A review of social disinhibition after traumatic brain injury

Acquired social disinhibition refers to a debilitating behavioural syndrome commonly reported after a severe traumatic brain injury (TBI) and is characterized by inappropriate social behaviour, often described as immaturity and insensitivity towards others. These behaviours can have enduring effects on the social capability of the individual and their relationships with others. However, research into socially disinhibited behaviour after TBI has been thwarted by a lack of consensus in the literature on definition and measurement. This review provides an overview of our current understanding of the definition, measurement, prevalence, associated outcomes, neuropathology, and underlying mechanisms of social disinhibition after TBI. In addition, suggestions are made for future research to further our understanding of this syndrome with the eventual aim of rehabilitating problematic behaviours. It is concluded that an improved understanding of what causes disinhibited behaviour after TBI will be necessary for the development of effective treatment strategies aimed at the rehabilitation of underlying impairments.     

Links Among Cognitive Empathy,Theory of Mind,and Affective Perspective Taking by Young Children

The authors investigated the development of the affective, cognitive, and behavioral components of empathy in preschoolers, specifically examining how cognitive empathy is linked to theory of mind and affective perspective taking. Participants were 158 children aged 4–6 years. They listened to narratives and then answered questions about the protagonists' emotions. The affective component was probed with the question, “How do you feel seeing the little girl/boy?”; the cognitive component with the question, “Why do you feel [emotion shared with the character]?”; and the behavioral one with the question, “What would you do if you were next to the little boy/girl [experiencing an emotional scenario]?” Results revealed a developmental sequence in the self-focused attribution of cognitive empathy, and a trend toward a developmental sequence for behavioral empathy, which underwent a slight linear increase between 4 and 6 years old. Affective empathy remained stable. More interestingly, they showed that cognitive empathy is linked to both theory of mind and affective perspective taking.     

Working memory outcomes following traumatic brain injury in children: A systematic review with meta-analysis

The aim of this review is to systematically examine the literature concerning multicomponent working memory (WM)—comprising a central executive (CE), two storage components (phonological loop, PL and visuo-spatial sketchpad, VSSP), and episodic buffer (EB)—in pediatric traumatic brain injury (TBI). Electronic searches were conducted of MEDLINE, PsychINFO and EMBASE up to October 2014 with the inclusion criteria of children and adolescents with TBI, and quantitative methods to assess at least one component of WM. Meta-analytic procedures calculated pooled effect sizes for WM outcomes. Of the studies examined, 27 met the inclusion criteria. Children with TBI exhibited deficits in the CE and PL, but not in the VSSP, and no study could be found which examined the EB. Qualitative analysis found that greater TBI severity was associated with poorer CE functioning in five out of nine studies. Differences in patterns of brain activation were evident in four out of five fMRI studies that examined WM in TBI children and controls. Deficits in CE were associated with poorer mathematical skills in the only study that examined relations between WM and academic deficits. Notwithstanding the heterogeneity of the studies reviewed, TBI places children at risk of WM deficits. Moreover, this meta-analysis suggests that various components of WM have differential vulnerability to pediatric TBI, with significant deficits found in the CE and PL, but not in the VSSP (although the VSSP has rarely been examined to date). Future studies should be theoretically driven, employ tasks assessing all components of the WM model and examine the functional ramifications (including academic outcomes) of WM deficits in this population.     

Development of ASB 1: The development of antisocial behaviour in adolescents and young adults

A substantial proportion of adolescent antisocial behaviour (ASB) research has focused on identifying the chronic offender; comparatively little research has investigated developmental patterns among the general adolescent population, who account for a large proportion of ASB participation. A modified version of the Mak Self‐Report Behaviour Scale was administered to 233 (relatively advantaged) community adolescents (aged 9–17), and 193 young adults (aged 18–25). Not available in previous instruments, in addition to prevalence rates, the Adolescent ASB Scale (AASBS) accurately identifies specifically when adolescents enter, exit, and peak in their ASB participation. An earlier age of ASB participation was associated with greater frequency, severity and duration. The most noteworthy finding was a mid‐adolescent peak in ASB participation, which was shorter and more dramatic for girls. These findings provide knowledge critical for informing future research into causal explanations for the temporary and dramatic increase in adolescent ASB, and for developing more effective intervention practices with mainstream youth.     

