The impact of the therapeutic environment

This paper emphasizes the impact of the setting, space, and general physical properties of the clinic upon the difficult patient's profound neediness and absence of inner regulatory structure. Moreover, the clinic's administrative style and requirements often related to fiscal restraints, demands for accountability for both how funds are spent and treatment outcome, all impinge upon the patient. Humanizing clinics so they have the capacity for psychotherapeutic holding and provision of safety for difficult patients are discussed in detail in this contribution.     

THE EFFECT OF THE KOREAN NUMBER SYSTEM ON YOUNG CHILDREN'S COUNTING: A NATURAL EXPERIMENT IN NUMERICAL BILINGUALISM

In Korea, two number systems are in simultaneous use. One is somewhat irregular (like the English language number system), and the other regular (similar to the Chinese number system). This natural experiment allows a direct test of the hypothesis that structural regularity of the number system facilitates the acquisition of counting. Korean children initially suffer from their numerical ‘bilingualism’: they find it difficult to learn two counting systems at the same time. Yet, after this initial difficulty, they soon master the generative rules which are transparent in the regular system. The cognitive advantage provided by the regular number system then combines with other factors, like intensive teaching and parental pressure, to produce school achievement in mathematics superior to US children's.     

Parallel distributed processing and neuropsychology: A neural network model of Wisconsin card sorting and verbal fluency

Neural networks can be used as a tool in the explanation of neuropsychological data. Using the Hebbian Learning Rule and other such principles as competition and modifiable interlevel feedback, researchers have successfully modeled a widely used neuropsychological test, the Wisconsin Card Sorting Test. One of these models is reviewed here and extended to a qualitative analysis of how verbal fluency might be modeled, which demonstrates the importance of accounting for the attentional components of both tests. Difficulties remain in programming sequential cognitive processes within a parallel distributed processing (PDP) framework and integrating exceedingly complex neuropsychological tests such as Proverbs. PDP neural network methodology offers neuropsychologists co-validation procedures within narrowly defined areas of reliability and validity.