Mood, personality disorder symptoms and disability in obsessive compulsive hoarders: a comparison with clinical and nonclinical controls

Hoarding is a symptom of obsessive compulsive disorder (OCD), as well as a diagnostic criterion for obsessive compulsive personality disorder (OCPD). One recent study suggests that people who suffer from compulsive hoarding report more general psychopathology than people who do not [Frost, R.O., Krause, M.S., & Steketee, G. (1996). Hoarding and obsessive compulsive symptoms. Behavior Modification, 20, 116-132]. The present study addressed whether persons with OCD hoarding exhibit more depression, anxiety, OCD and personality disorders symptoms than community controls, OCD nonhoarders, or other anxiety disorder patients. Disability was also examined. Hoarding subjects were older than the other three groups, but age did not account for any of the differences observed among the groups. Compared to controls, OCD hoarding, nonhoarding OCD and anxiety disorder patients showed elevated YBOCS scores, as well as higher scores on depression, anxiety, family and social disability. Compared to nonhoarding OCD and anxiety disorder patients, OCD hoarding patients scored higher on anxiety, depression, family and social disability. Hoarding subjects had greater personality disorder symptoms than controls. However, OCD hoarding subjects differed from OCD nonhoarding and anxiety disorder subjects only on dependent and schizotypal personality disorder symptoms. The findings suggest that hoarding is associated with significant comorbidity and impairment compared to nonhoarding OCD and other anxiety disorders.     

Family perception of interpersonal behavior as a predictor in eating disorders: a prospective, six-year followup study

This study assessed family perception patterns of interpersonal behavior in families with a daughter diagnosed with an eating disorder 6 years after treatment that used a prospective design. Family perception patterns of patients found to have a poor outcome at followup (n = 15) were compared with patients with a good outcome (n = 23), as well as a control group (n = 36). Using the system of multiple level observation of groups (SYMLOG), all 238 family members evaluated themselves and each other. The index patients with a poor outcome perceived themselves as friendlier and more positive than they were perceived by their families. In comparison to parents of daughters with a good outcome and the control group, parents of daughters in the poor outcome group perceived themselves to be less friendly than their partners perceived them to be. A rigid polarization of the perception of the index patient by family members and a discrepancy in this perception between the index patient and the rest of the family were found to be indicative of a poor prognosis. Implications for treatment based on family perception patterns of interpersonal behavior are discussed.     

Visual perception of mean relative phase and phase variability

Perception of relative phase and phase variability may play a fundamental role in interlimb coordination. This study was designed to investigate the perception of relative phase and of phase variability and the stability of perception in each case. Observers judged the relative phasing of two circles rhythmically moving on a computer display. The circles moved from side to side, simulating movement in the frontoparallel plane, or increased and decreased in size, simulating movement in depth. Under each viewing condition, participants observed the same displays but were to judge either mean relative phase or phase variability. Phase variability interfered with the mean-relative-phase judgments, in particular when the mean relative phase was 0 degrees. Judgments of phase variability varied as a function of mean relative phase. Furthermore, the stability of the judgments followed an asymmetric inverted U-shaped relation with mean relative phase, as predicted by the Haken-Kelso-Bunz model.     

The concreteness effect: evidence for dual coding and context availability

The term concreteness effect refers to the observation that concrete nouns are processed faster and more accurately than abstract nouns in a variety of cognitive tasks. Two models have been proposed to explain the neuronal basis of the concreteness effect. The dual-coding theory attributes the advantage to the access of a right hemisphere image based system in addition to a verbal system by concrete words. The context availability theory argues that concrete words activate a broader contextual verbal support, which results in faster processing, but do not access a distinct image based system. We used event-related fMRI to detect the brain regions that subserve to the concreteness effect. We found greater activation in the lower right and left parietal lobes, in the left inferior frontal lobe and in the precuneus during encoding of concrete compared to abstract nouns. This makes a single exclusive theory unlikely and rather suggests a combination of both models. Superior encoding of concrete words in the present study may result from (1) greater verbal context resources reflected by the activation of left parietal and frontal associative areas, and (2) the additional activation of a non-verbal, perhaps spatial imagery-based system, in the right parietal lobe.     