A person-oriented approach to hand hygiene behaviour: Emotional empathy fosters hand hygiene practice

Objectives: Adopting a social-psychological approach, this research examines whether emotional empathy, an affective reaction regarding another’s well-being, fosters hand hygiene as this affects other’s health-related well-being extensively.

Design: Three studies tested this notion: (a) a cross-sectional study involving a sample of health care workers at a German hospital, (b) an experiment testing the causal effect of empathy on hand hygiene behaviour and (c) an 11-week prospective study testing whether an empathy induction affected disinfectant usage frequency in two different wards of a hospital.

Main outcome measures: Self-reported hand hygiene behaviour based on day reconstruction method was measured in Study 1, actual hand sanitation behaviour was observed in Study 2 and disinfectant usage frequency in two different hospital wards was assessed in Study 3.

Results: Study 1 reveals an association of empathy with hand hygiene cross-sectionally, Study 2 documents the causal effect of empathy on increased hand sanitation. Study 3 shows an empathy induction increases hand sanitiser usage in the hospital.

Conclusions: Increasing emotional empathy promotes hand hygiene behaviour, also in hospitals. Besides providing new impulses for the design of effective interventions, these findings bear theoretical significance as they document the explanatory power of empathy regarding a distal explanandum (hand hygiene).     

The predicting brain: Unconscious repetition, conscious reflection and therapeutic change

Neuroscience indicates that 'repetition' is fundamental to brain function. The brain non-consciously predicts what is most likely to happen and sets in motion perceptions, emotions, behaviors and interpersonal responses best adapted to what is expected-before events occur. Predictions enable individuals to be ready 'ahead of time' so reactions occur rapidly and smoothly when events occur. The brain uses past learning as the guide for what to expect in the future. Because of prediction, present experience and responses are shaped by the past. Predictions from early life can be deeply encoded and enduring. Predictions based on the past allow for more efficient brain function in the present, but can lead to mistakes. When what is predicted does not occur, consciousness can be engaged to monitor and correct the situation. But if a perception or emotion seems reasonable for the situation, a person might not notice an error, and a maladaptive 'repetition' may remain unchanged. The author discusses how predictions contribute to psychological defenses and transference repetition, and how conscious self-reflection facilitates therapeutic change. The neuroscience of prediction indicates why, in certain cases, active engagement by the analyst may be necessary. The author makes the argument for use of a 'neuroscience interpretation'.     

Metamemory following childhood brain injury: A consequence of executive impairment

In this study, we investigated the influence of children’s level of executive functioning on two types of metamemory knowledge following a traumatic brain injury (TBI). For this purpose, 22 children (aged 7 to 14 years) who had sustained a moderate to severe TBI and 44 typically developing children were recruited. The children with TBI were divided into two groups according to the severity of their executive impairment. Injury severity was determined by the Glasgow Coma Scale (GCS) score on admission or by the duration of unconsciousness. All children were then tested on both their knowledge of general memory functioning and their level of memory self-awareness, respectively assessed using the total number of correct responses on an adapted version of a metamemory interview and a self-other discrepancy score on a questionnaire evaluating everyday memory abilities. Data analyses revealed that participants with TBI who suffered impaired executive functions demonstrated less general metamemory knowledge, and underestimated the frequency of their memory problems, compared with children with TBI who had preserved executive functions and with control participants. Considering the well-established effect of metamemory knowledge on people’s spontaneous implementation of strategies, the interest and the importance of these findings on both theoretical and clinical grounds are discussed.     

Empathy,Perspective Taking and Prosocial Behaviour: The Importance of Parenting Practices

The current study analyzed the relationships among maternal empathy (emotional and cognitive), parenting that encourages the child to take the perspective of others, child cognitive empathy and child prosocial behaviour. Participants were 72 typically developing children (66 Caucasian, six Asian) aged between 47 and 76 months (M = 61.5 months, SD = 8.3 months). Results support the facilitative effect of parenting that encourages the child to take the perspective of others. Thus, the role played by parents in the development of prosocial behaviour extends beyond warm/sensitive/responsive parenting in infancy. Together these forms of parenting are key factors that facilitate the development of prosocial behaviour. Copyright © 2011 John Wiley & Sons, Ltd.     

