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Altered cognitive functioning in pregnant women: a shift towards primary process thinking.

Psychoanalytically orientated writers have independently described an alteration in psychological functioning, which occurs in many pregnant women, and is probably best described as a shift towards a primary process mode of thinking. This literature is reviewed and an illustrative case history provided. Unlike affective changes during pregnancy, alterations in cognitive style have received little attention despite their significant diagnostic and psychotherapeutic implications. The phenomenon invites collaboration between the biological and psychoanalytic orientations within psychiatry further to investigate it.

Adult↗

Thinking.

Reasoning processes allow the human cognitive system to go beyond the information readily available in the environment. This review focuses on the processes of human thinking, including deductive reasoning, induction, mental simulation, and analogy. We survey recent trends across several areas, including categorization, mental models, cognitive development, and decision making. Our chief organizing principle is the contrast between traditional approaches that focus on abstract logical reasoning and a number of current approaches that posit domain-specific, knowledge-intensive cognition. We suggest that some instances of domain-specific cognition result from domain-general processes operating on domain-specific representations. Another theme is the link between reasoning and learning. We suggest that learning typically occurs as a byproduct of reasoning, rather than as an end in itself.

Cognition↗

Looking back on "causal thinking in the health sciences".

It has now been over a quarter of a century since the publication of Mervyn Susser's Causal Thinking in the Health Sciences (1973, Oxford University Press), the first book-length treatment of causal reasoning and inference in our field. Major contributions of this work were its holistic focus on the origins of health outcomes in the context of ecologic systems and its invigoration of the literature on causal criteria in epidemiology. Although a recent resurgence of interest in social context has revivified many points made by Susser, a formal basis for causal analysis consistent with this ecologic perspective has failed to emerge in public health research. Susser's discussion of causal criteria, on the other hand, helped spur a vigorous dialogue that has persisted unabated to the present day. Although the basic outline of the criteria has evolved little, their applications, interrelations, and relative contributions to causal judgments have been the subject of continued and sometimes contentious debate.

Causality↗

Clinically oriented physiology teaching: strategy for developing critical-thinking skills in undergraduate medical students.

Medicine is an applied science, interpreting evidence and applying it to real life by using clinical reasoning skills and experience. COPT (clinically oriented physiology teaching) was incorporated in physiology instruction aiming to relate the study of physiology to real-life problems, to generate enthusiasm and motivation for learning, and to demonstrate the vocational relevance of physiology among students by integrating clinical experience with teaching. COPT consisted of two elements: 1) critical-thinking questions (CTQ) and 2) clinical case studies. After a few topics were taught, CTQ and case studies were given as an assignment. Answers were discussed in the next class. Two exams, each of which contained CTQ and recall questions, were conducted, one before (exam 1) and one after (exam 2) the implementation of COPT. Analysis of student performance in the examinations revealed that the students did better in exam 2 (P < 0.0001). Feedback from students indicated that this method was useful and challenging.

Education, Medical, Undergraduate↗

Quantification of 'regressive thinking' by use of the Rorschach test. Leading symptom of the borderline syndrome?

In this study we have attempted to objectify the diagnosis of the borderline syndrome by the use of formal Rorschach testing criteria. The randomly selected protocols of 140 subjects between the ages of 17 and 25 were subjected to cluster analysis of currently accepted scoring criteria for such phenomena as prevalence of primary process thinking and disturbance of reality testing. We were unable to demonstrate a cluster of scored responses supposedly typical for the borderline syndrome. Conversely, however, the protocols of patients clinically diagnosed as borderline did show some 'typical' Rorschach signs.

Adolescent↗

Mentality and neurosis: evolutionary thinking in cognitive therapy.

Cognitive therapy includes a variety of methods. There are two main schools, a currently predominant American one, and an earlier European one. They give different emphasis to the concept of the evolution of human cognition. There is agreement on the particular significance of surmounting absolutist thinking.

Adult↗

Current dynamic thinking regarding the diagnosis of the borderline patient.

This paper succinctly discusses the current dynamic thinking regarding the diagnosis of the borderline patient. After a brief historical perspective, an ego-psychological diagnostic approach to the borderline patient is presented. Influenced heavily by Kernberg, yet quite simple, this approach provides an integrative summary of current diagnostic concepts of the borderline personality. That presentation is followed by introductory excursions into four current areas of focus regarding the diagnosis of the borderline patient.

Adaptation, Psychological↗

The social character of thinking.

What Freud called "the reality principle," or judgment, presumes on the part of the child who has arrived at judgment the implicit grasp of a complex of concepts: truth and falsity, belief, subjective and objective, the objectively real, my perspective and yours. Work in both philosophy and infant research points to the essential importance in the development of judgment of a triangulating situation that involves particular sorts of communications between two creatures and an external object that interests them both. In this light Bion's theory of thinking is critically examined and the meaning of primary process and fantasy is discussed.

