Psychophysiological Identification of Depression Subtypes in Older Adults: Problematic Diagnostic Heterogeneity in the DSM-III-R and DSM-IV

The DSM-IV does not subclassify patients with depression on the basis of anxiety level. Hence a significant confound may exist in all outcome studies that employ DSM definitions of depression. To establish that objectively identifiable anxious and nonanxious subtypes of depression do indeed exist, a psychophysiological assessment battery was used with 114 treatment-seeking older adults. Dichotomous criterion categorization as either Nonanxious Depressed or Anxious Depressed was based on (a) DSM-III-R/DSM-IV diagnosis, and (b) standardized questionnaires of psychopathology. Multivariate analyses revealed no differences between groups when DSM criteria were used to classify participants. However, identical analyses using phenomenological diagnostic criteria indicated that anxious and nonanxious depressed participants differed in their psychophysiological response to negative imagery. Although anxious and nonanxious depressed participants evince different psychophysiological response patterns, these differences unfortunately are obscured by the DSM. Consequently, a phenomenological classification system may be more appropriate with affective disorders.     

New models in research and design: New concepts of unity in planning and policy-making

Van Lohuizen’s ideal of unity, must above all be seen as a challenge to attain the necessary integration of planning, research, and design to meet the requirements of a changing society. Though Van Lohuizen's ideas were influenced strongly by the rational and technical principles of the CIAM, he saw technology as a means to an end in an approach that is primarily based on humans and culture. In the ideas of Van Lohuizen, different dimensions can be traced. New developments in these dimensions are discussed in the article. There is no lack of innovative ideas and methods. Nearly all the ideas and methods discussed were developed in the forties, fifties, or sixties. On the basis of the incubation period required for introduction on a wider scale, it is now time for them to find greater favor with society. Following the years of a no-nonsense policy, it seems that in many fields there is a new need for a wider, more qualitative approach. Ron van Eck studied architecture and management research at the University of Technology of Delft. He is working at the RIW—Research Institute of the Department of Architecture at the University of Technology of Delft, and at the Network for Spatial Organisation in Amsterdam.     

SIDE EFFECTS OF THERAPEUTIC PUNISHMENT ON ACADEMIC PERFORMANCE AND EYE CONTACT

The effects of therapeutic punishment delivered following inappropriate behavior on the academic responding and eye-to-face contact of 2 persons with developmental handicaps was examined using a counterbalanced alternating treatment design. Each subject was sequentially taught by two therapists each day. While one of the therapists taught the subject, the second therapist stood in close proximity directly behind the subject. During baseline, neither therapist delivered punishment following inappropriate behavior. During the treatment condition, one of the therapists delivered all punishment regardless of whether she was teaching or standing behind the subject. The therapist who delivered all punishment for 1 subject did not deliver any punishment for the other subject. During the last condition, the therapist delivering all punishment was reversed for 1 of the subjects. The results indicated that the task being taught was mastered by each subject only when the therapist delivering punishment was teaching. Data collected also indicated that each subject made more eye-to-face contact when the therapist delivering all punishment was teaching. Although neither therapist had to deliver punishers often, punishment had to be administered less often when the therapist teaching the subject was also the therapist delivering punishment.     

Selective reaching: distracter effects on movement kinematics as a function of target-distracter separation

The authors investigated distracter effects on the kinematics of reaching movements to determine when during reaching responses (reaction time, time to peak velocity, time after peak velocity, or peak velocity) distracter interference occurred and how target-distracter separation affected the locus of interference. Participants moved a pen on a digitizing tablet toward a target appearing with or without a distracter. With a small target-distracter separation, distracter interference occurred during time after peak velocity (similar amounts of interference from near and far distracters). With a large target-distracter separation, distracter interference occurred during time to peak velocity (more interference from near compared to far distracters). The results demonstrated that target-distracter separation is an important determinant of the locus of distracter interference.     

