Health-Related Decision-Making in HIV Disease

Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND?), and 42 HIV? participants were administered two measures of health-related decision-making as part of a comprehensive neuropsychological battery: (1) The Decisional Conflict Scale (DCS), and (2) The Modified UCSD Brief Assessment for Capacity to Consent (UBACC-T). Multiple regression analyses revealed that HAND was an independent predictor of both the DCS and the UBACC-T, such that the HAND+ sample evidenced significantly poorer scores relative to comparison groups. Within the HIV+ sample, poorer health-related decision-making was associated with worse performance on tests of episodic memory, risky decision-making, and health literacy. Findings indicate that individuals with HAND evidence moderate deficits in effectively comprehending and evaluating various health-related choices.     

ARE PERSONS WITH NERVOUS HABITS NERVOUS? A PRELIMINARY EXAMINATION OF HABIT FUNCTION IN A NONREFERRED POPULATION

In this study, 44 individuals were exposed to three conditions (anxiety, bored, and neutral) while being covertly videotaped. The videotapes were then scored for the occurrence of five classes of habits including hair, face, and object manipulation; object mouthing; and repetitive movement of the limbs. Results showed that hair and face manipulation increased during the anxiety condition, whereas object manipulation increased in the bored condition. The implications of this research are discussed.     

Illusory displacement of a moving trace with respect to the grid during oscilloscope motion

Observers report that a trace streak, which follows a sinusoidal path, moves vertically with respect to the oscilloscope’s grid when an oscilloscope is oscillated in the vertical plane. The vertical component of the trace streak motion with respect to the grid is illusory. This illusion is stable across a limited range of illumination and physical motion conditions. We hypothesize that this illusion is based on the manner in which the visual system calculates the vertical location of the grid and the trace: the trace location is determined on a moment-to-moment basis, whereas the grid tends to be seen in its average vertical position. The results of two experiments indicate that this hypothesis can account, at least partially, for the illusion. The illusion may have practical implications for pilots or navigators who track target blips on radar screens in moving aircraft.     

TOKEN REINFORCEMENT DURING THE INSTATEMENT AND SHAPING OF FLUENCY IN THE TREATMENT OF STUTTERING

The value of token reinforcement in the instatement and shaping of fluency was examined in an intensive treatment program for adult stutterers. Experiment 1 examined the effect of removing the tangible back-up reinforcers for the token system and found that clients' performance in the program was equally good with or without these back-up reinforcers, suggesting that a strict token economy may not be crucial to rapid progress through treatment. Experiment 2 compared contingent and noncontingent token reinforcement, while controlling for some variables that may have confounded the results of earlier research, and found no difference in clients' performance. Experiment 3 examined the effect of the entire removal of token reinforcement. Performance was found to be no worse under a “no tokens” system than under a system of tokens with back-up reinforcers. It is argued that in a highly structured treatment program where many other reinforcers are operating, token reinforcement may be largely redundant. Clinical and theoretical implications of the findings are discussed.     

Apocalyptic relevance

In their book, Relevance, Sperber and Wilson make an important contribution towards constructing a credible theory of this unforthcoming notion. All is not clear sailing, however. If it is accepted as a condition on the adequacy of any account of relevance that it not be derivable either that nothing is relevant to anything or that everything is relevant to everything, it can be shown that Sperber and Wilson come close to violating the condition.     

Irrational beliefs and conflict-handling orientations

Before a series of conflict-resolution and communication-skills workshops, measures were obtained on the dependent variables of conflict-handling orientations and on the independent variables of irrational beliefs. The population was rather general, i.e. nonstudent, nonclinical and non-volunteer, who were the managers and the engineers of three enterprises. Correlation analysis showed that irrational beliefs underlying anger, anxiety, frustration, guilt and other negative emotions were correlated with different conflict-handling orientations. On the basis of the obtained results a series of workshops was conducted in the format of Rational-Emotive Therapy (RET).Mikhael I. Timofeev, Ph.D., is a senior lecturer at the Inter-Branch Institute of Advanced Training, St. Petersburg Technical University, Politechnicheskaya, 29, St. Petersburg, 195251, Russia.