Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care

Objective: To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD. Method: Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences. Results: The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines. Conclusion: These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.     

Attention allocation modulates the processing of hierarchical visual patterns: a comparative analysis of capuchin monkeys (Cebus apella) and humans

Humans show a global advantage when processing hierarchical visual patterns, and they detect the global level of stimulus structure more accurately and faster than the local level in several stimulus contexts. By contrast, capuchins (Cebus apella) and other monkey species show a strong local advantage. A key factor which, if manipulated, could cause an inversion of this effect in monkeys is still to be found. In this study, we examined whether it was possible to induce attention allocation to global and local levels of perceptual analysis in capuchin monkeys and if by doing so, their local dominance could be reversed. We manipulated attentional bias using a matching-to-sample (MTS) task where the proportion of trials requiring global and local processing varied between conditions. The monkeys were compared with humans tested with the same paradigm. Monkeys showed a local advantage in the local bias condition but a global advantage in the global bias condition. The role of attention in processing was confined to the local trials in a first phase of testing but extended to both local and global trials in the course of task practice. Humans exhibited an overall global dominance and an effect of attentional bias on the speed of processing of the global and local level of the stimuli. These results indicate a role for attention in the processing of hierarchical stimuli in monkeys and are discussed in relation to the extent to which they can explain the differences between capuchin monkeys and humans observed in this and other studies.     

Insufficient Referral for Genetic Counseling in the Management of Hereditary Haemochromatosis in Portugal: A Study of Perceptions of Health Professionals Requesting HFE Genotyping

There is a general consensus that HFE- related Hereditary Haemochromatosis (HFE-HH) should be diagnosed at early stages in pre-symptomatic individuals, in order to prevent the most severe consequences of iron overload. In Portugal, despite an increasing number of requests for genetic diagnosis of this rare disease, there is not a corresponding increase in requests for genetic counselling. The objective of the present study was to evaluate physicians’ main motivations for requesting HFE genotyping or genetic counselling for HFE-HH. We assessed current medical practices regarding family testing and diagnosis and discuss whether these can be improved in order to increase the effectiveness of disease prevention. Our results show there is a general lack of knowledge about the selection of patient cases that should be sent for genetic counseling or for molecular testing of HFE-HH by physicians (especially by general practitioners). The lack of family-based screening may indirectly compromise the efficiency of disease prevention in terms of early diagnosis and treatment. We concluded it is necessary to circulate more information about Hereditary Haemochromatosis among health professionals in order to improve strategies for its early diagnosis.     

Das psychische Erbe der Menschheit

The historical development and importance in theory and practice of the term archetype, the core concept of Analytical Psychology, is extensively presented. Beginning with C.G. Jung’s definition of archetype through to the current state of the discussion, various conceptualizations of biological, developmental psychological and cultural theoretical basis are presented. The results show that there is empirical evidence for psychological archetypes, for instance in the neurosciences, developmental psychological and anthropological research and that the classical conception of inheritance of complex symbolic patterns cannot be substantiated by more recent results in human genetics and particularly in epigenetics. The prominent attempts at solving this problem from the contempory Analytical Psychology will be discussed, in particular emergence and system theoretical argumentation. Finally, various empirical, partially experimental studies from Analytical Psychology, among others from the authors themselves, will be presented which confirm the hypothesis of the existence of archetypes and of a collective (unconscious) memory. The article gives a total overview of the state of specialist discussions on the archetype concept for the readership above and beyond the narrow field of Analytical Psychology.     

Democratizing TV?

Television and the Crisis of Democracy, by Douglas Kellner, Boulder, Co: Westview, 1990, 287 pages, hb £17.95, pb £10.95     

Deeper attentional masking by lateral objects in children with autism

Autism spectrum disorder (ASD) is often associated with a detail-oriented perception and overselective attention in visual tasks, such as visual search and crowding. These results were obtained manipulating exclusively the spatial properties of the stimuli: few is known about the spatio-temporal dynamics of visual processing in ASD. In this study we employed an attentional masking (AM) paradigm comparing children with ASD and IQ-matched typically developing (TD) controls. The AM effect refers to an impaired identification of a target followed by a competitive masking object at different proximities in space and time. We found that ASD and TD groups did not differ in the AM effect provoked by the competitive object displayed in the same position of the target. In contrast, children with ASD showed a deeper and prolonged interference than the TD group when the masking object was displayed in the lateral position. These psychophysical results suggest that the inefficient attentional selection in ASD depends on the spatio-temporal interaction between competitive visual objects. These evidence are discussed in the light of the ASD altered neural connectivity hypothesis and the reentrant theory of perception.     

Self-efficacy,planning, and preparatory behaviours as joint predictors of physical activity: A conditional process analysis

Objective: Planning can bridge the gap between intentions and action, but what bridges the gap between planning and action? This study helps to answer the question by disentangling the interrelationships between self-efficacy, planning and preparatory behaviours in predicting physical activity. Preparatory behaviours are tested as a working mechanism of planning. Moreover, it is tested whether the utility of preparatory behaviours depends on an individual’s level of self-efficacy.

Methods: A survey assessed planning, self-efficacy and preparatory behaviours for physical activity. Adults (N = 166) provided data at two measurement points. In a longitudinal model, preparatory behaviours were specified as a mediator between planning and physical activity. Self-efficacy was specified as a possible moderator at two points in the model.

Results: Preparatory behaviours mediated the relationship between planning and physical activity. An interaction between self-efficacy and preparatory behaviours on physical activity was found, indicating that individuals with low self-efficacy beliefs were more active if they engaged more frequently in preparatory behaviours.

Conclusion: Planning seems to stimulate preparatory behaviours, which in turn make future physical activity more likely. Furthermore, as performing preparatory behaviours represent a step forward towards the enactment of behavioural goals, preparatory behaviours may be particular beneficial for individuals afflicted by self-doubts regarding physical activity.     

High test-retest reliability of a neural index of rapid automatic discrimination of unfamiliar individual faces

An important aspect of human individual face recognition is the ability to discriminate unfamiliar individual. Since many general processes contribute to explicit behavioural performance in individual face discrimination tasks, isolating a measure of unfamiliar individual face discrimination ability in humans is challenging. In recent years, a fast periodic visual stimulation approach (FPVS) has provided objective (frequency-locked) implicit electrophysiological indices of individual face discrimination that are highly sensitive at the individual level within a few minutes of testing. Here we evaluate the test-retest reliability of this response across scalp electroencephalographic (EEG) recording sessions separated by more than two months, in the same 30 individuals. We found no test-retest difference overall across sessions in terms of amplitude and spatial distribution of the EEG individual face discrimination response. Moreover, with only 4 stimulation sequences corresponding to 4 min of recordings per session, the individual face discrimination response was highly reliable in terms of amplitude, spatial distribution, and shape. Together with previous observations, these results strengthen the diagnostic value of FPVS-EEG as an objective and rapid flag for specific difficulties at individual face recognition in the human population.     

Cognitive load and semantic analogies: Searching semantic space

The aim of the present study is to investigate the performance of children of different ages on an analogymaking task involving semantic analogies in which there are competing semantic matches. We suggest that this can best be studied in terms of developmental changes in executive functioning. We hypothesize that the selection of common relational structure requires the inhibition of other salient features, in particular semantically related matches. Our results show that children's performance in classic A ∶ B ∶∶ C ∶ D analogy-making tasks seems to depend crucially on the nature of the distractors and the association strength between both the A and B terms and the C and D terms. These results agree with an analogy-making account (Richland, Morrison, & Holyoak, 2006) based on different limitations in executive functioning at different ages.