Measuring cognitive factors in speech comprehension: The value of using the Text Reception Threshold test as a visual equivalent of the SRT test

The ability to comprehend speech in noise is influenced by bottom-up auditory and top-down cognitive capacities. Separate examination of these capacities is relevant for various purposes. Speech-Reception-Threshold (SRT) tests measure an individual's ability to comprehend speech. This paper addresses the value of the Text-Reception-Threshold (TRT) test (a visual parallel of the SRT test) to assess the cognitive capacities allocated during speech comprehension. We conducted a secondary data analysis, including 87 normally-hearing adults (aged 18 to 78 years). Correlation coefficients between age, TRT, working memory (Spatial Span) and SRT were examined. The TRT and SRT correlated significantly ( r  =   0.30), supporting the value of TRT in explaining inter-individual differences in SRTs. The relations between age and TRT and between SSP and TRT were non-significant. The results indicate that the current TRT test does not fully cover the cognitive aspects relevant in speech comprehension. Adaptation of the test is required before clinical implementation can be considered.     

The Relationship Between Caregiver Capacity and Intensive Community Treatment for Children with a Mental Health Crisis

We studied 9,220 children referred to a comprehensive mental health crisis stabilization program to examine the impact of caregiver capacity on crisis worker decisions to refer children for intensive community-based treatment as opposed to inpatient psychiatric hospitalization. Due to the different role of caregivers in the child welfare system, analyses were stratified by state custody status. Among both groups, there was a significant inverse association between child mental health need and referral to intensive community-based treatment. For children not in state custody with low mental health need, there was no difference in the likelihood of referral to intensive community-based treatment across levels of caregiver capacity. However, for children not in state custody with medium and high mental health needs, those whose caregivers were deficient or severely deficient were significantly more likely to be referred for intensive community-based treatment than were those who had capable caregivers. Multivariate analyses demonstrated similar results after controlling for potential confounding variables and confirmed that caregiver capacity contributes significantly to the logistic model’s classification accuracy. Results suggest further investigation of the impact of caregiver capacity on mental health crisis worker referral decisions is needed.     

返回抑制的容量研究：回顾与展望

返回抑制是指当注意返回到先前注意过的位置或客体时人们的反应变慢的一种抑制现象。自20世纪90年代中期以来,越来越多的返回抑制研究开始关注最多能在多少个线索化位置上观测到返回抑制效应,即返回抑制的容量问题。文章着重从序列线索化和同时线索化两方面介绍了当前返回抑制容量研究的主要成果,总结了该领域研究的特点及存在的问题,并对未来研究方向予以展望     

Building an active citizenry: the role of neighborhood problems, readiness, and capacity for change

Community-building initiatives strive to involve residents as the drivers of the change process, involving them in an array of activities including collective action efforts. Recent evaluations of many of these initiatives, however, suggest that developing the levels of resident involvement needed in such efforts is challenging. This study examines the neighborhood conditions that are related to whether and how much residents become involved in individual activism and collective action efforts. A random-digit-dial phone survey of 460 residents in 7 distressed neighborhoods suggested that while demographic variables were relatively unimportant, resident perceptions of neighborhood readiness (i.e., hope for the future and collective efficacy) and capacity for change (i.e., social ties and neighborhood leadership), and the level of neighborhood problems were strongly related to whether and how much residents were involved in individual and collective action efforts. Moreover, different elements of these neighborhood conditions were more or less important depending on the type and level of resident involvement. For example, while perceptions of neighborhood problems was the strongest predictor of whether an individual became involved at all, perceived strength of neighborhood leadership was the strongest predictor of an individual's level of activity. The implications of these findings for practitioners and scientists are discussed.     

The Paradoxes and Promise of Community Coalitions

Community coalitions, as they are currently applied, are unique organizations whose ability to promote community change is different from other types of community organizations. This article explores those differences and elaborates how community coalitions can use those differences to transform conflict into greater capacity, equity, and justice. Concerns are also raised in this article about how community coalitions can intentionally and unintentionally protect the status quo and contain the empowerment of grassroots leadership and those of marginalized groups. There is a need for more theory, research, and discourse on how community coalitions can transform conflict into social change and how they can increase the power of grassroots and other citizen-lead organizations.     

‘That Most Difficult of Words’: A Therapeutic Relationship Across Divides

This paper describes the development of a therapeutic relationship of ten years' duration between an African American adolescent with severe conduct difficulties and anti-social behaviors, and a white, liberal Orthodox Jewish psychoanalyst. The developing capacity to mentalize and consider self in relation to other as well as the negotiation and reconciliation of various selves are two clinical concepts used to examine this seemingly improbable, yet undeniably, powerful relationship.     

Whichever way you choose to categorize,working memory helps you learn

There has been growing interest in the relationship between the capacity of a person's working memory and their ability to learn to categorize stimuli. While there is evidence that working memory capacity (WMC) is related to the speed of category learning, it is unknown whether WMC predicts which strategies people use when there are multiple possible solutions to a categorization problem. To explore the relationship between WMC, category learning, and categorization strategy use, 173 participants completed two categorization tasks and a battery of WMC tasks. WMC predicted the speed of category learning, but it did not predict which strategies participants chose to perform categorization. Thus, WMC does not predict which categorization strategies people use but it predicts how well they will use the strategy they select.     

Time and resource limits on working memory: cross-age consistency in counting span performance

This longitudinal study separated resource demand effects from those of retention interval in a counting span task among 100 children tested in grade 2 and again in grades 3 and 4. A last card large counting span condition had an equivalent memory load to a last card small, but the last card large required holding the count over a longer retention interval. In all three waves of assessment, the last card large condition was found to be less accurate than the last card small. A model predicting reading comprehension showed that age was a significant predictor when entered first accounting for 26% of the variance, but counting span accounted for a further 22% of the variance. Span at Wave 1 accounted for significant unique variance at Wave 2 and at Wave 3. Results were similar for math calculation with age accounting for 31% of the variance and counting span accounting for a further 34% of the variance. Span at Wave 1 explained unique variance in math at Wave 2 and at Wave 3.     

Making Decisions About Life-Sustaining Medical Treatment in Patients With Dementia

The problem of decision-making capacity in patients with dementia, such as those with early stage Alzheimer's, can be vexing, especially when these patients refuse life-sustaining medical treatments. However, these patients should not be presumed to lack decision-making capacity. Instead, an analysis of the patient's decision-making capacity should be made. Patients who have some degree of decision-making capacity may be able to make a choice about life-sustaining medical treatment and may, in many cases, choose to forgo treatment.