It has been argued that principles of perceptual organization play an important role in the representation of a visual stimulus and that elderly adults may be deficient in perceptual unit formation. The present study examined the extent to which the Gestalt principles of grouping by proximity and similarity predicted the formation of large perceptual units that could affect performance in a visual search task. The verbal reaction time to determine the presence or absence of a target letter in arrays of 1, 5, or 9 elements was determined for young (20 years) and elderly (69 years) adults. Both age groups could take advantage of the organization implied by Gestalt principles in finding a target in the context of a small implied group. The elderly adults, however, were not able to organize a single perceptual unit composed of eight elements. Thus, although the visual search performance of the age groups was similar, the elderly adults did yield evidence of a perceptual organization deficit.

We evaluated prospectively the medical, sexual and psychosocial outcome of external vacuum devices in the treatment of erectile dysfunction. A total of 29 men regularly used such a device for 6 months and reported statistically significant improvements in erectile quality, frequency of intercourse attempts, frequency of orgasm and sexual satisfaction, as well as decreased psychiatric symptomatology, increased self-esteem and a trend toward improved marital satisfaction. Of the partners 18 reported improved sexual functioning, including increased frequency of orgasm, decreased masturbation and greater sexual satisfaction, with no changes in psychosocial parameters. The vacuum device was effective in producing erections in 89% of the men. Dropout, only 19% within 6 months, was primarily due to insufficient or pivoting erections and bruising. The most frequent adverse effects were blocked ejaculation and physical discomfort. Vacuum devices appear to provide a safe, effective, inexpensive, noninvasive treatment for erectile failure that enjoys high patient and partner acceptance.

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