Auditory backward-masking performance by children who stutter and its relation to dysfluency rate

The fluency of people who stutter is affected markedly when auditory feedback is altered, suggesting that stuttering may be associated with hearing. Peripheral hearing problems, however, are no more common in people who stutter than in those who do not. Performance was investigated in a task that involves central auditory processing (backward masking). Children who stuttered had deficits in backward masking (indicated by higher thresholds) compared with a group of fluent control children. The backward-masking thresholds were positively correlated with frequency of stuttering.     

Women accused of sexual offenses

Few studies exist on female sexual offenders or women accused of sexual offenses. In some instances, conclusions from existing studies conflict. In an effort to better understand the phenomenon of sexual abuse by females, we gathered data on all women charged with a sexual offense referred to our facility (William S. Hall Psychiatric Institute in Columbia, South Carolina) for a criminal responsibility/competence to stand trial evaluation from 1987 to 1997. Alleged sexual offenses included criminal sexual conduct one, two, and three and performing a lewd act upon a minor. Fifteen women were referred. This study examines characteristics of the accused women and their victims. Patterns of the alleged offenses and outcome of forensic evaluation are also examined. We found women accused of committing sexual offenses to have a high likelihood of past sexual and physical victimization as well as ongoing physical victimization. Borderline intellectual function and mental retardation were common and women acted frequently with co-defendants. The victims knew the perpetrator in every instance.     

Existential meaning's role in the enhancement of hope and prevention of depressive symptoms

The authors confirmed that existential meaning has a unique relationship with and can prospectively predict levels of hope and depressive symptoms within a population of college students. Baseline measures of explicit meaning (i.e., an individual's self-reported experience of a sense of coherence and purpose in life) and implicit meaning (i.e., an individual's self-reported embodiment of the factors that are normatively viewed as comprising a meaningful life) explained significant amounts of variance in hope and depressive symptoms 2 months later beyond the variance explained by baseline levels of hope/depression, neuroticism, conscientiousness, agreeableness, openness to experience, extraversion, and social desirability. The authors discuss implications of these findings for the field of mental health treatment and suggest ways of influencing individuals' experience of existential meaning.     

Training effects on dual-task performance: are there age-related differences in plasticity of attentional control?

A number of studies have suggested that attentional control skills required to perform 2 tasks concurrently become impaired with age (A. A. Hartley, 1992; J. M. McDowd & R. J. Shaw, 2000). A. A. Hartley (2001) recently observed that the age-related differences in dual-task performance were larger when the 2 tasks required similar motor responses. The present study examined the extent to which age-related deficits in dual-task performance or time sharing--in particular, dual-task performance of 2 discrimination tasks with similar motor requirements--can be moderated by training. The results indicate that, even when the 2 tasks required similar motor responses, both older and younger adults could learn to perform the tasks faster and more accurately. Moreover, the improvement in performance generalized to new task combinations involving new stimuli. Therefore, it appears that training can substantially improve dual-task processing skills in older adults.     

Single and multiple suicide attempts and associated health risk factors in New Hampshire adolescents

In this study we examined self-reported suicide attempts and their relationship to other health risk factors in a community sample of 16,644 adolescents. Fifteen percent endorsed suicide attempts (10% single; 5% multiple attempts) We hypothesized that multiple attempters would show higher prevalence of comorbid health risks than single or non-attempters. The three groups showed significant differences in ten health risk domains, on factors such as depressed mood, sexual assault, weight problems, and drug and alcohol use (ORs: 3.26-13.57). Repeated suicide attempts appear to be related to increased vulnerability and likelihood of harm in multiple domains of health risk.     

