Influence of feedback modality on sensorimotor adaptation: contribution of visual, kinesthetic, and verbal cues

In 4 studies, the authors tested the contributions of visual, kinesthetic, and verbal knowledge of results to the adaptive control of reaching movements toward visual targets. The same apparatus was used in all experiments, but the procedures differed in the sensory modality of the feedback that participants (N s = 5, 5, 6, and 6, respectively, in Experiments 1, 2, 3, and 4) received about their performances. Using biased visual, proprioceptive, or verbal feedback, the authors introduced a 5 degrees shift in the visuomanual relationship. Results showed no significant difference in the final amount of adaptation to the mismatch: On average, participants adapted to 79% of the perturbation. That finding is consistent with the view that adaptation is a multisensory, highly flexible process whose efficiency does not depend on the sensory channel conveying the error signal.     

Treatment of adjustment disorders: a comparative evaluation

With the aim of assessing four forms of therapy with adjustment-disordered outpatients, we randomly assigned 70 subjects to the following treatments: supportive psychotherapy (psychoanalytically oriented), viloxazine (an antidepressant), lormetazepam (a benzodiazepine), and S-adenosylmethionine (a methyl donor with antidepressive properties). A further group of 15 subjects received a placebo, orally administered. The trial lasted 4 wk. None of the treatments had clearly superior effects over others on scores on the Zung Self-rating Depression Scale. All produced a significant improvement. However, groups given S-adenosylmethionine and supportive psychotherapy had the highest mean scores.     

The contribution of forensic psychiatry in the determination of punishable guilt]

As part of the consultative discussions between members of the Supreme Court and workers at the Department of Forensic Psychiatry, G.D.R. Institute of Psychiatrists and Neurologists, problems are being dealt here with, which have been discussed by the present authors as early as in 1972. These are questions arising in connection with expert opinions on responsibility and guilt and concerning the offender's personality, the motives, the kind and extent of guilt, the possible exclusion of guilt, as well as urges of passion beyond the limits of paragraphs 15 and 16 in addition to exceptional objective and subjective circumstances.     

Casuistic contribution to the differential diagnosis of the myoclonic syndrome]

Involuntary muscle twitches, which are accompanied by a more or less pronounced effect of motion and which may last for several hours, are a common guiding symptom of a number of neurological syndromes. This paper reports the case of a 24-year-old male who had been suffering since his sixth year from episodic muscular spasms accompanied by attacks of petit mal. These are regarded as representing a myoclonic-epileptic syndrome. In this connection, a distinction has to be made, by differential diagnosis, between the "true" myoclonic syndrome which is characterized by the absence of complications due to attacks of grand mal or petit mal, Kojewnikoff's epilepsy, and the myoclonic-epileptic dementia form of syndrome.     

Treatment of obsessive-compulsive patients: The contribution of self-instructional training to the effectiveness of exposure

Fifteen obsessive-compulsive patients were given treatment consisting of ten sessions of gradual exposure in vivo. For half of the patients gradual exposure in vivo was preceded by self-instructional training.Treatment resulted in significant improvement on anxiety and avoidance scales, Leyton Obsessional Inventory, Self-rating Depression Scale and on ratings for anxious mood and depression. Neither the post-test nor the follow-ups 1 month and 6 months later indicated a difference between the effects of the two conditions. Self-instructional training did not enhance the effectiveness of gradual exposure in vivo.     

Electroencephalographic findings in vertebro-basilar circulation disorders]

The method of electroencephalography was used for examining 86 patients with clinical signs of vertebrobasilar blood supply disorders and bulbopontine localization of ischemic phenomena. Light to moderate diffuse alterations were found which manifested themselves, on the one hand, in a reduction in tension with a tendency toward desynchronization of the alpha rhythm and, on the other, in interspersed theta waves, sometimes with temporal localization. The determination of the location of the vascular process depends upon both the clinical syndrome and the performance of function tests during the electroencephalographic examination. The disproportion between the excellent organization of the bioelectrical activity and the severe clinical picture is sufficient reason to consider vascular damages to the pontobulbar portion of the brain stem.     

Neuropsychiatric disorders in children of divorced marriages]

From the standpoint of polyethiological methods of treating children's neuropsychiatric disorder images, the present paper is concerned with the question of environmental morbific agents which play a part in the genesis of these disorders. The results have made it clear that children of divorced marriages have to be treated at medical establishments for psychiatric disorders more frequently than those coming from normal family relationships, with a marked dependence on the environment to be observed in certain groups of diagnoses. The encephalopathic child must be regarded as being particularly endangered. Suggestions are given as to the prophylaxis of such disorders, which must primarily be oriented towards the family.     

