Book Review

E.S. Batchelor &; R.S. Dean (Eds.) (1995). Pediatric Neuropsychology: Interfacing Assessment and Treatment for Rehabilitation. Boston: Allyn &; Bacon. ISBN 0-205-16486-2. 364 pp.us $37.95     

Facial memory deficits in children with fetal alcohol spectrum disorders

Prenatal exposure to alcohol may lead to a range of neurobehavioral effects, including impaired learning and memory. Although children with fetal alcohol spectrum disorders (FASD) exhibit both verbal and nonverbal memory impairments, their memory for faces has not been as thoroughly investigated and the extent literature provides inconsistent results. The aim of the current study was to determine whether difficulties in face memory exist in children with FASD and whether the difficulties are mediated by task demands. To address this, we used two measures of immediate and delayed facial recognition memory, the Children's Memory Scale (CMS) and Test of Memory and Learning (TOMAL). Compared to typically developing controls, children with FASD showed memory deficits on all tests and were more likely to perform in a clinically significant range. As well, children performed more poorly on the CMS compared to TOMAL, a finding consistent with the greater difficulty of the CMS task. Our results are consistent with our hypothesis that children with FASD show impairment in facial memory, particularly on demanding memory tasks.     

Toddlers with Elevated Autism Symptoms Show Slowed Habituation to Faces

We explored social information processing and its relation to social and communicative symptoms in toddlers with Autism Spectrum Disorder (ASD) and their siblings. Toddlers with more severe symptoms of autism showed slower habituation to faces than comparison groups; slower face learning correlated with poorer social skills and lower verbal ability. Unaffected toddlers who were siblings of children with ASD also showed slower habituation to faces compared with toddlers without siblings with ASD. We conclude that slower rates of face learning may be an endophenotype of ASD and is associated with more severe symptoms among affected individuals.     

Improving executive functioning in children with fetal alcohol spectrum disorders

An extensive body of literature has documented executive function (EF) impairments in children with fetal alcohol spectrum disorders (FASD); however, few studies have aimed specifically at improving EF. One treatment program that shows promise for children with FASD is the Alert Program for Self-Regulation®, which is a 12-week treatment specifically designed to target self-regulation, a component of EF. The present study sought to examine if Alert would produce improvements in self-regulation that would generalize to other aspects of EF, behavior, and social skills in children with FASD. Twenty-five children aged 8–12 years diagnosed with an FASD were assigned in alternating sequence to either an immediate treatment (TXT) or a delayed treatment control (DTC) group. Both groups received a comprehensive evaluation of EF at baseline and upon completing therapy (TXT), or after a 12- to 14-week interval from baseline (DTC). Parents also completed questionnaires assessing EF and behavior at both time points. For the TXT group only, parent questionnaires were readministered at 6-month follow-up. At the 12-week follow-up, the TXT group displayed significant improvements in inhibitory control and social cognition. Parents of children in the TXT group reported improved behavioral and emotional regulation, as well as reduced externalizing behavior problems. These behavioral improvements along with further improved parent-rated inhibitory control was maintained at the 6-month follow-up. The EF disabilities in children with FASD can be remediated through a targeted treatment approach aimed at facilitating self-regulation skills.     

On the Origins of Disorganized Attachment and Internal Working Models: Paper II. An Empirical Microanalysis of 4-Month Mother–Infant Interaction

A microanalysis of 4-month mother–infant face-to-face communication predicted 12-month infant disorganized (vs. secure) attachment outcomes in an urban community sample. We documented a dyadic systems view of the roles of both partners; the roles of both self- and interactive contingency; and the importance of attention, orientation, and touch, as well as facial and vocal affect, in the co-construction of attachment disorganization. The analysis of different communication modalities identified striking intrapersonal and interpersonal intermodal discordance or conflict, in the context of intensely distressed infants, as the central feature of future disorganized dyads at 4 months. Lowered maternal contingent coordination, and failures of maternal affective correspondence, constituted maternal emotional withdrawal from distressed infants. This maternal withdrawal compromises infant interactive agency and emotional coherence. We characterize of the nature of emerging internal working models of future disorganized infants as follows: Future disorganized infants represent states of not being sensed and known by their mothers, particularly in moments of distress; they represent confusion about both their own and their mothers' basic emotional organization, and about their mothers' response to their distress. This internal working model sets a trajectory in development which may disturb the fundamental integration of the person. The remarkable specificity of our findings has the potential to lead to more finely focused clinical interventions.     

