Stereotyped movement disorder in an adult following acquired brain injury: Effect of environmental stimulation

In the present study, a naturalistic functional analysis procedure was used to assess the effect of environmental stimulation on the stereotypic behavior (body rocking) of an adult whose stereotypy appeared to be induced by an acquired brain injury. Environmental stimulation, operationalized in terms of both physical and social characteristics, resulted in only minimal changes in the occurrence of body rocking. Body rocking occurred in excess of 50% of the observations in all environmental stimulation conditions and in a naturally occurring baseline condition. To our knowledge, this is the first published report of a functional analysis of stereotypy associated with acquired brain injury.     

New directions for the education of clinical psychologists: The primary care setting,the VA's PRIME program,and the in-depth generalist model

As part of this special issue on psychology in primary care settings, we describe the Department of Veterans Affairs' (VA's) new approach to education for practice in the primary care setting and we concurrently address some general issues related to the education of clinical psychologists for practice in this setting. In this article we argue that the primary care psychologist, in parallel with the generalist in medicine, must have a strong generic background in clinical psychology in order to gain the broad range of clinical skills necessary to function effectively as an in-depth generalist (IDG) who is capable of addressing the variety of psychological issues that emerge in the primary care setting. The IDG model of professional practice, which we believe is best suited for primary care/managed care settings, requires extensive training in generic clinical skills and increased time devoted to its implementation at both the predoctoral and the postdoctoral levels.     

Aggressivity,inattention, hyperactivity,and impulsivity in boys at high and low risk for substance abuse

Aggressivity, inattention, hyperactivity, and impulsivity are cardinal dimensions of externalizing behavior problems of childhood. They are diagnostic and clinical features of childhood disorders, and are thought to be linked to the subsequent development of adult disorders such as substance abuse (SA). Little is known, however, about the convergent and discriminant validity of these four constructs. We used multiple measures to develop indices of aggressivity, inattention, hyperactivity, and impulsivity in a sample of 10- to 12-year-old boys (N=183) with and without a family history of SA. Data were taken from mother reports, child reports, teacher reports, and laboratory tasks. The study aims were (1) to test the convergent and discriminant validity of aggressivity, inattention, hyperactivity, and impulsivity; (2) to examine whether the data were consistent with a model specifying the four constructs as indicators of one superordinate factor; and (3) to differentiate boys with and without a family history of SA in construct scores. The results supported the convergent and discriminant validity of the four constructs. Although discriminable, the constructs covaried strongly and were consistent with a model specifying them as indicators of a single superordinate factor. Boys with a family history of substance abuse scored higher than control boys on aggressivity, inattention, and impulsivity scores, but the groups did not differ on hyperactivity scores. The results are discussed in terms of the role of childhood behavior problems in vulnerability to SA.This work was supported by the National Institute on Drug Abuse grant No. DA 05605.     

Two Sociological Approaches to Religion in Modern Britain

This article compares the approach adopted by two recent sociological accounts of religion in modern Britain (by Bruce and Davie). Attention is drawn in broad terms to the parallels between sociological and religious approaches, and a contrast made specifically between a sociology of religion cast in terms of a narrative of decline and diversity (or an account of the place of religion in the perspective of modernity), and one that pays primary attention to indigenous patterns of meaning. Conclusions are drawn as to the limitations of method and apprehension of the one approach, and the openness and potential for comparison of the other.     

Effects of task instructions and oscillation frequency on bimanual coordination

Increases in the oscillation frequency of bimanual movements produce a switch from an anti-phase (180° relative phase) to an in-phase (0° relative phase) coordination pattern. This finding is observed when subjects are instructed not to intervene when they feel themselves slipping out of the anti-phase pattern. The question addressed in this study concerned how performance would be affected if subjects were instructed to try to maintain the pattern at all times. This issue was addressed using two separate groups of subjects: one group was given the do not intervene instructions, the other group was told to try to stay with the pattern at all times. Forearm rotations were tested in 15 s trials, paced by an auditory metronome set at 1.0, 1.5, 2.0, 2.5, and 3.0 Hz. Frequency distributions of the point estimates of relative phase were analyzed. The Do not Intervene group replicated previous findings, as indicated by the development of a bimodal histogram of relative phase distributions with increases in oscillation frequency. However, a very different pattern of findings emerged with increases in oscillation frequency for the group told to stay with the anti-phase pattern. Rather than a bimodal distribution being developed, the data maintained 180° as its central tendency — no secondary distribution developed around 0° relative phase. These data suggest that volitional control can over-ride the inherent dynamical tendencies of the motor system.     

