Specifying the impulsivity of female inmates with borderline personality disorder

Impulsivity is regarded as a core feature of borderline personality disorder (BPD; M. C. Zanarini, J. G. Gunderson, & F. R. Frankenburg, 1989) despite lack of evidence from laboratory research (D. M. Dougherty, J. M Bjork, H. C. G. Huckabee, F. G. Moeller, & A. C. Swann, 1999). This study examined impulsivity in incarcerated women with BPD using a passive avoidance task (J. P. Newman & W. A. Schmitt, 1998) and the Impulsiveness-Monotony Avoidance-Detachment inventory (IMD; D. Schalling, 1978). As predicted, incarcerated women diagnosed with BPD committed more passive avoidance errors and reported more impulsivity on the IMD than controls. These findings identify disinhibition as a potentially important component of the impulsivity that characterizes BPD. Specifying the impulsive behavior identified with BPD may contribute to the effective assessment and management of the disorder.     

Utilization of emotion cues in male and female offenders with antisocial personality disorder: results from a lexical decision task

Antisocial personality disorder (ASPD) diagnoses have demonstrated good reliability and validity in male offenders. However, there is a paucity of research assessing utilization of emotion cues in ASPD individuals and the extent to which correlates of ASPD in males generalize to females. This investigation examined emotion utilization in incarcerated men and women with and without ASPD using a lexical decision task with emotional and neutral words. The performance of male offenders with ASPD was similar to that of male controls, whereas women with ASPD demonstrated greater emotional facilitation than female controls. Moreover, the number of violent crimes committed by female inmates with ASPD was related to emotion facilitation, suggesting a link between their sensitivity to emotion cues and antisocial behavior.     

The perceived position of the hand in space

This paper reports a series of experiments of the perceived position of the hand in egocentric space. The experiments focused on the bias in the proprioceptively perceived position of the hand at a series of locations spanning the midline from left to right. Perceived position was tested in a matching paradigm, in which subjects indicated the perceived position of a target, which could have been either a visual stimulus or their own fingertip, by placing the index finger of the other hand in the corresponding location on the other side of a fixed surface. Both the constant error, or bias, and the variable error, or consistency of matching attempts, were measured. Experiment 1 showed that (1) there is a far-left advantage in matching tasks, such that errors in perceived position are significantly lower in extreme-left positions than in extreme-right positions, and (2) there is a strong hand-bias effect in the absence of vision, such that the perceived positions of the left and right index fingertips held in the same actual target position in fact differ significantly. Experiments 2 and 3 demonstrated that this hand-bias effect is genuinely due to errors in the perceived position of the matched hand, and not to the attempt at matching it with the other hand. These results suggest that there is no unifying representation of egocentric, proprioceptive space. Rather, separate representations appear to be maintained for each effector. The bias of these representations may reflect the motor function of that effector.     

Identification of the eye-brain-hand system with point processes: a new approach to simple reaction time

By presenting a Poisson process of flashes to observers who hit a button as quickly as possible after each, the authors identified the system involved in simple reaction time (RT). The nonlinear kernels up to 2nd order were measured from the stimulus and response point processes. The 1st-order kernel is analogous to a histogram of simple RTs. The 2nd-order kernel shows complex patterns of nonlinear suppression and facilitation between pairs of flashes. Simple RT measured as the lag of the 1st-order kernel's peak agrees with RT from conventional discrete trial experiments. RTs are shorter and less variable when the flashes are separated by uniform rather than exponential delays, which shows that observers use the stimulus hazard function to become prepared to detect and respond to the flash.     

The cocktail party effect in infants revisited: listening to one's name in noise

This study examined infants' abilities to separate speech from different talkers and to recognize a familiar word (the infant's own name) in the context of noise. In 4 experiments, infants heard repetitions of either their names or unfamiliar names in the presence of background babble. Five-month-old infants listened longer to their names when the target voice was 10 dB, but not 5 dB, more intense than the background. Nine-month-olds likewise failed to identify their names at a 5-dB signal-to-noise ratio, but 13-month-olds succeeded. Thus, by 5 months, infants possess some capacity to selectively attend to an interesting voice in the context of competing distractor voices. However, this ability is quite limited and develops further when infants near 1 year of age.     

