Comparison of Scoring Criteria for Clock Drawing Test

This study compared clock drawings by 42 medically hospitalized patients with a mean age of 51.9 (SD = 10.1) years, using four sets of published scoring criteria to determine comparability of classification and to assess validity by comparison to other measures of cognitive functioning. We found impairment in 20 of 42 cases using the criteria of Mendez et al. (1992); 11 of 42 cases by Sunderland et al. (1989); 9 of 42 cases with Freedman et al. (1994); and 8 of 42 cases according to Rouleau et al. (1992). Kappa coefficients of impairment status between sets of scoring criteria ranged from .41 to .86. Pearson correlations of raw scores between schemes ranged from .72 to .94. All except Sunderland et al. were significantly correlated with the Standardized Mini-Mental State Examination. All correlated significantly with the Wechsler Adult Intelligence Scale–Revised Block Design; however, only Mendez et al. correlated significantly with the Neurobehavioral Cognitive Status Examination. On the basis of these results and our experience, we recommend using the Freedman scoring scheme.     

Noncognitive factors in high-road/low-road learning: I. Modes of abstraction in adulthood

Since the termscognition andcognitive are broadly used but not clearly defined, it may be helpful to clarify what is meant bynoncognitive factors. In cognitive science, the termscognition andcognitive generally describe mental processes that are informational insofar as they carry information about the organism's own body and the material world. Thus defined, there are three sorts of noncognitive organismic factors important in adult learning:affective processes, self-developmental processes, andhardware factors (i.e., noninformational, purely organismic constraints such as mental capacity/working memory limitations, gestaltist field factors, etc.). In this series of papers, we attempt to show how these noncognitive factors interact with cognitive factors to facilitate adult learning. We outline and give reference to a dialectical constructivist (neoPiagetian) model of the psychological organism that integrates noncognitive with cognitive factors and that can serve to explicate the findings of the literature and to process/task analyze adult learning. An important aim is the integration of the findings of decline and regression from the cognitive literature with the findings regarding the increase in self-directedness reported by adult education theorists. This is explicated through a process-analytic account of the will, particularly as it pertains to noncognitive factors. In Part II, we continue our explication of a dialectical model of the ego and conclude with a discussion of modes of learning/instruction in adulthood.     

A systematic review of interventions for adults who stutter

PurposeTo examine the effectiveness of (i) face to face interventions (ii) models of service delivery and (iii) psychological treatments combined with speech-focused interventions for adults who stutter.MethodsFive electronic databases and three clinical trial registries were searched. Systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with adults who stutter were included. Pharmaceutical interventions were excluded. Primary outcomes included a measure of stuttering severity. Risk of bias assessment was conducted on included studies and overall quality of the evidence was graded.ResultsFive RCTS, four registered trials and three systematic reviews met inclusion criteria. Intervention approaches included speech restructuring programs (e.g. Camperdown Program) and transcranial direct current stimulation (tDCS). One study investigated cognitive behaviour therapy (CBT) alongside speech restructuring. Overall, studies were classified low risk of bias and good quality. Speech restructuring was included in all but one study (tDCS study) and had the most evidence i.e. supported by the greatest number of RCTs. On average, stuttering frequency was reduced by 50–57 % using speech restructuring approaches. No study reduced stuttering to the same level as community controls who don’t stutter. The study on tDCS reduced stuttering frequency by 22–27 %. Speech restructuring delivered via telehealth was non-inferior to face-to-face intervention. One study reported CBT was an effective adjunct to speech restructuring interventions.ConclusionSpeech restructuring interventions were found to reduce stuttering in adults, however degree and maintenance of fluency varied. The body of evidence surrounding tDCS and psychological interventions is limited. Replication studies should be considered.     

Attentive processing of threat and adult attachment: a dot-probe study

We examined selective attention to threat stimuli as a function of individual differences in adult attachment. Participants completed a dot-probe task in which a general threat word, attachment-related threat word, general positive or attachment-related positive word was presented together with a neutral word. Results showed that attachment anxiety and avoidance were associated with an attentional bias away from attachment threat words. This attentional avoidance effect was best predicted by the interaction between attachment anxiety and avoidance and not by their unique main effects. The findings are discussed in terms of attachment theory and its relation to attentional biases observed in psychopathology.     

Fathers' and mothers' attachment representations as predictors of preadolescents' attachment security: A ten‐year follow‐up of Finnish families

The question of how mothers' and fathers' representations of attachment correlate ten years later with children's perceptions of attachment relationships was examined in a longitudinal study on Finnish families (N = 42). The parents completed the Adult Attachment Interview (AAI) during the child's first year of life. At 11 years, the children filled out three scales on how secure they perceive the relationship with each parent. Parents' AAI classifications and AAI dimensions based on continuous scales were used as predictors of the preadolescents' attachment security. Regression analyses demonstrated that fathers' but not mothers' State‐of‐Mind and Experience dimensions predicted preadolescents' security of attachment to father. The discussion focuses on the predictive validity of the classical categorical versus the recently proposed continuous approach and the different roles of parents in transmitting security from one generation to another.     

Resilience and Coping as Predictors of Well-Being in Adults

Well-being is one of the keys to successful and optimal development across the lifespan. Based on the idea that development involves changes in individuals’ adaptive capacity to meet their needs over time, the changes that occur in the second half of life require effort to adapt to the new reality. This study used a structural model to test the effects of coping strategies and resilience on well-being in a sample of 305 mid-life adults. Several constructs were measured: coping strategies, resilience, and well-being. A final model was obtained with good fit indices; psychological well-being was positively predicted by resilience and negatively by emotional coping. Moreover, positive reappraisal and avoidance form part of both coping strategies (problem-focused and emotion-focused). Considering the characteristics of the model, educational intervention programs could be developed to promote skills that favor good adaptation at this stage in the life cycle and contribute to promoting successful aging.     

A Critical Incident Technique Study of the Facilitation of Gang Entry: Perspectives of Indigenous Men Ex-Gang Members

The aim of the study was to describe incidents that facilitated gang entry among 10 Indigenous men who survived and exited from gang life in Canada’s Prairies. The critical incident technique was applied as participants responded to this question: What facilitated gang entry for you? A total of 103 incidents that facilitated gang entry for participants were sorted into 13 distinct categories. These events led to a progression of gang activity where the gang lifestyle provided validation, provided a site for dedication and learning, and generated traumatic consequences for participants’ actions. Qualitative textual data vignettes, counseling, and research recommendations are provided.     

Attachment, breakup strategies, and associated outcomes: The effects of security enhancement on the selection of breakup strategies

People tend to use different strategies to dissolve their romantic relationships (Baxter, 1982). The factors predicting selection of breakup strategies, and especially personality factors, have received relatively little attention. In five studies, using community and students samples, we revised the measure used to assess breakup strategy use, examined the outcomes of the revised strategies, and investigated the associations of these strategies with attachment dimensions. Attachment avoidance was associated with using less direct breakup strategies; whereas attachment anxiety was associated with using strategies meant to keep open the option of getting back together. In Studies 4 and 5, attachment-security primes were found to decrease these tendencies. Implications for relationship dissolution and attachment theory are discussed.