Treatment of urinary urgency and excessive frequency: a case study

A 39-year-old male presenting with a 5 year history of excessive urinary frequency and urgency was treated first with scheduling of urination, use of external urinary catheter and progressive muscular relaxation and then with a urinary retention training procedure. After the first set of procedures, urinary frequency decreased, whereas urgency increased slightly. After completion of retention training, both symptoms were alleviated. Overall, urinary frequency decreased from a baseline average of 14 urinations daily to a post-treatment average of 6.5 urinations per day. Urinary urgency decreased from a baseline average of 35 urges per day to a post-treatment average of 9.3 urges per day. Gains were maintained at 3 and 5 month follow-up.     

Saccade latency and warning signals: Effects of auditory and visual stimulus onset and offset

Previous studies have found that a nonspecific visual event occurring at the fovea 50–150 msec after the onset of a peripheral target delayed the initiation of the saccade to that target. The present studies replicated and extended this finding by studying the effects of both visual and auditory warning signals, by examining the effects of onset and offset warning on manual response latency, and by investigating the effects of presenting the warning events in the periphery of the visual field. The results indicated that the interfering effects occur with visual but not auditory stimuli, with saccades but not motor responses, and when the visual warning event occurs either foveally or in the subject’s periphery. Implications for the processes involved are discussed.     

The more,the better?: Number of decisions as a determinant of memorability

Three experiments tested alternative explanations to the Johnson-Laird, Gibbs, and deMowbray (1978) proposal that the number of decisions made about a word is a major determinant of its memorability. The alternatives considered were increased processing time, retrieval aids, and the number of positive decisions. In Experiment 1, subjects made a speeded classification about each word for a category defined by three properties. Though items with more target properties were processed longer and better remembered, within a property level processing time was not associated with better memory. In Experiment 2, subjects received three properties, but different groups responded “Yes” to words with all three properties, words with any of the three properties, or whether words had each of the properties. As predicted by the number-of-decisions hypothesis, but not by the other hypotheses, with an increasing number of target properties, recall generally increased in the ALL group, decreased in the ANY group, and remained constant in the EACH group. In Experiment 3, this recall pattern was replicated with a different set of two target properties. The number-of-decisions notion is contrasted to the elaboration principle, and a simple model is proposed. It is concluded that the number of decisions is a useful technique for investigating within-level encoding differences     

Phonological processing during silent reading in aphasic patients

In a task involving the detection of a predesignated letter during the silent reading of a series of passages, left-brain-damaged aphasic patients and right-brain-damaged patients showed patterns of performance consistent with those of normal individuals. Both of the brain-damaged groups were more likely to detect letters when they were pronounced in a typical way (e.g., g in "ago") than in an atypical way (e.g., g in "through"), suggesting the use of phonological recoding during silent reading. In addition, both of these groups were more likely to detect letters when they occurred in content than in function words, suggesting a differential processing of these word types. Possible differences in the strategies predominantly relied on for phonological recoding and for the differential processing of content and function words by different groups of patients are discussed.     

Emotionality of encoding activity in face memory

The effects of emotionality of study tasks on face recognition were examined. Subjects made either personality decisions or self-comparisons about the people shown in a series of photographs. The personality traits judged during the encoding tasks had been selected to be either arousing or relatively nonarousing. Face recognition performance was best after an emotional nonself study task, on both immediate and delayed tests. In a companion study examining these manipulations in verbal memory, self-reference study tasks produced the best word recognition, with no difference due to the emotionality of nonself tasks. These results suggest emotionality and self-awareness have different effects on facial and verbal memory. A final study indicated that the effect of emotionality disappeared if it was added to self-reference. As regards self-reference differences in face and verbal memory, this series of experiments seems to rule out an emotionality confounding. It was concluded that self-images are less effective mnemonic aids than the propositional self-concept.     

The effects of therapist-client age similarity on pretherapy expectations

The present study investigated the effects of similarity between psychotherapist age and client age on client's preference for a therapist, willingness to disclose, expected therapeutic climate, and perceptions of therapist competence. Similarity theory provided a rationale for the hypothesis that prospective clients would perceive a psychotherapist similar in age more favorably than a therapist dissimilar in age. Support for the hypothesis was obtained on the dimensions of client preference, willingness to disclose, and therapist competence. Also, consistent with previous research, high experienced therapists were viewed more favorably than low experienced therapists.This research is based on a doctoral dissertation submitted by Kathleen M. Tall under the direction of Michael J. Ross to Saint Louis University.     

Confidentiality: a survey in a research hospital

Despite the many justifications for protecting patient confidentiality, we recognize that confidentiality cannot be absolute. Our world of automated information and easy access and storage poses many threats to confidentiality. This paper has described a survey conducted at the NIH Clinical Center to assess the knowledge, attitudes, and behaviors of clinical physicians and nurses about confidentiality of patient information. The survey findings demonstrate the need for reminders and increased awareness about confidentiality in our setting. Most of the survey respondents had a good knowledge of what was expected of them, and they believed that confidentiality was important and maintaining it was their responsibility. Of interest was that in several simulated clinical situations, there was a discrepancy between what respondents indicated they should do and what they thought they would do. The biggest discrepancies appeared in situations that involved overhearing a patient conversation on the elevator, approaching an unfamiliar person who is reading a medical record in the nurses' station, and answering a patient's inquiry about the status of another patient. The findings support the speculation that this difference may be attributed to discomfort or decreased awareness, and not necessarily to lack of knowledge. Results indicate that policies and administrative expectations should be frequently communicated and enforced, and that educational programs that address issues of confidentiality should be provided. The results of this survey have been influential in guiding educational strategies and administrative activities at the clinical center. The clinical center initiated a confidentiality awareness campaign, displaying a new poster every three months in strategic locations and distributing other tangible reminders (such as pens, magnets, and buttons) containing the same confidentiality message.(ABSTRACT TRUNCATED AT 250 WORDS)     

Abortion and the death of the fetus

Abortion is conceptualized as encompassing two aspects: ending the physical dependency relationship the fetus has to the mother, and terminating the life of the fetus. Analysis of the unique nature of the mother-fetus and mother-child relationship leads to the conclusion that both the act of abortion and the pregnant woman's decision to seek the death of the fetus can be logically justified.