Concordant Spiritual Orientations as a Factor in Physician--Patient Spiritual Discussions: A Qualitative Study

Objectives: To understand the impact of physicians and patients religious/spiritual orientation on discussions of spiritual issues. Methods: We performed semi-structured interviews of 10 Missouri family physicians and 10 patients of these physicians, selecting subjects nonrandomly to represent a range of demographic factors, practice types, and chronic or terminal illness. We coded and evaluated transcribed interviews for themes. Results: Respondents expressed that similar belief systems facilitate patient–physician spiritual interactions and bring confidence to their relationships. Those holding dissimilar faiths noted limited ability to address spiritual questions directly. They cited significant barriers to spiritual interaction but considered that ecumenism, use of patient-centered care, and negotiation skills lessen these barriers. Conclusions: Our respondents view spirituality similarly to other aspects of the physician–patient relationship involving differing viewpoints. Where discordance exists, cross-cultural, patient-centered, diplomatic approaches facilitate spiritual discussions.     

Clinical conversations between psychoanalysis and imaginative literature

A literary form created by an imaginative writer captures something of the way the author shapes emotional experience and psychologically engages with it. The manner in which experience is created and contained in an imaginative literary text has much in common with the way experience is generated and worked with in the psychoanalytic situation. The author describes a clinical experience in which there was a collapse of the analytic (imaginative) space. He then discusses how he made use of a "conversation" he created with a short story and his own analytic experience to restore his imaginative capacities and to resume psychological work with the patient.     

Suppositions, extensionality, and conditionals: a critique of the mental model theory of Johnson-Laird And Byrne (2002)

P. N. Johnson-Laird and R. M. J. Byrne proposed an influential theory of conditionals in which mental models represent logical possibilities and inferences are drawn from the extensions of possibilities that are used to represent conditionals. In this article, the authors argue that the extensional semantics underlying this theory is equivalent to that of the material, truth-functional conditional, at least for what they term "basic" conditionals, concerning arbitrary problem content. On the basis of both logical argument and psychological evidence, the authors propose that this approach is fundamentally mistaken and that conditionals must be viewed within a suppositional theory based on what philosophical logicians call the Ramsey test. The Johnson-Laird and Byrne theory is critically examined with respect to its account of basic conditionals, nonbasic conditionals, and counterfactuals.     

Does selective attention influence the octave illusion?

The octave illusion occurs when each ear receives a sequence of tones alternating by one octave, but with different frequencies in each ear. Most listeners report a high pitch in one ear alternating with a low pitch in the opposite ear. Deutsch and Roll proposed an influential suppression model of the illusion in which the pitch is determined by ear dominance, while the location of this pitch is determined by high-frequency dominance. Deutsch later suggested that this unusual division between 'what' and 'where' mechanisms is facilitated by sequential interactions within the eliciting sequence. A recent study has raised doubts about the suppression model and the role of sequential interactions in the illusion (Chambers et al, 2002 Journal of Experimental Psychology: Human Perception and Performance 28 1288-1302). Here, we examined whether this previous null effect of sequential interactions may have arisen because of uncontrolled influences of selective attention. The results reveal no evidence of a link between selective attention and sequential interactions, thus consolidating doubts about the validity of the suppression model.     

From <Emphasis Type="Italic">Pintele Yid to Racenjude</Emphasis>: Chaim Zhitlovsky and racial conceptions of Jewishness

The Russian Jewish intellectual, Chaim Zhitlovsky (1865–1943), a leading architect of secular Jewish culture and thought, was a central figure in the progressive Jewish intelligentsia of the late nineteenth and early twentieth century. In an essay written in 1927, Yidn un Yiddishkayt (Jews and Jewishness), he sought to define the secular essence of what he calls Yiddishkayt. This essay is not the first in Zhitlovskys long publicistic career in which he searches for new, secular definitions of Jewish identity and culture. But this essay differs, since it is marked by Zhitlovskys use of contemporary social scientific notions of race and racial traits to conceptualize what he believes constitutes Jewishness in a non-religious context, along with his adoption of the mystical Jewish concept of the pintele yid, the theory of an innate Jewishness embodied by a Jewish spark. Zhitlovskys desire to craft a truly secular theory of Jewish identity led him ironically to accept models of Jewish identity at odds with his stated larger vision. In turning to contemporary racial theory, as well as long nurtured mystical models of Yiddishkayt, Zhitlovsky reveals the wide range of ideological discourses that led him to innovative and controversial notions of modern Jewish identity.     

