Developmental progression in the confidence‐accuracy relationship in event recall: insights provided by a calibration perspective

The development of discrimination and realism was investigated in the event recall of 156 8‐year‐olds, 133 10‐year‐olds and 146 adults, using categorical confidence judgements. Target questions were either a mixture of misleading and unbiased (‘non‐bombardment’), or restricted to one question format (‘bombardment’). The confidence judgements of all age groups discriminated between incorrect and correct responses to unbiased questions, but with misleading questions, this ability was undermined in the children, particularly when ‘bombarded’. Calibration‐style analyses of unbiased questions revealed a systematic confidence–accuracy association across age and question mix for unbiased questions. For misleading questions, however, the absence of a drop in performance from intermediate to low confidence at all ages suggested relative underconfidence at the lowest confidence level. At high confidence levels, there was evidence of realistic congruence between confidence and performance in adults, but this was not the case in the 10‐year‐olds when bombarded with misleading questions, or in the 8‐year‐olds, regardless of bombardment. Exploratory analyses of question difficulty revealed poor calibration across ages for difficult unbiased questions, and in the 8‐year‐olds, even for easy unbiased questions when intermixed with misleading questions. Bombardment with difficult misleading questions further undermined children's calibration. Implications for the role of social and cognitive factors in the development of metacognitive monitoring are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Tracking the acquisition of orthographic skills in developing readers: masked priming effects

A masked priming procedure was used to explore developmental changes in the tuning of lexical word recognition processes. Lexical tuning was assessed by examining the degree of masked form priming and used two different types of prime-target lexical similarity: one letter different (e.g., rlay-->PLAY) and transposed letters (e.g., lpay-->PLAY). The performance of skilled adult readers was compared with that of developing readers in Grade 3. The same children were then tested again two years later, when they were in Grade 5. The skilled adult readers showed no form priming, indicating that their recognition mechanisms for these items had become finely tuned. In contrast, the Grade 3 readers showed substantial form priming effects for both measures of lexical similarity. When retested in Grade 5, the developing readers no longer showed significant one letter different priming, but transposed letter priming remained. In general, these results provide evidence for a transition from more broadly tuned to more finely tuned lexical recognition mechanisms and are interpreted in the context of models of word recognition.     

A cross-cultural study of psychosocial aspects of sickle cell disease in the UK and Nigeria

Pain experience, health service utilization and psychological coping in adult patients with sickle cell disease were compared cross-culturally between the UK and Nigeria. Patients in the UK experienced a significantly greater number of pain episodes and of longer duration, with more frequent visits to accident and emergency departments compared with those in Nigeria. The Nigerian patients, on the other hand, applied more psychologically active coping strategies such as distraction to deal with their sickle cell pain in the community. These significant differences are explained in relation to external health locus of control factors including beliefs, and the cost of healthcare in relation to the use of health services. Clinical implications of these findings are also considered.     

Differences in feedback- and inhibition-related neural activity in adult ADHD

The objective of this study was to examine response inhibition- and feedback-related neural activity in adults with attention deficit hyperactivity disorder (ADHD) using event-related functional MRI. Sixteen male adults with ADHD and 13 healthy/normal controls participated in this study and performed a modified Go/NoGo task. Behaviourally, attention and inhibition problems in the ADHD group were observed; no feedback-related differences between the groups were detected. The neuroimaging data showed that the ADHD group displayed more activation in the inferior frontal gyrus and putamen during response inhibition. During feedback-related processes, the ADHD group displayed less activation in the inferior frontal/orbitofrontal cortex, hippocampus/nucleus accumbens, and caudate nucleus, but more activity in the inferior frontal gyrus. These results indicate that at least two distinguishable underlying brain networks related to response inhibition and feedback are altered in adults with ADHD.     

HIV, Cognition and Women

Although the incidence of HIV in the United States is higher among men compared to women, the global proportion of women versus men who are infected has been approximately 50% since the late 1990s. Women have been under-represented in neuropsychological studies of HIV. A small number of studies have reported a significantly higher prevalence of neurocognitive impairment among HIV+ women compared to HIV− controls regardless of symptom status and with or without an AIDS diagnosis. Impairment was most evident on psychomotor tasks. The risk of neuropsychological impairment was increased among HIV+ women not on antiretroviral therapy. Age and depressive symptoms also increase neurocognitive risk. New neurocognitive studies of ovarian steroid hormones, PTSD and other psychiatric conditions are critical for addressing potential female-specific aspects of HIV-Associated Neurocognitive Disorder. Such studies will also address questions regarding involvement of the hippocampus and verbal memory, which may be of particular significance among HIV+ women.

The Myth of Closure

Therapies for grief and loss have traditionally focused on the work of grieving. The goal was to reach an endpoint, now popularly called closure. There are, however, many people who, through no fault of their own, find a loss so unclear that there can be no end to grief. They have not failed in the work of grieving, but rather have suffered ambiguous loss, a type of loss that is inherently open ended. Instead of closure, the therapeutic goal is to help people find meaning despite the lack of definitive information and finality. Hope lies in increasing a family's tolerance for ambiguity, but first, professionals must increase their own comfort with unanswered questions. In this article, the authors, one a poet, the other a family therapist and theorist, offer a unique blending of theory, reflection, and poetry to experientially deepen the process of self‐reflection about a kind of loss that defies closure.     

Valence-specific laterality effects in vocal emotion: interactions with stimulus type, blocking and sex

Valence-specific laterality effects have been frequently obtained in facial emotion perception but not in vocal emotion perception. We report a dichotic listening study further examining whether valence-specific laterality effects generalise to vocal emotions. Based on previous literature, we tested whether valence-specific laterality effects were dependent on blocked presentation of the emotion conditions, on the naturalness of the emotional stimuli, or on listener sex. We presented happy and sad sentences, paired with neutral counterparts, dichotically in an emotion localisation task, with vocal stimuli being preceded by verbal labels indicating target emotions. The measure was accuracy. When stimuli of the same emotion were presented as a block, a valence-specific laterality effect was demonstrated, but only in original stimuli and not morphed stimuli. There was a separate interaction with listener sex. We interpret our findings as suggesting that the valence-specific laterality hypothesis is supported only in certain circumstances. We discuss modulating factors, and we consider whether the mechanisms underlying those factors may be attentional or experiential in nature.     

Book reviews

Eero Riikonen and Gregory Madan Smith (1997) Re-Imagining Therapy: Living Conversations and Relational Knowing, London: Sage, $14.99

Shulamit Ramon (1996) Mental Health in Europe: Ends, Beginnings and Rediscoveries, London: Mind, $12.99

Re:Public (eds) (1998) Planet Diana: Cultural Studies and Global Mourning, Kingswood, NSW: Research Centre in Intercommunal Studies, University of Western Sydney Nepean, pp. vii + 163, Aus$22

Lucy Yardley (ed.) (1997) Material Discourses of Health and Illness, London and New York: Routledge, pp. 256, $14.99 (pb), $45.00 (hb)

J.H. Berke, S. Pierides, A. Sabbadini and S. Schneider (1998) Even Paranoids Have Enemies, London: Routledge, $15.99

Hans W. Cohn (1997) Existential Thought and Therapeutic Practice, London: Sage, pp. 135, $11.99 (pb), $29.99 (hb)