Medical expertise asa function of task difficulty

This paper is concerned with factors that disrupt the pattern of forward reasoning characteristic of experts with accurate performance. Two experiments are described. In the first, the performances of cardiologists, psychiatrists, and surgeons in diagnostic explanation of a clinical problem in cardiology were examined. In the second, the performances of cardiologists and endocrinologists in diagnostic explanation of clinical problems within and outside their domains of expertise were examined. The performances of researchers and practicing physicians are also compared. The results of Experiment 1 replicated earlier results regarding the relationship between forward reasoning and accurate diagnosis. There were no differences in recall as a function of expertise. Experts did not show any bias toward using specific knowledge from their own areas of expertise. The results of Experiment 2 showed that the breakdown of forward reasoning was related to the structure of the task. In particular, nonsalient cues induced some backward reasoning even in subjects with accurate diagnoses. Some differences were also found between the types of explanation used by researchers and practitioners. The practitioners referred more to clinical components in their explanations, whereas the researchers focused more on the biomedical components.     

Uneasiness with facet analysis: time for a reappraisal

Although already several decades old, the facet analysis (also called facet theory) has not been able to assert itself in the field of psychology. Here the reasons for the widespread uneasiness with the facet analysis will be presented starting with an outline of the approach. This will make it clear that the facet analysis does not represent a research method in the narrower sense and definitely not a "theory" but a method with the status of a logical principle of thought. In experimental psychology this principle has been used successfully for a long time in the form of multifactorial experimental designs. However, multifactorial measurement designs are still few and far between in differential and diagnostic psychology. This can be explained especially by the fact that an important aspect of validity--the validity of construct differentiations--has been ignored. Because of a principle rejection of factor analytic methods, even the proponents of the facet analysis have overlooked the central contribution of their approach with respect to the validity of measurement methods.     

Pattern of language impairment is different in Alzheimer's disease and multi-infarct dementia.

Language impairment was assessed in 33 patients with Alzheimer's disease (AD), in 52 patients with multi-infarct dementia (MID), and in 86 elderly community residents. The investigation included the D-Test Battery based on the Luria's Neuropsychological Investigation for all subjects. An extended battery of Luria's language items was used for 30 demented patients (11 AD and 19 MID patients) and 86 controls. The changes in language functions in normal subjects could be clearly differentiated from those seen in patients with mild dementia. The patients with different degrees of dementia differed also significantly from each other in regard to language impairment. Moreover, patients with AD and MID appeared to have different patterns of language impairment although the severity of dementia and the levels of orientation, mnestic, and conceptual functions were equal. AD was associated especially with a defect in understanding of grammatical structures and MID with disorders in recognition of words, naming, and repetition. The differential diagnostic capacity of 23 selected language items proved to be 97% between AD, MID, and control subjects. The results indicate that the examination of language functions is valuable in the differential diagnosis of dementia.     

Community treatment for the seriously mentally ill: Is this community psychology?

Community treatment for seriously mentally ill individuals fits well into the philosophy of community psychology. Community psychologists have skills and experiences with other populations that represent assets in improving the ACT service model and producing richer and more useful research results for the future. Maybe we should ask ourselves why community psychologists have obviously avoided this intervention area and the population of seriously mentally ill individuals. Does this represent an adolescent reaction to the parent discipline — clinical psychology? Is the label “mentally ill” as stigmatizing to community psychologists as it is to the general population? Are these individuals written off as not worthy of or capable of benefiting from preventive interventions? Advocates for the seriously mentally ill are mounting a backlash against prevention services. We would be well advised at this time to become involved in community treatment and demonstrate that community psychology is forall vulnerable and at-risk population groups. If the truth of the matter is that “community psychology is not doing much of a job of empowering people” (Berkowitz, 1990), maybe the truth of the matter is also that we need to reach out to more disenfranchised populations with research to show that community psychologycan do the job of empowering some.     

Rate variables and automatized naming in developmental dyslexia

The rate variable in rapid automatized naming (RAN) was investigated in 50 adolescent and 40 adult students with developmental dyslexia, in matched normal controls, and in learning-disabled students without reading difficulties. Visual stimuli depicting familiar colors and common objects were presented in isolation at three film speeds and three exposure times. Film speed and exposure time contributed as independent variables to error rate; and dyslexic subjects of both age groups made significantly more naming errors than controls. Dyslexic subjects also responded with longer naming latencies than controls when the same RAN stimuli were presented in a continuous sequential mode as a matrix of rows and columns. Naming latencies in the sequential presentation were highly correlated with naming errors in the film version. The implications of reduced naming rates for nongraphological stimuli in developmental dyslexia are discussed.     

