Presence/Absence of an Observer in a Word Association Test

Forty-eight subjects (24 men, 24 women) responded to 20-word stimuli presented by a microcomputer program that recorded each subject's response latency and response to each stimulus word. Emotionality of stimulus word and presence/absence of an observer were independently varied. Two-way analysis of variance (ANOVA) showed significant difference in latencies attributable to the emotionality of the stimulus word, whereas neither the presence/absence of the observer nor the interaction effect was significant. The results suggest the possible use of latency analysis as a tool in situations where an objective, statistical, and easily obtainable evaluative measurement of the level of emotionality of various verbal stimuli is desired.     

Psychological support needs of patients with head and neck cancer and their caregivers: A qualitative study

Objective: The aim of this study was to explore the psychological support needs of patients with head and neck cancer (HNC) and their caregivers. The appropriate timing, length, format and content of sessions were also investigated.

Design: Eighty-three patients with HNC and 73 of their caregivers completed questionnaires at diagnosis. Follow-up questionnaires were mailed to patients six months later.

Main outcome measures: Free text-comments to open-ended questions in the questionnaires were analysed using an inductive thematic approach with coding and theme development directed by the content of responses. This was used to determine psychological support needs both at diagnosis and at six month follow-up.

Results: Patients described ‘just being there’, empathy, maintaining normality and practical support as helpful from family/friends. They desired information, honesty, positivity and empathy from clinical staff. Formal psychological support was desired by approximately 40% of patients and caregivers, particularly early after diagnosis and during treatment. Most participants desired face to face sessions, providing individualised information and coping strategies.

Conclusion: The results of this study suggest that psychological interventions for patients with HNC and their caregivers should be delivered early after diagnosis in face to face sessions, presenting honest and factual information about the disease and coping strategies.     

Outcome measures for clinical drug trials in autism

This paper identifies instruments and measures that may be appropriate for randomized clinical trials in participants with autism spectrum disorders (ASDs). The Clinical Global Impressions scale was recommended for all randomized clinical trials. At this point, however, there is no "perfect" choice of outcome measure for core features of autism, although we will discuss five measures of potential utility. Several communication instruments are recommended, based in part on suitability across the age range. In trials where the intention is to alter core features of ASDs, adaptive behavior scales are also worthy of consideration. Several "behavior complexes" common to ASDs are identified, and instruments are recommended for assessment of these. Given the prevalence of cognitive impairment in ASDs, it is important to assess any cognitive effects, although cognitive data from ASD randomized clinical trials, thus far, are minimal. Guidance from trials in related pharmacologic areas and behavioral pharmacology may be helpful. We recommend routine elicitation of side effects, height and weight, vital signs, and (in the case of antipsychotics) extrapyramidal side-effects assessment. It is often appropriate to include laboratory tests and assessments for continence and sleep pattern.     

A test of the effectiveness of a list of suicide warning signs for the public

In this study we examined the effect that reading a list of warning signs for suicide has on beliefs about suicide, including the belief that one can recognize a suicidal crisis. All participants read two sets of warning signs (with only the experimental group reading the suicide warning signs) and then answered questions concerning beliefs related to three health problems. Results indicate that participants who read the suicide warning signs reported greater abilities to recognize if someone is suicidal but did not report stronger beliefs that suicidal individuals are partly to blame, nor did they report lower likelihoods of befriending suicidal individuals. Results suggest that reading the list of warning signs may be effective in increasing the public's ability to recognize suicidal crises without creating or magnifying stigmatizing beliefs about suicidal individuals.     

Stem cell research in a Catholic institution: yes or no?

Catholic teaching has no moral difficulties with research on stem cells derived from adult stem cells or fetal cord blood. The ethical problem comes with embryonic stem cells since their genesis involves the destruction of a human embryo. However, there seems to be significant promise of health benefits from such research. Although Catholic teaching does not permit any destruction of human embryos, the question remains whether researchers in a Catholic institution, or any researchers opposed to destruction of human embryos, could participate in research on cultured embryonic stem cells, or whether a Catholic institution could use any therapy that ultimately results from such research. This position paper examines how such research could be conducted legitimately in a Catholic institution by using an ethical analysis involving a narrative context, the nature of the moral act, and the principle of material cooperation, along with references to significant ethical assessments. It also offers tentative guidelines that could be used by a Catholic institution in implementing such research.     