Animals↗

The fundamental skills of higher order thinking.

It may be possible to teach reasoning strategies to subjects with poor reasoning, including many subjects with learning disabilities (LD), using curriculum designed around a sameness analysis. The higher order thinking skills of analogical and logical reasoning are defined using the sameness analysis methodology. The sameness in the strategy for forming a generalization from experience is called "reasoning by analogy," while the sameness in the strategy for applying generalizations is described by the syllogism (logical reasoning). The research base for effective instruction in analogical and logical reasoning, particularly with subjects with LD, is summarized. The wide applicability of reasoning by analogy and by syllogism as complementary strategies is illustrated through their use in a critical review of the editorial page of a daily newspaper, and in linking content material in several domains.

Child↗

Would you rather take orders from Kirk or Spock? The relation between rational thinking and intelligence.

This article considers the relation between rationality and intelligence. The article is divided into three main parts: In the first, I consider the concept of rationality and conclude that rational thinking is a part of intelligence, but not a major part. In the second, I consider Stanovich's concept of dysrationalia, and propose that an alternative concept, practical intelligence (or the lack thereof), may better accomplish the goals that Stanovich wishes to achieve with his concept. Finally, I draw some conclusions.

Child↗

"To what purpose does it think?": dreams, sick bodies and confused minds in the Age of Reason.

This paper investigates the debate on the nature of dreams that took place in eighteenth-century Britain. Focusing on the increasingly popular view of the time that perfect sleep was sleep without dreams, it examines the medicalization of dreaming that developed alongside the conceptualization of dreams as instances of mental derangement. At the end of the seventeenth century, John Locke had likened dreaming to madness and drunkenness, and characterized it as a disturbance of the self. In the course of the eighteenth century, physicians, religious preachers, champions of politeness and moral philosophers all provided competing accounts of the doubling of consciousness which was incidental to dreaming. This paper situates their attempts in the context of re-assessment of the authorities that defined what constituted credible and reliable thinking. It does so by drawing attention to the body as one of the crucial sites in which changing attitudes towards dreaming were discussed and negotiated.

Consciousness↗

Teaching cell biology in the large-enrollment classroom: methods to promote analytical thinking and assessment of their effectiveness.

A large-enrollment, undergraduate cellular biology lecture course is described whose primary goal is to help students acquire skill in the interpretation of experimental data. The premise is that this kind of analytical reasoning is not intuitive for most people and, in the absence of hands-on laboratory experience, will not readily develop unless instructional methods and examinations specifically designed to foster it are employed. Promoting scientific thinking forces changes in the roles of both teacher and student. We describe didactic strategies that include directed practice of data analysis in a workshop format, active learning through verbal and written communication, visualization of abstractions diagrammatically, and the use of ancillary small-group mentoring sessions with faculty. The implications for a teacher in reducing the breadth and depth of coverage, becoming coach instead of lecturer, and helping students to diagnose cognitive weaknesses are discussed. In order to determine the efficacy of these strategies, we have carefully monitored student performance and have demonstrated a large gain in a pre- and posttest comparison of scores on identical problems, improved test scores on several successive midterm examinations when the statistical analysis accounts for the relative difficulty of the problems, and higher scores in comparison to students in a control course whose objective was information transfer, not acquisition of reasoning skills. A novel analytical index (student mobility profile) is described that demonstrates that this improvement was not random, but a systematic outcome of the teaching/learning strategies employed. An assessment of attitudes showed that, in spite of finding it difficult, students endorse this approach to learning, but also favor curricular changes that would introduce an analytical emphasis earlier in their training.

Biology↗

Using literature and innovative assessments to ignite interest and cultivate critical thinking skills in an undergraduate neuroscience course.

Science education reform initiatives emphasize 1) the value of concepts over facts; 2) the benefits of open-ended, inquiry-based problem-solving rather than protocols leading to a single correct answer; and 3) the importance of a multidisciplinary approach to teaching that is not confined by departmental boundaries. Neuroscientists should be at the forefront of this movement by the very nature of the discipline we study. Neuroscience is a relatively new field that integrates diverse subjects (anatomy, physiology, pharmacology, molecular biology, computer science, and psychology) and experimental advances are constantly changing and expanding our understanding of brain function. How can we convey this excitement in the classroom? The project described in this article uses nonscientific literature to introduce a scientific topic of study. In addition, the multitask assignment requires the acquisition of content knowledge and the development of critical thinking skills. As students explore the topic from multiple perspectives, they recognize the interconnectedness of science and society and confront ethical and moral issues related to science. A comparison of exam scores, essay responses, engagement level, as well as students' own reflections, demonstrates that inclusion of the project does not sacrifice content knowledge, rather it enhances the overall learning process.