Human cognition and a pile of sand: a discussion on serial correlations and self-organized criticality

Recently, G. C. Van Orden, J. G. Holden, and M. T. Turvey (2003) proposed to abandon the conventional framework of cognitive psychology in favor of the framework of nonlinear dynamical systems theory. Van Orden et al. presented evidence that "purposive behavior originates in self-organized criticality" (p. 333). Here, the authors show that Van Orden et al.'s analyses do not test their hypotheses. Further, the authors argue that a confirmation of Van Orden et al.'s hypotheses would not have constituted firm evidence in support of their framework. Finally, the absence of a specific model for how self-organized criticality produces the observed behavior makes it very difficult to derive testable predictions. The authors conclude that the proposed paradigm shift is presently unwarranted.     

Assessment of the Use and Feasibility of Video to Supplement the Genetic Counseling Process: A Cancer Genetic Counseling Perspective

Cancer genetic counselors use a variety of teaching modalities for patient education. This survey of cancer genetic counselors assessed their use of educational videos and their recommendations for content of future videos. Thirty percent of respondents use videos for patient education. Cited benefits included reinforcement of information for clients and increased counselor efficiency. Of the 70% who do not use videos, predominant barriers included the perceived lack of an appropriate video, lack of space and/or equipment, and concern that videos are impersonal. Most respondents desired a video that is representative of the genetic counseling session, but emphasized the importance of using broad information. Content considered critical included the pros and cons of genetic testing, associated psychosocial implications, and genetic discrimination. The results of this exploratory study provide data relevant for the development of a cancer genetics video for patient education, and suggestions are made based on aspects of information processing and communication theories.     

The influence of parafoveal word length and contextual constraint on fixation durations and word skipping in reading

The present study examined the relationship between the predictability of words within a sentence and the availability of parafoveal word length information, on when and where the eyes move in reading. Predictability influenced first-pass reading times when parafoveal word length preview information was correct, but not when it was incorrect. Similarly, for saccades launched from near the target word (wordn), predictability influenced the probability with which it was skipped only when the word length preview was correct. By contrast, for saccades launched farther away from wordn, predictability influenced word skipping regardless of the parafoveal word length preview. Taken together, the data suggest that parafoveal word length preview and predictability can act as a joint constraint on the decision of when and where to move the eyes.     

A laboratory school comparison of mixed amphetamine salts extended release (Adderall XR) and atomoxetine (Strattera) in school-aged children with attention deficit/hyperactivity disorder

Mixed amphetamine salts extended release (MAS XR; Adderall XR) and atomoxetine (Strattera) were compared in children 6 to 12 years old with attention deficit/hyperactivity disorder (ADHD) combined or hyperactive/impulsive type in a randomized, double-blind, multicenter, parallel-group, forced-dose-escalation laboratory school study. Primary efficacy measure was the SKAMP (Swanson, Kotkin, Agler, M-Flynn, and Pelham) behavioral rating scale. Changes in mean SKAMP deportment scores from baseline were significantly greater for MAS XR (n = 102) than for atomoxetine (n = 101) overall (-0.56 and -0.13, respectively; p < .0001) and at each week (p < .001). Adverse events were similar for both treatment groups. The extended time course of action and greater therapeutic efficacy of MAS XR suggests that it is more effective than atomoxetine in children with ADHD.     

Maladaptive conflict monitoring as evidence for executive dysfunction in children with chromosome 22q11.2 deletion syndrome

Using an adaptation of the Attentional Networks Test, we investigated aspects of executive control in children with chromosome 22q11.2 deletion syndrome (DS22q11.2), a common but not well understood disorder that produces non-verbal cognitive deficits and a marked incidence of psychopathology. The data revealed that children with DS22q11.2 demonstrated greater difficulty than controls in locating and processing target items in the presence of distracters. Importantly, children with DS22q11.2 showed a deficit in the ability to monitor and adapt to stimulus conflict. These data provide evidence of inadequate conflict adaptation in children with DS22q11.2, a problem that is also present in schizophrenia. The findings of specific executive dysfunction in this group may provide a linkage between particular genetic abnormalities and the development of psychopathology.