The impact of frontal and non-frontal brain tumor lesions on Wisconsin Card Sorting Test performance

Several lesion and imaging studies have suggested that the Wisconsin Card Sorting Test (WCST) is a measure of executive dysfunction. However, some studies have reported that this measure has poor anatomical specificity because patients with either frontal or non-frontal focal lesions exhibit similar performance. This study examined 25 frontal, 20 non-frontal low-grade brain tumor patients, and 63 normal controls (NC) on the WCST. The frontal patients were also assigned to either a left frontal (n=10) group or a right frontal group (n=15) and compared with the non-frontal group and NC. It was hypothesized that the frontal brain tumor patients would display greater deficits on categories achieved and a higher number of perseverative errors than non-frontal brain tumor patients on the WCST. Finally, it was predicted that right frontal brain tumors would result in greater executive functioning deficits than left frontal or non-frontal brain tumors. Results indicated that the left frontal group achieved the fewest categories and committed the most perseverative errors compared to the other patient and normal control groups. In addition, the left frontal group committed significantly more perseverative errors than the right frontal group. These results suggest that the WCST is sensitive to the effects of low-grade brain tumors on executive functioning.     

The New Orleans Forensic Aftercare Clinic: a seven year review of hospital discharged and jail diverted clients

This paper provides a review of the Forensic Aftercare Clinic Conditional Release Program (FAC), which has been operating since December, 1995, in New Orleans, LA. The FAC is a community based program that provides clinical, rehabilitative, and supervisory services to individuals who have been found not guilty by reason of insanity or unrestorably incompetent to proceed and who have been discharged from inpatient settings or diverted from jail settings and placed on conditional release by district court orders. 119 clients participated in FAC over a 7 year period. Forty-one (34.4%) had their conditional release revoked. Of the total population, 12 (10.1%) were re-arrested on at least one charge, 3 (2.4%) were arrested on felony charges, and 9 (7.6%) on misdemeanors. Only two of these charges were violent, resulting in no significant harm to victims. Twenty (16.8%) were hospitalized at least once due to relapse. Clients diverted from jail to community settings did not differ significantly on most variables from clients who were discharged from long-term hospitalization. Data related to public safety and client diversion demonstrate that clients, when appropriate, can be safely diverted to the community in lieu of hospitalization. The number of statewide clients who have been discharged from the forensic hospital into the community has increased steadily from 13 in 1995 to 29 in 2002, and statewide diversion clients have steadily increased from 0 in 1992 to 20 in 2002. The increase in statewide diversion clients and forensic discharges over this 7 year period indicates that stakeholders see the viability of the program as an alternative to as well as a step-down from long-term forensic hospitalization.     

The otolaryngologist's role in management of hearing loss in infancy and childhood

This article reviews the role of the otolaryngologist-head and neck surgeon-in the diagnosis and treatment of hearing loss in infants and young children. The otolaryngologist is well-versed in the anatomy, physiology, and pathophysiology of the auditory system, as well as the craniofacial syndromes that can involve the head and neck in combination with deafness. In this paper, the various causes of congenital hearing loss are described, as well as the steps required for proper diagnosis. Finally, surgeries used by otolaryngologists to treat childhood hearing loss, their indications, and outcomes, are discussed.     

Significance of violence in stories of young children

Stories told by 72 5-yr.-old children were scored for themes of violence and correlated with their mothers' reports of aggressive or fearful behaviors. Values for the entire sample were not significant. However, when data for Hispanic children were removed from the sample the correlation of violent stories to ratings of children's aggression was significant (r = .27) and for a count of violent words r = .30. The correlation of violent words to fearfulness was .28 and for girls only .35. The count of violent words was also correlated with African-American children's ratings of fearfulness (r = .64).     

Haptic perception of linear extent

The perception of linear extent in haptic touch appears to be anisotropic, in that haptically perceived extents can depend on the spatial orientation and location of the object and, thus, on the direction of exploratory motion. Experiments 1 and 2 quantified how the haptic perception of linear extent depended on the type of motion (radial or tangential to the body) when subjects explored different stimulus objects (raised lines or solid blocks) varying in length and in relative spatial location. Relatively narrow, shallow, raised lines were judged to be longer, by magnitude estimation, than solid blocks. Consistent with earlier reports, stimuli explored with radial arm motions were judged to be longer than identical stimuli explored with tangential motions; this difference did not depend consistently on the lateral position of the stimulus object, the direction of movement (toward or away from the body), or the distance of the hand from the body but did depend slightly on the angular position of the shoulder. Experiment 3 showed that the radial-tangential effect could be explained by temporal differences in exploratory movements, implying that the apparent anisotropy is not intrinsic to the structure of haptic space.     

Integrity in Pastoral Counseling

This essay suggests that pastoral counseling involves a spiritual and emotional quest for wholeness. The personal quest of the pastoral counselor has a parallel impact upon the quest of those who seek his or her counsel. The essay presents the view that faith must be established in the life of the pastoral counselor in at least four areas: in community, in the use of one's spiritual gifts, in the love of mercy and the doing of justice, and in communion with God.     

Assessment Centre Observation Procedures: An Experimental Comparison of Traditional,Checklist and Coding Methods

Concern about the construct validity of assessment centre judgements has led to calls for research into observers’ cognitive processes. In an experiment comparing the Traditional observation procedure against use of a Behavioural Checklist and of Behavioural Coding, six outcome variables were examined. The methods were found to yield similar outcomes in terms of accuracy of judgement, accuracy of written evidence, correlation between dimension ratings, and attitude toward the method employed. However, significant between-method differences were observed in variability between observers and in their willingness to recommend a procedure. It is argued that Behavioural Coding has special merit in assessment centres; the method reduces the cognitive demands placed on assessors, and valuably structures their information-processing. Traditional objections to simultaneous observation and classification are shown to be inappropriate.     

Psychological Adjustment and Coping Styles of Urban African American High School Students

In a study of African American (n = 208) urban high school students, grade point average (GPA) and specific strategies for coping with day-to-day stressors were found to be significantly related to psychological adjustment. Students who had higher GPAs tended to use family members as a means of solving problems, minimized problems by the use of humor, and used relaxation activities less often were found to have the most positive psychological adjustment, as measured by the index score of the Affects Balance Scale (ABS). Reported negative affect was not found to be significantly influenced by coping style, whereas positive affect was.