A brief neuropsychological screening battery to detect brain damage in a psychiatric population

Seventy-five patients admitted to the psychiatric unit of a general hospital were administered a brief neuropsychological screening battery. Discharge diagnoses obtained from the medical records revealed that 20% had brainbased pathology. A discriminant function analysis resulted in a five-variable model (Symbol-Digit Modalities Test, educational level, Psychiatric-Organic subscale of the MMPI, and Shipley Vocabulary and Abstraction scores) which correctly classified 84% of the subjects, with 87% correct identification of the brain-damaged group. A jackknife cross-validation procedure resulted in comparable hit rates.     

Alcoholism: A conflict of models

Adherents to the traditional model of alcoholism explain alcoholic behavior as a consequence of alcoholism. Alcoholism is identified as an unseen, unmeasured entity inherent in alcoholics. This concept parallels the thinking of Copernicus, Kepler, Galileo, and Newton, who believed in an unseen, unmeasurable creator behind the physical world. These traditional approaches contrast with the emergent model of alcoholism and twentieth-century scientific thought. Emergent scientific model adherents explain alcoholic behavior without resort to unseen factors. Since the traditional and emergent scientific models begin with different assumptions, model adherents experience communication difficulties. Future developments with determine which model will dominate the field of alcohol studies and treatment.     

Difficulty and familiarity norms for 192 single-solution word fragments

Normative data are presented for the probability of successfully completing 192 single-solution word fragments. Normative data on the familiarity of college students with the solution words are also given, along with estimates of word frequency from existing norms. Regression analyses were performed in order to predict fragment completion difficulty from familiarity, frequency, and several structural characteristics of the fragments. Familiarity, whether or not first and/or last letters appeared in the fragment, and the ratio of letters to missing letters in the fragment were included in the regression equation as significant predictors of difficulty for this fragment set.     

“Aunt Grace can't have babies”

One of the most necessarily sensitive areas of pastoral care is dealing with perinatal death. This case study grows from a need for care providers to understand better the feelings of a mother in the loss of her baby. This particular exploration evolved from a taped interview with the writer's aunt (now in her seventies) and her dealings with the multiple losses she experienced over fifty years ago. Her conversation in the interview gives credibility to many coping skills that we endeavor to teach today and that she developed for herself out of a need to survive....it was as if the birds would never sing again.-Aunt Grace     

Macrocosm to microcosm: Toward a systemic model of personality

This paper attempts to: (1) provide a paradigm through which to understand the human self and, (2) bring some order out of the variety of theories of personality and strategies of change used in clinical practice today. Drawing on modern physics and general systems theory, a multi-leveled, systemic model incorporating physical, psychological, and spiritual dimensions is proposed and then applied to a representative clinical case. Implications of this model for clinical work and for a spiritual understanding of personality are elaborated.     

Discrepancy detection and vulnerability to misleading postevent information

When people are exposed to misleading details after a witnessed event, they often claim that they saw the misleading details as part of the event. We refer to this as themisinformation effect. In four experiments, involving 570 subjects, we explored the role that discrepancy detection plays in the misinformation effect. Experiment 1 showed that subjects who naturally read a post-event narrative more slowly were more resistant to the effects of misleading information contained in the narrative. In Experiment 2, subjects who naturally read more slowly were more likely to detect a discrepancy between what they were reading and what was stored in their memory. In Experiment 3, subjects who were instructed to read slowly were more likely to detect a discrepancy than were those who were instructed to read quickly. In Experiment 4, subjects who were instructed to read slowly were more resistant to misleading postevent information. Taken together, these results suggest that longer reading times are associated with a greater scrutiny of postevent information. This leads to an increased likelihood that discrepancies will be detected and that the misinformation will be resisted.     

Assessment of anxiety and achievement in kindergarten and first-and second-grade children

The psychometric properties of the State-Trait Anxiety Inventory for Children (STAIC) and relationships between STAIC T-Anxiety scores and standardized measures of achievement were determined for 948 kindergarten and first-and second-grade children. The T-anxiety scores of kindergarten children were lower than those of first-and second-graders. Internal consistency of the STAIC scales was higher in individual testing sessions than in small group administrations. Small but significant negative correlations were found between STAIC T-Anxiety scores and measures of school achievement. It was concluded that the STAIC is a potentially useful measure of state and trait anxiety in kindergarten through sixth-grade children, but it must be administered individually at the kindergarten and first-grade levels.The research was performed while the senior author was a senior research scientist at the Dallas Independent School District.     

Visual object recognition in patients with right-hemisphere lesions: axes or features?

An investigation is reported of the ability of normal subjects and patients with right-hemisphere lesions to identify 3-D shadow images of common objects from different viewpoints. Object recognition thresholds were measured in terms of angle of rotation (through the horizontal or vertical axis) required for correct identification. Effects of axial rotation were very variable and no evidence was found of a typical recognition threshold function relating angle of view to object identification. Although the right-hemisphere-lesion group was consistently and significantly worse than the control group, no qualitative differences between the groups were observed. The findings are discussed in relation to Marr's theory that the geometry of a 3-D shape is derived from axial information, and it is argued that the data reported are more consistent with a distinctive-features model of object recognition.