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Judgment of the visual vertical and horizontal in patients with Parkinsonism.

Judgment of the visual vertical and horizontal in the upright body position was abnormal in 19 (29 percent) of 66 patients with Parkinson's disease. The magnitude of errors correlated with the degree of rigidity and of tremor in the limbs, but not with bradykinesia or other clinical features. The results suggest that the effect on visual perception of the vertical and horizontal coordinates in patients with parkinsonism is brought about by specific changes in the basal ganglia and is not, as in the case of other visual-motor tasks, determined merely by the overall severity of cerebral pathology.

Adult↗

Symposium: contraindications to tympanoplasty. II. An exercise in clinical judgment.

The two primary symptoms of chronic ear disease are otorrhea and hearing loss. The goal of any tympanoplasty is to eradicate disease and improve hearing. These are the primary indications for this procedure. The success or failure of the surgery is influenced by many factors such as the age and general health of the patient, the extent and type of disease present, and whether the upper airway is functioning properly. Contraindications to tympanoplasty will vary from one surgeon to another depending upon his training, philosophy, experience, and surgical skill. It is helpful to think of these contraindications as being either absolute or relative. Absolute contraindications consist of: 1. uncontrolled cholesteatoma; 2. malignant tumors; 3. unusual infections and/or extenuating circumstances; and 4. complications of chronic ear disease, such as meningitis, brain abscess, or lateral sinus thrombosis. Relative contraindications are less well defined: 1. eustachian tube insufficiency or non-function; 2. the uncooperative patient; 3. the dead ear; 4. the better hearing or only hearing ear; 5. the elderly patient; 6. the young child; and 7. the repeated failure case. The otologic surgeon must exercise good clinical judgment in selecting patients for tympanoplasty. This paper deals with some of the more common problems in decision making.

Age Factors↗

Moral judgments in the rationing of health care resources: a comparative study of clinical health professionals.

Social workers, physicians, and nurses from a major urban teaching hospital were assessed and compared regarding their attitudes toward the rationing of health care. Responses to eighteen statements of considered moral judgments in the rationing of health care resources were analyzed in terms of levels of agreement with each. All three professional groups rejected rationing based on patient age and socioeconomic worth. However, social workers and physicians were more likely than nurses to consider such factors as cost-benefit ratios, quality of life, relative strength of a patient's moral claim, and scarcity of resources in rationing decisions. Study findings appear to portray social workers and physicians as being more utilitarian and nurses more egalitarian in rationing decisions. Implications for practice in a managed care environment are presented.

Adult↗

A model of aesthetic appreciation and aesthetic judgments.

Although aesthetic experiences are frequent in modern life, there is as of yet no scientifically comprehensive theory that explains what psychologically constitutes such experiences. These experiences are particularly interesting because of their hedonic properties and the possibility to provide self-rewarding cognitive operations. We shall explain why modern art's large number of individualized styles, innovativeness and conceptuality offer positive aesthetic experiences. Moreover, the challenge of art is mainly driven by a need for understanding. Cognitive challenges of both abstract art and other conceptual, complex and multidimensional stimuli require an extension of previous approaches to empirical aesthetics. We present an information-processing stage model of aesthetic processing. According to the model, aesthetic experiences involve five stages: perception, explicit classification, implicit classification, cognitive mastering and evaluation. The model differentiates between aesthetic emotion and aesthetic judgments as two types of output.

Affect↗

Effect of ethanol on judgments of performance.

Ethanol impairs cognitive and psychomotor performance, although the precise reasons for this remain unclear. We investigated the effect of ethanol on individuals' judgment of their performance. Eighteen healthy volunteers (19-22 years) received a high dose of ethanol (0.8 g/kg for males and 0.7 g/kg, for females), a medium dose (75% of the high dose) and a placebo in counterbalanced order on three study days. A general knowledge (GK) test was administered on a pen computer 75 min after the drink. An adaptive algorithm adjusted the difficulty of questions so that scores were similar on all three study days. Volunteers then rated how well they believed they had performed the GK task using a visual analogue scale. A battery of other performance tests and mood ratings was also completed both before and after the GK test. These showed the expected effects of ethanol. There were no significant differences in scores on the GK test between treatment sessions. There was a highly significant dose-dependent increase with ethanol on volunteers' ratings of their performance on this test. These findings suggest that ethanol leads to an overoptimistic assessment of ability which may contribute to ethanol's impairment of performance.

Central Nervous System Stimulants↗

Car backlight position and fog density bias observer-car distance estimates and time-to-collision judgments.

OBJECTIVE: A series of experiments assessed biases in perceived distance that occur while driving as a function of the backlight position of the car ahead and fog density. BACKGROUND: V. Cavallo, M. Colomb, and J. Doré (2001) have shown that smaller horizontal backlight separation and fog may result in increased estimates of the distance between an observer and a car of which only the backlights are visible. They also predicted that raising the height of the car backlights would lead to increasing distance estimates. METHOD: Distance perception was assessed in both static and dynamic computer-simulated scenarios in which the distance estimates were performed using a familiarized analog scale or using time-to-collision judgments for both pairs of backlights and single backlights. RESULTS: In a series of five experiments, the horizontal separation and fog density effects were replicated. In addition, distance estimates were consistently larger with higher than with lower vertical backlight positions. CONCLUSION: There is reason to believe that biases in distance perception may be augmented by car backlight positions and by low-visibility weather conditions. APPLICATION: Car designers should take backlight placement seriously. Speed-dependent car-to-car distance control systems seem desirable to counteract biases in distance perception.

