Depression at 3 Months Poststroke in the Elderly: Predictors and Indicators of Prevalence

The prevalence and determinants of depression in 79 elderly patients were assessed at 3 months poststroke. Predictor variables included gender, age, history of previous stroke, and hemispheric location of stroke. Indicator variables included two measures of physical functioning and seven aspects of cognitive functioning. Results indicated that 56% of patients had impairment in activities of daily living, and 39% reported clinically significant levels of depression. Prevalence of cognitive impairment ranged from 31% on a measure of basic cognitive functioning, through to 89% on a measure of complex attention. The results from a hierarchical multiple regression analysis showed that the combination of predictor and indicator variables explained 53% of the variance in depression scores. The three individual variables of history of previous stroke, physical functioning, and simple attention all made significant unique contributions to the variance in depression scores. The contribution of these findings to the ongoing debate concerning lesion location and poststroke depression is discussed.     

Spatial interference between attended items engenders serial visual processing

A pair of experiments investigated the architecture of visual processing, parallel versus serial, across high and low levels of spatial interference in a divided attention task. Subjects made speeded judgments that required them to attend to a pair of color-cued objects among gray filler items, with the spatial proximity between the attended items varied to manipulate the strength of interference between attended items. Systems factorial analysis (Townsend & Nozawa, Journal of Mathematical Psychology 39:321-359, 1995) was used to identify processing architecture. Experiment 1, using moderately dense displays, found evidence of parallel processing whether attended objects were in low or high proximity to one another. Experiment 2, using higher-density displays, found evidence of parallel selection when attended stimuli were widely separated but serial processing when they were in high proximity. Divided visual attention can operate in parallel under conditions of low or moderate spatial interference between selected items, but strong interference engenders serial processing.     

Marital History and Current Marital Satisfaction in Chronic Depression

Marital functioning is an important consideration in the treatment of depression. Although there are several studies of the marriages of depressed individuals, there is little data on the marital lives of those with chronic depression. In this article, we compare the marital history and marital satisfaction in a sample of carefully diagnosed outpatients with chronic depression compared to those with nonchronic depression. The groups were similar in terms of a history of divorce and for the percentage who had ever been married. However, the chronic group had significantly lower levels of marital satisfaction. Increased attention to marital functioning in this group may be beneficial during treatment.     

Separation‐Individuation,Adult Attachment Style,and College Adjustment

The authors examined the relationship between separation‐individuation, adult attachment styles, and college adjustment. One hundred fifty‐six young adults completed the Psychological Separation Inventory (J. A. Hoffman, 1984; J. A. Hoffman & B. Weiss, 1987), 2 subscales from the Student Adaptation to College Questionnaire (R. W. Baker & B. Siryk, 1989), a measure of pathology of separation‐individuation (R. M. Christenson & W. P. Wilson, 1985), and assessments of adult attachment style (K. Bartholomew & L. Horowitz, 1991). College adjustment was positively associated with secure adult attachment and counterindicated by fearful and preoccupied attachments. Implications for counseling practice and directions for future research are discussed.     

Marsh's Response to Rasmussen

Continental Philosophy Review -     

Temporal Contiguity and Contingency Judgments: A Pavlovian Analogue

The two experiments reported examine the role of temporal contiguity on judgments of contingency in a human analogue of the Pavlovian task. The data show that the effect of the actual delay on contingency judgment depends on the observer's expectation regarding the delay. For a fixed contingency between the cue and the outcome, ratings of the contingency are higher when the actual delay is congruent with the observer's expectation than when it is incongruent. We argue that our data can be understood within the context of the temporal coding hypothesis.     

Personality Disorder Attributes as Supplemental Goals for Change in Interpersonal Psychotherapy

Interpersonal Psychotherapy (IPT) is a manualized, short-term (usually 12–16 sessions) based on the assumption that psychological disorders often emerge secondary to social and interpersonal problems that require active intervention to achieve symptom remission. The time-limited nature of IPT compels therapists to establish the goal of diminishing, on a weekly basis, a small number of focused interpersonal problems with a decided emphasis on proximal rather than historic conflicts and associated patterns of behavior. This strategy discourages the adoption of diffuse therapy goals and directions that have more opportunity to emerge in long-term, unstructured treatment modalities. The role of traditional personality testing in short-term therapy, when it occurs, is to identify and quantify symptom clusters that warrant attention as dependent measures in the treatment process. The role of personality factors in the genesis or maintenance of psychological disturbance is rarely addressed. The present article explores theoretical and pragmatic objections to the use of personality testing in IPT. A method is proposed for the limited but systematic incorporation of personality testing in the IPT treatment process using the Millon Clinical Multiaxial Inventory (MCMI-III). While unreasonable to expect personality transformation through short-term therapy, the partial attenuation of maladaptive behavioral, attitudinal, and emotional reactions to stressors could prove exceedingly helpful to short-term treatments such as IPT.