Interhemispheric inhibition, intrahemispheric activation, and lexical capacities of the right hemisphere: a tachistoscopic, divided visual-field study in normal subjects

This study proposes that the lexical-semantic capacities of the right hemisphere (RH) are underestimated in normal subjects and reexamines them in a "dynamic model" framework. As expected, overloading the left hemisphere by combining a lexical-decision task presented in divided visual field with a concurrent heavy verbal memory load, and activating the RH by combining the lexical-decision task with a concurrent visuo-imaged memory load, lead to enhanced left visual field-RH lexical performance. The RH appears to support a larger lexical-semantic network than suggested in the literature, including representations for long and nonimageable words, and the accessibility threshold for the representations stored therein is modulated by hemispheric activation-inhibition mechanisms.     

Quantitative analysis of aphasic sentence production: further development and new data

The narrative production of patients with Broca's aphasia and age-and education-matched control subjects was analyzed using the Quantitative Production Analysis (Saffran et al., 1989), a procedure designed to provide measures of morphological and structural characteristics of aphasic production. In addition to providing data for a larger number of subjects than in the original study, we provide data on interrater and test-retest reliability. The data were also submitted to factor and cluster analyses. Two factors characterized the data and the cluster analysis yielded four sets of patients who performed differently on these factors. In particular, there is evidence that agrammatic patients can differ in their production of free and bound grammatical morphemes, substantiating earlier claims in the literature.     

Perceptual assumptions and projective distortions in a three-dimensional shape illusion

We examine a shape illusion, in which the balconies of a building appear to tilt up or down, depending on the viewpoint. The balconies are actually level parallelogram shapes, but appear as tilted rectangles. We measured the illusory tilts observed when parallelogram shapes are viewed above the line of sight, using three-dimensional stimuli consisting of parallelograms of various tilts viewed at different orientations. Under perspective projection, parallelism and orthogonality are not preserved. However, perspective distortions alone cannot account for the perceived tilts measured in these experiments, since observers perceived illusory tilts even for stimuli in the frontoparallel plane. We introduce a model, based on the theory that observers assume ambiguously projected three-dimensional angles to be equal to 90 degrees, but revise their predictions on the basis of observation. In the model, perceived tilt is predicted as a weighted sum of the tilts predicted by the assumptions that the shape is rectangular, and that the shape is level (i.e. that the angle between the shape and the vertical backboard is equal to 90 degrees). We prove that it is mathematically impossible for a planar rectangle to share a projection with a nonrectangular parallelogram. A less restrictive assumption that just the two leading internal angles are equal to 90 degrees is suggested as an alternative, and it is further proven that this new configuration of angles leads to a unique perceived tilt. The relative weights in the model reflect the amount that each prediction is revised, and are shown to vary systematically with stimulus orientation. For some observers a better fit was found by replacing the level-tilt assumptions with an assumption that physical tilt was equal to the projected tilt.     

Mutual inhibition in collaborative recall: evidence for a retrieval-based account

In Experiment 1 participants gave 3 successive free recalls of items learned either individually or in pairwise collaboration. The first and third recalls were performed individually, the second alone or in collaboration. Collaborative recall led to an inhibitory effect after individual learning but not after collaborative learning, in which partners had similar retrieval strategies. Consistent with a retrieval locus for collaborative inhibition, non-recalled items reappeared in subsequent individual recall. Experiment 2 showed that collaborative inhibition was eliminated when a separate retrieval cue was given for each item. Experiments 2 and 3 also showed that when participants learned items in the same order, their retrieval strategies were more similar and they showed less collaborative inhibition. It is concluded that mutual interference in collaborative recall is due to the mutual disruption of individual retrieval strategies.     

Functional characteristics of auditory temporal-spatial short-term memory: evidence from serial order errors

The functional characteristics of auditory temporal-spatial short-term memory were explored in 8 experiments in which the to-be-remembered stimuli were sequences of bursts of white noise presented in spatial locations separated in azimuth. Primacy and recency effects were observed in all experiments. A 10-s delay impaired recall for primacy and middle list items but not recency. This effect was shown not to depend on the response modality or on the incidence of omissions or repetitions. Verbal and nonverbal secondary tasks did not affect memory for auditory spatial sounds. Temporal errors rather than spatial errors predominated, suggesting that participants were engaged in a process of maintaining order. This pattern of results may reflect characteristics that serial recall has in common with verbal and spatial recall, but some are unique to the representation of memory for temporal-spatial auditory events.