Accidents, Traffic↗

Dealing with the parent whose judgment is impaired by alcohol or drugs: legal and ethical considerations.

An estimated 11 to 17.5 million children are being raised by a substance-abusing parent or guardian. The importance of this statistic is undeniable, particularly when a patient is brought to a pediatric office by a parent or guardian exhibiting symptoms of judgment impairment. Although the physician-patient relationship exists between the pediatrician and the minor patient, other obligations (some perceived and some real) should be considered as well. In managing encounters with impaired parents who may become disruptive or dangerous, pediatricians should be aware of their responsibilities before acting. In addition to fulfilling the duty involved with an established physician-patient relationship, the pediatrician should take reasonable care to safeguard patient confidentiality; protect the safety of the patient and other patients, visitors, and employees; and comply with reporting mandates. This clinical report identifies and discusses the legal and ethical concepts related to these circumstances. The report offers implementation suggestions when establishing anticipatory office procedures and training programs for staff on what to do (and not do) in such situations to maximize the patient's well-being and safety and minimize the liability of the pediatrician.

Adolescent↗

[Severity of phonological disorders: perceptual judgment and percentage of correct consonants].

BACKGROUND: Phonological disorder. AIM: To apply the percentage of correct consonant (PCC) index and to verify the correlation between this index and the one applied perceptually by judges. METHOD: The PCC index of 50 phonological disordered subjects was calculated, after 60 judges heard the phonological tests for each subject and perceptually attributed the severity. RESULTS: The PCC index varied from 40% to 98%, with the predominant classification of the population in the mild and mild-moderate levels. CONCLUSION: A correlation between the perceptual judgment and the PCC indexes exists.

Analysis of Variance↗

Psychologists' judgments of psychologically aggressive actions when perpetrated by a husband versus a wife.

Research literature suggests that clinical judgments of men's versus women's behavior and symptoms typically rate the men as more pathological and dangerous. To determine whether this view would extend to assessments of psychologically aggressive actions, two separate versions of a survey listing potentially psychologically abusive behaviors perpetrated by either a wife toward her husband or the identical actions perpetrated by a husband toward his wife were sent to a nationwide sampling of practicing psychologists. Results indicated that psychologists, irrespective of demographics, rated the husband's behavior as more likely to be psychologically abusive and more severe in nature than the wife's use of the same actions. Psychologists did not differentially rely on any of the three contextual factors (i.e., frequency/duration, intent of the perpetrator, and perception of the recipient) to influence their determination that a behavior was "psychological abuse" dependent upon whether the initiator of the psychological actions was the husband or the wife. Future research could assess more directly the rationale for the psychologists' differing views of male versus female behavior. In addition, more normative information is needed to inform mental health professionals as to the prevalence and severity of psychologically aggressive actions in the general population.

Adult↗

Verbal judgments of Taiwanese family planning field workers about induced abortion.

Four hundred female governmental family planning field workers in Taiwan were asked by questionnaire whether women should or should not have an induced abortion under certain circumstances. Major findings were that although most workers were favorable to induced abortion under most circumstances, many were unfavorable when marital status, parity, and contraceptive usage of the woman were considered. Furthermore, cumulative judgment scales were shown to exist which have important implications for program approaches elsewhere.

Abortion, Induced↗

Disability determinations for adults with mental disorders: Social Security Administration vs independent judgments.

OBJECTIVES: Disability determinations made by the Disability Determination Service for Social Security Administration (SSA) disability claims due to mental impairment were compared with the independent judgments of a team of mental health workers. The decisions of the Service and the team's agreement with those decisions were predicted from a set of explanatory variables. METHODS: One hundred fifty-eight adult applicants for or beneficiaries of SSA benefit programs participated. The team used SSA disability criteria to judge disability based on in-depth interviews. RESULTS: Team members voted yes, no, or maybe regarding approval for disability. Of the cases approved by the team, 89% were actually allowed by the Disability Determination Service. However, the team could not reach a yes or no decision for almost half of the subjects, contributing to a total agreement with the Service on only 40% of the cases. CONCLUSIONS: Sufficient evidence exists to question the reliability of SSA disability determinations for mental disorders. Although the Disability Determination Service decision for mental impairments can be predicted above chance, a direct test of the reliability of such determinations should be conducted, with particular attention to the effect of the quality of the medical information.

Adolescent↗

Age and typicality judgments of stereotypes of the elderly: perceptions of elderly vs. young adults.

