The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Level of Perceptual Development as Reflected in Responses to the Holtzman Inkblot Technique

To investigate the relationships between chronological age and scores on 10 variables from the Holtzman Inkblot Technique, 586 normal Ss comprising five criterion age-groups ranging from 5.2 to 19.5 years were tested. Each group had an equal number of males and females. Following a statistical correction for number of rejections, a sex-by-age analysis of variance revealed no significant sex differences or sex-by-age interactions. However, significant age-group differences were found for all 10 variables, six of them resulting in steadily increasing means across the five groups. These age trends are consistent with the sequence of perceptual change outlined by developmental theory, and are interpreted as indicating a developmental shift in the dominance of perceptual functions.     

Putting the ‘heart’ back into community psychology: some South African examples

In this paper we explore the impact of emotional dynamics in the field of community psychology and the value of psychodynamic concepts in making sense of this. Emotional processes have often not been very well acknowledged or conceptualized in writing in the area of community psychology practice. This neglect is understandable given the individualizing, pathologizing and medicalizing assumptions underlying many psychological theories of emotion. Psychodynamic ideas may, however, make a useful contribution to understanding central concerns in community psychology in so far as they are able to shed light on emotional processes in groups, the political determinants of emotional response and the emotional dynamics of power, which are all central to the thinking of community psychologists. Using examples drawn from a long-term programme of consultation to community-based services in South Africa, we explore the potential of psychoanalytic understandings of emotional processes in illuminating some of the complexities and challenges faced in developing effective community partnerships and working towards the empowerment of communities.     

Artists, architects, and engineers--three contrasting modes of visual experience and their psychological correlates

Over a period of five years, 31 architects, 28 artists, and 26 engineers, a total of 85 outstanding individuals in their respective fields, were studied intensively with a psychological test battery consisting of the Holtzman Inkblot Technique, Time Estimation measures, the Stroop Color-Word Test, the Embedded Figures Test, the Autokinetic Effect, Byrne's Repression-Sensitization Inventory, the Taylor Manifest Anxiety Scale, and the Welsh Figure Preference Test. Each subject in the study was chosen by a panel of faculty members as the most outstanding advanced students in nonrepresentational abstract art, architecture, and engineering drawing Highly significant differences were found between the three groups for a number of variables that had been predicted on the basis of previous research and theoretical considerations. These results served to validate the meaning of the perception variables while also giving additional insight into the differences between these three contrasting modes of visual experience as exemplified by the three occupational groups     

The Haunting of Men: Commentary on Thomas Burkhalter’s “Foregrounding Masculinities in Psychoanalytic Psychotherapy”

Thomas Burkhalter’s paper opens an important conversation about the fate of White masculinity in post-Apartheid South Africa. The commentary celebrates the nuance and complexity of the analysis but also suggests that social and historical context would deepen its reach. This concerns taking account of the ways in which the therapeutic moment described owes its formation to a historically and socially specific form of White liberal masculinity. The implications of this for women gendered as female are explored.     

Visual threat detection during moderate- and high-intensity exercise

The aim of the study was to assess performance on a visual threat-detection task during concurrently performed vigorous exercise on a cycle ergometer. Thirty (15 female) participants completed a baseline condition of seated rest and then moderate- and high-intensity exercise. Moderate- and high-intensity exercise conditions were completed on the 2nd day in a counterbalanced order. During each exercise condition, participants responded to 3 × 3 picture matrices (256 trials in each condition) that contained discrepant fear-relevant and discrepant fear-irrelevant pictures (?hman, Flykt, & Esteves, 2001). Response accuracy was significantly greater, and reaction time was significantly faster, during moderate- and high-intensity exercise compared with the rest condition (ps < .001). The discrepant fear-relevant matrix type was detected significantly more accurately than a discrepant fear-irrelevant matrix (p < .001). The discrepant fear-relevant matrix was detected significantly faster than all other matrix types (p < .001). These results suggest that exercise at a moderate and high intensity may enhance the efficiency of visual detection of both threatening and nonthreatening targets.     

Family capital and the invisible transfer of privilege: intergenerational support and social class in early adulthood

Sociologists have long recognized the relationships between family background and social class attainment. However, by neglecting the multiple ways in which families and parents provide advantages and the extent to which these advantages extend into adulthood, they may still be underestimating the role of families in the reproduction of class inequalities. This chapter explores these impacts under the conceptual rubric of family capital. A new battery of interviews with a diverse collection of young adults is used to illustrate these points and offer suggestions for future research and analysis.     

Response strategies in list learning by orangutans (Pongo pygmaeus x P. abelii)

Rhesus monkeys (Macaca mulatta) develop strategies to acquire and execute serial lists (K. B. Swartz & S. A. Himmanen, 2001). Serial probe recognition studies of list memory have demonstrated similarities across monkeys and humans (S. F. Sands & A. A. Wright, 1980). The present study extended the investigation of list learning and memory to determine whether orangutans (Pongo pygmaeus x P. abelii) would show evidence of subjective organization of photographic lists in a manner similar to that shown by humans learning a list of unrelated words (E. Tulving, 1962). No evidence for the effective use of a subjective organization strategy was found, but the orangutans developed a right-to-left spatial response strategy, which emerged during the acquisition of 5-item lists. This strategy was an effective way to reduce the load on working memory when presented with a complex array of items.     

KNOWLEDGE OF THE ORDINAL POSITION OF LIST ITEMS IN RHESUS MONKEYS

Abstract —What is learned during mastery of a serial task: associations between adjacent and remote items, associations between an item and its ordinal position, or both? A dear answer to this question is lacking in the literature on human serial memory because it is difficult to control for a "naive" subject's linguistic competence and extensive experience with serial tasks. In this article, we present evidence that rhesus monkeys encode the ordinal positions of items of an arbitrary list when there is no requirement to do so. First, monkeys learned four nonverbal lists (1–4). each containing four novel items (photographs of natural objects). The monkeys then learned four 4-item lists that were derived exclusively and exhaustively from Lists 1 through 4, one item from each list. On two derived lists, each item s original ordinal position was maintained. Those lists were acquired with virtually no errors. The two remaining derived lists, on which the original ordinal position of each item was changed, were as difficult to learn as novel lists. The immediate acquisition of lists on which ordinal position was maintained shows that knowledge of ordinal position can develop without the benefit of language, extensive list-learning experience, or explicit instruction to encode ordinal information.