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.     

Gender differences and the Defense Mechanism Test: A comparative study of adolescents in psychiatric care and healthy controls

The aim of this paper was to study gender differences in the percept-genetic method Defense Mechanism Test (DMT) among a group of 60 adolescent subjects. Three subgroups were used: patients with psychotic disorders (Axis 1); borderline personality disorder (Axis 2) according to the DSM-IV classification system, and a non-patient group. The test protocols were scored with respect to 124 DMT variables and analyzed by means of the multivariate projection method Partial Least Squares (PLS) in latent structures. The overall results showed considerable gender differences in the whole group as well as in the subgroups. The most striking finding was that girls compared to boys were characterized by the perceptual defense identification with the opposite sex, which means that they perceived male gestalts instead of females in the stimulus picture. When both gender and diagnostic group membership were considered simultaneously, the influence of diagnostic group membership seemed to be stronger than gender even if there was an interaction between diagnoses and gender. It was concluded that gender must be considered when the DMT is used on adolescent populations.     

Evidence of observer reliability for the Fagan Test of Infant Intelligence (FTII)

To obtain estimates of observer reliability, the Fagan Test of Infant Intelligence (FTII) apparatus was modified to allow the infants' performance to be videotaped. Based upon results of 25 infants scored once during time of testing and again 2 years later using the videotape version, interobserver and intraobserver reliabilities obtained for percent novelty preference (test rounds), total number of looks (familiarization and test rounds), and mean fixation (familiarization and test rounds) were mostly very high for each round (M r = .92, SD = .04). The videotaped infants' scores did not differ significantly from those of a comparable sample of infants who were tested using an unmodified apparatus.     

Affordances and infant learning: A reply to Horowitz

We reply to three major points made by F. Horowitz (1983, Developmental Review, 3, 405–409) in her commentary on the ecological approach to infant knowing presented by E. Goldfield (1983, Developmental Review, 3, 371–404). We first clarify the relation between perceiving and acting from an ecological perspective, and distinguish between affordances as environmental properties scaled to the perceiver/performer and representations as mental structures. We then present a critique of the process of association offered by Horowitz as an explanation of infant learning. Association fails to specify the constraints on what is learned, while the ecological process of noticing affordances, presented by Goldfield, considers such constraints. We conclude by presenting operational criteria for measuring affordances and evidence that perception is scaled to the perceiver/performer.     

A psychological perspective interpretation of the attitude-behavior relationship

In two experiments subjects were shown seven items that described uses for photographs taken of them with an opposite-sex black. The uses formed a graded series ranging from a situation in which only other researchers would see the photos to one in which they would be employed in a nationwide campaign for integration. Subjects were either asked to sign releases so that the photographs could actually be taken and used in the ways specified (behavior) or to indicate their hypothetical agreement or disagreement with each release as part of a survey on attitudes (attitude). In both experiments, the attitude subjects agreed to more of the releases than did the behavior subjects. This difference has been termed an attitude-behavior discrepancy by some researchers. However, in both experiments, behavior subjects judged themselves as no less prejudiced than attitude subjects and scaled agreement with each photographic release as reflecting less prejudice than did attitude subjects. These data are consistent with the interpretation that subjects changed their psychological perspectives (Ostrom & Upshaw, 1968) in order to interpret their own behaviors as attitudinally consistent.     

Repetition in the transcortical aphasias

Transcortical aphasic patients were assessed on a repetition task comprised of both well-formed and deviant sentences. The patients faithfully repeated those sentences that were factually incorrect but grammatically well formed, and those sentences that were ungrammatical because of selection restriction violations. In contrast, presented with sentences featuring only minor syntactic violations (e.g., lack of number agreement), the patients spontaneously, and without awareness, resisted exact repetition; moreover, the resultant changes most often served to correct the syntactic deviations. Repetitions of sentences of this latter type also revealed a difference between the patients as a function of level of comprehension. The transcortical motor aphasic patient was influenced by semantic factors in his alterations of the minor syntactic violations, while the transcortical sensory aphasic was not. These findings are discussed in relation to the notion of autonomous syntactic processing. They are taken to suggest that syntactic facts such as number agreement are represented at a level in the processing chain that is distinct from that of semantic representation.     

Aphasia type and aging

We analyzed the relationship between age and clinical type of aphasia in 167 right-handed men who had suffered cerebrovascular accidents. Patients with unequivocal diagnoses as Broca's, Wernicke's, anomic, conduction, and global aphasics were considered. The median age of the Broca's group (51 years old) was significantly lower than that of the total group (55.8 years old), while the median age of the Wernicke's group was significantly higher (63 years old). Moreover the incidence of Wernicke's aphasia increased steadily with age, while incidence of the other types of aphasia peaked in the sixth decade and then diminished with increasing age.     

Dichhaptic hand-order effects with verbal and nonverbal tactile stimulation

The palms of normal right-handed subjects were stimulated dichhaptically, i.e., with competing, bimanually presented tactile stimuli consisting of pairs of letters, pairs of digits, or pairs of line orientations. The subjects were required to identify both stimuli in a particular order, and order of report was compared between hands and across stimulus materials. Results indicated right-hand superiority for letters and left-hand superiority for lines; no hand differences occurred for digits. However, observed differences between hands appeared with second reports only, suggesting that measures of tactile storage are more sensitive to laterality differences than measures closer in time to actual stimulation.     

A study of spelling in aphasia

To secure systematic information on spelling abilities following damage to the dominant hemisphere, a test probing performance in three modalities of response was administered to a group of aphasic patients. Except for a predictable deficit among anterior aphasics in oral spelling, anterior and posterior aphasics exhibited comparable performances on the measures of spelling. However, anterior and posterior aphasics differed from one another on the kinds of words they most accurately spelled, the errors they were prone to make, and certain strategies which they characteristically adopted. These results suggest two alternative approaches to spelling: one approach, common in posterior aphasics, entails choosing letter combinations on the basis of their customary sounds; a second approach, common among anterior aphasics, appears to rely on a partially preserved image of the word's appearance.     

Learning disability and hyperactivity: Deficits in selective attention

Differences in performance on a variety of cognitive measures and differences in patterns of ability between learning disabled (LD) and nonlearning disabled (non-LD) children were examined. Younger and older LD and non-LD children were administered tests of central and incidental learning and selective attention. Teacher ratings of classroom hyperactivity were also examined. LD children, particularly the younger ones, performed significantly more poorly than non-LD children on both attention/memory tasks. Performance on the two tasks was consistently interrelated for the non-LD children and less consistently so for the LD subjects. Hyperactivity was also related to poorer performance on the cognitive measures. Results are discussed in terms of components of selective attention.