MicroCog: Assessment of Cognitive Functioning

MicroCog: Assessment of Cognitive Functioning version 2.1 (Powell, D. H., Kaplan, E. F., Whitla, D., Catlin, R., and Funkenstein, H. H. (1993). The Psychological corporation, San Antonio, TX.) is one of the first computerized assessment batteries commercially developed to detect early signs of cognitive impairment. This paper reviews its psychometric characteristics and relates them to its clinical utility. It concludes that MicroCog provides an accurate, cost-effective screen for early dementia among elderly subjects living in the community and that it can distinguish dementia from depression. Its ability to detect cognitive decline at other ages or to discriminate dementia from other mental disorders has not been established. MicroCog measures different constructs than do traditional neuropsychological tests, making it difficult to relate test performance to current models of cognitive functioning. The review recommends further development of MicroCog and discusses its implications for the future of computer-based neuropsychological assessment.     

Combined Individual/Marital Therapy: A Conflict Resolution Framework and Ethical Considerations

This paper illustrates how couple and individual treatment formats can be intertwined. A conflict resolution theoretical framework structures treatment around three goals: (1) relieving symptoms (anger, depression, and marital distress), (2) facilitating resolution of the couple's conflicts, and (3) building communication and conflict resolution skills. The literature review focuses on why combining individual and couple therapy is often important for married clients. Two Bicycles, an illustrative case incorporating both conjoint and individual interventions, is presented and analyzed with regard to when each format seems beneficial. Ethical and practical issues raised by dual format treatment include potential harm, informed consent, dual roles, confidentiality, and time and financial costs.     

Male Mental Health Problems, Psychopathy, and Personality Traits: Key Findings from the First 14 Years of the Pittsburgh Youth Study

This paper reviews key findings on juvenile mental health problems in boys, psychopathy, and personality traits, obtained in the first 14 years of studies using data from the Pittsburgh Youth Study. This is a study of 3 samples, each of about 500 boys initially randomly drawn from boys in the 1st, 4th, and 7th grades of public schools in Pittsburgh. The boys have been followed regularly, initially each half year, and later at yearly intervals. Currently, the oldest boys are about 25 years old, whereas the youngest boys are about 19. Findings are presented on the prevalence and interrelation of disruptive behaviors, ADHD, and depressed mood. Results concerning risk factors for these outcomes are reviewed. Psychological factors such as psychopathy, impulsivity, and personality are described. The paper closes with findings on service delivery of boys with mental health problems.     

Religion as Orienting Worldview

Religions are complex, and any attempt at defining religion necessarily falls short. Nevertheless, any scholarly inquiry into the nature of religion must use some criteria in order to evaluate and study the character of religious traditions across contexts. To this end, I propose understanding religion in terms of an orienting worldview. Religions are worldviews that are expressed not only in beliefs but also in narratives and symbols. More than this, religions orient action, and any genuine religious tradition necessarily is concerned with normative behavior, whether ethical or religious in character. Such an understanding of religion has several advantages, one of which is its natural relation to current forms of the science-religion dialogue. Not only can the findings of cognitive science and related areas inform us about the nature of religion; scientific discoveries also prove to be important for any religious synthesis that attempts to construct a worldview for the twenty-first century.     

Symptom Properties as a Function of ADHD Type: An Argument for Continued Study of Sluggish Cognitive Tempo

Inconsistent alertness and orientation (sluggishness, drowsiness, daydreaming) were reported to accompany Attention Deficit Disorder (ADD) without Hyperactivity in DSM-III. Such Sluggish Cognitive Tempo items were tested in the DSM-IV Field Trial for ADHD, but were discarded from the Inattention symptom list because of poor negative predictive power. Using 692 children referred to a pediatric subspecialty clinic for ADHD, Sluggish Tempo items were re-evaluated. When Hyperactivity–Impulsivity was absent (i.e., using only cases of Inattentive Type plus clinic controls), Sluggish Tempo items showed substantially improved utility as symptoms of Inattention. Factor analyses distinguished a Sluggish Tempo factor from an Inattention factor. When DSM-IV ADHD types were compared, Inattentive Type was uniquely elevated on Sluggish Tempo. These findings suggest that (a) Sluggish Tempo items are adequate symptoms for Inattentive Type, or (b) Sluggish Tempo may distinguish two subtypes of Inattentive Type. Either conclusion is incompatible with ADHD nosology in DSM-IV.     

Ignorance May Be Bliss, But Thought Suppression Promotes Superficial Cognitive Processing

This study examined the impact of thought suppression on the quality of cognitive processing and self-reported mood. While completing a stream-of-consciousness task about two topics sequentially, participants were either instructed to suppress negative thoughts or were given no suppression instructions. Computer-based content analyses indicated that thought suppression led to significantly less causal reasoning and discrepancy seeking. However, the suppression of negative thoughts also resulted in a more positive mood. Results suggest that thought suppression can improve mood but it comes with the cognitive cost of superficial processing.     

The Possible Place of Cognitive Appraisal in the ABC Model Underlying Rational Emotive Behavior Therapy

In a critique of Ellis' Rational Emotive Behavior Therapy (REBT) theory of personality, it has been argued that, among other strategies, REBT personality theory could be significantly advanced by attempting to incorporate within it already established theoretical constructs compatible with the cognitive-behavioral movement. Richard Lazarus' prominent, well-articulated, and extensively studied theoretical construct of cognitive appraisal seems ideal in this regard. In the present article, the relevant and salient aspects of Lazarus' construct are described. An attempt is then made to delineate the possible place of cognitive appraisal in the ABC model underlying REBT. Finally, the clinical implications of this proposed ABC model refinement are then explored, and an additional REBT therapeutic strategy based upon the cognitive appraisal construct, reappraisal training, is suggested and briefly described.     

中学生不同焦虑水平与认知策略研究

使用测试方式对中学生的焦虑水平和认知策略之间的关系进行了研究。结果发现,在7钟认知策略中能力认识、失败归因、命运控制和社会关系4种认知策略在三个级别的焦虑组之间存在显著差异,焦虑水平高的人倾向于使用否定自身能力、选取失败、悲惨宿命论和消极社会关系认知策略。除成就认识外．其他认知策略不存在性别差异,女性倾向于产生低成就认知。     

Attachment Relationships as Predictors of Cognitive Interpretation and Response Bias in Late Adolescence

We investigated behavioural and cognitive representations of attachment style. Specifically, we sought to test continuity in attachment style and whether participants' perceptions of their attachments to parents, peers, and romantic partners would predict cognitive interpretation and responses to 12 ambiguous situation scenarios. Participants were 161 undergraduate students (17–20 years) who completed the Parental Bonding Instrument, the Attachment Style Questionnaire and the Inventory of Parent and Peer Attachment (peer subscale). Participants then indicated whether they interpreted ambiguous situations as threatening versus non-threatening and how they would respond (proactively, aggressively, or avoidantly). Regression analyses revealed that insecure parental attachments were the main predictor of participants' interpretations and their planned responses, followed by romantic attachments. Peer attachments played little role in the predictions. These results suggest that interpretation of situations and subsequent plans of action may be influenced by attachment related experiences. We discuss our findings in terms of their relevance to attachment theory and their application to our understanding of the concepts of attachment in development of interpersonal relationships.