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.     

On “knowing your partner”: Dangerous illusions in the age of AIDS?

We identified two characteristics of the impression formation process that may cause people to underestimate the riskiness of potential sexual partners. In Study 1, participants were quite confident that they could determine whether someone was lying to them about risk-related behavior when, in reality, they could not. Particularly troubling was a “truth bias” that resulted in relatively high rates of truth detection, but poor lie detection. In Study 2, increased familiarity with a target person (who actually was HIV+) caused participants to lower their estimates of the target's riskiness, despite the fact that we explicitly warned them that the target might be HIV+. We suggest that such processes may foster the illusion of knowing one's partner when one does not.     

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.     

Orienting the finger opposition space during prehension movements

Two experiments are reported that examined the act of prehension when subjects were asked to grasp with their thumb and index finger pads an elongated object resting horizontally on a surface and placed at different orientations with respect to the subject. In Experiment 1, the pad opposition preferences were determined for the six angles of orientation examined. For angles of 90 degrees (object parallel to frontal plane) or less, no rotation of the wrist (pronation) was used; for angles 110 degrees or greater, pronation was systematically employed to reorient the finger opposition space. Only one angle, 100 degrees , produced any evidence of ambiguity in how to grasp the object: Approximately 60% of these grasps involved pronation and 40% did not. Using the foregoing grasp preference data, in Experiment 2 we examined the kinematics of the wrist and elbow trajectories during prehension movements directed at an object in different orientations. Movement time, time to peak acceleration, velocity, and deceleration were measured. No kinematic differences were observed when the object orientation either required (110 degrees ) or did not require (80 degrees ) a pronation. By contrast, if the orientation was changed at the onset of the movement, such that an unpredicted pronation had to be introduced to achieve the grasp, kinematics were affected: Movement time was increased, and the time devoted to deceleration was lengthened. These data are interpreted as evidence that when natural prehension occurs, pronation can be included in the motor plan without affecting the movement kinematics. When constraints are imposed on the movement execution as a consequence of a perturbation, however, the introduction of a pronation component requires kinematic rearrangement.     

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.     

Differential indications for desipramine--results of a controlled multiclinical study]

The antidepressants desipramine and imipramine were compared within the framework of a multiclinical study performed under the conditions of a controlled clinical experiment. There has been found a time-different remission of affective symptoms, which was not detectable for the inhibition of drive. The tachythymoleptic action of desipramine is discussed with reference to these results. Evaluation of the possibility of controlling affects shows different ranges of activity of desipramine and imipramine, with desipramine influencing especially negative psychoenergetic symptoms in the area of drives and emotions and imipramine, restrictive symptoms in addition to differential phenomena of the psychomotor expression.