Learning spatial sequences in unilateral neglect

Brain-damaged patients with unilateral spatial neglect ignore aspects of the world located on the side opposite their lesion. In the present study we examined the performance of unilateral neglect patients (UN) on an SRT task in which a hybrid repeating sequence (21313) was used. We analyzed the patients' performance for each location separately as a function of the target's location in the trial preceding the response. The UN patients were severely limited in their learning of the sequence when compared to normal controls. In particular, they appeared to learn unique associations (21 and 13) but not ambiguous ones (31 and 32). We discuss two possible explanations for this phenomenon. The first is that UN patients show a deficit similar to that of normal subjects in dual task situations. The second is that the learning deficit is unique to spatial processing impairments of UN patients and is not directly related to research with normal population. We outline future research that may distinguish between these two explanations.     

Construct validity and test-retest reliability of a date rape decision-latency measure

In two studies, the construct (convergent and discriminant) validity and test-retest reliability of a date rape decision-latency measure was examined. In Study 1, 174 college men completed measures related to sexual aggression and listened to an audiotaped simulation of a date rape, during which cues of nonconsent and force gradually escalated over time. Participants were instructed to respond, by pressing a button which recorded the latency of their decisions in seconds, if and when they believed the man depicted in the scenario should stop his sexual advances. Results demonstrated positive associations between prolonged decision latencies and sexually aggressive behavior, calloused sexual beliefs, acceptance of interpersonal violence, and sexual promiscuity. In Study 2, initial results were cross-validated in a sample of 102 college men, and discriminant validity was established as decision latencies were unassociated with measures of social desirability, alcohol consumption and drug use. Test-retest reliability assessed over a 2-week interval was .87.The authors wish to thank Alan Gross and Brian Marx for providing the audiotaped stimulus materials, Richard Marsh for writing the decision-latency computer program, Jason Hicks for assisting with programming, and the undergraduate research assistants for serving as experimenters.     

Correspondence

The American Journal of Psychoanalysis -     

The distribution postulate in Bohm's theory

On Bohm's formulation of quantum mechanics particles always have determinate positions and follow continuous trajectories. Bohm's theory, however, requires a postulate that says that particles are initially distributed in a special way: particles are randomly distributed so that the probability of their positions being represented by a point in any regionR in configuration space is equal to the square of the wave-function integrated overR. If the distribution postulate were false, then the theory would generally fail to make the right statistical predictions. Further, if it were false, then there would at least in principle be situations where a particle would approach an eigenstate of having one position but in fact always be somewhere very different. Indeed, we will see how this might happen even if the distribution postulate were true. This will help to show how loose the connection is between the wave-function and the positions of particles in Bohm's theory and what the precise role of the distribution postulate is. Finally, we will briefly consider two attempts to formulate a version of Bohm's theory without the distribution postulate.     

Ethical issues in discharge planning for vulnerable infants and children

Discharge planning for vulnerable infants and children is a collaborative, interdisciplinary, decision-making activity that is grounded in the ethical complexities of clinical practice. Although it is a psychosocial intervention that frequently causes moral distress for professionals and has the potential to inflict harm on children and their families, the process has received little attention from ethicists. An ongoing study of the transition of technology-dependent children from hospital to home suggests that the ethical issues embedded in the discharge-planning process may be concealed by dominant cultural values, institutional policies, clinical standards, historical precedents, and legal regulations.     

The mediating role of anxiety in self-reported somatic complaints of depressed adolescents

This study examined the mediating role of anxiety in the self-reports of somatic complaints in 96 depressed adolescent inpatients. Sixty-four subjects with major depressive episodes and comorbid anxiety disorders (MDE-A) determined from the Diagnostic Interview for Children and Adolescents-Revised (DICA-R) reported significantly more somatic complaints than 32 adolescents having major depressive episodes without comorbid anxiety (MDE). An analysis of covariance demonstrated that, with anxiety symptoms controlled, MDE and MDE-A groups did not differ significantly in somatic complaints. A hierarchical multiple-regression analysis revealed that, with demographic and anxiety symptoms controlled, depressive symptoms did not contribute to the explanation or prediction of somatic complaints. The results suggest that anxious, but not depressive symptoms, are independently associated with somatic complaints. The results are discussed in light of new affective models of psychopathology.     

Discrimination of Facial Identity and Facial Affect by Temporal and Frontal Lobectomy Patients

The purpose of this study was to determine the extent to which lobectomy affects ability to discriminate facial identity or facial expression. Fifteen right temporal, 15 left temporal, 5 right frontal, and 4 left frontal lobectomy patients, pair-matched for age, sex, and education to normal control subjects, participated in this study. Tasks included a Facial Identity Matching Task and a Facial Affect Matching task. The lobectomized patients as a whole were significantly impaired on both tasks (22% decrement in performance). The patients made twice as many errors resulting from perseveration of response-set of the first condition (identity or emotion matching) into the second condition. The site of lobectomy did not influence general performance on any one task or selective performance on any subset of affective categories. It was concluded that all four brain regions play a significant and equal role in face processing, and that circuits more specifically dedicated to visual face processing, which are responsible for hemispheric dominance affects and affect/identity dissociations, are probably located more posteriorly in the brain. Finally, it was concluded that perseveration of acquired habit may, under specific conditions, characterize temporal lobe dysfunction just as much as frontal lobe dysfunction.