Neurocognitive functioning in patients with conversion disorder/functional neurological disorder

Neurocognitive symptoms are common in individuals with somatic symptom and related disorders (SSRD), but little is known about the specific impairments in neurocognitive domains in patients with conversion disorder (CD)/functional neurological disorder (FND). This study examines neurocognitive functioning in patients with CD/FND compared to patients with other SSRD. The sample consisted of 318 patients. Twenty-nine patients were diagnosed with CD/FND, mean age 42.4, standard deviation (SD) = 13.8 years, 79.3% women, and 289 patients had other SSRD (mean age 42.1, SD = 13.3, 60.2% women). Patients completed a neuropsychological test battery that addressed a broad range of neurocognitive domains, including information processing speed, attention and executive functioning. Patients with CD/FND had clinically significant neurocognitive deficits in all neurocognitive domains based on normative data comparison. Patients with CD/FND also performed significantly worse than patients with other SSRD on information processing speed (Digit Symbol Substitution Test (V = .115, p = .035), Stroop Color–Word Test (SCWT) card 1 (V = .190, p = .006), and SCWT card 2 (V = .244, p < .001). No CD/FND vs. other SSRD differences were observed in other neurocognitive domains. These findings indicate the patients with CD/FND perform worse on information processing speed tests compared to patients with other SSRD.     

Self-efficacy and reasoned action: Predicting oral health status and behaviour at one,three, and six month intervals

Abstract

This study tested the usefulness of the theory of reasoned action and the addition of self-efficacy to this model for the prediction of oral health behaviour as part of a larger intervention at the State University of New York at Buffalo School of Dental Medicine. Self-efficacy is a belief in one's ability to perform a particular behavior. The theory of reasoned action is an attitudinal model focused on predicting behavior. One hundred and sixty-six patients volunteered for an intervention and assessment program at the Oral Health Enhancement Clinic. Participants visited the clinic 7 times over a 14 month period. Relationships among social cognitive model variables and clinical and self-report outcome measures were examined at three different time points over increasingly longer time spans. Results indicated that the theory of reasoned action model was useful in predicting oral health behavior, and adding self-efficacy to the model significantly increased the reliability of predictions of outcome measures. Relationships for social cognitive variables were stronger for self-report than for clinical indices. Reasons for these differences are suggested.     

Book review

Abstract

Carroll, J.B. (1993). Human cognitive abilities: A survey of factor-analytic studies. Cambridge: Cambridge University Press. Pp. 819. ISBN 0-521-38275-0, £60.00 (hardback); ISBN 0-521-38712-4, £24.95 (paperback).     

Classifying Human Long-term Memory: Evidence from Converging Dissociations

This paper reviews the support for multiple human long-term memory systems that is provided by experimental findings of dissociations reported in the literature. Four putative systems are examined: episodic, semantic, perceptual representation (PRS) and procedural memory. The four systems are contrasted for four different forms of dissociations (functional, developmental, pharmacological and brain damage). At least one example of 23 of the 24 different types of dissociations is described. It is argued that this evidence from converging dissociations provides support for the existence of multiple long-term memory systems. The studies reviewed provide some hints about the critical neural substrates of different systems. This neuroanatomical information was compared and found to be consistent with the results of available functional neuroimaging studies.     

Body Techniques of Vulnerability: The Generational Order and the Body in Child Protection Services

The paper seeks to analyze children’s bodily vulnerability as grounded in generational order. The thesis is put forward, that the generational order is embodied via body techniques of vulnerability, deployed both by adults and children. In presenting results from research on professional responses to child maltreatment and neglect, three sets of age related body techniques of vulnerability are identified, concerning caregivers, professionals and the children itself.     

Don't be afraid of irrelevant words: The emotional Stroop effect is confined to attended words

The emotional Stroop effect denotes slower responses to the colour of negative words (e.g., death) compared to neutral words (e.g., mug). Popular explanations assume a general power of negative words to capture visual attention. However, in the typical task, the irrelevant word stimulus and the relevant colour stimulus are perceptually integrated. We compared interference from negative words, which were part of the relevant visual object, to interference from negative words that were part of an irrelevant object, or occurred in the background, respectively. Results showed that only negative words in the relevant object delayed colour-naming responses, compared to neutral words. Negative words outside the relevant object failed to affect performance. This finding is at odds with the claim that negative words could capture spatial or object-based mechanisms of visual attention. However, the finding is consistent with the idea that negative words interfere with the allocation of dimensional attention to different features of an attended object.     

Can Science Cope with More Than One World? A Cross-Reading of Habermas, Popper, and Searle

The purpose of this article is to critically assess the ‘three-world theory’ as it is presented—with some slight but decisive differences—by Jürgen Habermas and Karl Popper. This theory presents the philosophy of science with a conceptual and material problem, insofar as it claims that science has no single access to all aspects of the world. Although I will try to demonstrate advantages of Popper’s idea of ‘the third world’ of ideas, the shortcomings of his ontological stance become visible from the pragmatic point of view in Habermas’s theory of communicative acts. With regard to the critique that the three-world theory has met in both its pragmatic and ontological versions, I will take a closer look at John Searle’s naturalistic counter-position. By teasing out some problematic implications in his theory of causation, I aim to show that Searle’s approach is, in fact, much closer to Popper’s than he might think. Finally, while condoning Habermas’s distinction between the natural world and the lifeworld, I will opt for a pragmatically differentiated view of ‘the real’, rather than speaking of different worlds.