The Use of the Social Cognition and Object Relations Scale in a Primary Care Setting

Research has indicated that as many as 10% to 15% of primary care patients have symptoms that are not well explained medically. These patients could be labeled as “somatizers.” This study assessed the extent to which underlying psychological characteristics contribute to a person's level of somatization and service utilization. The Social Cognition and Object Relations Scale–Global Rating Method (SCORS–G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011; Westen, 1995) was used to rate early memory narratives of 100 patients in a suburban primary care setting. Using principal axis factoring, the SCORS–G was divided into 2 components and these components (cognitive and affective) were used in subsequent analyses. The affective component was significantly negatively correlated with 2 measures of somatization and positively related to physician ratings of global health. The affective component also showed a trend toward significance on overnight hospital stays and patient-rated health. The cognitive component showed a trend toward significance with both measures of somatization, but it was not correlated with other measures of health. This study demonstrates the value of assessing underlying processes (via SCORS–G ratings of early memory narratives) that contribute to increased rates of somatization and health care utilization. Clinical implications for the relationship between affect and physical health are explored.     

Frequency of occurrence and rankings for touch-related adjectives

A three-phased study was conducted in order to develop a standardized list of touch-related adjectives. The final list consisted of 306 words that were categorized in 440 instances according to the Lederman and Klatzky (1987, 1990) dimensions of haptic properties (some words were classified in more than one dimension). The Kučera and Francis (1967) frequency of occurrence in written English for all words in the final list was also determined. A correlation was found between frequency of occurrence on the list and Kučera and Francis frequency. An analysis of the word dimensions and future applications are discussed.     

Observing emotion in infants: facial expression,body behavior,and rater judgments of responses to an expectancy-violating event

Eleven-month-old European-American, Japanese, and Chinese infants (ns = 23, 21, and 15, respectively) were videotaped during baseline and stimulus episodes of a covert toy-switch procedure. Infants looked longer at the object during the expectancy-violating event (stimulus episode) but did not produce more surprise-related facial expressions. American and Japanese infants produced more bodily stilling during stimulus than baseline, and American infants also produced more facial sobering. Naive raters viewing both episodes could correctly identify the expectancy-violating event. Rater judgments of surprise were significantly related to infants' bodily stilling and facial sobering. Judgments of interest were related to cessation of fussing. Thus, observer judgments of infant emotions can be systematically related to behaviors other than prototypic emotional facial expressions.     

Hemispheric contributions to lexical ambiguity resolution: evidence from individuals with complex language impairment following left-hemisphere lesions

Nine individuals with complex language deficits following left-hemisphere cortical lesions and a matched control group (n = 9) performed speeded lexical decisions on the third word of auditory word triplets containing a lexical ambiguity. The critical conditions were concordant (e.g., coin-bank-money), discordant (e.g., river-bank-money), neutral (e.g., day-bank-money), and unrelated (e.g., river-day-money). Triplets were presented with an interstimulus interval (ISI) of 100 and 1250 ms. Overall, the left-hemisphere-damaged subjects appeared able to exhaustively access meanings for lexical ambiguities rapidly, but were unable to reduce the level of activation for contextually inappropriate meanings at both short and long ISIs, unlike control subjects. These findings are consistent with a disruption of the proposed role of the left hemisphere in selecting and suppressing meanings via contextual integration and a sparing of the right-hemisphere mechanisms responsible for maintaining alternative meanings.     

“I Fired My Last Doctor for Not Taking Me Seriously”: Collaborating With a Difficult Medical Patient in a Multidisciplinary Primary Care Facility

We present the case of a multidisciplinary primary care assessment of a 32-year-old woman with multiple medical and psychological complaints. Following the collaborative care model, this assessment was conducted by a team consisting of a clinical health psychologist, Dr. J. L. Skillings, and a family physician, Dr. W. J. Murdoch. We describe the primary care environment in which this referral was made including the methods that were utilized to insure a successful professional collaboration. We report the results and recommendations from a comprehensive biopsychosocial assessment; we place emphasis on the psychological diagnosis and pain symptoms. We also describe the feedback session in which the assessment results were provided to the patient and her spouse by both physician and psychologist. Multiperspective commentary about the assessment is offered by the patient and her husband as well as the physician and psychologist assessors.     

Searching for the Trace: The Influence of Age, Lexical Activation and Working Memory on Sentence Processing

To investigate the stability of trace reactivation in healthy older adults, 22 older volunteers with no significant neurological history participated in a cross-modal priming task. Whilst both object relative center embedded (ORC) and object relative right branching (ORR) sentences were employed, working memory load was reduced by limiting the number of words separating the antecedent from the gap for both sentence types. Analysis of the results did not reveal any significant trace reactivation for the ORC or ORR sentences. The results did reveal, however, a positive correlation between age and semantic priming at the pre-gap position and a negative correlation between age and semantic priming at the gap position for ORC sentences. In contrast, there was no correlation between age and priming effects for the ORR sentences. These results indicated that trace reactivation may be sensitive to a variety of age related factors, including lexical activation and working memory. The implications of these results for sentence processing in the older population are discussed.     

Evidence for global motion interactions between first-order and second-order stimuli

Recent research indicates that the early stages of visual-motion analysis involve two parallel neural pathways, one conveying information from luminance-defined (first-order) image features, the other conveying information from texture-defined (second-order) features. It is still not clear whether these two pathways converge during later stages of global motion integration. According to one account they remain segregated, and feed separate global analyses. In the alternative account, all responses feed a common stage of global analysis. Two perceptual phenomena are universally held to result from interactions between detector responses during global motion integration--direction repulsion and motion capture. We conducted two psychophysical experiments on these phenomena to test for segregation of first-order and second-order responses during integration. Stimuli contained two components, either two random-block patterns transparently drifting in different directions (repulsion measurements), or a drifting square-wave grating superimposed on an incoherent random-block pattern (capture measurements). Repulsion and capture effects were measured when both stimulus components were the same order, and when one component was first order and the other was second order. Both effects were obtained for all combinations of first-order and second-order patterns. Repulsion effects were stronger with first-order inducing patterns, and capture effects were stronger with second-order inducers. The presence of perceptual interactions regardless of stimulus order strongly suggests that responses in first-order and second-order pathways interact during global motion analysis.     

Automatic and volitional semantic processing in aphasia.

The present study investigated the status of semantic information in aphasia by comparing the performances of aphasic and nonaphasic subjects on two tasks: an automatic semantic facilitation task and a volitional task of relatedness judgment. Both the aphasic and nonaphasic groups evidenced a semantic facilitation effect, in an on-line task of semantic processing. However, those aphasics with severe comprehension and naming disturbances (termed low comprehension aphasics) demonstrated considerable difficulty in judging the relatedness between a pictured object and members of that object's semantic field, the severity of the impairment being greater for those pictures that the low comprehension aphasics were unable to name. The pattern of results can best be explained by supposing the structural integrity of the store of semantic information in aphasia, and in particular in low comprehension aphasia: information that is retrieved and manipulated in judgment-mediated tasks with considerable difficulty.