Validating a distinction between primary and secondary psychopathy with measures of Gray's BIS and BAS constructs

Investigators commonly distinguish between primary and secondary psychopathy (H. Cleckley, 1976; D.T. Lykken, 1995), though there is a lack of consensus regarding the best means to achieve this distinction. To address the validity of using R. D. Hare's (2003) Psychopathy Checklist and the G. Welsh (1956) Anxiety Scale for this purpose, the authors used 2 measures of J. A. Gray's (1987) behavioral inhibition system/behavioral activation system (BIS/BAS). Following D. T. Lykken (1995) and D. C. Fowles (1980), the authors hypothesized that primary psychopathy would be associated with a weak BIS and a normal BAS, whereas secondary psychopathy would be associated with a strong BAS and a normal BIS. Results for primary psychopathy were as predicted. Results for secondary psychopathy clearly supported the strong BAS prediction but provided mixed support for the normal BIS prediction.     

A case study of mediated learning, delayed auditory feedback, and motor repatterning to reduce stuttering

A case study of DW, an 11-yr. old monolingual, English-speaking boy who exhibits stuttering, language delay, and ADHD is presented. DW experienced only limited improvement during stuttering therapy received in public schools, according to parents and the public school clinician. The purpose of this case study was to assess whether fluency treatment which incorporated Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning would enhance progress. Therapy was delivered in two treatments, with each treatment being 5 wk. of intense therapy, separated by one year. Treatment 1 of combined Mediated Learning and Delayed Auditory Feedback yielded improvement in fluency, judged by parents and the teacher to be clinically significant. The improved fluency was maintained for one year when DW was pretested for participation in Treatment 2, which combined Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning Exercises. As no conclusions are possible, further study is needed.     

Suicide compared to other causes of mortality in physicians

Physicians frequently are early adopters of healthy behaviors based on their knowledge and economic resources. The mortality patterns of physicians in the United States, particularly suicide, have not been rigorously described for over a decade. Previous studies have shown lower all-cause mortality among physicians yet reported conflicting results about cause-specific mortality such as suicide. In this study, we compared all-cause and cause-specific mortality in a sample of physicians to the age-gender matched general U.S. population from 1948 through 1998. We also compared the mortality experience across medical specialties. The risk of all-cause mortality was 56% lower than expected in men, and 26% lower in women, compared to the general population. Standardized mortality ratios (SMRs) were markedly lower for diseases strongly linked to smoking, e.g., cardiovascular diseases, respiratory diseases, and lung cancer. Suicide was the only cause of death where risk was greater than the general population. Overall, we found that physicians are at substantially lower risk of dying compared to the general population for all causes of death except suicide. The findings for suicide are strikingly different than other causes of death and should provide impetus for new research on the mental health of physicians.     

Implementation of a comprehensive schoolwide behavioral intervention: The ABC program

The Academic and Behavioral Competencies (ABC) Program, a schoolwide program to reduce classroom disruption and encourage rule following, academic task completion, and homework completion, is described. The program was initially developed and implemented in an elementary school with a high-risk population. Data from teachers, parents, and children indicate high levels of satisfaction with the program. In addition, unobtrusive measures of program impact, reported as reductions in referrals to the principal's office, suspensions, and increases in homework completion rates relative to the year prior to implementation of the program, suggest a preliminary positive impact of the program. A replication is reported for another school district, with teacher evaluations of satisfaction and effectiveness reported, supporting the flexibility and adaptability of the program. Although the present article does not constitute a systematic evaluation of the ABC Program, it presents preliminary data on the process of implementation and stakeholder satisfaction.