Replacing the Patient: The Fiction of Prosthetics in Medical Practice

The invention of computer simulations used for practicing surgical maneuvers in a video game-like format has an ancestry in the artificial limbs of history and is reflected, grotesquely, in Edgar Allan Poe's short story, "The Man That Was Used Up" (1850). The nineteenth century worked to ensure that the incomplete body did indeed retain a sense of self by creating prostheses to mimic corporeal wholeness. Our present-day technology seems intent on doing precisely the opposite, deliberately fragmenting the body and challenging our understanding of the body and the prosthetic.     

Convergence and predictive validity in measures of optimism and pessimism: Sequential studies

Optimism and pessimism are personality variables that have repeatedly been shown to affect health, job performance, and social relationships. Various instruments purport to measure these dispositions that differ substantially in their theoretical and measurement models. While research has examined relations between subsets of these measures, their unique predictive ability has been neglected. Three sequential studies evaluated the interrelation and predictive ability of the three most utilized instruments, the Life Orientation Test (LOT), the O/P Instrument (OPI) and variants of the Attributional Style Questionnaire (ASQ). Consistent with expectations, measures sharing a future-expectancy component (LOT and OPI) were moderately related and most predictive of health, depression, and coping. ASQ measures were modestly related to the LOT and OPI and offered less consistent predictions.     

Disseminating a smokeless tobacco cessation intervention model to dental hygienists: a randomized comparison of personalized instruction and self-study methods.

This study evaluated 2 methods of disseminating an empirically validated smokeless tobacco intervention delivered during routine dental care. Twenty cities within 12 states were stratified and then randomized to 1 of 3 groups: personalized instruction (PI), self-study (SS), or delayed training (DT) control. Dental hygienists in the SS condition were sent a manual and video. Those in the PI condition were recruited to attend a workshop. Thirty-seven percent of eligible hygienists agreed to participate. At 12 months postenrollment, hygienists in the SS and PI conditions significantly increased their "Assist" behaviors (discuss cessation techniques, help patient set a quit date, and provide cessation materials) and reported fewer perceived barriers to delivering the intervention as compared with hygienists in DT. An economic analysis suggests that SS is more cost-effective than PI.     

Addressing multiple relationships between clients and therapists in lesbian, gay, bisexual, transgender communities

Therapists working in lesbian, gay, bisexual, and transgender (LGBT) communities are likely to experience the potential to engage in multiple relationships with their clients. Currently, the American Psychological Association's (2002) ethics code and the related literature base offer minimal direct guidance to therapists practicing in LGBT communities. In this article, the authors review current literature regarding multiple relationships in psychotherapy, considering how this literature addresses issues specific to practitioners working within LGBT communities, present a case study highlighting the negotiation of a multiple relationship between a client and therapist who both identify as lesbian, and offer recommendations for practitioners working within LGBT communities.     

Dimensionality of the Beck Youth Inventories With Child Psychiatric Outpatients

The Anxiety, Depression, Anger, Disruptive Behavior, and Self-Concept Inventories of the Beck Youth Inventories of Emotional and Social Impairment (J. S. Beck, A. S. Beck, & J. Jolly, 2001) were administered to 150 female and 150 male outpatients who were 7–12 years old and matched by sex as to whether they were diagnosed with anxiety, mood, adjustment, or attention-deficit and disruptive behavior disorders to determine whether each inventory represented distinct symptom dimensions. Horns parallel analyses (J. L. Horn, 1965) found that the Anxiety, Depression, and Disruptive Behavior Inventories were unidimensional, but that the Anger and Self-Concept Inventories were each composed of two underlying dimensions. Iterated principal-factor analyses indicated that the Anger Inventory represented Affective and Cognitive dimensions, whereas the Self-concept Inventory reflected Self-Esteem and Competency dimensions. However, the overall pattern of results was discussed as supporting the current practice of scoring each inventory as a summative scale for clinical assessment purposes.     

Divergent trajectories in the aging mind: changes in working memory for affective versus visual information with age

Working memory mediates the short-term maintenance of information. Virtually all empirical research on working memory involves investigations of working memory for verbal and visual information. Whereas aging is typically associated with a deficit in working memory for these types of information, recent findings suggestive of relatively well-preserved long-term memory for emotional information in older adults raise questions about working memory for emotional material. This study examined age differences in working memory for emotional versus visual information. Findings demonstrate that, despite an age-related deficit for the latter, working memory for emotion was unimpaired. Further, older adults exhibited superior performance on positive relative to negative emotion trials, whereas their younger counterparts exhibited the opposite pattern.     

Symmetry perception in humans and macaques

The human ability to detect symmetry has been a topic of interest to psychologists and philosophers since the 19th century, yet surprisingly little is known about the neural basis of symmetry perception. In a recent fMRI study, Sasaki and colleagues begin to remedy this situation. By identifying the neural structures that respond to symmetry in both humans and macaques, the authors lay the groundwork for understanding the neural mechanisms underlying symmetry perception.     

Psychometric evaluation of the behavioral inhibition/behavioral activation scales in a large sample of outpatients with anxiety and mood disorders

The latent structure, reliability, and validity of the Behavioral Inhibition/Behavioral Activation Scales (BIS/BAS; C. L. Carver and T. L. White, 1994) were examined in a large sample of outpatients (N = 1,825) with anxiety and mood disorders. Four subsamples were used for exploratory and confirmatory factor analyses. In addition to generally upholding a latent structure found previously in nonclinical samples, results indicated measurement invariance of the BIS/BAS between genders and a higher order structure of the BAS scales. Convergent and discriminant validity of the BIS/BAS were supported by findings that the subscales correlated most strongly with measures of neighboring personality constructs (e.g., BIS with neuroticism, BAS with positive affect) than with measures of current anxiety and depression symptoms. Overall, the results support the psychometric properties of the BIS/BAS in this clinical sample.