Effects of midterm integration on state and trait anxiety in black and white elementary school children

This study investigated the effects of stress associated with school integration on state and trait anxiety for 637 Black and White fourth- fifth- and sixth-grade children. A court-ordered integration plan resulted in the transfer of children from all-White and all-Black schools into integrated schools 2 months before the end of the school year. The State-Trait Anxiety Inventory for Children (STAIC) was administered 1 week prior to the transfer and 6 weeks following transfer. Females who were transferred had higher state anxiety scores than nontransferred females, but there were no differences for males. Transferred Black and White children did not differ in state anxiety, but transferred Blacks were higher in trait anxiety than transferred Whites.     

Clinical interpretation: The hermeneutics of medicine

I argue that clinical medicine can best be understood not as a purified science but as a hermeneutical enterprise: that is, as involved with the interpretation of texts. The literary critic reading a novel, the judge asked to apply a law, must arrive at a coherent reading of their respective texts. Similarly, the physician interprets the text of the ill person: clinical signs and symptoms are read to ferret out their meaning, the underlying disease. However, I suggest that the hermeneutics of medicine is rendered uniquely complex by its wide variety of textual forms. I discuss four in turn: the experiential text of illness as lived out by the patient; the narrative text constituted during history-taking; the physical text of the patient's body as objectively examined; the instrumental text constructed by diagnostic technologies. I further suggest that certain flaws in modern medicine arise from its refusal of a hermeneutic self-understanding. In seeking to escape all interpretive subjectivity, medicine has threatened to expunge its primary subject — the living, experiencing patient.     

Temporal specificity of extinction in autoshaping

Three experiments investigated the effects of varying the conditioned stimulus (CS) duration between training and extinction. Ring doves (Streptopelia risoria) were autoshaped on a fixed CS-unconditioned stimulus (US) interval and extinguished with CS presentations that were longer, shorter, or the same as the training duration. During a subsequent test session, the training CS duration was reintroduced. Results suggest that the cessation of responding during an extinction session is controlled by generalization of excitation between the training and extinction CSs and by the number of nonreinforced CS presentations. Transfer of extinction to the training CS is controlled by the similarity between the extinction and training CSs. Extinction learning is temporally specific.     

Assessing personality disorders using a systematic clinical interview: evaluation of an alternative to structured interviews

The aim of this study was to assess interrater reliability and provide initial data bearing on the validity of a method of assessing personality disorders (PDs) that does not presume that patients can accurately self-report personality pathology. In a sample of 24 outpatients, two clinician-judges independently applied the Shedler-Westen Assessment Procedure-200 (SWAP-200; Westen & Shedler, 1999a, 2000), a 200-item Q-sort procedure for assessing personality pathology, to data from the Clinical Diagnostic Interview (Westen, 2002), a systematic clinical interview that mirrors and standardizes methods used by experienced clinicians to diagnose personality. In 16 of the 24 cases, the treating clinician also independently described the patient using the SWAP-200 Q-sort, based on longitudinal knowledge of the patient over the course of treatment, blind to the interview data. Interrater reliability was uniformly high, with median correlations between interviewers at r > .80. Interviewer-treating clinician correlations were also high, with median convergent validity coefficients at r > .80. Diagnostic overlap (discriminant validity) was moderate for dimensional DSM-IV diagnoses, reflecting extensive comorbidity among disorders, but minimal for empirically derived diagnoses identified in prior research. Treating clinicians' dimensional PD diagnoses using this method also strongly predicted interviewer-rated measures of adaptive functioning. The findings provide preliminary support for the reliability and validity of an alternative to structured interviews for diagnosing personality pathology, and suggest that the way to improve validity of personality diagnosis may not be to minimize clinical inference but to quantify it using psychometric instruments.     

