Making Decisions About Life-Sustaining Medical Treatment in Patients With Dementia

The problem of decision-making capacity in patients with dementia, such as those with early stage Alzheimer's, can be vexing, especially when these patients refuse life-sustaining medical treatments. However, these patients should not be presumed to lack decision-making capacity. Instead, an analysis of the patient's decision-making capacity should be made. Patients who have some degree of decision-making capacity may be able to make a choice about life-sustaining medical treatment and may, in many cases, choose to forgo treatment.     

Comparing visual perception on conventional cabinet tachistoscopes and computer monitor tachistoscopes

Computer monitor-based tachistoscopes (using a cathode ray tube, CRT) and conventional tachistoscopes differ in experimental control over stimulus continuity, duration, and timing accuracy. This study evaluated the perception of visual stimuli presented with the two different types of devices. An experiment was conducted to compare recognition of visuospatial stimuli (random shapes) presented laterally and centrally in the visual fields for short exposure durations (14, 29, and 43 msec), first with one device and then with another. Results indicated that the subjects’ error rates and laterality patterns were similar on both types of tachistoscopes. It was concluded that perception of visual stimuli presented as continuous images on a conventional tachistoscope may be equivalent to perception of visual stimuli presented as pulsating images on a CRT. Further studies are needed using other types of visual materials to determine the range of visual stimuli for which both types of tachistoscopes measure equivalent perceptual processes.     

Comments on “Measuring memory for source: Some theoretical assumptions and technical limitations”

Researchers must consider limitations and assumptions inherent in their measure of source monitoring when drawing conclusions, an important point raised by Murnane and Bayen (1998). However, the issues they raise do not invalidate the conclusions we draw from the findings reported in Henkel and Franklin (1998). Issues regarding conclusions about source monitoring performance, the relation between recognition and source accuracy, and the use of empirical and multinomial analyses are discussed.     

Gender Differences in Depression: The Role Played by Paternal Attitudes of Male Superiority and Maternal Modeling of Gender-Related Limitations

A reanalysis of a large multi-generational,predominantly Caucasian sample of adults found a largegender difference in self-reported depression involvinganxiety, appetite and sleep disturbance, and fatigue (anxious somatic depression) butnot in pure depression unaccompanied bymany of these other symptoms, replicating earlierfindings on high school and college samples. Anxioussomatic depression was prevalent among women whosefathers reported attitudes of male superiority and amongwomen whose mothers reported emphasizing the importanceof professional success but feeling that the jobs they held were not respected by others. Anxioussomatic depression, but not pure depression, was foundto be prevalent among women who did not attend collegeand among those who attended college but felt that the jobs they held were not respected byothers.     

The Genetic and Environmental Relationship Between General and Specific Cognitive Abilities in Twins Age 80 and Older

In the first twin study of the old-old, individuals 80 years old and older, we examined the relationship between general and specific cognitive abilities from a genetic perspective. That is, we examined the extent to which genetic and environmental factors influence major group factors of cognitive abilities, independent of general cognitive ability. As part of the OctoTwin project in Sweden, general and specific cognitive abilities were assessed in 52 monozygotic and 65 same-sex dizygotic twin pairs 80 years old and older using a battery of seven tests that assess verbal, spatial, speed-of-processing, and memory performance. Results suggest that genetic effects associated with general cognitive ability ( g ) account for the correlation between g and verbal, spatial, and speed-of-processing abilities. No genetic influences were found for these specific cognitive abilities separate from g . In contrast, memory ability appears to be more distinct genetically from g than are other cognitive abilities. Comparison with younger samples suggests that cognitive abilities relating to speed of processing may be genetically dedifferentiated in the old-old.     

Establishing a Descriptive Database for Teachers with Aggressive Students

While establishing a database that describes students' aggressive behaviors and the conditions present at the time of occurrence, we discovered a variety of definitions of aggression in the literature. This lack of consistency limits the information provided to teachers working with the frequent problem of violence. We propose an inclusive and verifiable definition of aggression gleaned from experience and the literature. The definition incorporates verbal, paraverbal, nonverbal, and physical aggression. Validation is presented from the literature, and from 39 practicing teachers who used the definition to categorize 659 target behaviors. The teachers' level of agreement with the authors' categorization was 93% (median).