道德判断的分级现象

Blair(1996)发现即使没有心理理论的孤独症儿童,也具备道德判断能力。而Kahn(2004)认为没有心理理论就不可能完成道德判断。已有研究表明,道德判断可能需要一定程度的心理理论。孤独症儿童心理理论存在困难,影响他们理解道德情景并进行正确的道德判断,但这是否与任务的要求道德判断能力的程度不同有关呢?研究增加道德情景的复杂程度,进一步考察儿童道德判断规律。结果发现,道德判断有分级现象,第一级是直接对道德行为进行判断,孤独症和正常儿童都能完成该任务,可能是以原始情绪为基础的;第二级道德判断是对简单道德情景进行判断,需要以心理理论为基础,只有正常儿童才能完成;而对行为与意图不一致的复杂道德判断则需要以更加丰富的经历或者经验为基础,但其属于三级道德判断还是二级道德判断的高级形式还需要进一步的研究。     

心理理论对幼儿白谎行为的影响：认知移情的部分中介作用

采用失望礼物研究范式考察心理理论与幼儿白谎行为的关系,及认知移情和情绪移情在其中的中介作用。结果发现：（1）幼儿的白谎行为发生率、心理理论、认知移情和情绪移情能力随年龄的增长而提高;（2）控制年龄与言语能力后,幼儿的心理理论与认知移情呈显著正相关、与白谎行为也呈显著正相关,且认知移情与白谎行为呈显著正相关;（3）幼儿的认知移情在心理理论和白谎行为间起部分中介的作用。结果表明：幼儿的心理理论可直接影响其白谎行为,也可通过认知移情的中介作用间接影响其白谎行为。     

Sensory sensitivity after acquired brain injury: A systematic review

Patients with acquired brain injury frequently report experiencing sensory stimuli as abnormally under- (sensory hyposensitivity) or overwhelming (sensory hypersensitivity). Although they can negatively impact daily functioning, these symptoms are poorly understood. To provide an overview of the current evidence on atypical sensory sensitivity after acquired brain injury, we conducted a systematic literature review. The primary aim of the review was to investigate the behavioural and neural mechanisms that are associated with self-reported sensory sensitivity. Studies were included when they studied sensory sensitivity in acquired brain injury populations, and excluded when they were not written in English, consisted of non-empirical research, did not study human subjects, studied pain, related sensory sensitivity to peripheral injury or studied patients with a neurodegenerative disorder, meningitis, encephalitis or a brain tumour. The Web of Science, PubMed and Scopus databases were searched for appropriate studies. A qualitative synthesis of the results of the 81 studies that were included suggests that abnormal sensory thresholds and a reduced information processing speed are candidate behavioural mechanisms of atypical subjective sensory sensitivity after acquired brain injury. Furthermore, there was evidence for an association between subjective sensory sensitivity and structural grey or white matter abnormalities, and to functional abnormalities in sensory cortices. However, further research is needed to explore the causation of atypical sensory sensitivity. In addition, there is a need for the development of adequate diagnostic tools. This can significantly advance the quantity and quality of research on the prevalence, aetiology, prognosis and treatment of these symptoms.     

Social cognition models and health behaviour: A structured review

Abstract

A number of social cognition models have been developed to account for socio-demographic variations in health behaviour. This paper distinguishes between: (a) motivational, (b) behavioural enaction, and (c) multi-stage models of health behaviour. The models are evaluated in terms of advancement of existing knowledge and - where appropriate - predictive utility. Common themes that appear within- and between- these categories are discussed, with consideration of ways in which theory may be advanced by future research. Each approach has associated strengths and weaknesses, suggesting that a “consensus” approach to the study of health behaviour may prove fruitful. Identification of the key constructs across different model types would allow coherent integration and promote further understanding of the psycho-social determinants of health behaviour.     