A factor structure for the MMPI-A: replication with male delinquents

The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) Structural Summary was developed as a means of simplifying the interpretation of the 69 scales and subscales of this test instrument by organizing findings around eight primary factor dimensions. The current study examined the scale-level factor structure of the MMPI-A in a large sample of 1,610 male juvenile delinquents to assess the potential usefulness of this factor structure in a delinquency population. In this attempt to replicate the MMPI-A scale-level factor structure identified by Archer, Belevich, and Elkins in the MMPI-A normative sample and by Archer and Krishnamurthy in a clinical sample, a correlation matrix of all MMPI-A scale raw scores was created for a principal factor analysis. Results from the factor analysis produced a seven-factor solution that was largely consistent with the dimensions of the MMPI-A Structural Summary. Results were also reported in terms of the frequency of elevations on Structural Summary dimensions, with particular evidence of the importance of the Immaturity factor in describing this male juvenile delinquent sample.     

The influence of exploration mode, orientation, and configuration on the haptic Müller-Lyer illusion

We studied the impact of manner of exploration, orientation, spatial position, and configuration on the haptic Müller-Lyer illusion. Blindfolded sighted subjects felt raised-line Müller-Lyer and control stimuli. The stimuli were felt by tracing with the index finger, free exploration, grasping with the index finger and thumb, or by measuring with the use of any two or more fingers. For haptic judgments of extent a sliding tangible ruler was used. The illusion was present in all exploration conditions, with overestimation of the wings-out compared to wings-in stimuli. Tracing with the index finger reduced the magnitude of the illusion. However, tracing and grasping induced an overall underestimation of size. The illusion was greatly attenuated when stimuli were felt with the index fingers of both hands. Illusory misperception was not altered by the position in space of the Müller-Lyer stimuli. No effects of changes in the thickness of the line shaft were found, but there were effects of the length of the wing endings for the smaller, 5.1 cm stimuli. The theoretical and practical implications of the results are discussed.     

MMPI-A characteristics of male adolescents in juvenile justice and clinical treatment settings

The current study investigates the extent to which the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) profiles of 196 male adolescents evaluated in a South Carolina detention center could be successfully discriminated from the protocols of 200 male adolescent psychiatric inpatients in three states and 151 dually diagnosed male adolescents. Results showed significant differences in mean T-score values among these three groups of adolescents across a variety of MMPI-A scales and subscales. Results from discriminant function analyses indicate that treatment setting can be predicted effectively from MMPI-A profiles. Beyond the MMPI-A profile differences established for adolescents in these groups, the similarities of adolescents were also noted, particularly in terms of the frequent occurrence of Within-Normal-Limits profiles for adolescents in all groups. Potential directions for future research with the MMPI-A are presented.     

Phased mirror tracing outcomes correlate with several hemisphericity measures

Recently, subjects, separated into two large groups by the Dichotic Deafness Test (DDT), a new brain laterality measure. These were significantly correlated with groups separated by two preference-based hemisphericity-type questionnaires, the Preference Questionnaire (PrefQ) and Polarity Questionnaire (PolQ). Here, Mirror-Tracing, another potential biophysical measure of hemisphericity earlier reported to be weakly correlated with laterality, was tested using 171 subjects, the DDT, and both questionnaires. No correlations between the DDT, PrefQ, and PolQ separation methods and Mirror Tracing outcomes were found until individuals identified as having left brain affect were removed from the population. Then, robust correlations appeared for the remaining right-affect subjects alone (n=82). These correlations became even higher when the left brain affect subjects that had been removed (n=89) were "phase corrected" from a contralateral to an ipsilateral connectivity for motor dominance and then returned to the sample (n=171). These Phased Mirror-Tracing (PMT) outcomes were also significantly correlated with 10 of the 11 statements of the PolQ. Thus, PMT joins the DDT as a second performance-based measure of laterality whose outcomes significantly correlated with those of preference-based hemisphericity questionnaires.     

Asymmetry questionnaire outcomes correlate with several hemisphericity measures

The asymmetry questionnaire segregated subjects (n=143) into two groups. These were significantly correlated with similar groups separated, not only by three new biophysical hemisphericity protocols (Dichotic Deafness Test, Phased Mirror Tracing, Best Hand Test), but also by two preference-type measures (polarity questionnaire, preference questionnaire). Each of the 15 asymmetry questionnaire statements was significantly correlated with the outcomes of these five laterality measures. This is the third questionnaire whose outcomes correlate with those of the new biophysical measures of hemisphericity.