Families created through surrogacy arrangements: parent-child relationships in the 1st year of life

Findings are presented of a study of families created through surrogacy arrangements. Forty-two surrogacy families were compared with 51 egg-donation families and 80 natural-conception families on standardized interview and questionnaire measures of the psychological well-being of the parents, the quality of parent-child relationships, and infant temperament. The differences that were identified between the surrogacy families and the other family types indicated greater psychological well-being and adaptation to parenthood by mothers and fathers of children born through surrogacy arrangements than by the natural-conception parents.     

CBT intensity and outcome for panic disorder in a primary care setting

A hybrid efficacy-effectiveness design in which participants (n = 91/93) were retained in the study regardless of whether or not they received treatment enabled evaluation of CBT intensity in relation to panic disorder in the primary care setting. CBT intensity was operationalized as number of cognitive-behavioral therapy sessions, number of follow-up booster phone calls, and secondarily, as number of cognitive behavioral coping and exposure strategies. Baseline psychosocial and demographic predictors of CBT intensity were analyzed first. Severity of anxiety sensitivity predicted number of cognitive behavioral sessions, but no baseline variables predicted number of follow-up booster phone calls or number of coping and exposure strategies. Multivariate logistic and linear regressions were used to evaluate the degree to which treatment intensity predicted 3-month and 12-month outcomes (anxiety sensitivity, phobic avoidance, depressive symptoms, disability, and medical and mental health functioning) after controlling for potential confounding baseline variables. Number of cognitive behavioral therapy sessions predicted lower anxiety sensitivity at 3 and 12 months, and number of follow-up booster phone calls predicted lower anxiety sensitivity, less phobic avoidance, and less depression at 12 months. These findings indicate that "dose" of psychotherapy was an important predictor of outcome. The significance of follow-up booster phone contact is discussed as an index of continued self-management of panic and anxiety following acute treatment.     

When symptom is symbol: some comments on Rosemary Gordon's, ‘Masochism: the shadow side of the archetypal need to venerate and worship’

This paper is a commentary on Rosemary Gordon's paper, ‘Masochism: the shadow side of the archetypal need to venerate and worship’, with a suggestion for an alternative interpretation of masochism as a part of a sado‐masochistic couple. Gordon postulates an archetypal need to venerate and worship that can be hidden in the shadow and distorted in such practices as sexual masochism. Her paper also offers several avenues of exploration for further studies in connection with the phenomenon of masochism, including sexual perversion (‘paraphilia’), chronic psychological victimhood, PTSD and traumatology, religious extremist behaviour such as self‐flagellation, transformation in the individuation process and numinous experience. An extension of her hypothesis to include religious problems of modernity is suggested.     

Selective word-learning deficits in aphasia

The purpose of this study was to determine whether patients with focal brain damage can learn anything about a new word, and if so, whether selected aspects of the new word are acquired depending on the nature of the patient's language processing deficit. In the context of drawing pictures with a number of felt pens identical in all respects except color, agrammatic Broca's aphasics and fluent aphasics were exposed to the new word "bice," an adjective referring to the dark green portion of the color spectrum. Our findings revealed that brain-damaged patients can engage in lexical acquisition, but Broca's aphasics and fluent aphasics apparently learn about different aspects of the new word. Specifically, on successive exposures to "bice," both Broca's aphasics and fluent aphasics exhibit progressively more accurate hypotheses for identifying a bice-colored object. During subsequent assessments, agrammatic aphasics reveal on a metalinguistic judgment task their significant difficulty appreciating the grammatical form class of "bice"; on an object classification task, fluent aphasics are significantly impaired in their classification of bice-colored objects as "bice." Taken together, these unique word-learning profiles reinforce earlier observation on the selective nature of language processing deficits after focal left-hemisphere insult, and support the claim that separate language processing devices may be selectively compromised in different groups of aphasics. The relationship between syntactic and lexical semantic processing is discussed.     

Verb Comprehension Deficits in Probable Alzheimer's Disease

Studies of lexical comprehension in probable Alzheimer's disease (pAD) have focused almost exclusively on nouns. In the following preliminary study, we examined whether lexical comprehension for verbs is also impaired in 25 pAD patients. The semantic meaning of motion verbs, cognition verbs, and perception verbs was assessed with a triadic comparison task. Structural meaning associated with these verbs was evaluated by asking the patients to judge the coherence of sentence frames that accept these verbs naturally or awkwardly. We found that pAD patients are significantly impaired at identifying semantic relations among verbs. pAD patients also encountered significantly more difficulty judging the coherence of sentences than control subjects. Correlation and regression analyses demonstrated that semantic characteristics of verbs are projected from the verbs' sentence frames in control subjects, but there was minimal evidence for such a structural–semantic relationship in pAD. We consider several possible explanations for our preliminary observations of an impairment that has consequences for processing both semantic and structural aspects of verb meaning.     

A demonstration of auto-shaping with monkeys

The Brown-Jenkins auto-shaping procedure for pigeons was found applicable to monkeys. Repeated pairings of lighted keys with reinforcement generated key-pressing behavior. The animals rapidly learned a simultaneous light-dark discrimination. The topographies of key-pressing and magazine behavior differed; the food tray was not illuminated.     

Vocalization-at-presentation and immediate recall, with varying presentation-rates

An experiment is reported in which the subject read visually presented lists with four different degrees of vocalization; immediately after reading each list he was required to reproduce it either aloud or in writing. Each list consisted of eight consonants and presentation rates were varied between I and 4 letters per sec. For any given series of lists, the subject was asked either to read the letters silently, or to mouth them silently, or to whisper them, or to say them aloud while reading.

At the fastest presentation-rate immediate recall improved monotonically with the degree of vocalization during reading of the lists; at slower rates this generalization held less well, especially for the lower degrees of vocalization. Vocalization was most helpful at the highest presentation-rate.

The overall amount correctly recalled was better for more slowly presented lists and for written as opposed to spoken recall. Analysis of the errors suggested that acoustic confusions were affected by the conditions of presentation; and that serial order intrusions were independent of presentation-or recall-conditions. An apparent variation of transpositions with voicing-and-recall-method failed to reach statistical significance. Theoretical implications of the experiment are discussed, including reference to Broadbent's theory of short-term memory (1958).     

Cardiac disorders and antidepressant medications

Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) have been associated with an increase in cardiovascular disorders, especially in depressed patients who have pre-existing cardiac disease. These disorders are less likely to occur when a therapeutic dosage is administered. Injuries because of falls are more likely in elderly depressed patients, and orthostatic hypotension occurs with the use of TCAs. Selective serotonin reuptake inhibitor (SSRI) antidepressants differ structurally and in side effects from TCAs and MAOIs. They appear to be effective for treatment of depression, and their side-effect profiles appear safer than those of earlier approved antidepressants used by depressed patients with cardiovascular disorders.     

Focused search of semantic cases in question answering

Three experiments tested the hypothesis that people can execute focused searches of semantic cases when answering questions about complex facts, such as “the teacher watered the peas, the corn, and the lettuce with the hose.” In Experiment 1, answer time varied mainly with the number of concepts in the relevant or focused case, supporting the hypothesis. Experiment 2 indicated that the irrelevant case undergoes some processing. Experiment 3 confirmed that search in Experiments 1 and 2 focused on semantic cases rather than on taxonomic categories. It is proposed that focused memory search has a high probability of retrieving the relevant case and a low probability of retrieving the irrelevant case. In the latter event, the irrelevant concepts receive full processing.