Neuroanatomical and behavioral asymmetry in an adult compensated dyslexic

Individual differences in cortical anatomy are readily observable, but their functional significance for behaviors such as reading is not well understood. Here, we report a case of an apparent compensated dyslexic who had attained high achievement in visuospatial mathematics. Data from a detailed background interview, psychometric testing, divided visual field tasks measuring basic word recognition (word naming, nonword naming, and lexical decision), and more controlled word retrieval (verb, category, and rhyme generation), and measurements of his atypical brain structure are described. The findings suggested that enhanced "top-down" processing could provide the means to compensate for deficient "bottom-up" word decoding skills in this case. Relative to controls, this individual also evidenced unusually large asymmetries on several divided visual field lexical tasks, an extreme leftward asymmetry of the planum temporale, and a rare form of Sylvian fissure morphology (Steinmetz type 4, [Steinmetz, H., Ebeling, U., Huang, Y., & Kahn, T. (1990). Sulcus topography of the parietal opercular region: An anatomic and MR study. Brain and Language, 38, 515-533.]). We suggest that certain forms of brain organization may be associated with successful behavioral compensation for dyslexia, and that anatomical variations in the right hemisphere may be important contributors to individual differences in reading acquisition and achievement.     

One-year follow-up of pharmacotherapy-resistant patients with panic disorder treated with cognitive-behavior therapy: Outcome and predictors of remission

Non-response to pharmacotherapy for panic disorder (PD) is a well-documented problem. However, little information exists to guide next-step strategies for these non-responders. In addition to pharmacologic augmentation strategies, several studies support the efficacy of cognitive-behavior therapy (CBT) for these patients, although data on long-term outcomes has been lacking. In this study, we provide one-year outcomes on a sample of 63 patients who completed group CBT for PD after failing to respond adequately to previous pharmacotherapy. Sustained significant benefit was found for all dimensional outcome scores, and nearly two-thirds of the sample met remission criteria. This occurred with reductions in medication use over the follow-up period. Negative predictors of remission status included comorbid dysthymia, social phobia, and generalized anxiety disorder. These results provide additional evidence for the efficacy of CBT for medication non-responders with PD.     

Habituation of the visual orienting response in young children1, 2

The eye tracks of 29 children (aged 2-7 years) were recorded by a reflection eye camera while they were looking ata4by 4 matrix of 16 white geometric shapes. When a circle suddenly changed to red, the children immediately looked at it for two-thirds of the presentation time, a reading which was 16 times the initial level before this novel color was introduced. With repeated presentations of the novel red circle display, progressively fewer fixations fell on the red circle. After 20 trials, this habituation was incomplete, and the red circle was still drawing six times the initial amount of looking found on the original white circle. Ss were apparently relatively slow to form a neural representation of the visual environment due to the wide range of choices in the original display. The age of the children had no monotonic effect on the high, and virtually equal, initial visual concentration, nor on the rate at which habituation occurred. An interesting contrast, therefore, appeared between these data and the marked age effects noted by others in the recognition of letter-like shapes. Unlike recognition tasks, orienting and habituation need a minimum of stimulus interpretation. Children, even as young as 2 years, have demonstrated a remarkable efficiency in these processes of orienting and habituation to novelty.     

Race and General Cognitive Ability: The Myth of Diminishing Returns to Education

The impact of education on racial differences in general cognitive ability was assessed using data from the National Longitudinal Survey of Youth. To control for attrition during the educational process, we compared the scores of individuals who ultimately attained the same level of education but who were tested at different points in their educational careers. Multiple regression analyses revealed that education can have a strong positive effect on cognitive ability in both whites and blacks. Whites benefited more from education than blacks during the high school years, but blacks benefited much more than whites from a college education, substantially narrowing the gap between the races. These findings contradict the hypothesis that racial differences in intelligence are relatively immutable, in part because of the diminishing returns from increases in education.     

Psychology and the soul

Otto Rank (1884–1939) wrote the present work at the height of his creative powers, betweenWill Therapy andArt and Artist. Here he presents a sweeping history of psychology—individual and social—from the animistic era to psychoanalysis. An earlier translation (by William D. Turner, 1950) was incomplete and somewhat inaccurate. Unlike Sigmund Freud, his mentor, Rank viewed religion with respect and clarifies its role in individual and communal life through this study of soul-belief through the ages. The book contains important insights on immortality, will, dreams, Judaism and Christianity, Hamlet and Don Juan, Jung and Adler, and Freud himself. (Translated by Gregory C. Richter and E. James Lieberman) Ph.D., is Associate Professor in the Division of Language and Literature, Truman State University, Kirksville, Missouri. He translated Otto Rank'sThe Incest Theme in Literature and Legend (1912), Johns Hopkins University Press, 1991. E. James Lieberman, M.D., author ofActs of Will: The Life and Work of Otto Rank (1985), is Clinical Professor of Psychiatry, George Washington University School of Medicine. This excert from the book of the same title by Otto Rank is printed with the permission of the publisher, The Johns Hopkins University Press, for which we are grateful.     

Bias and expert testimony of mental health professionals in adversarial proceedings: A preliminary investigation

The role of mental health professionals testifying as expert witnesses has been the subject of increasing criticism. Cases in which opposing experts reach different conclusions are dismissed as “battles of the experts” and psychologists and psychiatrists are described as “hired guns.” This preliminary, analogue study examined the degree to which the opinions and testimony of mental health professionals may differ according to which side retains the expert. Results provided some support for the proposition that mental health professionals' testimony may vary according to the side by which they are retained.     

Sex differences and personality factors in responsivity to pain

This study investigated the relationship between measured levels of masculinity-femininity, social desirability, and responsivity to pain in men and women. The literature suggests that the two personality variables might provide an explanation for the common findings of higher pain thresholds and tolerances in men than in women. A significant interaction was found between masculinity-femininity and sex for pain thresholds. Analysis of this interaction indicated that for men, but not women, there was a significant correlation between masculinity-femininity and pain, where higher masculinity was associated with higher pain thresholds. However, this finding did not account for the sex difference in pain threshold. The sex of the subject remained a significant predictor of both pain thresholds and tolerances after allowing for the influence of masculinity-femininity, social desirability, and their associated interactions.