Counselling after Stroke: An Unmet Need?

Information was gathered by means of a questionnaire survey and interviews from a group of patients (N = 17) and health professionals (N=13) working within a stroke unit, concerning the emotional needs of patients and and their relatives and how staff responded to these needs. Although most of the staff had received some training or information about counselling and felt that their interactions with patients often involved an element of counselling, there was strong support for separate specialised counselling services to deal with psychological problems suffered by both patients and their relatives. Patients rated assistance with personal and emotional worries and advice about physical problems as equally useful. A strong need for a counselling service in some form or other was expressed by patients. Neither the level of the patients' social support nor the presence or absence of aphasia, however, predicted the strength of interest expressed. It is concluded that specialised psychological help could be useful in various ways for both in- and out-patients and for their families.     

Developmental changes of parental-reported sleep disturbance symptoms in children with attention deficit disorder

The primary goal of this retrospective study was to assess parental report of current sleep disorders in school-aged attention deficit disorder (ADD) children, as well as recalled sleep problems from when the children were infants (0–12 months) and toddlers (1–3 years). Results of a sleep questionnaire completed by mothers of 48 ADD children and a comparison group of 30 patients with school problems indicate that ADD children were perceived to have significantly more sleep problems and that these problems had onset in infancy. Specific items in the questionnaire which were increased included latency to sleep onset of more than 30 min at least 3 nights per week, fatigue upon awakening, and recall of nightmares. Pediatric clinicians should be alert to possible sleep disorders in children suspected of attention disorders and should consider sleep hygiene measures as a component of treatment.     

Face processing: Human perception and principal components analysis

Principal components analysis (PCA) of face images is here related to subjects’ performance on the same images. In two experiments subjects were shown a set of faces and asked to rate them for distinctiveness. They were subsequently shown a superset of faces and asked to identify those that had appeared originally. Replicating previous work, we found that hits and false positives (FPs) did not correlate: Those faces easy to identify as being “seen” were unrelated to those faces easy to reject as being “unseen.” PCA was performed on three data sets: (1) face images with eye position standardized, (2) face images morphed to a standard template to remove shape information, and (3) the shape information from faces only. Analyses based on PCA of shape-free faces gave high predictions of FPs, whereas shape information itself contributed only to hits. Furthermore, whereas FPs were generally predictable from components early in the PCA, hits appeared to be accounted for by later components. We conclude that shape and “texture” (the image-based information remaining after morphing) may be used separately by the human face processing system, and that PCA of images offers a useful tool for understanding this system.     

Searle on rediscovering the mind

John R. Searle,The Rediscovery of the Mind (Cambridge: The MIT Press, 1992), 270 pp. $22.50. I would like to thank my colleagues Bernard Dauenhauer and Beth Preston for their helpful comments on earlier drafts of this essay.     

Asymmetry of perception in free viewing of chimeric faces

We have devised a new free-vision task to index functional cerebral asymmetry for processing facial characteristics. Confirming its sensitivity to properties of lateralized hemispheric functions, left- and right-handers were clearly differentiated on this task with respect to several aspects of performance that conform with known differences between handedness groups in hemispheric asymmetry. Additionally, there were highly reliable and stable individual differences in perceptual asymmetries within handedness. Analyses of items in the task revealed that most of the differences between items in the asymmetries they elicited were random.     

Some aspects of the interpersonal phenomenology of heterosexual dyads with respect to sex-role stereotypes

A technique based upon recently developed Boolean calculi for interpersonal phenomenology was used to study sex-role attributions within 59 heterosexual dyads. The interpersonal and intrapersonal variables studied include perceived similarity, validation of self-concept, expectations of agreement, feelings of being understood, predictions that the partner expects agreement, understanding, accurate perception of understanding/misunderstanding, and accurate perception of expectations on agreement/disagreement. All variables were studied in relation to each member of the dyad and in relation to male and female sex-role stereotypes. Analyses of all variables are consistent with two conclusions: (1) Phenomenal disparity in a relationship is more likely to be generated around male sex-role stereotypes than around female sex-role stereotypes; (2) phenomenal disparity in a relationship is most likely to occur in connection with counter-sex-role attributions to the female. Increased uncertainty regarding counter-sex-role attributions about women and lowered validation of self-concept for women who adopt counter-sex-role attributes are shown to contribute to these effects. These conclusions are seen as a reflection of an asymmetry which seems to be consistent in the literature: Counter-sex-role choices and attitudes seem to be less discordant for males than for females in this culture. Evidence of this asymmetry is discussed.