Interrater reliability and coding guide for nonpsychotic formal thought disorder

Reliable and valid assessment of abnormal speech patterns may enable earlier recognition of nonpsychotic disorders through characteristic speech patterns. This study sought to establish interrater reliability using a standardized guide for scoring. A scoring guide defining 27 elements (e.g., inappropriate self-reference, simple loss of goal, circumstantiality) of disordered thought was developed. The seminal work of Andreasen's and Holzman's groups provided 12 elements, and 15 new elements were suggested by clinical literature. Audiotaped interviews with 12 psychiatric inpatients, adults of both sexes and various ages hospitalized for acute management of nonpsychotic psychiatric disorders, provided speech samples for observation of disordered thought by two independent raters. Using the guide's definitions and accompanying examples of elements of disordered thought, reliability in scoring was high (kappa of .85 for agreement on the presence of any abnormal speech element and kappa values from .66 to 1.00 for agreement on the presence of individual elements).     

Age and distraction by telephone conversation in task performance: implications for use of cellular telephones while driving

Predicted to diminish task performance were (a) distraction by telephone conversation and (b) older age. 38 participants pointed to letters on a randomized or alphabetized letter matrix during distraction by telephone conversation or no distraction. In a within-subjects design, telephone conversation negatively affected completion time but there were no age differences. Implications for cellular telephone use while driving are discussed.     

Richard Zaner’s Phenomenology of the Clinical Encounter

The clinical ethics propounded by Richard Zaner is unique. Partly because of his phenomenological orientation and partly because of his own daily practice as a clinical ethicist in a large university hospital, Zaner focuses on the particular concrete situations in which patients and their families confront illness and injury and struggle toward workable ways for dealing with them. He locates ethical reality in the clinical encounter. This encounter encompasses not only patient and physician but also the patients family and friends and indeed the entire lifeworld in which the patient is still striving to live. In order to illuminate the central moral constituents of such human predicaments, Zaner discusses the often-overlooked features of disruption and crisis, the changed self, the patients dependence and the physicians power, the violation of personal boundaries and their necessary reconfiguring, and the art of listening.     

The Role of Life Stress and Social Support in the Adjustment of Sexually Victimized Pregnant and Parenting Minority Adolescents

Associations among sexual victimization and the psychosocial functioning of African American and Latina pregnant and parenting adolescents were examined. Forty-seven (17.7%) of the 265 participants reported histories of sexual victimization, most of which was unwanted sexual intercourse. The victimized adolescents reported higher levels of depression, anxiety, and life stress and, although the two groups reported no differences in their levels of social support, support was found to be differentially related to depression and anxiety in the two groups. In particular, victims derived benefits from social support at low levels of stress, but social support provided no protection against depression and anxiety at average or high levels of stress. For nonvictims, social support provided no benefits at low levels of stress, but protected against depression and anxiety at moderate levels of stress and against depression at high levels of stress. Implications of these findings for research, theory, and intervention are discussed.     

Different Perspectives Regarding Quality of Life in Chronically ill and Healthy Individuals

The areas that were suggested as most important with regard to Quality of Life (QoL) were examined in groups of individuals who were healthy, and those with a chronic condition. An electronic survey was completed by 892 participants (261 healthy and 631 with a chronic condition). They answered three questions relating to QoL: what is most important to you; what areas most impact your QoL; and an open question what does QoL mean to you. Across the three questions both groups highlighted physical functioning, independence and mobility as key areas for QoL. However, the group with a chronic condition tended to find issues of functioning such as pain, fatigue, and sleep as more important to their QoL than the healthy participants. In contrast, the healthy participants tended to note the importance of relationships and family as more important than the group with a chronic condition. That there were such differences between the groups might suggest that different aspects of QoL could be rated as more important when examining this issue with samples with a chronic condition and those without such a condition.     

The working life of a medium: a qualitative examination of mediumship as a support service for the bereaved

Despite widespread scepticism, it has been estimated that around 10% of the UK adult population regularly visit a medium and television programmes showing mediumship demonstrations draw in millions of viewers. While many assume mediumship to be purely for entertainment, an alternative discourse presents it as being a service offered to comfort and support the bereaved. In this qualitative study, data were collected through semi-structured interviews with nine working mediums and examined with an interpretative phenomenological analysis which aims to understand the lived experiences of participants. Three key superordinate themes emerged, Responsibility and Ethics, Passion to Help and Therapeutic Value. These themes are discussed in terms of mediums’ perception of their work as a helping profession and an ethical framework which illustrates awareness of the vulnerability of sitters. We also consider whether mediums may be equipped to deal with sitters experiencing complicated grief.     

The Interactive Influence of Prosocial Places,Youth Population,and Poverty on Incidents of Violent Assault

The article builds on previous work by Roman and colleagues in order to specify the potential causes for increased incidents of violent assault in areas featuring a high number of prosocial institutions (i.e., schools, recreation centers). Utilizing aspects of routine activity theory and crime pattern theory, the argument is presented that both poverty and youth population will have a conditioning impact on the relationship between the presence of prosocial places and incidence of violent assault. Least squares regression was utilized in order to show that such institutions can serve as generators for offending and/or victimization, and that their location in lower income areas may magnify the problem.     

“What do we epistemically owe to each other? A reply to Basu”

Philosophical Studies - What, if anything, do we epistemically owe to each other? Various “traditional” views of epistemology might hold either that we don’t epistemically owe...     

Neuropsychological and neurophysiological effects of strengthening exercise for early dementia: a pilot study

Research demonstrates a positive effect of aerobic exercise on cognitive functioning in older adults. Unfortunately, aerobic exercise is often contraindicated for older adults due to cardiovascular and functional limitations. Low-intensity strengthening exercise may offer a practical alternative, but the neuropsychological benefits and potential neurophysiological mechanisms are less well understood. The current study evaluated the effects of a 10-week strengthening exercise intervention on cognitive functioning and EEG in a sample of 13 older adults with early dementia, and 9 normative controls. Results revealed beneficial effects of strengthening exercise on verbal memory coupled with frontal beta and delta power asymmetries and N200 amplitude asymmetry. Results point to increased cognitive efficiency following 10 weeks of strengthening exercise. The findings suggest it is feasible to conduct a strengthening intervention with early dementia patients, and to gather neuropsychological and neurophysiological data to evaluate outcomes. Strengthening exercise may serve as a useful alternative to aerobic exercise.