Genetic Counseling for Personal Genomic Testing: Optimizing Client Uptake of Post-Test Telephonic Counseling Services

The field of genetic counseling faces a broad challenge: many potential clients may not be aware of the value and benefit of genetic counseling services, and therefore may not utilize those services. Navigenics is a personal genomic testing company that provides telephonic genetic counseling services for multifactorial diseases and pharmacogenetics. When first offered in 2008, utilization of the Navigenics genetic counseling service was less than expected. To explore the basis for under-utilization and potential mechanisms for increasing uptake, Navigenics initiated a quality improvement study, in which three different methods of engaging clients in the uptake of genetic counseling services were assessed over the course of 1 year. Outcomes showed significant differences in uptake rates between methodologies (7.5%, 24.6%, and 60.1%), yielding an 8-fold increase in service utilization when post-test telephonic outreach to all clients was performed. Further, utilization spanned all risk levels based on client results, evidence that not only clients with high-risk results were motivated to engage in the genetic counseling service. This research indicates that implementing strategies to educate clients about genetic counseling can positively impact client engagement and utilization of available services.     

The Development of the Universal Ethnic Identity Scale (UEIS) for use in an Australian context

The aim of the present research was to develop a measure that assessed the level of ethnic identification of adults from diverse ethnic backgrounds, as well as individuals' level of ethnic identification with a host culture following migration. In the first study, an ethnically diverse sample of 275 people (138 males and 137 females) responded to a range of new items, as well as items drawn from related scales. Factor analysis revealed three dimensions of ethnic identity that were labelled, “Pride in Ethnic Background and Language,”“Liking for Traditional and Social Activities of my Ethnic Group,” and “Sense of Belonging to This (host) Country.” This factor structure was evaluated in a second study with 1,007 (552 males, 455 females) adults from culturally and linguistically diverse backgrounds. A two‐factor structure provided the most parsimonious fit to the data but further investigation of the factor structure within ethnically diverse samples was recommended. The results are discussed in relation to theories of social identity as well as research on ethnic identification and adaptation.     

Memory search for the first target modulates the magnitude of the attentional blink

The resolution of temporal attention is limited in a manner that makes it difficult to identify two targets in short succession. This limitation produces the phenomenon known as the attentional blink (AB), in which processing of a first target (T1) impairs identification of a second target (T2). In the AB literature, there is broad agreement that increasing the time it takes to process T1 leads to a larger AB. One might, therefore, predict that increasing the number of possible T1 identities, or target set, from 1 to 16 would lead to a larger AB. We were surprised to find that this manipulation of T1 difficulty had no influence on AB magnitude. In subsequent experiments, we found that AB magnitude interacts with T1 processing time only under certain circumstances. Specifically, when the T1 task was either well masked or had to be completed online, we found a reliable interaction between AB magnitude and the target set size. When neither of these conditions was fulfilled, there was no interaction between target set size and the AB. Previous research found that when the target set changes from trial to trial, trials with more possible targets elicited a larger AB. In the present study, the target set is held constant, reducing the demands on working memory. Nevertheless, AB magnitude still interacts with target set size, as long as the T1 task cannot be processed offline. Thus, the act of searching memory delays subsequent processing, even when the role of working memory has been minimized.     

Sensory memory of illusory depth in structure-from-motion

When multistable displays (stimuli consistent with two or more equally plausible perceptual interpretations) are presented intermittently, their perceptions are stabilized by sensory memory. Independent memory traces are generated not only for different types of multistable displays (Maier, Wilke, Logothetis, & Leopold, Current Biology 13:1076–1085, 2003), but also for different ambiguous features of binocular rivalry (Pearson & Clifford, Journal of Vision 4:196–202, 2004). In the present study, we examined whether a similar independence of sensory memories is observed in structure-from-motion (SFM), a multistable display with two ambiguous properties. In SFM, a 2-D planar motion creates a vivid impression of a rotating 3-D volume. Both the illusory rotation and illusory depth (i.e., how close parts of an object appear to the observer) of an SFM object are ambiguous. We dissociated the sensory memories of these two ambiguous properties by using an intermittent presentation in combination with a forced-ambiguous-switch paradigm (Pastukhov, Vonau, & Braun, PLoS ONE 7:e37734, 2012). We demonstrated that the illusory depth of SFM generates a sensory memory trace that is independent from that of illusory rotation. Despite this independence, the specificities levels of the sensory memories were identical for illusory depth and illusory rotation. The history effect was weakened by a change in the volumetric property of a shape (whether it was a hollow band or a filled drum volume), but not by changes in color or size. We discuss how these new results constrain models of sensory memory and SFM processing.