Treatment hurts: Lay theories of graded exposure in the treatment of four anxiety disorders

Objective: This paper concerned the perceived suffering/side effects caused by various well-known treatments for personal problems. It looked at whether people understood whether potentially painful treatments that confront negative aversive affect were effective or not.

Method: In total, 106 participants completed a long questionnaire assessing the ‘psychological pain’ ratings of 30 psychotherapy treatments, varying in fear exposure, for four relatively common anxiety disorders: social phobia, agoraphobia, post-traumatic stress disorder, and obsessive compulsive disorder.

Results: Factor analytic results revealed four clear factors underlying lay efficacy beliefs of psychotherapy interventions, varying in fear exposure: talking therapies, fear confrontation, fear avoidance, and alternative therapies. Talking therapies were rated the most effective across all disorders, but also the most painful. Fear avoidance therapies were rated the least effective and, along with alternative medicine, the least painful. Treatments involving fear exposure were rated the most painful. Regression analysis revealed talking therapies to be rated more efficacious by younger subjects than older subjects.

Conclusion: Most people seem able to differentiate between the efficacies of interventions for different anxiety disorders and hold consensually held optimistic conceptions about the usefulness of psychotherapy treatments and counseling that involve fear exposure, despite knowledge of the psychophysical side effects that these therapies often entail. They favored talking cures over others, but that may have been due to misleading items in the questionnaire.     

Levels of representation in the electrophysiology of speech perception

Mapping from acoustic signals to lexical representations is a complex process mediated by a number of different levels of representation. This paper reviews properties of the phonetic and phonological levels, and hypotheses about how category structure is represented at each of these levels, and evaluates these hypotheses in light of relevant electrophysiological studies of phonetics and phonology. The paper examines evidence for two alternative views of how infant phonetic representations develop into adult representations, a structure-changing view and a structure-adding view, and suggests that each may be better suited to different kinds of phonetic categories. Electrophysiological results are beginning to provide information about phonological representations, but less is known about how the more abstract representations at this level could be coded in the brain.     

Bonding in group: the therapist's contribution

Bonding is an ongoing aspect of intersubjective experience, a type of mental relationship to oneself and others. As a behavioral mode, bonding utilizes verbal and nonverbal communication primarily to establish a basic feeling of connection between individuals. Bonding is the floor, a cognitive-affective state that precedes and prepares the way for the complex processes underlying identification. The concept relates to Bion's early theory of basic assumptions, and takes on new and different meanings according to his later ideas regarding social communication. Bonding is also a therapeutic posture or technique, an element in the establishment of group cohesion, the positive transference, and therapeutic and group alliance. Case examples illustrate how the therapist and other group members bring a complex of bonding needs and anxieties that must be negotiated to establish and maintain bonding, which is a necessary condition for successful therapeutic work.     

We almost had a great future behind us: The contribution of non-linear dynamics to developmental-science-in-the-making

Classical developmental theories, like those of Piaget, Werner and Vygotsky, were on the verge of developmental science, the study of phenomena from the point of view of development. Methodological and theoretical shifts in the 1960s changed the original goals and questions and turned developmental psychology into a discipline that is, on the whole, more like a subservient than a leading branch of psychology. Dynamic systems theory, which has its roots in mathematics and physics, can help developmental theory out of its current blind alley by providing the general theoretical frameworks and methods for bringing the dynamic aspects of change back to the fore. By doing so, it will help turn the scientific course back in the direction of developmental science.     

Anesthesia and the electrophysiology of auditory consciousness

Empirical work is reviewed which correlates the presence or absence of various parts of the auditory evoked potential with the disappearance and reemergence of auditory sensation during induction of and recovery from anesthesia. As a result, the hypothesis is generated that the electrophysiological correlate of auditory sensation is whatever neural activity generates the middle latency waves of the auditory evoked potential. This activity occurs from 20 to 80 ms poststimulus in the primary and secondary areas of the auditory cortex. Evidence is presented suggesting that earlier or later waves in the auditory evoked potential do not covary with auditory sensation (as opposed to auditory perception) and it is therefore suggested that they are possibly not the electrophysiological correlates of sensation.     

The Simon effect in cognitive electrophysiology: A short review

In the Simon task, stimuli are presented laterally and typically a non-spatial stimulus dimension demands a lateralized choice response. Responses are faster when the task-irrelevant stimulus location and the response location correspond than when they do not correspond. The present paper explores the impact of the Simon task on cognitive electrophysiological research as well as the insights gained from event-related brain potentials (ERPs) in the attempt to uncover the hidden mechanisms underlying the Simon effect.