Social phobia in ultra-orthodox Jewish males: culture-bound syndrome or virtue?

Social difficulties of the performing variety are reported by ultra-orthodox male referrals to a psychiatrist in Jerusalem and confirmed by key communal informants. Three cases of social phobia are presented, and the content concerns performing, either speaking on religious matters publicly, a role associated with status and authority, or leading prayers and ceremonies, a role of sanctity and duty. The absence of women sufferers may be understood as a consequence of the value placed on modesty in women and there being no expectation of women to participate in study and public prayer, while the absence of complaints of interactional social phobia may be a consequence of the general discouragement of social intercourse not related to religious study. Aymat zibur, literally meaning fear of the community, is a term used by ultra-orthodox Jews to describe these fears of performance, although in its original meaning the term expresses the respect that the leader of prayers is expected to have for his awesome role. The cases described, however, were motivated by personal shame, similar to social phobia of the performance variety found in other cultures, rather than fear and respect. The values of ultra-orthodox religious life are presented that invest a person who avoids interactional social behaviors with the status of zaddik (a righteous person) while one who avoids the performance behaviors of speaking publicly on religious matters or leading prayers suffers from an idiom of distress in this particular society. Religious law and societal mores appear to be critical factors in deciding whether symptoms of social phobia are perceived and experienced as idioms of distress.     

Working Memory Demands and Semantic Sensitivity for Prose in Mild Alzheimer's Disease

The debate continues with regard to whether degradation of semantic knowledge or deficits in information processing lead to impaired memory performance in patients with Alzheimer's disease (AD). This study examined the effects of semantic content and working memory demands on the recall and recognition abilities of patients with mild AD. Nineteen patients with probable AD and 19 demographically matched normal control participants were asked to remember prose passages that varied in semantic content (high, medium, and low level of idea importance) and working memory demands (narrative and expository passages). Compared to the controls, patients with mild AD lost the ability to recall prose in a manner consistent with the semantic structure of the passages as the demands on working memory increased. Furthermore, as the demands on working memory increased, patients recognized information in a manner that suggested their initial processing was of isolated details rather than by semantic structure. This study provides support for the hypothesis that information processing deficits contribute to impaired semantic processing in patients with mild AD.     

Improving responding to questioning using a brief retrieval training

This research examined the effect of a brief training procedure for enhancing responding to questions about witnessed events. The training was based in research on metacognition and memory, and emphasized: attending to questions, searching for multiple responses, and weighing confidence in and considering the source of responses. In the main study, adult participants viewed a video of a burglary and after a 25 min delay half received the training. All participants were then asked answerable and unanswerable questions about the video. The training resulted in fewer errors and more rejections to unanswerable questions. Analysis of response diagnosticity indicated that responses made by the trained group were more likely to be correct responses to answerable questions. A second study showed that these findings were not due to awareness of the presence of unanswerable questions. The procedure has potential as a supplement when questioning is pursued.     

Measurement variability in infant and maternal behavioral assessment

Evaluations of methodological assessments sometimes show similar, sometimes different patterns of findings reflective of different approaches to the same problem. In this study, frequencies of behaviors of infants and mothers in two cultures based on continuous coding were compared with frequencies based on time-sampling, and resulting patterns of findings were evaluated. Time-sampling and continuous coding give different estimates of absolute frequency of typical infant and maternal behaviors between individuals and between cultural groups. However, time-sampling adequately preserves the relative ranking of infant and mother behaviors among individuals and between cultural groups. If research is concerned with the relative standing of individuals and/or groups on frequency of infant or maternal behavior, then (under specified circumstances) time-sampling and continuous coding yield comparable results.     

Psychometric Properties and Norms of the Family Needs Scale

We studied 205 low-income families, using the Family Needs Scale (FNS). Factor analysis of the FNS data resulted on a 7-factor solution with high internal consistency within the various subscales. We provide normative scores based on the factor structure of the FNS. A total of 53 parents completed the FNS on two occasions with an average of four weeks between these two ratings. In general, the test-retest reliabilities were low to moderate. A total of 61 pairs of parents independently rated their families with the FNS. Again, agreement between raters was low to moderate. Several factors that may have detracted from better test-retest and interrater reliability were identified. Our data point to the need for more psychometric studies with the FNS.