Quality of Life and Neurological Illness: A Review of the Literature

This article highlights some of the conceptual and methodological problems associated with quality of life (QoL) measurement in individuals with neurological illness. It is suggested that these problems have contributed to the underdeveloped status of QoL research in neurological settings. Many of the existing QoL measures that have been used, or show potential for use with individuals with neurological illness, are reviewed in terms of their theoretical basis, content, and practicality. A large proportion of these measures fail to meet adequate psychometric standards and/or have rarely been psychometrically tested. The confusion that surrounds adequate psychometric standards is discussed, and the dynamic nature of QoL is highlighted as a factor that requires further attention. Research addressing the discrepancies between proxy and patient ratings of patient QoL is also warranted. More focused research in these areas may contribute to a clearer understanding of how to assess QoL in individuals with neurological illness.     

Recognition Memory for Faces: Reliability and Validity of the Warrington Recognition Memory Test (RMT) in a Neurological Sample

In response to critiques regarding the psychometric limitations of the Warrington Recognition Memory Test for faces (RMT-F), the current study was conducted to examine the test-retest reliability and validity of the measure in a neurological sample. Forty adult outpatients, ages 35–81, were administered the RMT-F as part of their diagnostic exam. A second evaluation was conducted after an average interval of 7 months (range = 2–20 months). Results yielded a Pearson reliability coefficient of 0.81 (p < .001), indicating a clinically satisfactory index of stability. Correlations with other measures were conducted to examine convergent and divergent validity. Results indicate that the facial component of the RMT has adequate reliability for patients with established neurological disease, shows moderate correlations with other measures of complex visuospatial function, and shows no significant correlation with measures of verbal reasoning, visual problem-solving, or verbal fluency. These findings provide additional support for the clinical efficacy of this instrument for use in a diverse neurological patient sample.     

Understanding alexithymia within a psychoanalytical framework

The object of this paper is to provide a metapsychological definition of alexithymia as described in 1967 in terms of operational thinking and negative hallucination. This is a familiar and established concept in the fields of psychopathology, psychology, and of clinical and psychosomatic medicine. From a psychoanalytic and psychosomatic point of view, the term is conceptually close to P. Marty's “operative thinking”, as described in 1963, even though we know they do not belong to the same epistemological field: on one hand Neuroscience, Psychiatry and the objectalization of the symptom at different levels, and on the other, as regards mechanical functioning, a psychoanalytic clinical approach within the dynamics of the relationship between transference and counter‐transference. The present authors consider that Freudian metapsychology, as now complexified by Andrè Green, allows for a metapsychological approach to alexithymia insofar as it relates to Marty's operative thinking. Thus does Green’s conceptualization of the mother’s negative hallucination, of negative introjection, of a psychically ‘dead (and insecure) mother’, now provide us with the opportunity to describe, in metapsychological terms, the genesis of this particular mode of psychical functioning. Given the mother’s negative hallucination produces a host structure as a background to negativity that will fit future object representations, we will assume that in the case of … future operational or alexithymic …?, this negative hallucination will pathologically and defensively involve the endo‐psychic perception of affect.     

Event memory and suggestibility in abused and neglected children: trauma-related psychopathology and cognitive functioning

This study examined event memory and suggestibility in 3- to 16-year-olds involved in forensic investigations of child maltreatment. A total of 322 children were interviewed about a play activity with an unfamiliar adult. Comprehensive measures of individual differences in trauma-related psychopathology and cognitive functioning were administered. Sexually and/or physically abused children obtained higher dissociation scores than neglected children, and sexually abused children were more likely to obtain a diagnosis of posttraumatic stress disorder than physically abused children, neglected children, and children with no substantiated abuse histories. Overall, older children and children with better cognitive functioning produced more correct information and fewer memory errors. Abuse status per se did not significantly predict children’s memory or suggestibility whether considered alone or in interaction with age. However, among highly dissociative children, more trauma symptoms were associated with greater inaccuracy, whereas trauma symptoms were not associated with increased error for children who were lower in dissociative tendencies. Implications of the findings for understanding eyewitness memory in maltreated children are discussed.     

Stability and Invariance of Psychopathic Traits from Late Adolescence to Young Adulthood

The current study examined the longitudinal stability and invariance of psychopathic traits in a large community sample of male twins from ages 17 to 23. Participants were assessed across 6 years to gauge the stability and measurement invariance of the Minnesota Temperament Inventory (MTI), a Cleckley-based measure of psychopathic personality traits, and how family functioning and externalizing behavior were linked to these traits. A latent variable approach was used to model the structure of the MTI and provide a statistical test of measurement invariance across time. The results revealed support for invariance and moderate to strong stability of the MTI factors, which showed significant associations with the external correlates in late adolescence but not early adulthood.     

Executive Functioning and Delay Discounting of Four Different Outcomes in University Students

The study investigated a potential relationship between level of executive functioning and rates of delay discounting (i.e., the subjective decrease in the value of an outcome if its delivery is delayed). University students completed an executive-functioning questionnaire and then a delay-discounting task involving four different outcomes (money, cigarettes, dating partner, body image). Results showed that the overall measure of executive functioning was a significant predictor of rates of discounting of three of the four outcomes, and approached significance for the fourth outcome. Further, different subscales of executive functioning were significantly correlated with discounting of different outcomes. These results suggest that executive functioning plays a role in discounting of delayed outcomes and that procedures designed to affect either executive function or delay discounting might result in concomitant changes in the other measure.     

The structure of executive functioning in 11 to 14 year olds with and without special educational needs

The structure and development of executive functioning (EF) have been intensively studied in typically developing populations, with little attention given to those with Special Educational Needs (SEN). This study addresses this by comparing the EF structure of 132 adolescents (11–14 years-old) with SEN and 138 adolescents not requiring additional support (Non-SEN peers). Participants completed verbal and non-verbal assessments of key components of EF: inhibition, working memory and switching. Confirmatory Factor Analysis on each group tested one-, two- and three-factor models of EF. In both groups, there was statistical support for the fit of one- and two-factor models with no model being clearly better than the others; there was little support for three-factor models. Parsimony suggests that the one-factor model best represents the structure of EF. In light of our results, the implications for the nature of EF in early adolescence in both SEN and Non-SEN groups are discussed.     

高功能自闭症儿童不同常规度转喻加工的发展：来自ERP的证据

采用ERP技术考察了6~11岁高功能自闭症（HFA）儿童常规和新奇转喻的认知加工过程及发展轨迹。结果显示,6~8岁HFA组和典型发展（TD）组加工常规和新奇转喻的N400波幅无差异,未出现常规度效应,其波幅与错误句也无差异。9~11岁HFA组对新奇转喻N400波幅负于常规转喻,出现常规度效应,常规转喻N400波幅异于错误句,9~11岁TD组常规和新奇转喻均异于错误句。6~8岁HFA组对常规转喻N400差异波负于9~11岁,6~8岁TD组对常规和新奇转喻均负于9~11岁。HFA组转喻N400波幅均负于TD组。结论：HFA儿童常规和新奇转喻的加工较TD儿童存在缺陷。从6岁到11岁,HFA儿童常规转喻加工随年龄增长显著提高,新奇转喻则未出现明显变化,较之常规转喻,新奇转喻的加工尤为困难。