Experience-dependent neuropsychological recovery and the treatment of chronic alcoholism

This paper reviews the relationship between cognitive status and treatment outcome in chronic alcoholics, the natural history of recovery, and the role of cognitively oriented remediation programs in facilitating recovery. Seven studies of experience-dependent recovery are described in which behavioral improvement was noted. Various recommendations for treatment over the course of recovery are made, guided by anticipated changes in capacity to process complex information over time.     

Perceived Control and Psychological Adjustment in Gay Men With AIDS1

The relationship of control beliefs to psychological adjustment was investigated in a sample of 24 gay men diagnosed with AIDS, participants in the University of California, Los Angeles site of the Multicenter AIDS Cohort Study (MACS). Distinctions between generalized contingency beliefs and specific competence beliefs and between personal and vicarious control beliefs were included in the questionnaire and interview measures administered. The results support these distinctions and indicate that beliefs in personal control over day-to-day symptoms and over course of illness were positively related to adjustment, whereas beliefs in control by others over course of illness and over medical care and treatment were negatively related to adjustment. These relationships appeared to be strongest for men who reported poorer health. These associations were not accounted for by locus of control beliefs, negative affectivity, or time since diagnosis with AIDS.     

Storytelling and Coping With Stressful Events1

Three studies explored the coping benefits and limitations of stories people hear about others undergoing similar stressful events. In Study One, cancer patients reported that positive stories about other patients were preferable to and more helpful than negative stories, yet negative stories were more commonly told. Study Two manipulated the valence and source of stories told to college students facing midterm exams. Stories with positive endings and those relayed by expert sources were regarded more positively than negative stories and those told by nonexperts. Study Three manipulated the valence and informativeness of stories in a similar college sample. Positive and informative stories were rated more favorably, although these effects were independent of each other. Implications for social comparison and social support are discussed.     

Interaction of stimulus and contextual information during reading: Identifying words within sentences

In general, studies on the effects of a sentence context on word identification have focused on how context affects the efficiency of processing a single target word, presented separately from the context. Such studies probably would be incapable of measuring contextual facilitation resulting from cascaded or parallel processing of neighboring words within a sentence. To measure these and other types of facilitation, we presented entire phrases and sentences for subjects to read as fast as possible and to monitor for nonwords. Subjects read at rates representative of natural reading. Experiment 1 demonstrated a large contextual facilitation effect on decision time. Experiment 2 showed that facilitation is caused by specific semantic information and, perhaps to a greater degree, by nonpredictive syntactic information. Experiment 3 showed that the amount of facilitation is greater than could be accounted for by separate contributions from autonomous word level and sentence level processes. These results present difficulties for an autonomous model of reading, but are consistent with interactive models, in which the results of ongoing sentential analyses are combined with stimulus information to identify words.