Do alcoholic amnesic patients passively rehearse verbal information?

Recently it has been claimed that alcoholic amnesic patients mainly engage in passive repetitive rehearsal during spontaneous learning and that this contributes to their memory problem. To test this hypothesis further, two experiments were conducted which compared list learning in amnesic patients and normal controls. In Experiment I both groups of subjects were required either to learn a list which was presented five times consecutively with free recall following each presentation, or they were asked to repeat each word out loud as they saw it and carry on doing so until the next word was shown. Five presentation trials were given and free recall was again tested after each presentation. It was predicted that if the amnesics' spontaneous form of learning involved only passive repetition there should be no difference between learning and repetition for this group while the controls should show an impairment in repeating compared to learning. The results showed that both groups of subjects were impaired to the same extent with repeating compared to learning and it was concluded that spontaneous learning was similar in both groups and that neither group merely passively rehearsed during spontaneous learning. A second experiment examined recognition performance of the two groups of subjects after learning or repeating lists of 20 words. Recognition was tested with distractors which were irrelevant, acoustically similar, graphemically similar, or semantically similar to the target word. It was found there were no differences between either of the groups in the pattern of errors made over the different distractor types. It was thus concluded that there was no encoding or rehearsal abnormality in the amnesic group. The possibility of differences between groups of alcoholic amnesics was discussed as well as the putative role of slow cognitive processing in their memory problems.     

Levels of Processing and Retrieval: Recency Effects After Incidental Learning in A Reaction Time Task

In their development of the levels-of-processing approach to memory Craik and Jacoby (1975) proposed a dual-process theory of retrieval which involves both the scanning of recent episodic memory and a process of reconstruction in semantic memory. The theory predicts that a depth of processing effect will emerge only when the latter retrieval process is employed. Two experiments tested this prediction under the “conveyor-belt” assumption that scanning will be adopted for recent items while earlier items must be retrieved by reconstruction. An incidental-learning paradigm was employed, in which subjects performed an orienting reaction-time task on a sequence of word-pairs. Each word-pair was judged at either a semantic, phonemic or (in Experiment I) orthographic level of coding. In the first experiment half the subjects subsequently attempted free recall while half performed a recognition task; in the second experiment subjects were cued for recall in the last six serial positions, followed by free recall of the remaining items. A consistent “levels” effect emerged in both recall and recognition and this was particularly clearly observed in recency positions. A significant difference also emerged between positive and negative judgements. Although it is argued that these effects might emerge even in scanning it is concluded that these experiments provide no support for the proposal of two distinct retrieval modes.     

Amnesics Have a Disproportionately Severe Memopry Deficit for Interactive Context

Two experiments were used to compare the recognition memory of amnesic and normal subjects for intentionally encoded words (targets) and for incidentally encoded words that were meaningfully related to the targets and presented at the same time (interactive context). In both experiments the target recognition of the two groups was matched at a high level by presenting the amnesics with much shorter lists of words to remember. Experiment 1 compared 20 amnesics and their matched controls and showed that whereas the amnesics' recognition of the target words did not benefit significantly when they were presented together with their interactive context words (relative to their recognition when the target words were presented alone), that of the controls did. Experiment 2 compared 14 amnesics and their matched controls and showed that when patients and their controls were matched on their target word recognition in isolation, then the patients still showed worse recognition for the interactive context words. These effects were not found only in Korsakoff patients, and their size did not correlate with behavioural measures of frontal-lobe damage. It is concluded that amnesics may be more impaired at recognizing incidentally encoded interactive context than they are at recognizing target material, and this deficit may be an essential feature of the syndrome.     

Personality, job level, job stressors, and their interaction as predictors of coping behavior

Hypotheses concerning the relationships among job stressors, job level, personality, and coping responses were investigated in a sample of 305 electrical contracting employees. Coping behaviors were measured with questionnaire items based on interviews conducted with a sample of the subjects. Neuroticism (N) and Extraversion (E) were the personality variables most strongly related to coping behavior. Overall, more coping variance was explained by personality than by job stressors; however, when the effects of job level and job stressors were combined, they explained more variance in complaining/quitting and seeking social support than did the personality variables. Both work situation and personality seem to be important variables in the choice of coping behaviors. There was no evidence of interactions among personality, stressors, and job level in explaining coping behavior.     

Memory and executive function impairments after frontal or posterior cortex lesions

Free recall and recognition, memory for temporal order, spatial memory and prospective memory were assessed in patients with frontal lobe lesions, patients with posterior cortex lesions and control subjects. Both patient groups showed equivalent memory deficits relative to control subjects on a range of free recall and recognition tasks, on memory for temporal order and on a prospective memory task. The patient groups also performed equivalently on the spatial memory task although only patients with frontal lobe lesions were significantly impaired. However, the patients with frontal lobe lesions showed an increased false alarm rate and made more intrusion errors relative not only to the control subjects, but also to the patients with poster or cortex lesions. These memory problems are discussed in relation to deficits in executive function and basic memory processes.     

A cross-cultural investigation of cognitions and depressive symptoms in adolescents

Adolescents (N=2,272) from Hong Kong and the United States provided information regarding their depressive symptoms, cognitions (self-efficacy, negative cognitive errors, and hopelessness), and stressful events between 2 surveys 6 months apart. Depressive symptoms and hopelessness were higher, and self-efficacy and negative cognitive errors were lower in Hong Kong than in the United States. Cognitions were associated with concurrent depressive symptoms and predicted depressive symptoms 6 months later in both cultures. The "reverse" model was also supported with more variance predicted by depressive symptoms to later cognitions than from cognitions to depressive symptoms. There was some support for the hypothesis that self-efficacy is less salient in collective compared with individualistic cultures. These findings extend cognitive theories of depression to a non-Western culture.     

DSM-III and the revolution in the classification of mental illness

A revolution occurred within the psychiatric profession in the early 1980s that rapidly transformed the theory and practice of mental health in the United States. In a very short period of time, mental illnesses were transformed from broad, etiologically defined entities that were continuous with normality to symptom-based, categorical diseases. The third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III) was responsible for this change. The paradigm shift in mental health diagnosis in the DSM-III was neither a product of growing scientific knowledge nor of increasing medicalization. Instead, its symptom-based diagnoses reflect a growing standardization of psychiatric diagnoses. This standardization was the product of many factors, including: (1) professional politics within the mental health community, (2) increased government involvement in mental health research and policymaking, (3) mounting pressure on psychiatrists from health insurers to demonstrate the effectiveness of their practices, and (4) the necessity of pharmaceutical companies to market their products to treat specific diseases. This article endeavors to explain the origins of DSM-III, the political struggles that generated it, and its long-term consequences for clinical diagnosis and treatment of mental disorders in the United States.