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Biomedical subjects

D Wedding

Publications and source records attributed to D Wedding.

12 recordsLinked to original sources

Health psychology and public policy: the political process.

During the past 20 years, psychologists have successfully modified federal statutes, resulting in recognition of the profession's clinical and research expertise. Despite these successes, professional psychology's training institutions have largely failed to address basic issues in health policy and the implications of national health policy for psychology. The importance of public health programs under Title VII of the Public Health Act and the significance of full inclusion of psychology in all federal health programs, including Titles XVIII (Medicare) and XIX (Medicaid), are poorly understood by most health psychologists. Federal health policy decisions, including management of excessive federal health spending, will dictate the growth and opportunities for health psychologists. Understanding federal health spending and recent federal initiatives such as Resource Based Relative Value Scale, Diagnostic Related Groups, and practice guidelines will be of benefit to health psychologists.

Financing, Government

Clinical judgment in forensic neuropsychology: a comment on the risks of claiming more than can be delivered.

There is a vast and growing literature in psychology demonstrating the general limits of human judgment and clinical inference. These findings clearly apply in the new specialty of clinical neuropsychology, and there is little empirical research to support the widespread belief that judgmental accuracy correlates substantially with experience, professional stature, or reputation as a neuropsychologist. However, the demand characteristics of expert testimony in the forensic arena may encourage individual neuropsychologists to state or intimate that they have unique or special expertise in understanding brain-behavior relationships, or in predicting outcomes following cerebral insult or injury. These claims will be increasingly difficult to substantiate as attorneys become more conversant with the literature on human judgment.

Brain Damage, Chronic

Recognition of emotion in hemifaces presented to the left and right visual fields.

Thirty-two right-handed subjects (16 males and 16 females) participated in a choice reaction time experiment replicating two previous studies which demonstrated the superiority of the left hemisphere in rapidly identifying facial emotion as either positive or negative. Slides of hemifaces split along the vertical axis, showing either positive (happiness, surprise) or negative (anger, disgust, or sadness) affect were presented tachistoscopically to either the left or right visual field. A 2 X 2 X 2 mixed ANOVA revealed main effects for visual field and type of affect. In contrast to earlier studies which presented full face stimuli, presentation of hemifaces produced a strong left visual field advantage and, as expected, positive faces produced faster reaction times than negative faces.

Adolescent

Superiority of the left hemisphere in the recognition of emotional faces.

Thirty-two right-handed university students (16 males and 16 females) participated in a choice reaction time study assessing the perception of hemispheric differences in positive (happiness, surprise) and negative (anger, disgust) facial affect. Subjects were exposed to slides of facial expressions in either the left or right visual field, and latency of affect identification was measured by having each subject move a lever forward or backward in a specified direction to indicate the emotion perceived. An analysis of variance with repeated measures over hand used, visual field, and affect across sex of subject revealed significant main effects for visual field, affect and sex of subject. In contrast to prior studies, the emotional faces were perceived faster in the right visual field than in the left visual field. This finding is explained in terms of the more demanding analytical task chosen in contrast to previous research which typically employed a holistic matching or recognition task. The faster perception of positive affect may be attributed to the increased salience of the facial cues present in those faces displaying happiness or surprise. Finally, the faster response of males supports existing data suggesting greater cerebral lateralization in the male brain.

Adult

Hemispheric differences in the perception of positive and negative faces.

Thirty-two right-handed subjects (15 males and 17 females) participated in a study investigating the effects of the perception of positive and negative emotional stimuli on choice reaction time. Slides of faces showing positive (happy, surprise) or negative (anger, disgust, sadness) affect were presented via a tachistoscope to either the right or left visual field. A 2 X 2 X 2 X 2 mixed analysis of variance with repeated measures over the factors of hand used by visual field by affect across sex of subject revealed a main effect for visual field (with slightly faster responses to stimuli presented in the right visual field) and a strong affect by visual field interaction with positive facial slides identified more quickly than negative facial slides when presented to the right visual field.

Adult

The comparative efficacy of relaxation training and masseter EMG feedback in the treatment of TMJ dysfunction.

The present series of single case studies was designed to evaluate the comparative efficacy of masseter EMG feedback with progressive relaxation training in the treatment of TMJ dysfunction. Study 1 employed a multiple baseline design across the symptoms of jaw pain, jaw tension and shoulder pain in a patient with chronic TMJ problems. The results indicated that relaxation training was the treatment responsible for improvements in subjective ratings of jaw pain and tension, whereas masseter EMG feedback provided little additional benefit. Trapezius EMG feedback was necessary to provide improvements in ratings of shoulder pain. Study 2 consisted of four single case designs in which masseter EMG feedback and relaxation training were compared with four TMJ patients. Results indicated that relaxation produced clear improvements in pain and tension ratings for two patients, a combination of EMG feedback and relaxation training resulted in slight improvements in one patient, and neither treatment procedure was effective for the final patient. The possibility of wide-scale application of relaxation training with TMJ patients and the need for further controlled research of masseter EMG feedback were discussed.

Adult

A comparison of the Halstead-Reitan Neuropsychological Battery and computerized tomography in the identification of brain disorder.

An attempt was made to compare the diagnostic conclusions of the Halstead-Reitan battery with the diagnosis of the computerized tomography (CT) scanner), which has recently created profound changes in neuroradiological practice. Subjects were 45 patients whose neurological diagnosis was used as a criterion for CT, EEG, and three Halstead-Reitan diagnostic statements (Halstead Impairment Index, Rennick Average Impairment Rating, and clinical interpretation). Results indicated no false positive errors with the CT and the highest overall accuracy rate with a clinical interpretation of the Halstead-Reitan tests. The complementary roles of these varied neurodiagnostic methods, which provide different kinds of pertinent neurological information, are stressed.

Adult

MMPI results of male candidates for transsexual surgery.

The MMPI was administered to a group of 27 male transsexual candidates for sex change surgery, and their test results were compared with those of 24 male kidney transplant surgical candidates and 26 males suspected of having a psychophysiological disorder. The data revealed a notable absence of psychopathology among the transsexuals as well as the kidney patients, while the psychophysiological patients showed the expected elevations in the Hypochondriasis, Depression, and Hysteria scales. The results were in keeping with previous research of male-to-female sex change candidates that reject the notion that transsexuals invariably suffer major emotional disturbance.

Adult