“Hotspots” in trauma memories in the treatment of post-traumatic stress disorder: A replication

“Hotspots” refer to memories of detailed moments of peak emotional distress during a traumatic event. This study investigates hotspot frequency, and the emotions and cognitions contained in hotspots of memory for trauma, to replicate a previous study in this area (Holmes, Grey, & Young, 2005). Participants were patients receiving treatment for post-traumatic stress disorder (PTSD) at a specialist outpatient clinic after experiencing a range of traumatic events. The main finding was that, after fear, the most common emotions reported were anger and sadness. Cognitions related to psychological threat to the self were more common than those related to physical threat.     

Perception of threat cues in post-traumatic stress disorder: Semantic processing without awareness?

Research suggests that anxiety-disordered patients semantically process, without awareness, threat cues occurring in unattended prose passages during dichotic listening (Mathews, 1984). In the present study, we attempted to demonstrate unaware semantic processing of threat cues in Vietnam combat veterans with post-traumatic stress disorder (PTSD). Control Ss included alcoholic and normal veterans, all without combat experience. To provide a rigorous test of the hypothesis, we employed a dichotic listening procedure that strictly controlled the S's attentional resources and prevented momentary attention shifts from producing results spuriously suggesting semantic processing without awareness. The processing measures included skin conductance responses and shadowing errors following presentation of threat words related to Vietnam, phonetically similar words, words threatening for other anxiety-disorder groups and neutral words. The results were inconsistent with the semantic processing without awareness hypothesis, suggesting that previous data adduced as evidence for the phenomenon may have stemmed from prose shadowing procedures that permitted momentary awareness of threat cues on the unattended channel.     

Is it emotion or is it stress? Gender stereotypes and the perception of subjective experience

Two studies of college undergraduates (ns = 95 and 92, primarily non-Hispanic whites and Asian Americans) investigated gender stereotypes of stress and emotion, as well as variables that influence the perception of gender-related differences. Study 1 assessed how gender stereotypes differ from the self-reports of men and women. When asked to choose a label for the subjective experience of the average man and the average woman in a series of problematic hypothetical situations, participants generally tended to believe that the average female would feel ‘emotional,” but that the average male would feel “stressed.” By contrast, the label participants chose to describe their own subjective experience was not significantly affected by their gender. In addition, participants believed the average woman and man differed more in the intensity of their emotions than in the intensity of their stress, a belief contradicted by their own self-reports. Results of Study 2 indicated that gender-related differences in estimations of stress and emotion for the self were reduced or eliminated when specific information about experience-eliciting situations was provided. We would like to thank Matthew Dank for his help in preparing the stimulus materials.     

When is it wrong to eat animals? The relevance of different animal traits and behaviours

Research suggests that animals’ capacity for agency, experience, and benevolence predict beliefs about their moral treatment. Four studies built on this work by examining how fine‐grained information about animals’ traits and behaviours (e.g., can store food for later vs. can use tools) shifted moral beliefs about eating and harming animals. The information that most strongly affected moral beliefs was related to secondary emotions (e.g., can feel love), morality (e.g., will share food with others), empathy (e.g., can feel others' pain), social connections (e.g., will look for deceased family members), and moral patiency (e.g., can feel pain). In addition, information affected moral judgements in line with how it affected superordinate representations about animals’ capacity for experience/feeling but not agency/thinking. The results provide a fine‐grained outline of how, and why, information about animals’ traits and behaviours informs moral judgements.     

Propranolol and the Prevention of Post-Traumatic Stress Disorder: Is it Wrong to Erase the “Sting” of Bad Memories?

The National Institute of Mental Health (Bethesda, MD) reports that approximately 5.2 million Americans experience post-traumatic stress disorder (PTSD) each year. PTSD can be severely debilitating and diminish quality of life for patients and those who care for them. Studies have indicated that propranolol, a beta-blocker, reduces consolidation of emotional memory. When administered immediately after a psychic trauma, it is efficacious as a prophylactic for PTSD. Use of such memory-altering drugs raises important ethical concerns, including some futuristic dystopias put forth by the President's Council on Bioethics. We think that adequate informed consent should facilitate ethical research using propranolol and, if it proves efficacious, routine treatment. Clinical evidence from studies should certainly continue to evaluate realistic concerns about possible ill effects of diminishing memory. If memory-attenuating drugs prove effective, we believe that the most immediate social concern is the over-medicalization of bad memories, and its subsequent exploitation by the pharmaceutical industry.     

Posttraumatic stress disorder in medically ill patients: what is known, what needs to be determined, and why is it important?

Can a medical illness or its treatment qualify as an emotionally traumatic event and can it cause posttraumatic stress disorder symptoms? If so, can the view of a medical illness as a traumatic experience enhance our ability to understand patients' adjustment to illness and their emotional reactions to it? Is it important to identify posttraumatic symptoms and try to address them in medically ill patients? These questions form the backbone for this review. Because many questions remain unanswered (or the answers are not definitive yet), we concisely summarize the issues and present our own view of the most pressing questions for further research.     

