PubMed HealthSearch

Biomedical subjects

M S Humphreys

Publications and source records attributed to M S Humphreys.

13 recordsLinked to original sources

Persuasion, coercion, medical paternalism or the Mental Health Act: the dilemma of detention in the general hospital.

This paper describes the cases of three patients where the question of the need for formal detention arose due to mental disorder, apparently primarily due to physical illness, which in each case required further investigation and treatment in a general hospital. It states some of the issues facing those caring for patients under these circumstances and offers advice on overcoming some of the problems.

Adult

Dangerous behaviour preceding first admissions for schizophrenia.

Of 253 patients in their first schizophrenic episode, 52 behaved in a way threatening to the lives of others before their admission to hospital. These 52 patients were studied from data collected at the time of their initial presentation. Despite a history of illness in excess of 1 year in 24 cases, and evidence that violence was motivated by psychotic symptoms in 23 cases, fewer than half of the patients were admitted to hospital as a direct result of their dangerous behaviour. Life-threatening behaviour was more common where the patient had been ill for longer, and where there were delusions of being poisoned.

Adolescent

The anal continence plug: a disposable device for patients with anorectal incontinence.

Anorectal incontinence is most commonly found in the elderly, but colorectal surgeons now see an increasing number of younger patients with this condition. Although medical and surgical treatments are available, a proportion of patients remain refractory to therapy. We investigated the efficacy of three designs of anal continence plug. 8 women and 2 men (mean age, 52 years) who were incontinent to both liquid and solid stool tested each plug for three consecutive weeks. 1 patients withdrew from the study. The median weartime for the optimum plug design was 12 h, and there were no episodes of incontinence in 82% of the periods during which the plug was in place. Patients required a median of eleven plugs per week, and in 82% of cases insertion was as easy as with a suppository. Plugs may have a place in the management of patients with anorectal incontinence.

Adolescent

Recency effects in direct and indirect memory tasks.

In three experiments, subjects learned two lists under incidental conditions and were then given either a part-word or a word (extralist associate) cue. Each cue was related to one word in each list. Half the subjects were given production instructions (an indirect memory test), and half were given cued recall instructions (a direct memory test). When the interval between List 2 and the test was shortened, recency effects were found for part-word cues for both cued recall and production instructions. Little or no recency effects were found with word cues. These results are incompatible with a simple distinction between the types of memory trace or information that are tapped by direct as opposed to indirect memory tasks. Possible causes for the recency effect and for the difference between word and part-word cues are discussed.

Adult

Effects of closed-head injury on attentional processes: an information-processing stage analysis.

The present study, based on Sternberg's (1969) additive-factor method, examined attentional processes in terms of four information-processing stages (feature extraction, identification, response selection, and motor adjustment). Four task variables were used to operationally define the stages (signal quality, signal similarity, signal-response compatibility, and foreperiod uncertainty). In two studies, a visuo-spatial reaction-time task was undertaken by a group of university subjects (Experiment 1) and by three groups of closed-head-injured patients (severe short-term, severe long-term, and mild short-term) and their corresponding matched controls (Experiment 2). The results indicated that both patients and normals exhibited a similar mode of linear information processing. In addition, it was found that the severe short-term group was impaired on the response-selection stage and response selection stage; the severe long-term group was impaired only on the response-selection; and no evidence of impairment was found for the mild short-term patients. The implications of these findings with reference to the study of attentional processes in closed-head injured patients and to neuropsychological assessment and rehabilitation are discussed.

Adolescent

Retrieval plus scanning: does it occur?

In the two experiments reported here, we tested the retrieval-plus-scan model of delayed probe recognition by adding a second probe 2 sec after subjects had responded to the first probe. According to this model, the list items should still be in consciousness from the first probe at the time of the second probe. Consequently, on tests in which the first probe had been tested immediately, we expected to find the same pattern of performance on both first and second probes. On tests in which the first probe came after a filled delay, we expected the first-probe data to show the effects of retrieval and proactive interference. These effects should not be present on the second probe. The results of the first-probe data in both experiments were consistent with the retrieval-plus-scan model. The second-probe data did not fit the model, however. In the first experiment, the second probe on what had been delayed first-probe trials still produced intercept differences, indicating the presence of retrieval. In the second experiment, the effects of proactive interference were still present on the second probe. It is suggested that these results not only invalidate the retrieval-plus-scan model for delayed probe recognition but that they, along with other results, cast doubt on a scanning operation in immediate probe recognition.

Adult

Frequency judgment accuracy as a function of age and school achievement (learning disabled versus non-learning-disabled) patterns.

The accuracy of children's judgments of relative situational frequency was examined in two experiments. In Experiment 1 children with normal achievement in Grades 2 and 3 were compared with such children in Grades K and 5, as well as with three groups of low-achieving children in Grades 2 and 3. These latter groups consisted of children low in reading achievement, those low in math achievement, and those identified as learning disabled. Frequency judgment accuracy increased from kindergarten to Grades 2 and 3. No other comparisons yielded significant differences. Experiment 2 confirmed both the above age difference and the absence of any frequency judgment deficiency on the part of the low-achieving groups.

Achievement

Individual differences in diurnal rhythms and multiple activation states: a reply to M. W. Eysenck and Folkard.

Three issues raised by M. W. Eysenck and Folkard are discussed. These include (a) just what individual difference variable is mediating the time of day and caffeine effects; (b) what the difference is in the diurnal rhythms of low and high impulsives; and (c) whether it is necessary to postulate multiple activation states. Suggestions for future research are then given.

Arousal

The interactive effect of personality, time of day, and caffeine: a test of the arousal model.

The personality dimension of introversion/extraversion is one of the few personality dimensions that can be reliably identified from study to study and investigator to investigator. The importance of this demension within personality theory is due both to the stability of the trait and the influential theory of H. J. Eysenck. The basic assumption in Eysenck's theory of introversion/extraversion is that the personality differences between introverts and extraverts reflect some basic difference in the resting level of cortical arousal or activation. Assuming that there is a curvilinear relationship (an inverted U) between levels of stress and performance leads to a test of this arousal theory. That is, moderate increases in stress should hinder the performance of introverts who are presumably already highly aroused. However, the same moderate increase in stress might help the performance of the presumably underaroused extraverts. Revelle, Amaral, and Turriff reported that the administration of moderate doses of caffeine hindered the performance of introverts and helped the performance of extraverts on a cognitive task similar to the verbal test of the Graduate Record Examination. Assuming that caffeine increases arousal, this interaction between introversion/extraversion and drug condition supports Eysenck's theory. This interaction was explored in a series of experiments designed to replicate, extend, and test the generality of the original finding. The interaction between personality and drug condition was replicated and extended to additional cognitive performance tasks. However, these interactions were affected by time of day and stage of practice, and the subscales of introversion/extraversion, impulsivity, and sociability, were differentially affected. In the morning of the first day, low impulsives were hindered and high impulsives helped by caffeine. This pattern reversed in the evening of the first day, and it reversed again in the evening of Day 2. We concluded that the results from the first day of testing require a revision of Eysenck's theory. Instead of a stable difference in arousal between low and high impulsives, it appeared that these groups differed in the phase of their diurnal arousal rhythms. The result is that low impulsives are more aroused in the morning and less aroused in the evening than are the high impulsives. A variety of peripheral or strategic explanations (differences in caffeine consumption, guessing strategies, distraction, etc.) for the observed performance increments and decrements were proposed and tentatively rejected. It seems probable that some fundamental change in the efficiency with which information is processes is responsible for these performance changes.

Arousal