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Results for “Reality Testing”

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PubMed1991

[The programming of cardiac pacemakers--wish and reality].

To test the extent and quality of pacemaker programming, 340 programmable pacemakers were selected out of 1,204 impulse generators removed post-mortem. Their actual program was compared with the nominal parameters when first delivered. 177 (52.1%) of the 340 pacemakers still had the same parameters as on delivery. The multiply programmable impulse generators with telemetry were more frequently programmed (61.2%) than the simple programmable ones (43.0%) or the multiply programmable ones without telemetry (43.7%). Rate was the most frequently programmed parameter, followed by impulse amplitude, sensitivity and impulse duration. Refractory time and hysteresis were only rarely changed from the initial state. Apparently, programmability was not thought to be important enough. Programming without telemetry was seemingly too complicated. The reasons for this attitude should be investigated so that the discrepancy between wishes and reality can be overcome.

Equipment Design↗
PubMed1989

The statistical analysis of matched data in psychiatric research.

Clinical studies in psychiatry frequently involve the analysis of matched pairs, in which each patient is matched with his or her psychiatric clinician. If the response variable of interest is dichotomous, then McNemar's chi 2 test for correlated proportions may be applied to the resulting data. However, this test assumes that the set of matched pairs are statistically independent, an assumption that is violated if some clinicians are matched with more than one patient. In this article we present alternatives to McNemar's test for dealing with this problem.

Humans↗
PubMed1987

Reality perceptions of television: a comparison of emotionally disturbed, learning disabled, and nonhandicapped children.

The Stony Brook Videotest (SBV), a measure of reality perceptions of television programs and commercials, was administered to 38 emotionally disturbed (ED), 35 learning disabled (LD), and 159 nonhandicapped elementary school children. The ED and LD children scored significantly lower than the comparison group, indicating that ED and LD children are less able to distinguish between reality and fantasy on television. The clinical implications of these findings and possible remedial actions are discussed.

Affective Symptoms↗
PubMed1989

Evolution of motor activity tests into a screening reality.

Measures of activity have changed in ways that their utility in screening for neurotoxicity has vastly improved. New computer pattern recognition systems now provide rapid, objective tools for identifying animal behavior. Advances in data analysis procedures have replaced the percent change in overall activity level with measures of initiations, total time and temporal structure for multiple behaviors and sequences. These advances can distinguish hyperactivities induced by different mechanisms and rank their neurotoxic potential, a feat not possible with photocell devices generally used in laboratories today. With the recent technological improvements, it is possible that a measure of activity will become one of the best predictors of malfunction in the central nervous system.

Amphetamine↗
PubMed1990

Cognitive deficits and thought disorder: II. An 8-month followup study.

Schizophrenic (n = 21) and manic (n = 19) patients were followed up an average of 8 months after an index assessment during an acute admission. These patients were tested at both assessments with laboratory tasks measuring distractibility and reality monitoring and were examined with clinical ratings of positive and negative thought disorder. For manic patients, none of the measures predicted the patients' clinical state of followup, while negative thought disorder, although rare, was temporally stable. For the schizophrenic patients, both negative thought disorder and distractibility were temporally stable, and more severe negative thought disorder was found at index assessment in patients who were psychotic at followup. The differential utility of laboratory and clinical indices for the prediction of overall clinical state is related to these data.

Adult↗
PubMed1991

Concordance between two measures of dream bizarreness.

To assess the level of concordance between two published measures of dream bizarreness, 100 randomly selected dreams from 93 college students were scored for primary process using the Auld, Goldenberg, and Weiss scale and for dream distortion using Zepelin's scale. This analysis yielded a strong relationship between these measures, indicating adequate concurrent validity for the content analysis of the construct of dream bizarreness.

Adult↗
PubMed1988

[Diagnosis of "cataphasia" based on a drawing].

Drawings done by a patient before examination led to the suspicion of cataphasia, in view of previous experience of similar pictures drawn by verbigerate patients, and this proved to be so. We assume that the verbigerate affection of the thinking process is pictorially reflected in spontaneous casual drawing. In a less spontaneous situation, on other hand, the patient will not be so completely disorganised, and thus the author of an utterly confused drawing can still retain some measure of mental control in the course of tests.

Adult↗
PubMed1986

Twenty-four hour reality orientation: changes for staff and patients.

A 24-hour reality orientation programme was initiated in a long-stay geriatric ward. Nursing and occupational therapy routines were changed specifically to meet the needs of the 20 patients participating in the programme. The assessments included the Clifton Assessment Procedures for the Elderly, the Holden Communication Scale, the Holden Orientation Facilities Scale, and the Oberleder Scale (adapted by Holden et al.). These scales were administered before, during and after completion of a study lasting 4 months. The CAPE scales showed no significant results. However, the Holden Communication Scale indicated that there were significant differences for certain groups of patients. Those patients with high scores initially tended to continue to have high scores and showed no real change. However, patients who had scores in the medium range initially, showed improvement. This finding indicated that severity at onset of the experiment was an important variable when considering outcome of treatment. Expectations regarding the future of the very elderly must be realistic, and to anticipate a return to previous vitality and total independence should not be expected. However, to find a means by which functional levels can be maintained, and even slightly improved, is desirable. It would seem that the 24-hour reality orientation programme achieved this goal.

