential to classify functional status more accurately, to the extent that these norms diverge from norms uncontrolled for physical health.     

Formal Schooling Influences Two- but Not Three-Dimensional Naming Skills

The modulatory influence of literacy on the cognitive system of the human brain has been indicated in behavioral, neuroanatomic, and functional neuroimaging studies. In this study we explored the functional consequences of formal education and the acquisition of an alphabetic written language on two- and three-dimensional visual naming. The results show that illiterate subjects perform significantly worse on immediate naming of two-dimensional representations of common everyday objects compared to literate subjects, both in terms of accuracy and reaction times. In contrast, there was no significant difference when the subjects named the corresponding real objects. The results suggest that formal education and learning to read and to write modulate the cognitive process involved in processing two- but not three-dimensional representations of common everyday objects. Both the results of the reaction time and the error pattern analyses can be interpreted as indicating that the major influence of literacy affects the visual system or the interaction between the visual and the language systems. We suggest that the visual system in a wide sense and/or the interface between the visual and the language system are differently formatted in literate and illiterate subjects. In other words, we hypothesize that the pattern of interactions in the functional-anatomical networks subserving visual naming, that is, the interactions within and between the visual and language processing networks, differ in literate and illiterate subjects.     

Zeitgeist,Ortgeist, and personalities in the development of Scandinavian psychology

Although the Scandinavian countries Denmark, Norway, Finland, and Sweden are most often perceived as a rather homogeneous set of nations there are interesting diversities in the paths and patterns of the development of psychology. The strong experimental, neurobiological, and cognitive orientation of psychology in Finland and Sweden is contrasted with the more phenomenologically and clinically oriented psychology in Norway and Denmark. The concepts of Zeitgeist, Ortgeist, and personalities are used to explain the different courses of development in the Scandinavian countries. In Denmark and Norway a few dominant personalities in a few dominant university departments seem to have shaped the formation of psychology to a greater extent than in Finland and Sweden. The relatively late start of psychology as an independent academic discipline has opened Sweden and Finland to impulses from the Anglo‐American empirical tradition. Within‐country differences are highlighted with special reference to the Swedish development. Various local “schools” of psychology are characterized with Stockholm as the most notable example. Although psychophysics plays an insignificant role in Swedish psychology today, a pedigree with reference to Gösta Ekman demonstrates its critical and dominating role for the development of psychology in Sweden.     

ON THE NATURE OF THE PERCEPTUAL SPEED FACTOR

W erdelin , I. & S tjernberg , G. On the nature of the perceptual speed factor. Scand. J. Psychol ., 1969, 10, 185–192.–149 subjects, about 15 years old, were given 25 psychological tests. Some of these defined the reference factors R, S, N , and P , others were designed to study the nature of the P factor. It was found that certain visual tests showed successively higher loadings in the P and N factors the more they were practiced. This effect of practice is probably restricted to tests of a certain kind. Very simple visual tests showed high loadings in the P factor. Hypotheses as to the nature of the P factor are suggested.     

THE VALUE OF EXTERNAL DIRECTION AND INDIVIDUAL DISCOVERY IN LEARNING SITUATIONS: The learning of a fwen alphabet

W erdelin , I. The value of external direction and individual discovery in learning situations. II. The learning of a foreign alphabet. Scand J. Psychol ., 1968, 9, 248–251.—Three samples (A, B, C), selected at random from seven eighth grade classes and matched with respect to scholastic achievement, line of study, and sex, were taught a foreign alphabet differently. A was told the principles of the alphabet and applied it on examples; B was given most examples first, then told the principles, and given additional examples; C was given the examples only. There was a clear tendency that A learned the principles best as measured by the ability to apply them immediately but C was comparatively better on tests which measured retention and transfer.     

Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial

The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.     

The importance of impaired physical health and age in normal cognitive aging

The objective of this study was to investigate the importance of impaired physical health and age in normal cognitive aging. In our cross-sectional, clinical and explorative study, medical and neuropsychological data from 118 voluntary healthy controls aged 26-91 years were collected from five recruitment occasions. Health was assessed according to a criterion reflecting clinical and subclinical severity. The examinations included a clinical investigation, brain neuroimaging, and a comprehensive neuropsychological assessment. Regression analyses showed a significant incidence of clinical and subclinical medical disorders that explained 10.8% of the variation in cognitive performance, while age-related impairment explained 5.6%. Findings of the central nervous system were important but various other medical findings explained about half of the health-related variation. Cognitively demanding tasks were more susceptible to impaired physical health while tasks comprising salient motor- and visual spatial elements were more prone to be impaired by age. Our findings suggest (1) that impaired physical health is more important than chronological age in accounting for cognitive impairment across the adult lifespan, (2) that age and health dissociate with regard to cognitive functions affected, and (3) that selection for so-called "super healthy" elderly people might be justified in cognitive research. Because the prevalent diseases in normal aging are potentially preventable, the present findings promise good prospect for prevention of future cognitive disability among elderly people.     

Intersubject variability in fearful face processing: the linkbetween behavior and neural activation

Stimuli that signal threat show considerable variability in the extents to which they enhance behavior, even among healthy individuals. However, the neural underpinning of this behavioral variability is not well understood. By manipulating expectation of threat in an fMRI study of fearful versus neutral face categorization, we uncovered a network of areas underlying variability in threat processing in healthy adults. We explicitly altered expectations by presenting face images at three different expectation levels: 80 %, 50 %, and 20 %. Subjects were instructed to report as quickly and accurately as possible whether the face was fearful (signaled threat) or not. An uninformative cue preceded each face by 4 s. By taking the difference between reaction times (RTs) to fearful and neutral faces, we quantified an overall fear RT bias (i.e., faster to fearful than to neutral faces) for each subject. This bias correlated positively with late-trial fMRI activation (8 s after the face) during unexpected-fearful-face trials in bilateral ventromedial prefrontal cortex, the left subgenual cingulate cortex, and the right caudate nucleus, and correlated negatively with early-trial fMRI activation (4 s after the cue) during expected-neutral-face trials in bilateral dorsal striatum and the right ventral striatum. These results demonstrate that the variability in threat processing among healthy adults is reflected not only in behavior, but also in the magnitude of activation in medial prefrontal and striatal regions that appear to encode affective value.     

Formalizing common sense: an operator-based approach to the Tibbles–Tib problem

The paper argues, that a direct formalization of the way common sense thinks about the numerical identity of enduring entities, requires that traditional predicate logic is developed. If everyday language mirrors the world, then persons, organisms, organs, cells, and ordinary material things can lose some parts but nonetheless remain numerically exactly the same entity. In order to formalize this view, two new logical operators are introduced; and they bring with them some non-standard syntax. One of the operators is called ‘the instantiation operator’; it is needed because the existential quantifier and its traditional relatives cannot do the job required. The other operator is called ‘the form-on-matter operator’, and it allows an individual (an instance of a form) to stay the same even though some of its parts (its constituting matter) is taken away from it. Also, a certain kind of predicates, called ‘nature terms’, is needed in order to represent what gives a particular its kind of identity. Both the operators and the nature terms introduced can be used in constructions of formal languages and formal systems, but no such constructions are made in the paper. The paper is structured as a comment on the philosophical problem called ‘the problem of the cats Tibbles and Tib’.