Is it wrong to impose the harms of human life? A reply to Benatar

Might it be morally wrong to procreate? David Benatar answers affirmatively in Better Never to Have Been, arguing that coming into existence is always a great harm. I counter this view in several ways. First, I argue against Benatar’s asserted asymmetry between harm and benefit—which would support the claim that any amount of harm in a human life would make it not worth starting—while questioning the significance of his distinction between a life worth starting and one worth continuing. I further contend that his understanding of hedonism and desire-fulfillment theories distorts their implications for the quality of human life; as for objective-list theories, I rebut his critique of their human-centered basis of evaluation. Notwithstanding this multi-tiered challenge to Benatar’s reasoning, I conclude with praise for his work and the intellectual virtues it embodies.     

Vivid memories of distant trauma: Examining the characteristics of trauma memories and the relationship with the centrality of event and posttraumatic stress 26 years after trauma

In the present study, we investigated the phenomenological characteristics of distant trauma memories and the relationship between the vividness of trauma memories, the centrality of event and symptoms of posttraumatic stress in two groups with different types of trauma exposure, namely survivors and bereaved, from the fire on the passenger ferry, Scandinavian Star, 26 years earlier. More than two decades after the fire, the traumatic event was represented as a vivid, emotional recollection for many of the victims. For both the survivors and the bereaved, a higher degree of vividness of trauma memories and centrality of the event were associated with higher levels of posttraumatic stress. The present findings show that even very distant trauma memories can be represented as vivid recollections. Furthermore, the findings suggest that both vividness of trauma memories and event centrality may contribute to explain how posttraumatic stress reactions can remain present over a very long time.     

What is wrong with the indeterminacy of language-attribution?

One might take the significance of Davidson’s indeterminacy thesis to be that the question as to which language we can take another to be speaking can only be settled relative to our choice of an acceptable theory for interpreting the speaker. This, in turn, could be taken to show that none of us is ever speaking a determinate language. I argue that this result is self-defeating and cannot avoid collapse into a troubling skepticism about meaning. I then offer a way of trying to make sense of the idea that some utterances do belong to determinate languages even though there is no determinate language one can take another to be speaking. This, however, results in an uninviting picture of communication in which no speaker is really in a position to say what another’s words mean.     

Neurolinguistics and neuroimaging: forward to the future,or is it back?

Books reviewed in this article:
Michael Gazzaniga (ed.), Cognitive Neuroscience: A Reader
Alec Marantz, Yasushi Miyashita, and Wayne O'Neil (ed.), Image, Language, Brain: Papers From the First Mind Articulation Project Symposium
Colin Brown and Peter Hagoort, The Neurocognition of Language     

Perceptions of wisdom: What is it and who has it?

One hundred fifty-five men and 233 women, aged 20 to 79 years, were asked to name both the most wise and the most interpersonally wise persons they knew personally and to give the age and sex of each. Participants were also asked for the areas in which their nominees were particularly wise. Overall, men and women responded similarly. The subjects tended to nominate individuals who were older than they were; the difference between their own age and their nominees' age decreased with increasing age. Subjects nominated males more often than females as wise and this tendency increased with the subjects' age. With the exception of older women, participants nominated females more often than males as interpersonally wise. When asked to report the areas in which their wise nominees were particularly wise, subjects tended to mention specific skill areas (e.g., business or science) for male nominees and interpersonal skill areas for female nominees.Please note that Nancy W. Denney is deceased.     

Underestimation of prior remembering and susceptibility to false memories: two sides of the same coin?

In two studies, we explored whether susceptibility to false memories and the underestimation of prior memories (i.e., forgot-it-all-along effect) tap overlapping memory phenomena. Study 1 investigated this issue by administering the Deese/Roediger–McDermott task (DRM) and the forgot-it-all-along (FIA) task to an undergraduate sample (N = 110). It was furthermore explored how performances on these tasks correlate with clinically relevant traits such as fantasy proneness, dissociative experiences, and cognitive efficiency. Results show that FIA and DRM performances are relatively independent from each other, suggesting that these measures empirically apparently refer to separate dimensions. However, they do not seem to define different profiles in terms of dissociation, fantasy proneness, and cognitive efficiency. Study 2 replicated the finding of relative independence between false memory propensity (as measured with the DRM task) and the underestimation of prior memories (as measured with an autobiographical memory dating task) in people with a history of childhood sexual abuse (N = 35).     

When is it time to stop? When good enough becomes bad enough

This article draws on Winnicott’s concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the ‘Casablanca dilemma’, based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.     

The phonological store of working memory: is it phonological and is it a store?

The phonological store construct of the working memory model is critically evaluated. Three experiments test the prediction that the effect of irrelevant sound and the effect of phonological similarity each survive the action of articulatory suppression but only when presentation of to-be-remembered lists is auditory, not visual. No evidence was found to support the interaction predicted among irrelevant speech, modality, and articulatory suppression. Although evidence for an interaction among modality, phonological similarity, and articulatory suppression was found, its presence could be diminished by a suffix, which is an acoustic, not a phonological factor. Coupled with other evidence--from the irrelevant sound effect and errors in natural speech--the action attributed to the phonological store seems better described in terms of a combination of auditory-perceptual and output planning mechanisms.