An examination of the differential relationship of marital discord to parents' discipline strategies for boys and girls

Previous research has tentatively indicated that coercive, ineffective parenting might have a mediating role in the differential impact of marital discord on boys and girls. To further explore this role, we examined the relationship between children's perceptions of marital discord and their evaluations of parental discipline techniques. Ninety-one children aged 8 to 13 years (mean age: 11 years 4 months) were split into high, moderate, and low perceived marital discord on the basis of their responses to the Children's Perceptions Questionnaire (Emery & O'Leary, 1982). The children rated how coercive they believed both mothers and fathers would and should be in three discipline situations. Children with high marital discord indicated that both mothers and fathers would and should use more coercive behavior than did children with low marital discord. The effects of marital discord were stronger for boys than for girls. All children also believed that fathers would and should be more coercive than mothers. Results are discussed in relation to the effects of marital discord on children's social development with regard to sex of the child.Thanks are due to Mike Siegal and Pat Noller for their helpful comments on previous drafts.     

On the distinction between artifacts and information

Sperling, Landy, Dosher, and Perkins (1989) argued that all previous research on the kinetic depth effect has been contaminated by stimulus artifacts, and they developed a new task that they believe can successfully overcome this problem. The present discussion offers a counter-argument that artifacts are not as pervasive in previous research as Sperling et al. imply and that their proposed method is subject to precisely the same limitations as earlier studies. Also discussed are some general guidelines of experimental design in this type of research to minimize the possibility that subjects will adopt an inappropriate response strategy that does not truly reflect their visual perceptions of three-dimensional form.     

Visual perception of smoothly curved surfaces from double-projected contour patterns

This research was designed to examine how human observers are able to perceive the 3-dimensional structure of smoothly curved surfaces from projected patterns of surface contours. Displays were generated by using a method of double projection that made it possible to cover a surface with a wide range of contour patterns of varying geometric structure and to eliminate systematic variations of image shading. The compelling impression of 3-dimensional form from these patterns provides strong evidence that the ability of observers to perceptually interpret surface contours is considerably less restrictive than would be reasonable to expect on the basis of existing computational models. Results suggest that the perceptual analysis of surface contours is able to exploit statistical regularities of contour structure over appropriately large regions of visual space.     

On the relation between metacontrast masking and suppression of visible persistence

Does the introduction of additional contours in a display sequence (an operation known to reduce the strength of suppression in metacontrast) also reduce suppression of visible persistence? In three experiments, duration of visible persistence was estimated by a method in which successful performance depends on the temporal integration of a pattern whose elements are displayed in two successive frames. In this procedure, the arrival of the trailing frame is known to exert a suppressive influence on the visible persistence of the leading frame. Embedding the elements of the leading frame within additional contours (a line grid) reduced the degree of suppression exerted by the trailing frame. This did not occur when the grid was part of the trailing display. We conclude that suppression of visible persistence and metacontrast masking belong to the same class of events.     

Cognition and metacognition at extreme altitudes on Mount Everest

The FACTRETRIEVAL2 test battery, which assesses both retrieval of general information from memory and metacognition about that retrieval, was administered to people before and after a recent expedition to Mount Everest and at extreme altitudes above 6,400 m (higher than any mountain in North America or Europe). The major findings were as follows: First, the same extreme altitudes already known to impair learning did not affect either accuracy or latency of retrieval, and this robustness of retrieval occurred for both recall and forced-choice recognition. Second, extreme altitude did affect metacognition: The climbers showed a decline in their feeling of knowing both while at extreme altitude and after returning to Kathmandu (i.e., both an effect and an aftereffect of extreme altitude). Third, extreme altitude had different effects than alcohol intoxication (previously assessed by Nelson. McSpadden, Fromme, & Marlatt, 1986). Alcohol intoxication affected retrieval without affecting metacognition, whereas extreme altitude affected metacognition without affecting retrieval; this different pattern for extreme altitude versus alcohol intoxication implies that (a) hypoxia does not always yield the same outcome as alcohol intoxication and (b) neither retrieval nor metacognition is strictly more sensitive than the other for detecting changes in independent variables.