Aged↗
PubMed1991

Use of non-verbal construing and metaphor in psychotherapy.

This article begins by looking at the way we try to construe or make sense of the world in which we live. How in the very nature of such sense-making there is the potential for sowing the seeds of self-deception by trying to fit our (relatively simplified) bipolar constructs to a complex unitary universe. Non-verbal and verbal construing are compared. Verbal construing enables us to reach an even more sophisticated level of self-deception, via myths created by limiting metaphors--such as "man-the-machine." The institutions which we create and the people who are invested in them tend to solidify in-group myths, often with the help of metaphor. It is argued that personal, constructivist, and eclectic approaches to psychotherapy can be envisaged as enterprises to begin the process of demythologising clients in the safety of the therapeutic setting. In therapy, clients can experiment with empowering themselves in reconstruing the problem areas of their lives and actively testing out these new constructions against personal experience. Clients can also learn to explore the meaning behind symptoms, i.e., to give cognitive form to feeling with the help of their intuitive sensitivity.

Concept Formation↗
PubMed1992

Reading and visual memory: remembering scenes that were never seen.

In Experiment 1 (N = 16), under conditions of high memory load (60 pictures and 50 paragraphs) and a 1-week retention interval, undergraduate subjects reported their memory for photographs of scenes (cued recall and free-recall tasks). Subjects frequently reported memory for photographs that they had actually never seen, but had read about in a brief paragraph. In Experiment 2 (N = 40), the same pattern of results was obtained with immediate testing. Experiment 2 also demonstrated that the likelihood of subjects falsely attributing scene memory (based on reading) to actually having viewed a photograph was reduced when metacognitive awareness of imaging during reading was made salient. Awareness of image creation was induced by requiring subjects to rate the paragraphs with respect to imagery vividness. Although other measures of memory remained the same, subjects in the induced-imagery condition made 50% fewer confusion errors than subjects who read the paragraphs without imagery instructions. The results are discussed in the context of Johnson and Raye's (1981) reality monitoring model.

Adult↗
PubMed1990

Followup of psychoanalysis five to ten years after termination: I. Stability of change.

Seven out of 17 patients interviewed in a long-term followup of psychoanalysis showed either improvement in psychological functioning or a retention of psychological gains they had made during the course of psychoanalysis. Six patients deteriorated in their psychological functioning, but their gains were restored with subsequent treatment. Four patients deteriorated in psychological functioning without restoration, whether or not treatment was reentered. Neither analysts' assessments at the time of termination nor patients' assessments of themselves or assessments based on psychological tests one year after termination predicted which patients would improve or retain psychological change. No causal generalizations about factors related to psychological change can be made from these data. Different factors in interaction are suggested to account for the stability and instability of psychological change.

Affect↗
PubMed1990

New evidence on the development of the word big.

Previous studies of children's understanding of big suggest a curvilinear trend. 3-year-olds, like adults, interpret big as referring to area, while 5-year-olds take big to mean tall. The results of 6 experiments indicate that the curvilinear trend is not obtained in all stimulus contexts. When objects vary extremely, younger and older children take big to mean tall. The object to which big is applied also influences whether height, length, or area is attended to. Moreover, in a production task, adults rarely used the work big to describe the stimuli with which children's understanding of big is typically tested. Taken together, the results suggest that the meaning and use of big is complex and that big may not at any age refer simply to the larger object. It is proposed that the meaning of big is a dynamic system driven by a multiple of perceptual, conceptual, and semantic influences.

Adult↗
PubMed1978

Reality orientation versus sheltered workshops as treatment for the institutionalized aging.

The effects of two psychosocial treatments, Reality Orientation and Sheltered Workshops, were evaluated against an assessment-only control. Thirty nursing home residents (mean age, 64.4 years) were randomly assigned to one of two groups in one of the three experimental conditions. Residents assigned to therapy conditions met for 15 group sessions led by trained nursing home personnel. Program effects were assessed before and after treatment using three variables: the Life Satisfaction Index-A, nurses' ratings, and behavior observations. The Sheltered Workshop treatment produced significant gains in Life Satisfaction Index-A scores and staff perceived social interest; Reality Orientation resulted in nonsignificant decrements in Life Satisfaction Index-A scores. Neither treatment produced effects on observer-rated on-ward behavior. The results underscore the importance of empirically evaluating therapy effects with the institutionalized aging and suggest that Sheltered Workshops may be more beneficial for this population than has previously been recognized.

Adult↗