DSM-IV: WhatY's New

The significant differences between the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R; American Psychiatric Association, 1987) and the DSM-IV (American Psychiatric Association, 1994) are described, focusing on the types of mental disorders counselors frequently diagnose and treat. These include several disorders included in the children's section as well as Adjustment Disorders, Substance-Related Disorders, Mood Disorders, Anxiety Disorders, and Personality Disorders.     

The other side of the coin: Cognitive properties of nonreward

In this comment, I examine Amsel’s theory in the light of rats’ reaction not to frustrative non-reward per se, but to the more complicated case in which frustrative nonreward is part of a rule-based sequence of reward quantities. The discussion goes beyond Amsel’s emphasis on dispositional memory to consider cognitive and representational memory—the signaling properties of reinforcement and nonreinforcement. The strengths and weaknesses of Amsel’s theory are discussed with the fresh perspective that this viewpoint provides, and some issues emerge that may be fruitful for further study.     

Psychosocial knowledge and allopathic medicine: Points of convergence and departure

The past 15 years have witnessed a call for allopathic medicine to incorporate psychosocial perspectives into education and clinical practice. While a biopsychosocial perspective has influenced academic medicine in areas such as primary care and psychiatry, its direct impact on clinical medicine has been questionable. One barrier to the incorporation of psychosocial information into medicine which has only recently received attention has been different cultural assumptions which govern medicine versus the social-behavioral sciences. These assumptions are examined in the context of four issues: knowledge paradigms, models of education, acculturation of psychosocial knowledge into medicine, and patient autonomy. This cultural analysis provides a vantage point for understanding similarities as well as points of divergence between psychosocial and biomedical knowledge and practice.     

Factor analytic structure of theScale to Asses World View

This article reports on the factor structure of theScale to Assess World View ^(c) (SAWV). Alpha reliabilities for the factors are presented. Gender differences in world views are also explored to understand how men and women in this sample viewed the world. Recommendations for client assessment, therapy, education and training, and scale revision are discussed. The research reported here is based on a paper presented at the annual meeting of the American Psychological Association, Washington, DC, August 17, 1992.     

Cognitive function after open-heart surgery: Are postoperative neuropsychological deficits caused by cardiopulmonary bypass?

Despite the many technological developments in arterial perfusion and cardiac surgical procedures, open-heart surgery is still believed to pose a significant risk for cerebral injury. There are several potential causes of brain damage during open-heart surgery, including prolonged or severe arterial hypotension, as well as emboli emanating from the cardiopulmonary bypass circuit or the operative field. This article reviews the available neuropsychological studies of outcome following cardiac valve replacement and coronary artery bypass grafting. Because both procedures are life-saving operations, the research in this area has been quasi-experimental and fraught with methodological problems. Nonetheless, the findings converge to suggest that cognitive dysfunction occurs after open-heart surgery, and that the deficits are attributable, at least in part, to factors specific to the operation or to the patient being maintained on cardiopulmonary bypass. Preliminary findings suggest that embolization is the primary cause of perioperative deficits in uncomplicated operations. Studies have also consistently found preoperative deficits in this population, suggesting that neuropsychological dysfunction is caused by severe chronic cardiac disease as well as open-heart surgery.     

Attentional misguidance in visual search

Previous research has shown that a task-irrelevant sudden onset of an object will capture an observer’s visual attention or draw it to that object (e.g., Yantis & Jonides, 1984). However, further research has demonstrated the apparent inability of an object with a task-irrelevant but unique color or luminance to capture attention (Jonides & Yantis, 1988). In the experiments reported here, we reexplore the question of whether task-irrelevant properties other than sudden onset may capture attention. Our results suggest that uniquely colored or luminous objects, as well as salient though irrelevant boundaries, do not appear to capture attention. However, these irrelevant features do appear to serve as landmarks for a top-down search strategy which becomes increasingly likely with larger display set sizes. These findings are described in terms of stimulus-driven and goal-directed aspects of attentional control.