Adult age differences in memory for routes: effects of instruction and spatial diagram.

Free-recall and multiple-choice measures of memory for landmarks, sequential order, turns, and route configurations were obtained from younger and older adults after they viewed slides of 2 overlapping routes. Instructions focused attention on either the contents of the slides or on the course of the path; a control condition provided no orientational instructions. Half the subjects viewed maplike diagrams of the joint spatial configuration. Age interacted with instruction only for multiple-choice tests of landmark memory. Age interacted with diagram for each of the other 3 route memory components, although the generality of this interaction across instruction condition depended on whether free-recall or multiple-choice tests were used. The results suggest that route memory may involve both scene and layout representation, which may be differentially sensitive to age and presentational variables.     

Association between aerobic fitness and visuospatial performance in healthy older adults.

This study examined whether chronic physical exercise activity is associated with better neurocognitive performance in older adults. One hundred five men participated in 1 of 3 age groups (18-28, 35-45, and 60-73). For each age group, subjects were classified as high or low in fitness on the basis of self-reported activity levels and the results of a submaximal bicycle ergometer test. A comprehensive battery of neuropsychological tests was administered to each subject, and older subjects scored significantly lower than the younger groups on most tests. Significant differences between high- and low-fit subjects were found only on tasks with heavy visuospatial demands, and these differences were most notable in the older adult group. These findings suggest that participation in aerobic exercise activity selectively preserves some cognitive functions that normally decline with age. The benefits of activity appear to be most evident on tasks that require visuospatial processing.     

Everyday memory performance across the life span: effects of age and noncognitive individual differences.

Gerontologists have long been concerned with the impact of individual-difference factors on memory. This study used a large sample (N = 2,495) of adult volunteers aged 18 to 90 years to determine if a set of individual-difference variables--vocabulary, education, depression, gender, marital status, and employment status--mediates the effects of aging on a wide range of laboratory-analogue tests of everyday memory. The data indicated that age was consistently the most significant predictor of memory performance, followed by vocabulary and gender. Vocabulary totally mediated age effects on a prose memory measure, and partial mediation of aging effects--primarily by vocabulary and gender--was observed on 5 other memory tests. These data suggest that when health samples of volunteers serve as research subjects, these individual differences can affect some memory test scores, but age remains the best overall predictor of memory performance.     

Parallel distributed processing and neuropsychology: A neural network model of Wisconsin card sorting and verbal fluency

Neural networks can be used as a tool in the explanation of neuropsychological data. Using the Hebbian Learning Rule and other such principles as competition and modifiable interlevel feedback, researchers have successfully modeled a widely used neuropsychological test, the Wisconsin Card Sorting Test. One of these models is reviewed here and extended to a qualitative analysis of how verbal fluency might be modeled, which demonstrates the importance of accounting for the attentional components of both tests. Difficulties remain in programming sequential cognitive processes within a parallel distributed processing (PDP) framework and integrating exceedingly complex neuropsychological tests such as Proverbs. PDP neural network methodology offers neuropsychologists co-validation procedures within narrowly defined areas of reliability and validity.     

Computerized assessment in neuropsychology: A review of tests and test batteries

This article contains detailed reviews of 13 computerized neuropsychological and performance test batteries and six stand-alone computer tests. Tasks found on these instruments are described and tables illustrate which batteries employ which measures. In addition to issues of reliability and validity, special considerations apply to computerized assessment. These issues are discussed and readers are provided information to help them assess computerized tests in relation to their particular clinical and research needs. Since many computerized tests were developed as performance assessment tools, the relationship between performance and neuropsychological assessment is examined.     

Pavlov's position on the effects of decortication on conditional reflexes.

This paper examined D. Joravsky's (1989) hypothesis that I.P. Pavlov dogmatically refused to acknowledge that classical conditioning can be mediated by subcortical regions of the large cerebral hemispheres. Decortication literature from 1901 to 1936 was reviewed. The early studies available to Pavlov, who died in 1936, showed that decortication does not allow the establishment of new or retaining of old conditional reflexes (CRs). G.P. Zeleny?'s later experiments(1930) suggested that the establishment of primitive CRs in decorticated dogs was possible. Pavlov never denied this possibility but cautioned that Zeleny?'s experiments could have been methodologically flawed. Although Joravsky's original hypothesis on Pavlov's position on the relation between decortication and the establishment of CRs is by and large accepted, it must be stressed that Pavlov's theory of higher nervous activity was primarily concerned with the function of the brain in the higher organism's struggle for existence. Within this context the cortical, rather than subcortical, processes play the decisive role in the organism's adaptation to the changing external environment.     

Does the philosophy of medicine exist?

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the philosophy of medicine, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.