Paying attention to reading errors in acquired dyslexia

The important role of selective attention in normal reading is illustrated by a relatively rare form of acquired dyslexia known as 'attentional dyslexia'. Theories of the functional deficit underlying this disorder differ as to the locus of the attentional dysfunction. A recent study by Mayall and Humphreys has contributed to this debate by studying letter migration errors in an attentional dyslexic.     

Satir's Therapeutically Oriented Educational Process: A Critical Appreciation

Virginia Satir, one of the most influential of the early family therapists, reached millions of people throughout the world through her writings, videotapes, workshops, and personal appearances. Yet the Satir model has never been fully accepted by the mainstream of the family therapy movement. This article introduces Satir and her work, and outlines the conceptual foundations of the model, organized in terms of presuppositions, basic constructs, therapeutic process, and methods, and offers some reasons for this lack of acceptance. The relation of theory to method and practice is the least developed aspect of the Satir model.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Recurrence of Posttraumatic Stress Disorder in Late Life: A Cognitive Aging Perspective

Clinical experience with older adults shows that many will experience PTSD symptoms in older adulthood because of trauma exposure early in life. Some of these patients struggled with PTSD in the distant past and remained symptomfree for decades only to have a recurrence of PTSD in late life. This paper outlines a cognitive aging explanation for the recurrence of PTSD. It is proposed that the age-related decreases in attention make the intrusion of trauma-related memories more likely. The increase in intrusive memories, combined with age-related decreases in working memory, explicit memory, and prospective memory, increases the subjective distress associated with the memories and results in a recurrence of PTSD.     

Are there lexicons?

Many models of the processing of printed or spoken words or objects or faces propose that systems of local representations of the forms of such stimuli—lexicons—exist. This is denied by partisans of the distributed-representation connectionist approach to cognitive modelling. An experimental paradigm of key theoretical importance here is lexical decision and its analogue in the domain of objects, object decision. How does each theoretical camp account for our ability to perform these two tasks? The localists say that the tasks are done by matching or failing to match a stimulus to a local representation in a lexicon. Advocates of distributed representations often do not seek to explain these two tasks; however, when they do, they propose that patterns of activation evoked in a semantic system can be used to discriminate between words and nonwords, or between real objects and false objects. Therefore the distributed-representation account of lexical and object decision tasks predicts that performance on these tasks can never be normal in patients with an impaired semantic system, nor in patients who cannot access semantics normally from the stimulus domain being tested. However, numerous such patients have been reported in the literature, indicating that semantic access is not needed for normal performance on these tasks. Such results support the localist form of modelling rather than the distributed-representation approach.