Response system analysis: What the neuropsychologist can contribute to the rehabilitation of individuals emerging from coma

The process of coma emergence is defined and important issues are identified. Rehabilitative goals for persons emerging from coma are best served by a focus on their response capabilities, rather than sensory stimulation. A method called response system analysis is described to guide assessment and treatment of response capabilities.     

The Hécaen-Zangwill legacy: Hemispheric dominance examined

The research of Henry Hécaen and Oliver Zangwill on patients with unilateral brain lesions in the later 1940s and early 1950s ushered in the modern era of investigation of hemispheric cerebral dominance. The field of inquiry expanded far beyond language and visual perception to encompass audition, somesthesis, motor performance, attentional processes, emotionality, and psychiatric disorders. The hundreds of studies dealing with the topic indicate that hemispheric dominance is not an all-or-none phenomenon and that, to some degree, it is an unstable phenomenon dependent upon bihemispheric factors. The basic cognitive processes that are preferentially mediated by each hemisphere and the factors that produce changes in performance still require adequate definition.Adapted from an invited address, Division 40, 1991 APA Convention, San Francisco.     

Virtual reality technology in neuropsychological testing: A systematic review

Neuropsychological testing aims to measure individuals' cognitive abilities (e.g. memory, attention), analysing their performance on specific behavioural tasks. Most neuropsychological tests are administered in the so-called ‘paper-and-pencil’ modality or via computerised protocols. The adequacy of these procedures has been recently questioned, with more specific concerns about their ecological validity, i.e. the relation between test scores observed in the laboratory setting and the actual everyday cognitive functioning. In developing more ecological tasks, researchers started to implement virtual reality (VR) technology as an administration technique focused on exposing individuals to simulated but realistic stimuli and environments, maintaining at the same time a controlled laboratory setting and collecting advanced measures of cognitive functioning. This systematic review aims to present how VR procedures for neuropsychological testing have been implemented in the last years. We initially explain the rationale for supporting VR as an advanced assessment tool, but we also discuss the challenges and risks that can limit the widespread implementation of this technology. Then, we systematised the large body of studies adopting VR for neuropsychological testing, describing the VR tools' distribution amongst different cognitive functions through a PRISMA-guided systematic review. The systematic review highlighted that only very few instruments are ready for clinical use, reporting psychometric proprieties (e.g. validity) and providing normative data. Most of the tools still need to be standardised on large cohorts of participants, having published only limited data on small samples up to now. Finally, we discussed the possible future directions of the VR neuropsychological test development linked to technological advances.     

Evaluating the filial behaviour scale across three cultural groups using exploratory structural equation modelling

Filial piety is a Confucian concept that guides how children treat and take care of their parents. The Filial Behaviour Scale (FBS) is a 25-item instrument developed in the Chinese context measuring behavioural manifestations of filial piety. Although the components of filial piety have been found to be relevant across cultures, little research has investigated the psychometric properties of the FBS in other cultural contexts. The present study evaluated the factor structure, internal consistency, measurement invariance and construct validity of the FBS across three cultural groups: the United States, Italy and Malaysia. Participants were 1090 emerging adults (67% females; M_age = 21.29 years, SD = 1.97; White Americans: n = 455, White Italians: n = 428, Malays: n = 328). A two-factor structure emerged across groups: Obedience/Obligation (behaviours showing obedience and obligation towards parents) and Relationship (behaviours expressing affection and promoting positive parent–child relationships). The two factors demonstrated adequate internal consistency, full configural, partial metric and partial scalar invariance, as well as unique associations with depressive symptoms and parent–child relationships across groups. These findings yielded a more nuanced understanding of filial behaviour and supported the utility of a two-factor FBS among emerging adults in various cultural contexts.     

A neuropsychological dimension for anchoring effects

Previous research has shown that strength of handedness predicts differences in sensory illusions, Stroop interference, episodic memory, and beliefs about body image and the origin of species. Recent evidence also suggests handedness differences in the susceptibility to information framing and persuasion. The present paper extends this line of work to decision anchoring effects. In Experiment 1, 131 introductory psychology students responded to 12 real‐world knowledge questions after being given random, uninformative high or low anchors. Results indicated that “strong‐handers” showed larger anchoring effects than “mixed‐handers.” In Experiment 2, 89 introductory psychology students responded to 6 real‐world knowledge questions in a modified, two‐step anchoring task in which participants were given a credible source for the anchored information and asked to give pre‐ and post‐anchor estimates. In contrast to Experiment 1, results revealed that mixed‐ and strong‐handers were affected similarly by anchoring. In Experiment 3, 158 students were asked to estimate the answer to one of two versions of 8! (8 × 7 × 6 × 5 × 4 × 3 × 2 × 1 or 1 × 2 × 3 × 4 × 5 × 6 × 7 × 8)—a multiplication problem in which the high and low anchors are inherently informative. Here, mixed‐handers showed larger anchoring effects than strong‐handers. A theory centered around the notion of hemispheric specialization and the communication between the two halves of the brain as well as arguments about the informativeness of anchors, metacognition, and recent theorizing in the anchoring literature are used to account for these data. Copyright © 2005 John Wiley & Sons, Ltd.     

