The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Psychometric properties of Loevinger's Sentence Completion Test in an adult psychiatric outpatient sample

Little research has been conducted on Loevinger's Washington University Sentence Completion Test of Ego Development in adult psychiatric outpatients. The measure is a promising method of assessing a construct of personality and character functioning that should be useful in research on psychopathology and in choosing treatment modalities. The data presented in this study address the question of the psychometric adequacy of the measure in this segment of the subject population. Specifically, estimates of interrater reliability, internal consistency, and test-retest reliability are presented for a sample of 42 adult outpatients. In addition, the relationship between total protocol ratings and item sum scores is explored.     

Backward walking: a simple reversal of forward walking?

The purpose of this study was to determine whether backward walking represented a simple temporal reversal of forward walking and, hence, could be controlled by a reversed cycling of the same group of neurons. Electromyographic (EMG), joint angle, joint moment, and joint muscle power patterns were compared for forward and backward walking, in 6 subjects. The joint angle patterns with the time-base of the backward walking reversed were similar, with the exception of the ankle. The moment patterns were similar except for the knee, whereas the joint muscle powers were almost reversed-polarity images of each other. This suggests that somewhat similar muscle activation patterns could be used to produce both modes of locomotion, but the temporal cycling of muscle contraction would be reversed: Concentric muscle activity in forward walking would become eccentric activity in backward walking, and visa versa. The EMG results generally supported these findings.     

Inferring Emotions From Multiple Cues: Revealing Age-Related Differences in "How" Without Differences in "Can"

This study examined differences in children's use of social cues to make emotional inferences. Children ages 4, 5, and 8 years were presented with stimuli that depicted another child in affectively congruous and affectively incongruous expression/situation combinations. The intensity of positive and negative facial expressions was varied across situations. Subjects judged the target's feelings and selected among the alternative facial expressions or situations the one they had just seen. No significant age-related differences were found in the extent to which children registered and used both the expressive and situational information when making emotional inferences. The main experimental measure asked children to explain their judgments. In explaining their judgments, subjects' rationales indicated that they: (a) used both the situational and expressive cues; and (b) were sensitive to congruous versus incongruous cues, and even to mild versus strong incongruous cues. Children's rationales also reflected a sensitivity to expressive and situational negativity. For each age group, the rationales were more elaborate when the cues were problematic. Characteristic strategies, however, were also found for each age group. These distinct strategies may reflect social-life changes in children's social "theories" of emotion.     

Continuities and Discontinuities in Self-Regulatory and Self-Evaluative Processes: A Developmental Theory Relating Self and Affect

This article presents a developmental theory of the relation between self and affect. Self-discrepancy theory (Higgins, 1987) is used as a framework for considering developmental and individual differences in children's self-concepts, self-regulation, and self-evaluation. Developmental changes in children's representational capacities are described that produce developmental shifts in this self-system. Different modes of caretaker-child interaction are distinguished in terms of how features of the interaction impact psychologically on the child. The implications of these differences for children's self-system and emotional/behavioral vulnerabilities are discussed. The development of self-regulatory and self-evaluative processes are distinguished with respect to developmental continuities and discontinuities. Patterns of sex differences in socialization, conduct, and emotional problems are described to exemplify the need for distinguishing these two processes developmentally. The question is raised whether children can be socialized to maximize the positive conduct valued by society and the positive self-regard valued by individuals.     

Gender and Sex-Role Influences on Children''s Self-Esteem

This study examined direct and moderating influences of gender and sex-role orientations on children's general self-esteem. Moderating influences of these variables on the prediction of self-esteem were examined with respect to two sets of competence beliefs regarding school achievement: perceived capacities and perceived strategies for doing well in school. One hundred nineteen fourth-, fifth-, and sixth-grade children were assessed using the Perceived Competence Scale for Children (Harter, 1982), the Multidimensional Measure of Children's Perceptions of Control (Connell, 1985), and the Children's Personal Attributes Questionnaire (Hall & Halberstadt, 1980). Correlational and hierarchical multiple regression analyses indicated that upper elementary schoolchildren's general self-esteem is (a) marginally related to biological gender, with boys showing a slight advantage; (b) significantly related to masculinity and androgyny; and (c) predicted more strongly by perceived capacities to do schoolwork in girls than in boys, and by perceived (lack of) strategies for academic success in nontraditionally sex-typed children than in traditionally sex-typed children. Of the two nontraditionally sex-typed groups, androgynous children were found to have more positive school competence beliefs than were undifferentiated children.     

Hypnosis, suggestion, and placebo in the reduction of experimental pain

Two experiments compared placebo and hypnotic analgesia in high and low hypnotizable subjects. Experiment 1 demonstrated that hypnotic and placebo analgesia were equally ineffective in low hypnotizables, but that hypnotic analgesia was much more effective than placebo analgesia in high hypnotizables. Experiment 2 replicated these results, but also included low and high hypnotizables who were given a nonhypnotic suggestion for analgesia. Both the low and high hypnotizables in this group reported greater suggested than placebo analgesia and as much suggested analgesia as high hypnotizable hypnotic subjects. Both experiments found substantial discrepancies between the amount of pain reduction subjects expected from the various treatments and the amount of pain reduction they actually reported following exposure to those treatments. In Experiment 2, subjects in all treatments who reduced reported pain engaged in more cognitive coping and less catastrophizing than those who did not reduce pain. Theoretical implications are discussed.     

The effects of depression on structural aspects of the recall of prose

Investigated depressed patients' memory for stories. This indicated that although normal Ss showed particularly good recall for units central to the structure of the story, this did not hold for depressed Ss. In contrast, effects of centrality were comparable in high- and low-IQ Ss and effects of imageability of story units were comparable in both depressed and normal Ss. These results are consistent with the hypothesis that depressed patients do not use structure to organize stories when encoding them. A failure to identify central aspects of material and selectively recall them is likely to be a handicap to everyday functioning.     

Depression: A Discussion of Jung''s Ideas

Depression is differentiated into normal and pathological. Pathological depression is further divided into simple and melancholic. The characteristics of each disordered form are described. Jung's ideas on depression are described in terms of this theoretical standpoint. The concepts used by Jung to explain depression are derived from his libido theory. Through introversion unconscious contents necessary to compensate a one-sided attitude of the ego are made conscious. Introversion depletes the ego of its energy. Depression is the depleted ego's experience of itself. Jung's theory is useful to explain normal depression associated to the process of transformation. It has also been extended to explain disorders of depression via the concept of involuntary or forced introversion in the service of compensation. His therapeutic approach consisted of rectifying the imbalance of psychic energy by helping the ego to integrate unconscious contents. The subsequent accrual of psychic energy redresses the problem of the ego's depletion and depression eases. In the discussion, Jung's contributions to the understanding of depression are recognised, especially his insight into the relationship between normal depression and the process of transformation. The explanatory limitations of Jung's ideas for depressive disorder are also recognised and discussed in relation to aetiology, introversion-extraversion, aggression and psychotherapy. Current clinical information suggests that a theory of depression needs to integrate and also to reformulate some of Jung's ideas.