Forward association, backward association, and the false-memory illusion

In the Deese-Roediger-McDermott false-memory illusion, forward associative strength (FAS) is unrelated to the strength of the illusion; this is puzzling, because high-FAS lists ought to share more semantic features with critical unpresented words than should low-FAS lists. The authors show that this null result is probably a truncated range artifact. When FAS and its complement, backward associative strength (BAS), were independently manipulated in factorial designs, they both affected illusion strength. Moreover, their effects did not interact and were of comparable magnitude. Conjoint-recognition analyses were used to pinpoint the influence of BAS and FAS on retrieval processes that support or suppress false-memory responses. Although the variables affected both types of processes, their effects on suppressive processes were larger and more consistent. This research also provided the first clear evidence that subjects often use suppressive processes inappropriately to reject studied items that preserve the gist of experience.     

Evaluation of two methods of prompting drivers to use specific exits on conflicts between vehicles at the critical exit

The Florida Department of Transportation used a series of changeable-message signs that functioned as freeway guide signs to divert traffic to Universal Theme Park via one of two eastbound exits based on traffic congestion at the first of the two exits. An examination of crashes along the entire route indicated a statistically significant increase in crashes at the first eastbound exit following the actuation of the system. Furthermore, all of the crashes occurred in close proximity to the exit gore (the crosshatched area at exits that drivers are not supposed to enter or traverse) at the first exit. In Experiment 1, behavioral data were collected using an alternating treatments design. These data revealed that reassigning the exit signs was effective in producing a change in the percentage of drivers using each of the two exits. These data also showed that the reassignment of the theme park exit was associated with an increase in the percentage of motor vehicle conflicts that consisted of vehicles cutting across the exit gore. An analysis revealed that the method used for switching the designated or active theme park exit on the series of changeable-message signs led to the presentation of conflicting messages to some motorists, thus resulting in erratic driving behavior (cutting across the exit gore). In Experiment 2, the treatment evaluated the use of a phased method of switching the designated theme park exit to eliminate the delivery of conflicting messages. The new method for switching the designated theme park exit was not associated with an increase in motorists cutting across the exit gore.     

Whisker-based discrimination of object orientation determined with a rapid training paradigm

Rats use their large facial whiskers to discriminate the spatial features of objects. Despite numerous electrophysiological recording studies in the central trigeminal whisker representations that document neurons tuned to the direction of whisker deflection, there is no behavioral evidence to date that rats can use their whiskers to discriminate between object orientations. In the present study, we characterized whisker-dependent orientation discrimination using a one-trial learning procedure. Sprague-Dawley rats were trained and tested in a three-arm 'Y-maze' that was outfitted with 180 independently moveable bars that protruded into the arms of the maze to contact the whiskers. On the first day, the maze was configured to have two arms with only horizontal bars and a third arm with only vertical bars and rats were allowed to freely explore all arms. On the second day, rats were isolated in one arm that contained only vertical bars as a conditioned stimulus (CS) and administered three mild foot shocks. On the third day, the maze was configured identically to the first day and rats were once again allowed to freely explore the maze. We measured the percentage of time spent in each arm of the maze and found that most rats spent significantly less time in the arm containing the CS after training compared to before training. Subsequent control experiments determined that the conditioned avoidance was attributable to orientation cues, was caused by the association of the conditioned and unconditioned stimulus and was whisker-dependent. Avoidance behavior was significantly reduced when the difference between the conditioned and non-conditioned orientation difference was reduced to 45 degrees. Thus, rats can discriminate object orientation with their whiskers and an estimate of their discrimination thresholds can be rapidly acquired through the application of a one-trial learning paradigm.     

Pathological laughter as a symptom of midbrain infarction

Pathological laughter is an uncommon symptom usually caused by bilateral, diffuse cerebral lesions. It has rarely been reported in association with isolated cerebral lesions. Midbrain involvement causing pathological laughter is extremely unusual. We describe three patients who developed pathological laughter after midbrain and pontine-midbrain infarction. In two patients a small infarction in the left paramedian midbrain was detected, whereas the third one sustained a massive bilateral pontine infarction extending to the midbrain. Laughter heralded stroke by one day in one patient and occurred as a delayed phenomenon three months after stroke in another. Pathological laughter ceased within a few days in two patients and was still present at a two year follow-up in the patient with delayed-onset laughter. Pathological laughter can herald midbrain infarction or follow stroke either shortly after onset of symptoms or as a delayed phenomenon. Furthermore, small unilateral midbrain infarctions can cause this rare complication.