Circadian factors during sustained performance: Background and methodology

Cornell University Medical College, Westchester Division, The New York Hospital, White Plains, New York It is well established that there is a complex timekeeping mechanism in the human brain. This mechanism is associated with a variety of physiological and psychological rhythms having a period of about a day, and thus referred to as circadian rhythms. The circadian system has recently been modeled in terms of two underlying oscillators, one much more resistant to changes in routine than the other. These oscillators are considered to be endogenous, that is, internal to the organism, and not reliant for their existence upon changes in the person’s environment or general behavior. They thus continue to run even when the sleep/wake cycle is suspended, as in sustained operations. Thus, by their very nature, sustained operations require the individual to override the inputs that are coming from his or her circadian system (especially the indication that sleep is required). The aim of this paper is to provide a background to the area of circadian rhythms research, including a section on the methodology, so that the impact of the circadian system on sustained operations can be better understood.     

The relative effectiveness of alternative job sources

Vocational research has focused on the occupational choice process and the individual's adjustment to work. Very little research has examined the job search process in which the individual must engage in order to implement occupational choices. This study examines one dimension of the job search process: the relationship between job source and subsequent work experiences. The data reveal that when the respondents initially entered the labor market, those relying on formal job sources tended to work in higher-level occupations and in jobs more closely related to their training than their counterparts who used other job sources. In the longer run, the labor market advantages associated with the use of formal job sources dissipated for the engineering majors but tended to persist for the business alumni.     

New perspectives in temperament/personality research: The “Behavioral” model of the Warsaw group

This paper reviews the theory and research of the Warsaw school of differential psychophysiology, which has modified and extended the typologic model constructed by Teplov and Nebylitsyn. While Soviet theory still favors a relatively inflexible structure of nervous system properties as the biologic basis of individual differences in personality, Strelau and colleagues, in line with the action/activity model of Vygotsky and Tomaszewski, begin with the premise that for every individual there is a specific, genetically determined optimal level of arousal, a necessary background for fullest emotional and intellectual development. The person strives to create this optimal climate through an active process of stimulation control, achieved primarily through enhancement or dampening of reactivity—which describes innate responsivity in the reacting systems to both sensory and emotional stimuli—through various hormonal ‘tuning’ mechanisms and through “appropriate” activity, reflected in different cognitive styles and preference for certain work conditions. Such activities aim to ensure comfortable physical and psychologic environments, in which the individual can avoid conflict and stress. The system regulating and integrating such control mechanisms is the core of personality. Investigations of the Warsaw group on relationships between reactivity and different forms of stimulation seeking/control—risk-taking, work style preferences, cognitive style, defense mechanisms, for example—and between reactivity and tolerance of stress and conflict and their speculations about the neurophysiologic and endocrinologic mechanisms of stimulation control are described, as are a number of questionnaires developed by this group to measure reactivity, the temporal parameters of response, and stimulation-seeking in a variety of occupational and social contexts.     

Picture perception: An analysis of visual compensation

Although geometric information is altered when a picture’s viewing point is changed, such changes often do not affect perception. Two experiments assessed pictorial perception relative to the distortions introduced by viewing point dislocation. Results provide a psychophysical demonstration of pictorial compensation and suggest that it is based on the discrepancy between the actual and an assumed-correct viewing position. An explanation of pictorial compensation is offered that could be applied to direct picture perception and to picture-in-a-picture perception.