Forgoing treatment in an adult with no apparent treatment preferences: A case report

This article reports in detail an ethics case consultation involving a decision to forgo life-sustaining treatment for a middle-aged man following a “massive” cerebral bleed resulting in profound brain damage, but not unconsciousness. An unusual feature of this case is that, despite normal intelligence, caring family relationships and a history of life-threatening cardiac disease, vigorous and sustained inquiry could not elicitany indications of this patient's values, perceptions or preferences regarding end of life care. Other than a deliberately autobiographical methodological prologue and a few brief comments at the end, the case is presented straightforwardly and without intercurrent analysis.     

Sex of leader,leader behavior,and subordinate satisfaction

A 2×2×2 factorial design was employed to examine the influence of instructed leadership style, sex of leader, and sex of followers on leader behavior, subordinate satisfaction, and productivity in a simple task. In general, male and female leaders were equally able and equally willing to display autocratic and democratic leadership styles if so instructed. Similarly, leader sex did not have a significant influence on subordinate satisfaction or productivity either by itself or in interaction with leadership style or follower sex.     

Explorations using computer simulation to comprehend thematic apperceptive measurement of motivation

The new theory of motivation by Atkinson and Birch (1970), based on conceptual analysis of a change in activity, has been programmed to allow computer simulation of effects of differences in motivation on the stream of operant behavior. Simulation of conditions that exist when people who differ in strength of achievement motive write imaginative stories in response to a sequence of pictures shows that construct validity does not require internal consistency as traditionally supposed. The theoretically deduced differences in total time spent imagining achieving (instead of something else) can postdict input differences in motive strength (i.e., construct validity) even when there is little or no internal consistency reliability as indicated by Cronbach's (1951) alpha computed from theoretically deduced time spent imagining achievement in response to particular pictures. This general point has already been amply documented in 25 years of productive empirical research using TATn Achievement. Now a definitive theoretical refutation of the repeated psychometric criticism of the method is provided. Those who have been moved to dispel fantasies about fantasy-based measures of achievement motivation (Entwistle, 1972) are invited, instead, to examine the shallow theoretical foudation of our traditional myths of measurement.This paper elaborates a report presented August 30, 1975, at the 83rd annual meeting of the American Psychological Association. The authors gratefully acknowledge early assistance by Mary M. Moffett, and financial support by a Rackham Faculty Research Grant (JWA), a National Science Foundation Fellowship (KB), and a Michigan Student Medical Research Grant (LHP). Intricate detail has been avoided in describing the several simulations for the sake of clarity in this overview of exploratory work.     

Interval estimation for linear functions of medians in within-subjects and mixed designs

The currently available distribution-free confidence interval for a difference of medians in a within-subjects design requires an unrealistic assumption of identical distribution shapes. A confidence interval for a general linear function of medians is proposed for within-subjects designs that do not assume identical distribution shapes. The proposed method can be combined with a method for linear functions of independent medians to provide a confidence interval for a linear function of medians in mixed designs. Simulation results show that the proposed methods have good small-sample properties under a wide range of conditions. The proposed methods are illustrated with examples, and R functions that implement the new methods are provided.     

The structure of language abilities at 4 years: a twin study

Normal language development was studied in 310 pairs of 4-year-old twins born in the United Kingdom in 1994. Twins were assessed individually in their homes on a diverse battery of language and nonverbal measures. Rotated factor analyses indicated the presence of a general Language factor (L) as well as a general Nonverbal (NV) factor. Moderate genetic influence was found for both L and NV abilities. Bivariate genetic analysis estimated a genetic correlation of .63 between L and NV abilities, implying that over half of the genetic influence on L overlaps with genetic influence on NV. These results suggest that at age 4, genetic influences on individual differences in language overlap substantially with genetic influences on individual differences in other cognitive abilities, although perhaps less so than later in development.     

Hostile attributional tendencies in maltreated children

The hostile attributional tendencies of maltreated children in elementary school across key relationship figures (i.e., parents, teachers, and peers), the relation between children's hostile attributional tendencies and the frequency and severity of maltreatment, and the role of children's hostile attributions of their parents in mediating the relation between maltreatment and children's hostile attributions of unfamiliar peers were examined. The sample consisted of 44 maltreated and 56 nonmaltreated children (females = 51) of mixed ethnicity. Subjects were administered a 20-item measure of attributional processes. The results indicated that relative to nonmaltreated children, physically abused boys were more likely to attribute hostile intentions to a variety of relationship figures, including their parents, an unfamiliar teacher, their best friend, and unfamiliar peers. A positive relation was also found between the frequency of physical abuse and hostile attributional tendencies among males. Finally, support was found for the role of children's hostile attributions of their mothers in mediating the relation between physical abuse and children's hostile attributions of unfamiliar peers. The results support a link between physical abuse and hostile attributional tendencies in children in early elementary school.     

Cortical localisation of the visual and auditory word form areas: a reconsideration of the evidence

In this paper we examine the evidence for human brain areas dedicated to visual or auditory word form processing by comparing cortical activation for auditory word repetition, reading, picture naming, and environmental sound naming. Both reading and auditory word repetition activated left lateralised regions in the frontal operculum (Broca's area), posterior superior temporal gyrus (Wernicke's area), posterior inferior temporal cortex, and a region in the mid superior temporal sulcus relative to baseline conditions that controlled for sensory input and motor output processing. In addition, auditory word repetition increased activation in a lateral region of the left mid superior temporal gyrus but critically, this area is not specific to auditory word processing, it is also activated in response to environmental sounds. There were no reading specific activations, even in the areas previously claimed as visual word form areas: activations were either common to reading and auditory word repetition or common to reading and picture naming. We conclude that there is no current evidence for cortical sites dedicated to visual or auditory word form processing.     

The joint WAIS-III and WMS-III factor structure: development and cross-validation of a six-factor model of cognitive functioning

During the standardization of the Wechsler Adult Intelligence Scale (3rd ed.; WAIS-III) and the Wechsler Memory Scale (3rd ed.; WMS-III) the participants in the normative study completed both scales. This "co-norming" methodology set the stage for full integration of the 2 tests and the development of an expanded structure of cognitive functioning. Until now, however, the WAIS-III and WMS-III had not been examined together in a factor analytic study. This article presents a series of confirmatory factor analyses to determine the joint WAIS-III and WMS-III factor structure. Using a structural equation modeling approach, a 6-factor model that included verbal, perceptual, processing speed, working memory, auditory memory, and visual memory constructs provided the best model fit to the data. Allowing select subtests to load simultaneously on 2 factors improved model fit and indicated that some subtests are multifaceted. The results were then replicated in a large cross-validation sample (N = 858).