Self-consciousness, outcome expectancy, and persistence

A study investigated persistence as a function of two variables: the disposition to be self-attentive (called private self-consciousness) and outcome feedback on a prior task that was described as closely related to the target task. More specifically, subjects first completed a concealed-figures test and were told that their performances were either very good or very poor. The second test, which ostensibly measured the same abilities, was an insolvable design problem that is commonly used to measure persistence. Feedback concerning prior outcomes had a direct influence on expectancies for the second task, but persistence on that task was a joint function of feedback and self-consciousness. That is, favorable feedback led to greater persistence than did unfavorable feedback, but only among subjects high in self-consciousness. This finding replicates and extends the results of several previous studies. Discussion centers on the relationship between the present research and an earlier experiment which yielded apparently different results.     

Sign-based short-term coding of American Sign Language signs and printed English words by congenitally deaf signers

A short-term serial recall task consisting of lists of five American Sign Language signs and lists of five printed English words was administered to eight congenitally deaf subjects. For both modes of presentation, the stimuli in a given list were (1) high in phonological relatedness, (2) high in cherological relatedness (i.e., they were similar in terms of the formational attributes of their sign-equivalents), or (3) low in both phonological and cherological similarity (control). For both modes of presentation, recall accuracy was significantly lower on cherologically related lists than on both phonologically related lists and control lists. Phonologically related lists did not differ significantly from control lists. These results suggest the possibility that ways of looking at human memory which rely on a preference for phonological coding in short-term memory processes may reflect the audiocentricity of the experimenter rather than the inherent nature of such processes.     

Pupil responses to grammatical complexity of sentences

Measurements of pupil size were taken of nine subjects while they listened to sentences of various length, construction, and content, with the instruction to rate them for comprehensibility. Twenty-one sentence types were rated. Each was assigned, via a transformational grammar, a value of grammatical complexity. Mean pupil dilation during listening as an index of psychological complexity was found to correlate more strongly with grammatical complexity than did subject ratings of sentence comprehensibility. These findings suggest that the pupil may have considerable use as an “on-line” monitor of cognitive load imposed by grammatical complexity of sentences.     

Semantic aphasia: A neglected entity

Three cases of semantic aphasia are reported. Computerized brain tomography showed bilateral temporo-parieto-occipital junction hemorrhages in one patient, and left parieto-occipital junction infarctions in the other two patients. The auditory comprehension defect of the three patients was characterized by preserved understanding of single words and impaired understanding of grammatically complex constructions. It is suggested that this comprehension defect reflects an inability to fully grasp the meaning of words and grammatical constructions imbued with spatial or quasi-spatial significance. Each of the three patients showed a complex spatial disorder that included constructional apraxia, spatial agnosia, and elements of Gerstmann's syndrome. The aphasic as well as the spatial disorder of semantic aphasics may be manifestations of a common defect in the perception of spatial relationships produced by left temporo-parieto-occipital region damage.     

An in depth, astute, comprehensive, and erudite attempt at categorization of stuttering theorists

The purpose of this paper is to make the reader aware of the various theoretical categories into which people who have been productive in the area of stuttering can be “slotted.” Readers are encouraged to read the characteristics, as I conceive of them, of each group of people and then see where their favorite “authorities” (which in many cases will undoubtedly include themselves) fit.     

Individual differences in speed of retrieval from semantic memory

In the first of two experiments, the stimulus items consisted of category names followed by a single letter (e.g., fruit-P). The subjects (half introverted, half extraverted) were required to respond as quickly as possible with a member of the specified category starting with the letter. Extraverts responded significantly faster than introverts, and more so when the most likely response was of low frequency than when it was of high frequency. In the second experiment, subjects were assigned to one of four groups representing the four combinations of high and low Extraversion and high and low General Activation. The speed-of-recall task from the first experiment was used on some trials; on the remaining trials, a speed-of-recognition task was used. Extraverts had greater response speed than introverts for recall, but not for recognition. That finding, plus interactions between Extraversion and General Activation, suggested an interpretation of the results in terms of the Yerkes-Dodson Law.     

Recognizing Racit Knowledge in Medical Epistemology

The evidence-based medicine movement advocates basing all medical decisions on certain types of quantitative research data and has stimulated protracted controversy and debate since its inception. Evidence-based medicine presupposes an inaccurate and deficient view of medical knowledge. Michael Polanyi’s theory of tacit knowledge both explains this deficiency and suggests remedies for it. Polanyi shows how all explicit human knowledge depends on a wealth of tacit knowledge which accrues from experience and is essential for problem solving. Edmund Pellegrino’s classic treatment of clinical judgment is examined, and a Polanyian critique of this position demonstrates that tacit knowledge is necessary for understanding how clinical judgment and medical decisions involve persons. An adequate medical epistemology requires much more qualitative research relevant to the clinical encounter and medical decision making than is currently being done. This research is necessary for preventing an uncritical application of evidence-based medicine by health care managers that erodes good clinical practice. Polanyi’s epistemology shows the need for this work and provides the structural core for building an adequate and robust medical epistemology that moves beyond evidence-based medicine.An erratum to this article can be found at     

Michael Balint's Group Approach: The Boston Balint Group

Michael Balint was a physician/psychoanalyst who trained in Hungary and emigrated to England in 1939 when Nazi Germany began to dominate Europe. At the Tavistock Clinic, he and his wife met with social workers and physicians around case discussion seminars. With his strong interest in medicine and his curiosity about the patient-physician relationship, he initiated research/training groups with interested physicians, which ultimately led to publication of the now-classic The Doctor, His Patient, and the Illness, a rich text that has become a virtual staple of family practice residencies, along with Balint Groups for training. Balint refrained from considering his groups psychotherapy in order to minimize resistance of his physician-students. But because the groups lasted sometimes for years and explored transference and countertransference in patient-physician relationships, he acknowledged that the result was personal growth of the participants. His techniques are described and an example of a Balint Group (Boston Group) are presented here.