What is the impact of attention-deficit/hyperactivity disorder (ADHD) on the phenotypic expression of pediatric obsessive-compulsive disorder (OCD). We examined phenotypic features, and functional and clinical correlates in youths with OCD, with and without comorbid ADHD, from a large sample of consecutively referred pediatric psychiatry patients. Although comorbid ADHD had no meaningful impact on the phenotypic expression or clinical correlates of OCD, it was associated with higher rates of compromised educational functioning compared with other OCD youths. Our findings suggest that the OCD phenotype runs true and is not impacted by comorbid ADHD in youths diagnosed with both OCD and ADHD. In such affected youths, both disorders contribute to morbid dysfunction and require treatment. More work is needed to determine whether OCD plus ADHD represents a developmentally and etiologically distinct form of the OCD syndrome. 相似文献
The nature of scientific societies’ relationships with their members limits their ability to promote research integrity. They
must therefore leverage their strengths as professional organizations to integrate ethical considerations into their ongoing
support of their academic disciplines. This paper suggests five strategies for doing so. 相似文献
The authors investigated whether compensatory postural coordination patterns are organized according to the same dynamical principles as are nonequilibrium phase transitions. Eight participants were asked to maintain upright balance on a moving platform that was sinusoidally translated in the anterior-posterior direction and was systematically increased and decreased 0.19 Hz as a step function every 10 platform cycles through the frequency range 0.19-1.46 Hz. At low platform frequencies, all participants exhibited small joint angular motions with high variability, and the relative phase between the joint motions exhibited drifting patterns and large fluctuations. As platform frequency increased, the amplitude of joint motion increased systematically and joint-specific oscillatory patterns emerged. The findings provided no evidence for a Hopf bifurcation or hysteresis in the transitions of postural coordination modes, however, or, more generally, a basis for distinguishing the relevance of linear versus nonlinear models of postural control. 相似文献
Adaptive decision processes were investigated in experiments involving an unexpected change in the global ease or difficulty of the task. Under accuracy stress, a shift from an easy to a difficult context induced a marked increase in decision time, but a shift from a difficult to an easy context did not. Under speed stress, a shift to a more difficult context induced lower accuracy and rated confidence, depending on the difficulty of the decisions. A view of caution developed in D. Vickers's (1979) accumulator theory--whereby one seeks to base decisions on more information--is compared with a view based on slow and fast guessing theory (W. M. Petrusic, 1992; W. M. Petrusic & J. V. Baranski, 1989a)--whereby one seeks to base decisions on more diagnostic information. On balance, the findings support the latter view. 相似文献
Observers performed lightness matches for physically equivalent gray targets of a simultaneous lightness contrast display and displays in which both targets were on the same background. Targets either shared a common line-texture pattern with their respective backgrounds or did not. Results indicate that when targets share a line-texture pattern with their respective backgrounds, a contrast effect is obtained. However, when the target's pattern is different than the background's pattern, perceived contrast is significantly reduced and the target appears as a separate 3-D entity. This result applies to both vertically and horizontally oriented displays, to targets that are increments or decrements, and to line-texture patterns that are black or white. Line patterns that are shared by targets and backgrounds result in T-junctions that provide occlusion information. We conclude that targets and backgrounds perceived to be on separate planes because of T-junctions are less likely to be perceptually grouped together and that their luminance values are less likely to be compared with one another. 相似文献
The investigators examined the rates of psychiatric comorbidity for externalizing and internalizing behavior problems, using semistructured diagnostic interview and parent, teacher, and youth report on the Achenbach checklists. The study also evaluated the effects of conjunctive, compensatory, and disjunctive data combination strategies. Using the same data and identical diagnostic thresholds, between 5 and 74% of 189 youths presenting to an outpatient clinic were identified as having comorbid internalizing and externalizing problems. Parent report and semistructured interview indicated the highest comorbidity rates. Despite good cross-source agreement (rs .29–.58), there was very little agreement about which specific youths presented with comorbid internalizing and externalizing problems (kappas .14–.40). Results also indicate that single DSM-IV disorders, such as bipolar disorder, can manifest comorbid patterns of behavior problems on checklists. 相似文献
This research examined jury decisions in 317 noncapital felony cases in El Paso, Texas, and assessed the impact of juror ethnicity on jury trial outcomes. Results revealed that there was no relation between defendant ethnicity and the probability of conviction. Anglo American defendants, however, received sentences that were approximately twice as severe as Hispanic defendants. Sentences imposed by juries were significantly related to defendant ethnicity and type of crime for which they were tried. Sentences were also influenced by defendant ethnicity in interaction with jury ethnic composition. Important differences appeared when there was a critical mass of 6 or more Hispanics on juries. This study, using criminal court data, provides a unique opportunity to examine the utility of social psychological theories for understanding actual trial outcomes. 相似文献
Those inclined to believe in the existence of propositions as traditionally conceived might seek to reduce them to some other type of entity. However, parsimonious propositionalists of this type are confronted with a choice of competing candidates – for example, sets of possible worlds, and various neo-Russellian and neo-Fregean constructions. It is argued that this choice is an arbitrary one, and that it closely resembles the type of problematic choice that, as Benacerraf pointed out, bedevils the attempt to reduce numbers to sets – should the number 2 be identified with the set Ø or with the set Ø, Ø? An “argument from arbitrary identification” is formulated with the conclusion that propositions (and perhaps numbers) cannot be reduced away. Various responses to this argument are considered, but ultimately rejected. The paper concludes that the argument is sound: propositions, at least, are sui generis entities.