Cardiovascular reactivity to psychological stress in aerobically trained versus untrained mild hypertensives and normotensives

Cardiovascular reactivity to video game and mental arithmetic stressors was compared among three groups of men: aerobically trained mild hypertensives, untrained mild hypertensives, and a comparison group of untrained normotensives. Relative to the untrained hypertensives, the trained hypertensives reacted to the video game with marginally smaller systolic blood pressure and diastolic blood pressure, but there were no significant differences between these groups in reactivity during the mental arithmetic task. Comparisons between each hypertensive group and the normotensive group showed that blood pressure (BP) reactivity of normotensives during the video game was generally similar to that of trained hypertensives but smaller than that of untrained hypertensives. These results indicate that aerobic training, which has been found to reduce resting BP in mild hypertensives, may also exert a favorable impact in reducing cardiovascular reactivity of hypertensives during some stressful situations.     

The Chancellor's memory: Rhetoric and truth in discursive remembering

This paper explores the notion of truthfulness in research on conversational remembering. It argues that people's accounts of past events, before they can be taken as data on the cognitive workings of memory, need to be examined as contextualized and variable productions that perform pragmatic and rhetorical work; no one version can be taken as a person's real memory. The consequences of this discourse-analytical perspective are examined first through a critical discussion of Ulric Neisser's study of John Dean's testimony to the senate ‘Watergate’ committee. The issues are then explored more deeply in an analysis of reportings of a different event, in which similar (Watergate-like) issues of memory, truth and accuracy are also at issue. It is argued that: (a) all of Neisser's three kinds of memory–verbatim, gist and ‘repisodic’–involve problematical assumptions concerning their relation to some true, original event; and (b) that Dean's accounts of his memory and his displays of memory should be approached as occasioned productions oriented pragmatically to the assignment of guilt and avoidance of scapegoating. Through an analysis of newspaper reports (based on memory) of a controversial briefing given by the then British Chancellor of the Exchequer, Nigel Lawson, we then examine: (a) how discourse about what could be used as an arbiter of truth was rhetorically organized; (b) how participants' versions of events were constructed rhetorically, as parts of arguments; (c) that both sides in the dispute maintained the coherence of their positions by a form of error accounting similar to that used by Neisser with respect to Dean. It is suggested that cognitive psychologists, whether working in the laboratory or attempting to do real-world studies of everyday remembering, need to avoid simplistic notions of true original events, and can do so by addressing the rhetorical organization of participants' memory accounts.     

Clinical ethics consultations: reasons for optimism, but problems exist

[The author identifies] five problems familiar to clinical ethicists. (1) Physicians often do not recognize important ethical issues. (2) Debate exists over whether such consultations should give specific management recommendations. (3) Principles of medical ethics cannot, by themselves, resolve real ethical issues. (4) The patient's interests sometimes conflict with the interests of the family, the health professionals, and the hospital. (5) Clinical ethics consultations take a toll on the consultant....[He] discuss[es] the implications of each problem for clinical ethics consultations and offer[s] a solution to it.     

Catastrophe theory applications in clinical psychology: A review

Catastrophe theory is a new mathematical science that permits some insight into the way in which sudden changes or discontinuities of behavior may occur even though the underlying causative forces are essentially continuous. This article aims to present a nonmathematician’s view of catastrophe applications in clinical psychology. Areas covered include anorexia nervosa, binge eating and drinking, affective disorders, schizophrenia, aggressiveness, and prison disturbances. Where appropriate, therapeutic implications and possible physiological correlates are offered. Examples are given of catastrophe theory’s ability to explain previously inexplicable findings. Attention is drawn to its refutability and predictive value, and hence its scientific respectability.     

Phonology, lexical access in reading, and articulatory suppression: A critical review

Considerable confusion exists in the literature on visual word recognition and reading with respect to the effects of articulatory suppression upon phonological recoding. The authors of a large number of journal articles, chapters, cognitive psychology textbooks, and books devoted to reading processes have concluded that suppression interferes with phonological receding of print and have used this supposed fact as a basis for determining when phonology is involved in various reading tasks. Others have concluded that suppression need not interfere with phonological recoding (e.g. Besner, Davies and Daniels, 1981; Besner and Davelaar, 1982). The present review concludes that a phonological code can be derived from printed English and used for lexical access without interference from suppression. However, operations performed upon a phonological code—e.g. post-assembly phonemic segmentation and deletion, maintenance in working memory—are disrupted by suppression. A review of the literature supports this distinction; some implications of these views are noted.     

On becoming a school psychologist: A semiautobiographical account

As an example of the development of an early school psychology program in the Southwest, the beginning of Child Study and Consultation Service is described. The unique aspect of this program undoubtedly had to do with its relationship to a demonstration mental health center and a consultation program started in several elementary school districts in the area. Beginning with a consortium of five school districts, it was later expanded to include 16 school districts with a staff of 15 doctoral-level school psychologists. This account also describes the author's involvement with the Division of School Psychology and some of the major issues facing the division in the late 1950s and 1960s. An attempt is made to show how the author's educational and work experiences contributed to the philosophy, policies, and practices of school psychology.     

Reinforcer pathology,probabilistic choice,and medication adherence in patients with multiple sclerosis

The reinforcer pathology model posits that core behavioral economic mechanisms, including delay discounting and behavioral economic demand, underlie adverse health decisions and related clinical disorders. Extensions beyond substance use disorder and obesity, however, are limited. Using a reinforcer pathology framework, this study evaluates medical adherence decisions in patients with multiple sclerosis. Participants completed behavioral economic measures, including delay discounting, probability discounting, and a medication purchase task. A medical decision-making task was also used to evaluate how sensitivity to mild side effect risk and efficacy contributed to the likelihood of taking a hypothetical disease-modifying therapy. Less steep delay discounting and more intense (greater) medication demand were independently associated with greater adherence to the medication decision-making procedure. More generally, the pattern of interrelations between the medication-specific and general behavioral economic metrics was consistent with and contributes to the reinforcer pathology model. Additional research is warranted to expand these models to different populations and health behaviors, including those of a positive health orientation (i.e., medication adherence).     

Human interventions in a behavioural experiment for Asian Elephants (Elephas maximus)

Animal Cognition - Experiments are widely used to investigate the behaviour and cognition of animals. While the automation of experiments to avoid potential experimenter bias is sometimes possible,...