Psychology and mind-body segregation: Are we part of the problem?

Despite advances in behavioral medicine and health psychology, the health care system and medical education continue to show resistance to a truly biopsychosocial model of medical practice. Psychologists in medical settings have generally been identified as challenging the concept of mind-body duality and the segregation of biologic and psychosocial sciences in medicine. However, examples are presented of how psychologists contribute to and perpetuate mind-body segregation via exclusive theoretical conceptualizations, arbitrary definitions of professional behavior, and dogmatic constraints on the limits of psychology's field of knowledge.     

初中生友谊质量与孤独感的变化轨迹:一项多元潜变量增长模型分析

为考察初中生友谊质量与孤独感的变化轨迹及两者间的关系,采用关系网络问卷、孤独感量表对西安市的875名初中生（M=12.73±0.18;男生494名）进行三年追踪测量,使用多元潜变量增长模型进行分析。结果发现：（1）初中三年,中学生的友谊质量逐渐提高,孤独感水平逐渐下降;（2）初一时的友谊质量和孤独感水平存在显著的个体差异,初中三年期间二者的发展速度也存在个体差异;（3）初一时的友谊质量可显著预测初一时的孤独感水平（β=-1.77,p<0.001）及随后的发展速度（β=0.20,p<0.05）;（4）男生的孤独感水平初始值高于女生,友谊质量的初始值则低于女生;高SES个体孤独感的起始值高于低SES个体。本研究结果揭示了初中三年期间个体友谊质量与孤独感的动态变化关系及友谊质量对孤独感的预测作用,对改善青少年孤独感的现状有一定的现实指导意义。     

A rating formulation for ordered response categories

A rating response mechanism for ordered categories, which is related to the traditional threshold formulation but distinctively different from it, is formulated. In addition to the subject and item parameters two other sets of parameters, which can be interpreted in terms of thresholds on a latent continuum and discriminations at the thresholds, are obtained. These parameters are identified with the category coefficients and the scoring function of the Rasch model for polychotomous responses in which the latent trait is assumed uni-dimensional. In the case where the threshold discriminations are equal, the scoring of successive categories by the familiar assignment of successive integers is justified. In the case where distances between thresholds are also equal, a simple pattern of category coefficients is shown to follow.This work was conducted in part in the first half of 1977 while the author was on study leave at the Danish Institute for Educational Research. The Institute provided required research facilities while The University of Western Australia provided financial support.     

Tests of symmetry in three-way contingency tables

Three-dimensional contingency tables are analyzed, with one variable (e.g., sex) as a factor, and with a natural relation between the other variables (e.g. left and right eye vision). Models of special interest, like symmetry and proportional symmetry between the related variables, and homogeneity across the factor levels, are investigated. Maximum likelihood estimators of parameters and partitions of chi-square goodness-of-fit statistics are explicitly presented; the independence of certain models is noted, and an example is discussed.     

Effects of erotic stimuli on sexually functional and dysfunctional women: Multiple measures before and after sex therapy

A group of 11 women entering sex therapy for treatment of low arousal, and a comparison group of 11 women experiencing no arousal deficit, viewed an erotic film, listened to an erotic audiotape, and engaged in sexual fantasy during two experimental sessions. Session I occurred pre-treatment for the low arousal group. Session II occurred post-treatment. The adequate arousal group was tested at comparable points in time. Sexual arousal was measured subjectively by self-rating and physiologically by a vaginal photoplethysmograph. Contrary to expectation, the two groups showed equivalent significant increases in physiological response during the erotic stimuli in both sessions. However, the adequate arousal group rated subjective arousal significantly higher than the low arousal group in Session I, while no difference was found between the groups in Session II. Significant correlations were present between physiological response and ratings of several affective reactions to the audiotape, though few significant correlations were found between physiological and subjective sexual arousal measures. These data indicate a discrepancy between genital responses and ratings of sexual arousal for which several interpretations are offered.     

Robust estimation of ability in the Rasch model

Estimating ability parameters in latent trait models in general, and in the Rasch model in particular is almost always hampered by noise in the data. This noise can be caused by guessing, inattention to easy questions, and other factors which are unrelated to ability. In this study several alternative formulations which attempt to deal with these problems without a reparameterization are tested through a Monte Carlo simulation. It was found that although no one of the tested schemes is uniformly superior to all others, a modified jackknife stood out as the best one in general, it was also super efficient (more efficient than the asymptotically optimal estimator) for tests with forty or fewer items. It is proposed that this sort of jackknifing scheme for estimating ability be considered for practical work.This research was funded through a grant from the Law Enforcement Assistance Administration (78-NI-AX-0047) to the Bureau of Social Science Research, Howard Wainer, Principal Investigator. We would like to thank Ronald Mead, Anne Morgan and James Ramsay for kind, generous, and invaluable help at various stages of the project.     

The communication disorder in dialysis dementia: A case report

The communication disorder in dialysis dementia is an integral feature of the syndrome. This report describes the communication disorder in a 67-year-old man over a period of 4 months from his admission to the hospital to his death. In the early stage of the syndrome, the most prominent feature was a speech problem, the characteristics of which may vary among cases. In the middle stage, it was difficult to distinguish among aphemia, aphasia, or a combination of dysarthria and confusional state. The severity of the problems in these stages was temporally related to the dialysis treatments. The final stage was characterized by constant mutism and was unrelated to the dialysis treatments. Death occurred 10 months after the communication problems emerged. Communication studies of dialysis dementia patients may offer a systematic method to monitor the course of the syndrome, its response to therapeutic trials, and a clinical model for the study of communication disorders in general.     

Eye movements and performance during bilateral tracing tasks

To examine the role of current visual monitoring in the between-hand differences in skilled movements, eye movements and errors during bilateral tracing tasks were analyzed in 10 subjects. When subjects traced a horizontal course abductively with both hands, the subject's gaze followed the movement of the right hand, and more errors were observed on the left hand. When subjects traced a vertical course, where fine motor control for alteration of movement direction was necessary, more errors were shown on the left hand despite the alternate visual scan of the two hands. The results were interpreted as showing that the between-hand differences in skilled movements are primarily due to the left hand's poor ability in motor output, and that the differential efficiency in the use of visual monitoring becomes an important factor in the between-hand differences when symmetrical movements of both hands with a low degree of difficulty are required.     

Pupillometric assessment of retrieval operations in factual long-term memory

The process involved in recall from long-term memory were studied through the use of a general knowledge questionnaire and the technique of pupillometry. Degree of processing of the components of the retrieval process was inferred from second-by-second monitoring of pupil size. Measurements were recorded during subjects' attempts to retrieve the answer to the query, or if unsuccessful, from clues of the target (first and last letters), and if still unsuccessful, to recognize the presented target word as being associated with the question (the “Of course”, or “That's it!” experience). Pupil size differed according to the nature of the three task demands. Additionally, there were differences based on the type of outcome within the question trial (e.g., between target known but blocked — feeling-of-knowing/tip-of-tongue — and target not known), and the answer trial (recognize vs not recognize the question—answer relationship). The results were related to the search and decisional processes of retrieval.     

Timing the second response in two-response avoidance.

Rats were trained on a free-operant avoidance task requiring two lever presses within R seconds, with the opportunity for each response distinguished by differing stimuli. Response latencies at a variety of response-shock intervals were found to be proportional to the time available for the response. These results are shown to be consonant with a scalar expectancy model of timing behavior.