Requirements and Implementation of Maintaining Patient Records

Summary

This article will discuss the need for psychotherapists to document the statements of patients, the techniques they use, and other aspects of their work to avoid ethical and legal problems. Elements of session notes and written informed consent will be identified. No informed consent can legitimize some actions and they will be addressed.     

Episodic representation of diagnostic and nondiagnostic object colour

In three experiments, we investigated transsaccadic object file representations. In each experiment, participants moved their eyes from a central fixation cross to a saccade target located between two peripheral objects. During the saccade, this preview display was replaced with a target display containing a single object to be named. On trials in which the target identity matched one of the preview objects, its colour either matched or did not match the previewed object colour. The results indicated that colour changes disrupt perceptual continuity, but only for the class of objects for which colour is diagnostic of object identity. When the colour is not integral to identifying an object (for example, when the object is a letter or an object without a characteristic colour), object continuity is preserved regardless of changes to the object's colour. These results suggest that object features that are important for defining the object are incorporated into its episodic representation. Furthermore, the results are consistent with previous work showing that the quality of a feature's representation determines its importance in preserving continuity.     

Strategies in relational inference

Three experiments are reported in which the relationships between task format, item type, and strategy usage were investigated for a two-dimensional relational inference task. Contrary to past findings with linear syllogisms, it was found that parallel presentation (presenting problem statements simultaneously) did not result in any increased use of deduction rule processes compared with serial presentation (presenting problem statements individually). Instead, the results suggested that mental models were used by the majority of subjects, and that multiple models were more likely to be constructed with parallel presentation. It is proposed that, in general, multiple model construction will be more frequent for deduction tasks where the cognitive load is relatively low. Hence, contrary to suggestions by Polk and Newell (1995), reasoning in this way appears to be prevalent and highly robust—where supported by task format—even where the use of this strategy is disadvantageous.     

Parental object representations,attachment to God,and recovery among individuals with psychosis

This study explored the relationships between object representations of mother and father and recovery among outpatients with psychotic disorders, and examined the role of attachment to God in moderating those relationships. A total of 46 outpatients diagnosed with schizophrenia or schizoaffective disorder participated. Benevolent representations of mother and father were associated with recovery whereas punitive representations were negatively associated with recovery. Secure attachment to God amplified the association between benevolent representations of father and recovery. Secure attachment to God was found to buffer the relationship between mild-to-moderate punitive parental representations and recovery; however, this relationship was not evident for those with the most punitive parental representations. Directions for future research and clinical implications are discussed.     

Response–effect compatibility of finger–numeral configurations in arithmetical context

Research in experimental economics suggests that decision making in strategic interactions is often guided by a concern for fairness. However, experimental economics studies routinely place participants of equal social status and no prior social history in anonymous interactions, a context that would tend to foster the adoption of an egalitarian fairness norm. Extensive research in anthropology (Fiske, 1991) and psychology (Bugental, 2000) suggests that social norms, including fairness norms, are relationship-specific, raising doubts about whether the concern for egalitarian fairness observed in the experimental economics literature would generalize to a wider range of social relations. In this paper we focus on an alternative social norm characteristic of hierarchical relationships: noblesse oblige—the obligation of high-ranking individuals to act honorably and beneficently towards subordinates. In a series of five experiments, we show that the norm of noblesse oblige predicts tolerance of free riding better than individual self-interest does.     

Coding categorical and coordinate spatial relations in visual–spatial short-term memory

Four experiments explored the coding of categorical and coordinate spatial relations in visual–spatial short-term memory (VSSTM). Participants judged whether two stimuli presented successively on a computer screen were the same or different. On positional change trials the two stimuli differed in the position of one element. Positional changes were of two types, coordinate and categorical. On coordinate trials the position of one element changed by a small amount, but retained the categorical relationships (above, below, left of, right of) to all other elements. On categorical trials one element moved by the same amount but additionally changed its categorical relationship to one of the other elements (e.g., changed from below to above). Participants detected categorical changes more accurately than coordinate changes when the elements were independent locations marked by squares, indicating that the categorical relationships amongst the squares were encoded in memory. Furthermore, this categorical advantage was unmodulated by either the suppression of articulation (Experiment 2) or by the requirement to retain either colour–position associations or positions only (Experiment 3). When the elements to be remembered were the vertices of simple outline polygons (Experiment 4) there was no categorical advantage, establishing the effect as spatial in nature. Contrary to predictions derived from Postma and De Haan (1996) Postma, A. and De Haan, E. H. 1996. What was where? Memory for object locations. Quarterly Journal of Experimental Psychology, 49A: 178–199. [Crossref], [Web of Science ®] , [Google Scholar], the employment of categorical relations appears not to be specifically linked to either verbal coding or to the requirement to associate objects with positions. The results suggest that the categorical relations are an intrinsic property of the representation of spatial configurations.     

Internal number magnitude representation is not holistic,either

Over the last years, evidence has accumulated that the magnitude of two-digit numbers is not only represented as one holistic entity, but also decomposed for tens and units. Recently, Zhang and Wang (2005) suggested such separate processing may be due to the presence of external representations of numbers, whereas holistic processing became more likely when one of the to-be-compared numbers was already internalised. The latter conclusion essentially rested on unit-based null effects. However, Nuerk and Willmes (2005) argued that unfavourable stimulus selection may provoke such null effects and misleading conclusions. Therefore, we tested the conclusion of Zhang and Wang for internal standards with a modified stimulus set. We observed reliable unit-based effects in all conditions contradicting the holistic model. Thus, decomposed representations of tens and units can also be demonstrated for internal standards. We conclude that decomposed magnitude processing of multidigit numbers does not rely on external representations. Rather, even when two-digit numbers are internalised, the magnitudes of tens and units seem to be (also) represented separately.     

Effects of the degree of meaning similarity on cross-language semantic priming in highly proficient bilinguals

This study aimed to determine if access to meaning can be directly achieved from the words in the two languages, examining the influence of the degree of semantic overlap between related words across languages in the pattern of priming effects. Nonassociative semantically related words (members of the same category) were used, avoiding explicitly associative relationships. Using a priming paradigm, highly proficient Catalan–Spanish bilinguals were visually presented with pairs of words that either were translations of each other, had a very close semantic relationship (in terms of shared features), a close semantic relationship, or no semantic relationship at all. Participants performed either a lexical decision task (Experiment 1) or a semantic decision task (Experiment 2). The main results of the study were the same in both language directions (Spanish–Catalan and Catalan–Spanish), showing that the degree of semantic overlap (in terms of shared features) between words in different languages can modulate priming effects, regardless of the language of the prime and the task used. These results demonstrate that there is cross-language activation of shared semantic representations and, thus, that highly proficient bilinguals can have direct access to word meaning from the two languages.