Biology of elderly suicide.

Most studies of suicide in younger patients have demonstrated significant alterations in the serotonin system. Although a high percentage of completed suicides occur in late-life, to date very few studies of the biology of suicide have focused on this age group. This chapter describes age-related changes in the central nervous system pertinent to the biology of suicide, then reviews post-mortem biological studies of the brains of suicides and suicide attempters. As suicide attempts in the elderly are characterized by the use of violent means, biologic studies of impulsive violence are discussed. Finally we describe data on the effect of degenerative diseases on the serotonin system and the possible link to increased suicidal behavior in affected patients. This review underscores the need for further study of the biology of suicide in the geriatric age group.     

Effectiveness of the GOFER course in decision making for high school students

The paper describes and evaluates the GOFER course in decision making for high school students (Mann, Harmoni and Power, 1988). The course was based on principles from the conflict theory of decision making (Janis and Mann, 1977) and was designed to provide adolescents with an understanding of factors that produce good and poor decision making as well as knowledge and practice of sound decision skills. Two evaluation studies were conducted to examine effectiveness of the course. Study 1 was conducted with young adolescents (12 year olds). It found a significant difference between students trained in the course and a control group on measures of self-esteem as a decision maker, self reported decision habits and knowledge of decision strategy. Study 2 was conducted with mid-adolescents (15 year olds). It, too, found a significant difference between students who took the course and a control group on measures of self esteem as a decision maker and self-reported decision habits. It is concluded that while the evaluation study fell short of an ideal test, the GOFER course met the criteria of improving student knowledge, raising confidence in decision making and changing self reported decision habits.     

Gobal-local precedence in picture processing

Summary Previous investigations of the global precedence hypothesis (Navon, 1977) have utilized compound letter stimuli. In these stimuli there is no predictive relationship between the global and local levels. Pictorial stimuli, however, contain mutually predictable global and local levels. This study investigated the global precedence hypothesis with pictorial stimuli using a Stroop-like interference task similar to that used by Navon. Subjects were required to respond either to the global (e.g., beach or farm) or local (e.g., boat or tractor) level of a scene. The display size and consistency of the global and local levels were varied. Response latencies supported global precedence for small scenes (4°) but local precedence for large scenes (16°). The results are interpreted by a model in which the priority of processing is determined by a critical spatial frequency sampling bandwidth.Portions of this research were presented at the meeting of the Psychonomic Society, Minneapolis, November, 1982. The authors with to express their sincere appreciation to Tom Petros for his assistance in data analysis. Requests for reprints should be addressed to James R. Antes, Department of Psychology, University of North Dakota, Grand Forks, ND 58202.     

Cognitive dysfunction in compulsive checkers: Further explorations

Recent evidence suggests a relationship between certain memory deficits and compulsive-checking behavior. The present study explores this relationship in the context of several additional memory capacities not yet investigated. Using the Maudsley Obsessional-Compulsive Inventory and the Everyday Checking Behavior Scale four groups of Ss were identified: (1) frequent checkers, (2) occasional checkers, (3) infrequent checkers and (4) noncheckers. Consistent with previous research, a memory-for-actions task indicated a deficit among compulsive checkers. Furthermore, checking status was found to be negatively related to memory functioning as measured by the Wechsler Memory Scale (WMS) and the Cognitive Failures Questionnaire (CFQ). This memory deficit was most pronounced on the Logical Memory subtest of the WMS. Checkers appear to have difficulty recalling details of meaningfully linked sequences, either presented in narrative form or engaged in personally. Although the reasons for these checking-related deficits are not clear, a complete understanding of checking phenomena will involve an appreciation of the role played by memory deficits.     

Organisational Consultancy, Institutional Dynamics and the Role of the Student Counsellor

The despair and uncertainty apparent in some parts of the current educational environment is likely to give rise to an increase in the occurrence of unhealthy institutional defence mechanisms. The implications of such developments for the counsellor are explored. In particular, it is argued that the latter may have to assume the role of organisational consultant and become more politically engaged within the institution, if the integrity and dignity of counselling are to survive.     

Child dissociation and the family context

Forty boys and their parents completed measures of dissociation, state anxiety, and perceptions of parental behaviors. Mothers completed a behavior problems checklist about their sons. The results indicated a correspondence between fathers' and sons' dissociation scores. In addition, links were found between parental dissociation, parental inconsistency and rejection, and child dissociation. The findings are discussed in the context of several recently proposed models of the etiology of child dissociative disorders.     

An analysis of latency and interresponse time in free recall

In four experiments, subjects freely recalled previously studied items while a voice key and computer recorded each item’s recall latency relative to the onset of the recall period. The measures of recall probability and mean recall latency were shown to be empirically independent, demonstrating that there exists no a priori relationship between the two. In all four experiments, latency distributions were fit well by the ex-Gaussian, suggesting that retrieval includes a brief normally distributed initiation stage followed by a longer exponentially distributed search stage. Further, the variation in mean latency stemmed from the variation in the duration of the search stage, not the initiation stage. Interresponse times (IRTs), the time elapsed between two successive item recalls, were analyzed as well. The growth of mean IRTs, plotted as a function of output position, was shown to be a simple function of the number of items not yet recalled. Finally, the mathematical nature of both free recall latency and IRT growth are shown to be consistent with a simple theoretical account of retrieval that depicts mean recall latency as a measure of the breadth of search.     

The psychologist's role in assessing and facilitating patients' knowledge of advance directives in medical settings: A preliminary investigation

In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital. The intervention included the use of a computer-generated prompt for consultation, which was sent to the psychology staff in response to a patient inquiry regarding ADs. It also involved an increased emphasis on the delivery of written material on ADs by the admissions clerks. The intervention appeared to result in a modest increase in patients' knowledge of advance directives. Suggestions are offered for areas that should be emphasized in future attempts to increase patients' knowledge and utilization of advance directives.     

Methodological, developmental, and sex biases in the Social Self-Esteem test? Modest, no, and no

Data on the Social Self-Esteem (SSE) test were examined for two potential method artifacts, sex differences, and developmental effects. A single SSE item was administered to 2009 secondary school students as part of an in-class, self-administered questionnaire. Across four orders of presentation, the measure performed according to construct-derived predictions. Modest order effects emerged when the conditions were examined separately. No evidence for random response was found. No grade by sex interaction was found. Separate trends for grade and sex effects were weak and contrary to the predictions derived from an earlier critique of the measure. It was suggested that use of the SSE be limited to research applications aggregating individuals' responses.