Emergent persons

Recent psychological theorizing about the emergence of persons makes a number of ontological claims that are not always explicit. A critical consideration of such claims reveals both considerable convergence and some points of disagreement across different psychological theories of emergent personhood. What is clear is that all such theories resist the reduction of persons to biophysical or sociocultural properties, conditions, and processes. In various ways, they each call for a nonreductionistic recognition of the sociocultural constitution of important aspects of personhood, without denying the necessity of biophysical requirements of personhood. Because standard emergentist positions in physical science and the philosophy of physical science mostly ignore the sociocultural level of reality, psychological theorizing about the emergence of persons requires an alternative ontological framework. It is proposed that an ontology of levels of reality that includes the physical, chemical, biological, sociocultural, and personal/psychological is appropriate for understanding how persons are both substantively and relationally emergent within the biophysical, sociocultural world. With such an ontological framework in place, it is possible to understand human activity in the world as the primary vehicle for both the phylogenetic evolution and ontogenetic development of persons.     

Children's Narratives Following Traumatic Brain Injury: Linguistic Structure, Cohesion, and Thematic Recall

Narrative discourse and intellectual functioning were examined 3 years following traumatic brain injury (TBI) in children 1 to 8 years of age at the time of injury. The language-impaired TBI group (n= 9) had language deficits during the subacute stage of recovery; their performance was contrasted with that of a TBI comparison group equated on neurologic and demographic variables that did not show subacute language impairment (n= 8) and a sibling comparison group (n= 9). The language-impaired TBI group had lower Verbal and Full-Scale IQ scores and produced fewer words and utterances than the sibling group on a story retelling task; their stories were characterized by fewer complete referential and lexical ties and more referential errors, indicating difficulty conjoining meaning across sentences. The language-impaired TBI group recalled approximately one-third of the propositions needed to maintain the story theme and made more errors sequencing the propositions than either the TBI or the sibling comparison groups. Group differences were not obtained on the Performance IQ scores or on measures of rate or fluency of speech production, mazes, use of conjunctives, or naming errors. The discourse deficiencies of children with TBI and acute language impairment were most pronounced at the level of cognitive organization of the text reflecting text macrostructure and were least apparent at the level of lexical and sentential organization reflecting text microstructure. Results are discussed in terms of the vulnerability of developing language abilities to disruption by brain injury.     

Mental Health and Managed Care

In this essay I continue the conversation going on today on the crisis in delivering mental-health care within the realities of managed care. A guiding perspective is represented briefly in material from the writings of Edmund Pellegrino. He recommends the norm of patient-centered relationships to direct and govern managed care so cost can be controlled, but not by the sacrifice of quality of care. This emphasis must be balanced with a struggle for the greater social good and fair allocation of goods to all citizens. Definitions are offered along with a discussion of controversial issues and constructive suggestions to make possible a better future for the work of mental health in relation to managed care.     

Sensation seeking among high- and low-risk sports participants

Investigated were the sensation seeking tendencies of a diverse sample of 166 athletes. The main aim of the study was to assess empirical support for Zuckermans (1994)Impulsive-Sensation-Seeking (ImpSS) theory and to replicate and extend previous research findings in this area using high- and low-risk sport participants. The Sensation Seeking Scale-V (Zuckerman et al., 1978) and the Impulsiveness Scale of the Impulsiveness-Venturesome-Empathy Scale (Eysenck and Eysenck, 1978), were administered to both male and female athletes currently engaged in one of eight sport disciplines: Hang-gliding, mountaineering, sky-diving, automobile racing, swimming, marathon running, aerobics or golf. Results provided support for the main thrust of Zuckermans ImpSS theory (a) that sensation seeking is integrated within a broader trait called Impulsive-Sensation Seeking; and (b) that total sensation seeking differentiated between high- and low-risk sport participants. On the other hand, these participants did not differ on the impulsiveness dimension. These and other findings are integrated with respect to Zuckermans (1994)Impulsive-Sensation Seeking model. Limitations of the present study and suggestions for future research are also discussed.