Heroes Don't Cheat: An Examination of Academic Dishonesty and Students' Views on Why Professors Don't Report Cheating

Some students do not cheat. Students high in measures of bravery, honesty, and empathy, our defining characteristics of heroism, report less past cheating than other students. These student heroes also reported that they would feel more guilt if they cheated and also reported less intent to cheat in the future than nonheroes. We find general consensus between students and professors as to reasons for the nonreporting of cheating, suggesting a general impression of insufficient evidence, lack of courage, and denial. Suggested interventions in academia are based in positive psychology and an understanding of academic heroes.     

An Initial Examination of Religious Coping in Children With Asthma

This study evaluated the relations between positive religious coping (PRC) and negative religious coping (NRC) strategies and adjustment in 87 children and adolescents (described as “children”) hospitalized for asthma. Children's adjustment during hospitalization and at follow-up was correlated with and regressed onto measures of PRC and NRC. After controlling for relevant variables, religious coping predicted up to 50% of the variance in adjustment measures. Religious coping also significantly predicted adjustment after controlling for established measures of secular coping. PRC did not predict adjustment as hypothesized, other than predicting spiritual growth. NRC predicted poorer adjustment during hospitalization and at follow-up, and an increase in anxiety over time suggesting potential risk to children's adjustment. Although methodological limitations are noted, these initial findings provide a foundation on which to further examine the palliative and potentially harmful effects of children's religious coping.     

Measuring word recognition in reading: eye movements and event-related potentials

The investigation of visual word recognition has been a major accomplishment of cognitive science. Two on-line methodologies, eye movements and event-related potentials, stand out in the search for the holy grail - an absolute time measure of when, how and why we recognize visual words while reading. Although each technique has its own experimental limitations, we suggest, by means of review and comparison, that these two methodologies can be used in complementary ways to produce a better picture of the mental action we call reading.     

The Opposites Task: Using General Rules to Test Cognitive Flexibility in Preschoolers

Executive functions play an important role in cognitive development, and during the preschool years especially, children's performance is limited in tasks that demand flexibility in their behavior. We asked whether preschoolers would exhibit limitations when they are required to apply a general rule in the context of novel stimuli on every trial (the “opposites” task). Two types of inhibitory processing were measured: response interference (resistance to interference from a competing response) and proactive interference (resistance to interference from a previously relevant rule). Group data show 3-year-olds have difficulty inhibiting prepotent tendencies under these conditions, whereas 5-year-olds’ accuracy is near ceiling in the task.     

Trait anxiety,sense of coherence and medical school stressors: Observations at three stages

Abstract

Changes in personality characteristics during young adulthood were evaluated in a three-stage study of perceptions of stressors, trait anxiety and sense of coherence among students in a six-year medical school. Data were collected during the orientation program prior to the beginning of the first year of studies, and in the middle of the first and second years.

No differences on perceptions of stressors, anxiety and sense of coherence were found between different classes tested during the same stage in their medical school careers. Changes in these variables were found, however, over the stages. Overall stressor scores increased significantly in the second year (third stage), due primarily to students' assessments of two clusters of stressors as more threatening: academic demands and professional status. Only certain groups of stressors correlated with anxiety and sense of coherence. Anxiety scores increased and sense of coherence scores decreased over time. These results indicate that exposure to a stressful environment during young adulthood, such as the early years of medical school, is manifested in significant personality changes.