镜像神经元系统的研究回顾及展望

镜像神经元系统的发现使得研究者从一个较为统一的神经机制层面了解人类多个层次的社会认知活动。在猕猴大脑F5区发现的镜像神经元可以在抽象的层面上帮助猕猴理解他人行为的意图。利用脑成像技术,研究发现人类的镜像神经元系统能够匹配外界的知觉表征和内在的动作表征从而通过“居身模仿”这一过程来进行模仿、语言理解、理解他人的意图及情绪这些重要的社会认知活动。另外,镜像神经元系统在社会交往中也起着重要作用,最后,就镜像神经元系统在心理理论中的作用、了解自我-他人问题和镜像神经元系统的关系、动机、经验等因素对镜像神经元系统活动的调控等问题对未来的研究方向进行了展望     

Predicting sun-protective intentions and behaviours using the theory of planned behaviour: a systematic review and meta-analysis

Objective: To synthesise theory of planned behaviour (TPB) relationships, using meta-analysis, and test the predictive utility of the model for sun protection behaviour.

Design: Thirty-eight samples were identified via database/manual searches and academic society posts based on the criteria: measuring sun-protective intentions and/or prospective behaviour; using the TPB/theory of reasoned action as a basis of measurement; and providing bivariate correlations for at least one relevant TPB association.

Main outcome measures: Sun-protective intentions and behaviours.

Results: The sample-weighted average effects were moderate-to-strong with attitudes showing the strongest association with intention (r+ = 0.494), followed by perceived behavioural control (PBC; r+ = 0.451), and subjective norm (r+ = 0.419). Intentions showed a stronger association with prospective behaviour (r+ = 0.486) compared to PBC (r+ = 0.314). A total of 39% of variance in intentions and 25% of variance in behaviour were explained. Publication bias was not evident. Moderator analyses showed that TPB associations were stronger when measures specified the Target, Action, Context and Time; in non-student samples; and when follow-up exceeded two weeks.

Conclusion: Despite recent criticism, this review shows that the TPB explains a large amount of variance in sun protection and that TPB associations are robust across different populations.     

The theory of planned behaviour and breast self-examination: Assessing the impact of past behaviour,context stability and habit strength

This study applied the theory of planned behaviour (TPB) to the prediction of breast self-examination (BSE) intentions and behaviour, and tested whether the frequency of past behaviour and context stability moderates intention–behaviour and habit–behaviour relations. Seventy-seven females completed measures of the TPB, frequency of past behaviour, context stability and habit strength (Self-Report Habit Index). BSE behaviour was assessed at 1-month follow-up (n?=?66). The TPB explained 33% of the variance in BSE intentions and 11% of the variance in time 2 BSE. The frequency of past behaviour moderated the intention–behaviour relationship such that the intention was only positively related to time 2 BSE behaviour when the frequency of past behaviour was low. Context stability and the combination of the frequency of past behaviour?×?context stability moderated the habit–behaviour relationship such that habit strength was only positively related to time 2 BSE behaviour when context stability and the combination of frequency of past behaviour?×?context stability were high. The results are consistent with the proposal that behaviours that are performed frequently in stable contexts are predominantly under the control of habitual processes, whereas behaviours that are performed infrequently in unstable contexts are predominantly under the control of intentional processes.     

研究心理理论的新方法——失言识别任务

心理理论是对他人心理状态进行推论的能力。考察心理理论的经典范式是错误信念任务, 而青少年和成人在这种任务上可能出现天花板效应。为了测量青少年和成人的心理理论, Valerie E. Stone和她的合作者设计了失言识别任务。征求了Stone意见, 对失言识别任务的提出、构成、使用进行了介绍, 说明了该任务相对于经典范式的优势; 与此同时, 分析了失言识别任务范式存在的一些问题, 比如其效度指标问题, 与言语能力的分离问题, 失言识别任务与执行功能之间的分离等。未来研究可以尝试编制失言识别任务的本土化的量表, 并利用其探讨年长个体心理理论水平发展变化的规律。