“…The functional meaning of volume abnormalities was challenged with the Digit Symbol Substitution test, which assesses several components of cognitive and motor processes commonly impaired with HIV infection (e.g., 62, 86, 87) or alcoholism (e.g., 76, 88, 89, 90). Processes include directed and sustained attention, hand-eye coordination involving working memory for transcribed symbols, and psychomotor speed (cf., 76).…”