Depression in patients with spinal cord injuries: A synthesis of cognitive and somatic processes

Depression in some patients with spinal cord injuries may be clinically significant and, when present, should be treated to decrease morbidity including decreased physical functioning. Depression associated with spinal cord injury (SCI) may be misevaluated, due to (1) nonspecific multifactorial production of depression symptoms and (2) SCI-specific decrease in somatic sensory central nervous system input. The Somatic Suppression Hypothesis suggests that SCI patients have difficulty experiencing any intense emotion because of suppression of physiological arousal. In addition, cognitive processes that may reduce depression in SCI patients include: (1) attribution of somatic symptoms of depression to medical (biological) causes, (2) realistic, positive expectations for physical improvement, and (3) the perception that the disability of the SCI is only minimally related to the patient’s self-care after complete evaluation. Health personnel should accept lack of depression in SCI, and should encourage positive realistic expectations of recovery.     

Competency,and other constructs,in right to die cases

Subjects had to make a “remove” or “do not remove” life-sustaining measures decision in three right to die cases where the patients differed in competence; for half the subjects, a living will was present in all the cases, whereas, for the other half, it was not. Subjects also gave their determinative reasons for their decisions. Support for the right to die varied by case, but not by competency, or by the presence of a living will. The subjects' reasons were highly predictive of their decisions, and related to the way case-specific facts were construed, revealing a number of disparities between the way courts and citizens construe whether the patient's condition is “terminal,” “irreversible,” and “painful,” or not. Beyond construing facts differently, the results also revealed a disparity between evolving case law and the community's “common sense justice” over a fundamental belief: whether dying is seen as private matter, outside the bounds of State intervention, or not.     

Windows on the 21st century

Behavior analysis is a cultural system of which the Association for Behavior Analysis is a component cultural system. As cultural systems, they are composed of interlocking behavioral contingencies that constitute their cultural practices. Critical to the survival of both cultural systems is the frequency of interaction with and the nature of the content of the behavioral contingencies composing those cultural practices. The strengths of behavior analysis as a cultural system include its disciplinary character and its worldwide community of scientists and practitioners; its ability to be integrated into a scientific worldview; its track record in providing effective solutions to problems of importance to society; and the high levels of intellect, competence, and commitment that are characteristic of its participants. Weaknesses of behavior analysis are its status as an academic orphan, its relatively small size and its underdeveloped professional identity, and a lack of sociopolitical sophistication among many of its members. Behavior analysis will need to maximize its strengths and mitigate its weaknesses if it is to take advantage of the many opportunities available for growth in the modern world.     

An alternative procedure for analyzing job analysis results for content-oriented test development

Content-oriented test development requires information derived from a comprehensive job analysis. The job data typically consist of task and skill statements identified by subject matter experts. These statements characterize a target job and are then used to develop the test plan and item budget. The predominant practice for combining data from the task and job skill domains to facilitate preparation of a test plan and item budget is an impressionistic approach. This study reports variations and extensions of an alternative quantitative procedure for linking task and job skill data (Hughes & Prien, 1989) using results obtained in field studies. The results indicate that the procedure reported by Hughes and Prien (1989) yields consistent results. Also, modifications to the procedure result in more detailed solutions.Dr. Charles Lawshe graciously contributed three sets of job analysis data to this research project. Dr. Lawshe also provided a very thoughtful and cogent critique of our attempts to express these thoughts to a user audience and for this we are grateful.     

Cross-Cultural Counseling and Neurolinguistic Mirroring With Native American Adolescents

This study examined the effects of neurolinguistic mirroring versus nonmirroring of selected nonverbal behaviors on empathy, trustworthiness, and positive interaction in a cross-cultural setting among 60 Choctaw adolecents and Caucasian female counselors. Results indicated significant mirroring effects on the empathy scale of the Barrett-Lennard Relationship Inventory.     

A near-death experience among the Mapuche people

This paper describes a possible near-death experience (NDE) among the Mapuche people of Chile. The individual reporting the experience was in a cataleptic-like state for two days, the experience itself occurring at the end of this period. Some common features of NDEs, such as encounters with deceased people and being sent back, are present, together with clear evidence that past and present cultural environment shape in part the content of mental experiences.This work was funded in part by the University of Chile (DTI Project Q-3064).The author thanks Editorial Andrés Bello for permissionto translate the near death account into English.