Training Melanoma Detection in Photographs Using the Perceptual Expertise Training Approach

Although a deadly form of skin cancer, melanoma is treatable if detected early. However, current rule‐based training practices in melanoma detection are not effective. We assessed an innovative technique to train melanoma detection using the perceptual expertise principles. Participants in the training group were trained to categorize melanoma and benign lesions to 95% accuracy. Participants in the control group received no training. Prior to testing all participants reviewed the ABCDE rules. Training was evaluated by the pre and post tests using the Melanoma Detection Test where participants categorized images of melanoma and benign lesions. As compared to the control group, the training group showed significant improvement in melanoma detection and became less liberal (i.e., bias toward categorizing a lesion as melanoma), and both improvements maintained a week after the training. These findings indicate that perceptual expertise training is a promising approach to train melanoma detection.Copyright © 2016 John Wiley & Sons, Ltd.     

Maternal perceptions of and sensitivity toward very low birthweight infants with and without postnatal headmolding

To explore the attractiveness of VLBW infants with postnatal headmolding, 29 mothers of VLBW infants and 29 mothers of full-terms rated complimentary photographs of VLBW newborns with postnatal headmolding, VLBW newborns without postnatal headmolding, and full-term newborns. In a second study, facial conformation and infant attractiveness were assessed to determine the degree to which babyish head-shapes and infant attractiveness differed between VLBW and full-term infants. Finally, infant history, measures of facial conformation, and infant attractiveness ratings were regressed on maternal responsiveness scores. Overall, mothers rated photographs of VLBW newborns with postnatal headmolding as less cute; however, mothers of VLBW infants rated photographs of VLBW newborns with postnatal headmolding as more cute than did mothers of full-term infants. During the second half of the first year of life, VLBW infants had narrower mouths, their eyes were closer to the sides of the face, and there was a tendency for VLBW infants to have narrower heads; however, overall attractiveness ratings of VLBW and full-term infants did not differ. More babyish head shape (wider head shape, more babyish facial features) significantly predicted maternal responsiveness to infant cues in a freeplay session. Findings demonstrate that VLBW newborns with postnatal headmolding are more vulnerable to negative evaluations of perceived attractiveness, differences in head shape are evident in the second half of the first year of life, and babyish headshape may be one factor that affects the degree to which infants are able to elicit sensitive maternal responses.     

Transfer between vision and haptics: Memory for 2-D patterns and 3-D objects

Explicit memory tests such as recognition typically access semantic, modality-independent representations, while perceptual implicit memory tests typically access presemantic, modality-specific representations. By demonstrating comparable cross- and within-modal priming using vision and haptics with verbal materials (Easton, Srinivas, & Greene, 1997), we recently questioned whether the representations underlying perceptual implicit tests were modality specific. Unlike vision and audition, with vision and haptics verbal information can be presented in geometric terms to both modalities. The present experiments extend this line of research by assessing implicit and explicit memory within and between vision and haptics in the nonverbal domain, using both 2-D patterns and 3-D objects. Implicit test results revealed robust cross-modal priming for both 2-D patterns and 3-D objects, indicating that vision and haptics shared abstract representations of object shape and structure. Explicit test results for 3-D objects revealed modality specificity, indicating that the recognition system keeps track of the modality through which an object is experienced.     

Rounding Out the Cube: Evolution to a Global Model for Counseling Centers

This article discusses the present realities of college and university counseling centers as the bases for proposing a more adaptive and interactive model of the original Cube developed by W. H. Morrill, E, R. Oetting, and J. C. Hurst (1974). The article conceptualizes an evolved model of the Cube, here termed the global model, which allows counseling centers to function, in light of current and future demands, with greater flexibility, interdependency, and collaboration vis-á-vis the campus community.     

Haptic cues for orientation and postural control

Haptic cues from fingertip contact with a stable surface attenuate body sway in subjects even when the contact forces are too small to provide physical support of the body. We investigated how haptic cues derived from contact of a cane with a stationary surface at low force levels aids postural control in sighted and congenitally blind individuals. Five sighted (eyes closed) and five congenitally blind subjects maintained a tandem Romberg stance in five conditions: (1) no cane; (2, 3) touch contact (<2 N of applied force) while holding the cane in a vertical or slanted orientation; and (4, 5) force contact (as much force as desired) in the vertical and slanted orientations. Touch contact of a cane at force levels below those necessary to provide significant physical stabilization was as effective as force contact in reducing postural sway in all subjects, compared to the no-cane condition. A slanted cane was far more effective in reducing postural sway than was a perpendicular cane. Cane use also decreased head displacement of sighted subjects far more than that of blind subjects. These results suggest that head movement control is linked to postural control through gaze stabilization reflexes in sighted subjects; such reflexes are absent in congenitally blind individuals and may account for their higher levels of head displacement.     

Organizational factors influencing consultation in schools

A key variable in successful consultation is the consultant's skill in assessing the organization in which he is working or contemplating working. This paper presents a framework for gathering and organizing data related to organizational phenomena in a school or school district. The implications of these data for the consultant in determining priorities, assessing strengths and weaknesses, generating problem-solving strategies, and predicting consequents are discussed. In addition, the dilemma of the school psychologist, caught in complex and rapidly changing environmental pressures, is explored and some alternative role models are suggested.     

Philosophy of medicine in the United Kingdom

This report explores the relationship between philosophy and medicine in the U.K. We note that medical training involves very little formal instruction in philosophy and ethics, and that, with few exceptions, philosophers in the U.K. do not contribute to the instruction of physicians or the philosophy of medicine. However, reviewing the problems arising out of recent developments within scientific medicine we find a pressing need for future philosophical analysis in the following areas: psychiatry, organ transplantation, abortion, euthanasia, experiments on living subjects, consent, confidentiality, the relationship between medicine and political authority, and the provisions for social justice in medicine.