Suicidality in African American men: the roles of southern residence, religiosity, and social support

The rise in suicide by African Americans in the United States is directly attributable to the dramatic, nearly three-fold increase in suicide rates of African American males. Gibbs (1997) hypothesized high social support, religiosity, and southern residence are protective factors against suicidality for Black people. This hypothesis was tested among 5,125 participants from the National Comorbidity Survey; 299 were African American males. In this study we hypothesized that there would be significantly lower suicidality in the South, and social support and religiosity would mediate this relationship. Our results indicate that Southern region is indeed a significant predictor of suicidal symptoms in African American men, such that suicidal symptoms were lower in the South, but religiosity and social support did not account for this effect. Other potential mediators were also examined.     

The incremental validity of the MMPI-2: when does therapist access not enhance treatment outcome?

The present study examined whether therapist access to the Minnesota Multiphasic Personality Inventory (MMPI-2) predicted favorable treatment outcome, above and beyond other assessment measures. A manipulated assessment design was used, in which patients were randomly assigned either to a group in which therapists had access to their MMPI-2 data or to a group without therapist access to such information. Illness severity, improvement ratings, number of sessions attended, and premature termination were indicators of therapy outcome. Results indicated that therapist access to the MMPI-2 data did not add to the prediction of positive treatment outcome beyond that predicted by other measures in this setting. Findings from this initial study suggest that, compared with other resources, perhaps in clinical settings with an emphasis on diagnosis-based and evidence-based treatment, the MMPI-2 may not provide incrementally valid information. However, these effects warrant replication across different settings and samples. Guidelines for future studies are discussed.     

Witness preparation training with real and simulated criminal defendants

Two studies examined the impact of witness preparation training with criminal defendants. In the first study, mock criminal defendants testified twice on videotape about minor crimes they were accused of but had not committed. Approximately half underwent witness preparation between their first and second testimony simulations. In the second study, eight public defender clients were videotaped during testimony simulations both before and after being prepared to testify. In both studies, ratings by trained evaluators indicated that witness preparation was associated with increases in the use of several testimony delivery skills, improvements in overall testimony quality, and reductions in apparent guilt. Training was also associated in both studies with an unintended decrease in expressiveness. Ratings from the mock defendant study further suggested that prepared defendants were seen as more credible than unprepared defendants because they used more effective testimony delivery skills, and as less likely to be guilty than unprepared defendants because they were perceived as being more credible.     

How to play with patients who would rather remain remote

Playful technique with negativistic, schizoid patients is described and further explained. They are seen as closing their mind, imagination, needs, and feelings to protect themselves against the terrifying dangers of human relatedness (vulnerability, need, hurt, loss, fusion, destruction). The analyst, while respecting the schizoid patient's need for protection, affirmation, and validation, seeks creative ways of engaging the patient more closely. Playful technique with schizoid patients combines the analyst's sensitive, playful attitude with an invitation to playful action as an experiment with new feelings, longings, hopes, and expectations. Playful engagement is one technique for attempting to engage patients not now open to verbal interpretation. To succeed with such patients, the analyst needs to connect with the core of their protectiveness and thereby come to enjoy their defensive powers, tolerate their need of the analyst, and not feel insulted. The analyst's light, playful approach to these patients' life-and-death terrors of hating and loving aims to show them that they have grossly exaggerated the powers of their hatred and their love.     

Culture-specific patterns in the prediction of life satisfaction: roles of emotion, relationship quality, and self-esteem

This study was conducted to explore the culture-specific roles of emotion, relationship quality, and self-esteem in determining life satisfaction. It was hypothesized that maintaining good interpersonal relationships would make individuals in collectivistic cultures not only feel good about their lives but also feel better about themselves. Furthermore, two emotion variables--emotional expression and emotion differentiation--were proposed as possible determinants of relationship quality. It was hypothesized that emotional expressiveness would be more important for maintaining good interpersonal relationships in individualistic societies but emotion differentiation would be more important in collectivistic cultures. These hypotheses were tested with Euro-American, Asian American, Korean, and Chinese groups using multigroup analyses in a structural equation model. Results supported all proposed hypotheses and indicated that emotion differentiation contributes to maintaining good interpersonal relationships in collectivistic cultures, which contributes to self-esteem and satisfaction with life.