A systemic belief approach to epileptic seizures: A case of being spellbound

A systemic treatment approach, namely systemic belief therapy, has been found to be useful when dealing with families constraining beliefs when experiencing physical health problems. Two interventions which facilitate the altering of constraining beliefs are the externalization of physical symptoms and therapeutic letters. Epileptic seizures are examined in the context of the interaction between families and health care professionals. A case example is presented which highlights the use of this systemic approach to assist a young couple in challenging their beliefs about their ability to control and monitor epileptic seizures.     

Adult-child discourse: Developmental interaction between information processing and linguistic knowledge

In the present study, the discourse interaction between adult and child was examined in terms of the content of their utterances, and the linguistic and contextual relations between their messages, in order to investigate how children use the information from adults' input sentences to form contingent responses. The analyses described were based on longitudinal data from four children from approximately 21 to 36 months of age. Categories of child discourse, their development and their interactions with aspects of prior adult utterances form the major results of the study. Child utterances were identified as adjacent (immediately preceded by an adult utterance), or as nonadjacent (not immediately preceded by an adult utterance). Adjacent utterances were either contingent (shared the same topic and added new information relative to the topic of the prior utterance), imitative (shared the same topic but did not add new information), or noncontingent (did not share the same topic). From the beginning, the adjacent speech was greater than nonadjacent speech. Contingent speech increased over time; in particular, linguistically contingent speech (speech that expanded the verb relation of the prior adult utterance with added or replaced constituents within a clause) showed the greatest developmental increase. Linguistically contingent speech occurred more often after questions than nonquestions. The results are discussed in terms of how the differential requirements for processing information in antecedent messages is related to language learning.     

Children's understanding of linguistic reference to past and future

Young children's comprehension of linguistic reference to past and future times was investigated in two experiments. The children were 2, 3, and 4 years old. The linguistic forms considered were verb tense and the termsbefore andafter; each linguistic form was used in both experiments. The two experimental contexts were (1) actions which either had just occurred or were just about to occur, immediate past and future, and (2) events which either had occurred on the preceding day or were to occur on the following day, more remote past and future. Understanding of linguistic reference to past and future events varied, depending on the situation in which the particular form was applied. Future verb tense was better understood in reference to immediate than to more remote future. Past tense was understood equally well in reference to immediate past action and to more remote past events.Before andafter, both of which would be used to refer to either past or future time, were each better understood when used to refer to the next event or action following the present.This report is based on a dissertation submitted to Teachers College, Columbia University, in partial fulfillment of the requirements for the Ph.D.     

Psychometric properties of the Folstein Mini-Mental State Examination

Criterion-referenced (Livingston) and norm-referenced (Gilmer-Feldt) techniques were used to measure the internal consistency reliability of Folstein's Mini-Mental State Examination (MMSE) on a large sample (N = 418) of elderly medical patients. Two administration and scoring variants of the MMSE Attention and Calculation section (Serial 7s only and WORLD only) were investigated. Livingston reliability coefficients (rs) were calculated for a wide range of cutoff scores. As necessary for the calculation of the Gilmer-Feldt r, a factor analysis showed that the MMSE measures three cognitive domains. Livingston's r for the most widely used MMSE cutoff score of 24 was .803 for Serial 7s and .795 for WORLD. The Gilmer-Feldt internal consistency reliability coefficient was .764 for Serial 7s and .747 for WORLD. Item analysis showed that nearly all of the MMSE items were good discriminators, but 12 were too easy. True score confidence intervals should be applied when interpreting MMSE test scores.     

Weathering the storm: children's long-term recall of Hurricane Andrew

Children who experienced a highly stressful natural disaster, Hurricane Andrew, were interviewed within a few months of the event, when they were 3-4 years old, and again 6 years later, when they were 9-10 years old. Children were grouped into low, moderate, or high stress groups depending on the severity of the experienced storm. All children were able to recall this event in vivid detail 6 years later. In fact, children reported over twice as many propositions at the second interview as at the first. At the initial interview, children in the high stress group reported less information than children in the moderate stress group, but 6 years later, children in all three stress groups reported similar amounts of information. However children in the high stress group needed more questions and prompts than children in the other stress groups. Yet children in the high stress group also reported more consistent information between the two interviews, especially about the storm, than children in the other stress groups. Implications for children's developing memory of stressful events are discussed.     

Understanding pretrial publicity: predecisional distortion of evidence by mock jurors

Prejudicial pretrial publicity (PTP) constitutes a serious source of juror bias. The current study examined differences in predecisional distortion for mock jurors exposed to negative PTP (N-PTP) versus nonexposed control participants. According to work by K. A. Carlson and J. E. Russo (2001), predecisional distortion occurs when jurors bias new evidence in favor of their current leading party (prosecution or defense) rather than evaluating this information for its actual probative properties. Jury-eligible university students (N=116) acted as jurors in a mock trial. Elevated rates of guilty verdicts were observed in the N-PTP condition. Predecisional distortion scores were significantly higher in the N-PTP condition and reflected a proprosecution bias. The effect of prejudicial PTP on verdict outcomes was mediated by predecisional distortion in the evaluation of testimony. Results are discussed in relation to motivated decision making and confirmation biases.     

Transfer of value from fit

People experience regulatory fit when they pursue a goal in a manner that sustains their regulatory orientation (E. T. Higgins, 2000). Five studies tested whether the value experienced from regulatory fit can transfer to a subsequent evaluation of an object. In Studies 1 and 2, participants gave the same coffee mug a higher price if they had chosen it with a strategy that fit their orientation (eager strategy/promotion; vigilant strategy/prevention) than a strategy that did not fit. Studies 3-5 investigated possible mechanisms underlying this effect. Value transfer was independent of positive mood, perceived effectiveness (instrumentality), and perceived efficiency (ease), and occurred for an object that w as independent of the fit process itself. The findings supported a value confusion account of transfer.     

Comorbidity and Related Factors Among Ethnically Diverse Substance Using Pregnant Women

Studies have established that comorbidity needs to be considered when assessing and treating substance-using clients. This study explores course of treatment, risk factors, and drug-related issues among 192 ethnically diverse pregnant women who were actively using drugs at admission to a residential treatment program. Findings revealed that course of treatment is more difficult for comorbid clients who perceived more treatment barriers than noncomorbid clients. Comorbid clients were more likely to have a history of attempting suicide but no more likely to have been reported for child abuse or charged with a crime. Comorbid clients reported greater severity of alcohol use but did not differ from noncomorbid clients regarding drug of choice. Comorbid clients were no more likely to leave against treatment advice, and noncomorbid clients were no more likely to complete treatment. Findings suggest that sensitivity to comorbidity issues is crucial to retaining comorbid clients in treatment.     

Witnesses in action: the effect of physical exertion on recall and recognition

Understanding memory performance under different operational conditions is critical in many occupational settings. To examine the effect of physical exertion on memory for a witnessed event, we placed two groups of law-enforcement officers in a live, occupationally relevant scenario. One group had previously completed a high-intensity physical-assault exercise, and the other had not. Participants who completed the assault exercise showed impaired recall and recognition performance compared with the control group. Specifically, they provided significantly less accurate information concerning critical and incidental target individuals encountered during the scenario, recalled less briefing information, and provided fewer briefing updates than control participants did. Exertion was also associated with reduced accuracy in identifying the critical target from a lineup. These results support arousal-based competition accounts proposing differential allocation of resources under physiological arousal. These novel findings relating to eyewitness memory performance have important implications for victims, ordinary citizens who become witnesses, and witnesses in policing, military, and related operational contexts.