Healthy community-dwelling elderly individuals assessed the typicality and approximate age of individuals representing ten stereotypes of elderly people identified in prior research with young adults. Results showed that, as predicted, the elderly adults saw the stereotypes as less typical of elderly individuals than did the young adults, although both groups agreed on which stereotypes were most typical of the general elderly population. Analysis of age judgments revealed that the elderly respondents, in comparison to the young adults, were more likely to use the old-old age ranges to describe the stereotypes, and much less likely to associate the positive stereotypes with the young-old age ranges. Both elderly and young adults tended to associate negative stereotypes with the older elderly age ranges.

Adult↗

Risk perception for developing diabetes: comparative risk judgments of physicians.

OBJECTIVE: To assess personal risk perceptions for developing diabetes among practicing physicians. RESEARCH DESIGN AND METHODS: Little is known about comparative risk perceptions concerning diabetes among medical experts. We administered the new Risk Perception Survey for Developing Diabetes to 535 nondiabetic physicians. The participants were 86% male, had a mean age of 49 years, and were 66% white and 24% Asian. Almost 37% were considered at higher risk for developing diabetes based on self-reported risk factors. Over 91% of respondents were either internal medicine or family medicine physicians. RESULTS: Of the four subscales, Comparative Disease Risk and Environmental Risk indicated moderate risk perceptions, whereas Personal Control scores indicated a robust sense of control over developing diabetes. Optimistic Bias scores showed a tendency toward participants' being optimistic that they were less likely to develop diabetes. Based on self-reported risk factor categories, a comparison of scores between physicians at higher risk (n = 196) and those at lower risk (n = 313) for developing diabetes showed greater comparative disease risk perception among the higher risk physicians (P < 0.01), as well as greater perception of diabetes risk (P < 0.001). Nearly 50% of higher risk physicians, however, reported an optimistic bias that they were less likely to develop diabetes than other people of their same age and sex. Women (n = 75) reported greater perception of environmental risks than men (P < 0.001). Asian respondents (n = 126) reported greater perception of environmental risk (P < 0.001) and greater worry about developing diabetes (P < 0.0001) than white respondents (n = 355). Regression analyses showed that scores for nondiabetes comparative disease risks (0.39) and level of optimistic bias (0.31) were predictive of diabetes risk perception (P < 0.0001). CONCLUSIONS: The data gathered on physicians' perception of their personal risk for developing diabetes and other comparative risk judgments provided an expert comparison for future analyses of at-risk or lay individuals' perceptions of diabetes risk. Effective communication of diabetes risk among physicians, patients, and the general public relies on knowledge of and sensitivity to group differences in these perceptions.

Air Pollution↗

Psychophysical judgment of curvatures.

In this study we explored psychophysical judgments (magnitude estimation) of the curvature of visual lines. Prior research has lacked a rigorous definition of curvature, but here it was defined as the reverse of the ray of the osculating circle tangent to the curve in the given point. Four different functions were evaluated: hyperbole, sinusoid, parabola, and a cubic function. Using the method of magnitude estimation to judge 20 exemplar curves from each of the families, three respondents made a total of 1440 estimations each. Responses to all four families of curves were fit well by Stevens' power function with an exponent less than 1. One application of this research is the use of such curves as variables in assessing illusions of curvature.

Adult↗

Sex differences in line judgment: relation to mathematics preparation and strategy use.

This study explored visuospatial ability using a new group-administered task, the Judgment of Line Angle and Position-15 test (JLAP-15). We investigated how this task relates to the Vandenberg Mental Rotation Test and whether the sex difference in performance could be explained by the number of prior mathematics courses or strategy used. Undergraduates (n=86 men and 112 women) completed the two tests and reported their strategies. Men had higher scores than women on both tests (d=1.04 for JLAP-15 and 1.10 for the Vandenberg Mental Rotation Test), with a significant intertask correlation of .41. Regression analyses indicated that strategy type, number of mathematics courses completed, and sex were significant predictors of performance on the JLAP-15 but only accounted for 21% of the variance.

Adult↗

Fitting a psychometric function to price judgments: an analysis of consumers' discounted prices.

We examined a psychometric function of price judgment, comparing the mental ruler model, which predicted inverted S-shaped psychometric function, with a power function. Subjects, 102 citizens living in Japan, were asked to rate satisfaction with specified discounted prices. Analysis indicated that predictions of the mental ruler model gave a better fit than those of the power function.

Adolescent↗

Judgments of time intervals by young children.

22 preschool children were either trained (experimental group) or not trained (control group) to indicate a 15-sec. time interval by the method of production. The accuracy was significantly improved by brief training. The children were generally accurate whether attending to the stopwatch at the right or left ear or given sound- or light-filled intervals. Neither age nor sex differences were found. These results demonstrate the possibility of conducting research on time-estimation at an early age if the procedures are relatively short and of interest to the young child. Because most of the children were unable to count as a guide to their judgments, the inner neural clock theory is supported.

Age Factors↗

Effects of tobacco, time on task, and stimulus speed on judgments of velocity and time.

16 college students were required to predict the time of target arrival for a stimulus apparently moving horizontally to a point of occlusion and to reproduce the time interval the stimulus was present under smoking and no-smoking conditions. Tobacco resulted in underestimations of velocity and time judgments particularly in the early stage of the task and for the slowest stimulus speed.

Adult↗