Advances in functional brain imaging technology and developmental neuro‐psychology: their applications in the Jungian analytic domain

Analytical psychology shares with many other psychotherapies the important task of repairing the consequences of developmental trauma. The majority of analytic patients come from compromised early developmental backgrounds: they may have experienced neglect, abuse, or failures of empathic resonance from their carers. Functional brain imagery techniques including Quantitative Electroencephalogram (QEEG), and functional Magnetic Resonance Imagery (fMRI), allow us to track mental processes in ways beyond verbal reportage and introspection. This independent perspective is useful for developing new psychodynamic hypotheses, testing current ones, providing diagnostic markers, and monitoring treatment progress. Jung, with the Word Association Test, grasped these principles 100 years ago. Brain imaging techniques have contributed to powerful recent advances in our understanding of neurodevelopmental processes in the first three years of life. If adequate nurturance is compromised, a range of difficulties may emerge. This has important implications for how we understand and treat our psychotherapy clients. The paper provides an overview of functional brain imaging and advances in developmental neuropsychology, and looks at applications of some of these findings (including neurofeedback) in the Jungian psychotherapy domain.     

Pivotal behavior as the mediator of the relationship between parental responsiveness and children's symbolic behavior

Previous research with parents and children with developmental disabilities indicated that the relationship between mothers’ responsive style of interaction and children's rate of development was mediated by the simultaneous relationship between mothers’ responsiveness and children's social engagement, or pivotal behavior. In this study, we attempted to determine whether children's pivotal behavior might also mediate the relationship between responsiveness and child development in a sample of 165 typically developing toddlers and their Taiwanese parents. Child development was assessed with a parent report measure of children's symbolic behavior. Parental responsiveness and children's pivotal behavior were assessed from observations of parent–child play. Results indicated that parental responsiveness was correlated with children's pivotal behavior, and that both of these variables were correlated with children's symbolic behavior. Structural equation models indicated that the relationship between responsiveness and children's symbolic behavior was fully mediated by children's pivotal behavior.     

A cognitive assessment of highly superior autobiographical memory

Highly Superior Autobiographical Memory (HSAM) is characterised as the ability to accurately recall an exceptional number of experiences and their associated dates from events occurring throughout much of one's lifetime. The source of this ability has only begun to be explored. The present study explores whether other enhanced cognitive processes may be critical influences underlying HSAM abilities. We investigated whether enhanced abilities in the domains of verbal fluency, attention/inhibition, executive functioning, mnemonic discrimination, perception, visual working memory, or the processing of and memory for emotional details might contribute critically to HSAM. The results suggest that superior cognitive functioning is an unlikely basis of HSAM, as only modest advantages were found in only a few tests. In addition, we examined HSAM subjects’ memory of the testing episodes. Interestingly, HSAM participants recalled details of their own experiences far better than those experiences that the experimenter shared with them. These findings provide additional evidence that HSAM involves, relatively selectively, recollection of personal, autobiographical material.     

Race-Norming of Neuropsychological Tests

Recent studies in the United States indicate that some neurologically intact minority groupings perform well below White Americans on neuropsychological tests. This has sparked the production of race-norms, especially for African Americans, that seek to reduce false positive rates (i.e., neurologically intact individuals misdiagnosed with cognitive impairment) in neuropsychological assessments. There are problems with this enterprise including: possible justification for inferior/superior treatment of different racial groupings; unknown effects on false negative rates (i.e., cognitive deficit misdiagnosed as normal); the overlooking of factors possibly responsible for group racial differences (e.g., acculturation); non-scientific and non-operational definitions of race/ethnic groupings; and an impossibly large number of potential race/ethnic groupings for which to generate race-norms. An alternative approach is to use a single set of combined race/ethnic norms and estimate preexisting neuropsychological skill levels by using individual comparison standards. This alternative has been poorly researched, a situation that needs correcting.