Adult↗

Dysfunctional thinking patterns and immigration status as predictors of hearing protection device usage.

BACKGROUND: There is limited research on the role of dysfunctional/irrational thinking processes and immigration status on hearing protection device (HPD) usage. PURPOSE: The aim of the study is to investigate the effects of low frustration tolerance (LFT) and immigration status on HPD usage among employees exposed to hazardous industrial noise. METHODS: A total of 117 Israeli-borns and 80 new immigrants from former Soviet Union completed a questionnaire. The association between HPD usage and barriers to action, self-efficacy, and LFT (accounting for age, years of exposure, and immigration status) were assessed using ordered logistic regression models. RESULTS: LFT was associated negatively (adjusted odds ratio [OR]=.25, 95%; confidence interval [CI]=.15-.41) with HPD usage. Self-efficacy was a modifier (adjusted OR=1.47, 95%; CI=1.34-1.63): the higher the self-efficacy for a given LFT level, the higher the extent of HPD usage. Immigration status was not a significant predictor. CONCLUSIONS: HPD usage is associated with both rational and irrational motivations. The role of LFT in hearing protection should be further investigated.

Adult↗

A validation study of forms A and B of the Whitaker Index of Schizophrenic Thinking.

Hospitalized psychiatric patients (n = 115) completed either Form A or Form B of the Whitaker Index of Schizophrenic Thinking, along with the Beck Depression Inventory, State Anxiety Inventory, and the MMPI. Only error scores on the WIST were calculated in an effort to assess validity of the WIST for use in group testing situations where individual timing and administration is cumbersome. Results supported the convergent and discriminant validity of Form A where significant correlations were found with measures of thought disorder (MMPI F, Pt, Sc and Pa) but not with indices of other symptomatology, such as depression and anxiety. Form B did not show such validity, with only one significant correlation with other measures (MMPI Pd). Both WIST Forms correctly identified nonschizophrenics (76% for Form A and 73% for Form B) more often than schizophrenics (57% for each form). Also, Form A was found to be negatively related to years of education. Suggestions for further research on the influence of intelligence and social class variables on WIST scores were made. Overall, Form A emerged as the most valid WIST form, with suggestions for its clinical use being offered.

Adolescent↗

Psychometric properties of the Survey of Personal Beliefs: a rational-emotive measure of irrational thinking.

A test consistency and confirmatory factor analyses were performed on the Survey of Personal Beliefs, a new measure of irrational thinking based on rational-emotive personality theory. The survey, which was logically derived, includes a general rationality factor and subscales measuring five hypothesized core categories of irrational beliefs. Subjects included a nonclinical sample of 130 men and 150 women, with a mean age of 46. Results indicated that the Survey of Personal Beliefs had satisfactory total and scale reliability. The confirmatory analyses supported a higher order factor model including 5 first-order factors ( awfulizing, self-directed shoulds, other-directed shoulds, low frustration tolerance, and self-worth) and 1 second-order or general factor.

Adult↗

Nonintellective intelligence and personality: variance shared by the Constructive Thinking Inventory and the Myers-Briggs Type Indicator.

The Constructive Thinking Inventory (CTI; Epstein & Meier, 1989), a recently developed scale assessing patterns of habitual everyday thoughts, was compared with the Myers-Briggs Type Indicator (MBTI; Myers & McCaulley, 1985) to ascertain areas of common variance. CTI and MBTI data from 65 men and 109 women were evaluated. A series of standard multiple regression procedures indicated that, in most instances, CTI scales were predictive of MBTI continuous scores, although gender mediated several of the effects. The results suggest that the variance assessed by the CTI is similar to that addressed by traditional measures of personality but that the CTI partitions the variance in an atypical, yet coherent, manner.

Adolescent↗

A psychometric evaluation of the Rorschach comprehensive system's perceptual thinking index.

In this study, we investigated evidence for reliability and validity of the Perceptual Thinking Index (PTI; Exner, 2000a, 2000b) among an adult inpatient population. We conducted reliability and validity analyses on 107 patients who met the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision; American Psychiatric Association, 2000) criteria for a schizophrenia-spectrum disorder (SSD) or mood disorder with no psychotic features (MD). Results provided support for interrater reliability as well as internal consistency of the PTI. Furthermore, the PTI was an effective index in differentiating SSD patients from patients diagnosed with an MD. Finally, the PTI demonstrated adequate diagnostic statistics that can be useful in the classification of patients diagnosed with SSD and MD. We discuss methodological issues, implications for assessment practice, and directions for future research.

Adolescent↗