Sexual disorders not otherwise specified: compulsive, addictive, or impulsive?

Paraphilias are recurrent and intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects. These paraphilias cause the suffering or humiliation of the patient or patient's partner, or children, or other nonconsenting persons. However, in many patients symptoms involve more culturally acceptable patterns (eg, repetitive masturbation, Internet pornography); such hypersexual symptoms have been labeled as compulsive, addictive, or impulsive. Growing evidence supports the existence of a discrete syndrome characterized by recurrent and intense sexually arousing fantasies, sexual urges, or behaviors involving patterns that fall outside the definition of paraphilia. There is, however, high comorbidity with paraphilia. While such symptoms have been labeled as sexual compulsion or addiction, these terms are problematic in this context. Modern nosology has neglected this entity, although the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), category of sexual disorders not otherwise specified includes hypersexual behaviors as an example. We suggest that the DSM-IV category of sexual disorders be modified to include explicitly diagnostic criteria for a disorder characterized by hypersexual symptoms involving patterns that fall outside of the current definition of paraphilia. The disorder might be classified as one of the paraphilias, or as paraphilia-related. In the absence of a comprehensive understanding of the pathogenesis of this disorder, we suggest that it simply be termed hypersexual disorder.     

Task demands and limb apraxia in stroke

The present study was designed to examine the frequency and severity of apraxia in patients with left- or right-hemisphere stroke in both pantomime and imitation conditions and to compare the frequency of apraxia in each stroke group across the three patterns of apraxia described in Roy's model (Roy, 1996). Ninety-nine stroke patients and 15 age-matched healthy adults performed eight transitive gestures to pantomime and to imitation. Gestural performance was quantified as accuracy on five performance dimensions; a composite score, an arithmetic combination of the five performance dimensions, was used as an index of the overall accuracy. Analyses revealed a comparable proportion of patients in each stroke group were classified as apraxic in the imitation condition, but a higher proportion of left stroke patients were apraxic in the pantomime condition. The severity of apraxia in each stroke group and the performance dimensions affected were, however, comparable. Analyses of the patterns of apraxia (pantomime alone, imitation alone or apraxia in both conditions) revealed a higher frequency of apraxia in both stroke groups for the pattern reflecting apraxia in both conditions, indicating that a disruption at the movement execution stage of gesture performance was most common.     

Semantic processing of living and nonliving concepts across the cerebral hemispheres

Studies of patients with category-specific semantic deficits suggest that the right and left cerebral hemispheres may be differently involved in the processing of living and nonliving domains concepts. In this study, we investigate whether there are hemisphere differences in the semantic processing of these domains in healthy volunteers. Based on the neuropsychological findings, we predicted a disadvantage for nonliving compared to living concepts in the right hemisphere. Our prediction was supported, in that semantic decisions to nonliving concepts were significantly slower and more error-prone when presented to the right hemisphere. In contrast there were no hemisphere differences for living concepts. These findings are consistent with either differential representation or processing of concepts across right and left hemispheres. However, we also found a disadvantage for nonliving things compared to living things in the left hemisphere, which is not consistent with a simple representation account. We discuss these findings in terms of qualitatively different semantic processing in right and left hemispheres within the framework of a distributed model of conceptual representation.     

Role of the inertial eigenvectors in proprioception near the limits of arm adduction range of motion

Common everyday activities such as reaching for a cup, combing one's hair, or positioning a tool involve the accurate registration of the limb's orientation relative to the body and the environment. Past work has demonstrated that the ability of humans to perceive the spatial orientation of an occluded arm is tied to the arm's inertial eigenvectors, invariant mechanical parameters corresponding to a limb's axes of rotational symmetry. In a recent study participants pointed to visible targets while the arms' inertial eigenvectors were displaced by asymmetrically weighted splints. The lack of an effect of those splints on pointing error led them to conclude that inertial eigenvectors are not the primary invariants used for proprioception. However, their data suggested an effect of the eigenvectors, but only for conditions in which pointing did not require placing the arm near the limits of shoulder adduction range of motion. In the present study we found a significant effect of displacing the eigenvector for all tested arm angles, regardless of degree of shoulder adduction. Overall, the results supported the hypothesis that proprioception is based on sensitivity to the limb's inertial eigenvectors, with no reduction of the eigenvector effect when adducting the arm so as to reach far across the body midline.     

Reducing the drop-out rates of at-risk high school students: the Effective Learning Program (ELP)

The purpose of the present study was to evaluate the effectiveness of the Effective Learning Program (ELP) with students who are at high risk for dropping out of high school. The intervention sought to change external control expectancies to more internal ones, improve students' skills in building relationships with peers and adults, and increase graduation rates. Thirty-eight students considered at risk for dropping out of high school received the intervention. In addition, ELP-eligible students who did not receive the ELP intervention (n = 36) and regular education students (n = 50) from the same high school were compared with the students who received the ELP. A significantly greater percentage of ELP students graduated, became more internally controlled, achieved more as shown by standardized tests, and developed greater social skills and better relationships than their ELP-eligible but nonparticipating peers. The authors suggest that researchers identify which aspects of the ELP are responsible for the improvement in retention, achievement, and personal attributes.     

Semantic satiation and lexical ambiguity resolution.

This study examines the effects of semantic satiation on lexical ambiguity resolution. On a given trial, participants were presented with a word triad. The first word (e.g., HEART) was presented on average 2.5, 12.5, or 22.5 times, and then participants received 2 new words for relatedness judgments. The first of the two new words was always a homograph (e.g., "ORGAN") and the other word was a related or unrelated pairmate (e.g., "KIDNEY"). In Experiment 1, when blocks of trials were intermixed with concordant (e.g., "HEART-ORGAN-KIDNEY"), discordant (e.g., "PIANO-ORGAN-KIDNEY"), and neutral (e.g., "CEILING-ORGAN-KIDNEY") trials, participants did not produce evidence of semantic satiation. In a second experiment in which only concordant and neutral trials were presented, however, participants did produce evidence of semantic satiation in the concordant condition. Taken together, Experiments 1 and 2 indicate that semantic satiation of the context-appropriate meaning of a homograph may impede ambiguity resolution.     

Linguistically mediated visual search

During an individual's normal interaction with the environment and other humans, visual and linguistic signals often coincide and can be integrated very quickly. This has been clearly demonstrated in recent eyetracking studies showing that visual perception constrains on-line comprehension of spoken language. In a modified visual search task, we found the inverse, that real-time language comprehension can also constrain visual perception. In standard visual search tasks, the number of distractors in the display strongly affects search time for a target defined by a conjunction of features, but not for a target defined by a single feature. However, we found that when a conjunction target was identified by a spoken instruction presented concurrently with the visual display, the incremental processing of spoken language allowed the search process to proceed in a manner considerably less affected by the number of distractors. These results suggest that perceptual systems specialized for language and for vision interact more fluidly than previously thought.     

MESA: a new configuration for measuring electromagnetic field fluctuations

This paper describes how the multi-energy sensor array has been refitted to meet the needs of measuring geomagnetic and other types of electromagnetic phenomena in an environment. This portable laptop computer system was designed to measure the interaction of multiple frequencies with the psychological and physiological processes that underlie human exposure to electromagnetic fields across the spectra. New sensors and analytical software have been implemented in the new configuration.