工作记忆训练在精神疾病中的应用

随着工作记忆缺损与各类精神疾病的关联被逐渐阐明,研究者开始关注工作记忆训练能否作为干预手段应用在精神疾病领域中。当前,在对ADHD、精神分裂症、抑郁、焦虑、成瘾障碍和自闭症患者进行的工作记忆训练中发现了训练近迁移、远迁移以及临床症状缓解的相应证据,以及直接(通过提升工作记忆能力起效)和间接(通过提升其他关联能力起效)两条效益路径。此外,一个针对精神疾病患者的有效训练范式应当就三个层面进行考察:训练的一般成分(即受训的核心加工过程),训练的疾病特异成分(例如情绪工作记忆训练);以及训练的辅助性成分(例如动机、策略、慢波睡眠等)。未来研究需要关注适用不同精神疾病的训练范式与程序,促进工作记忆训练的定制化,并且通过完善评估手段进一步澄清工作记忆训练在病患中的效益机制。     

Existentially oriented training for mental health practitioners

Journal of Contemporary Psychotherapy -     

Differentiating two- from three-dimensional mental rotation training effects

Block videogame training has consistently demonstrated transfer effects to mental rotation tasks, yet how variations in training influence performance with different stimuli remains unclear. In this study, participants took mental rotation assessments before and after a 3-week training programme based on 2D or 3D block videogames. Assessments varied in terms of dimensionality (2D or 3D) and stimulus type (polygon or body). Increases in videogame scores throughout training were correlated with mental rotation improvements. In particular, 2D training led to improvements in 2D tasks, whereas 3D training led to improvements in both 2D and 3D tasks. This effect did not depend on stimulus type, demonstrating that training can transfer to different stimuli of identical dimensionality. Interestingly, traditional gender differences in 3D mental rotation tasks vanished after 3D videogame training, highlighting the malleability of mental rotation ability given adequate training. These findings emphasize the influence of dimensionality in transfer effects and offer promising perspectives to reduce differences in mental rotation via designed training programmes.     

Receptive training of adjectival inflections in mental retardates

A generalized discrimination of /er/ and /est/ suffixes as labels for stimuli exemplifying comparative or superlative relationships was established in three institutionalized retardates through differential reinforcement. The subjects were first taught correct pointing in response to opposite adjectives (e.g., "big-small") presented as labels for simple visual stimuli, and then taught each of the comparatives, or each of the superlatives possible for those opposites (e.g., "big-bigger" and "small-smaller", or "big-biggest" and "small-smallest"). As training proceeded, novel combinations of the training stimuli were presented as unreinforced probes to display any developing generalization of the training. As training of comparative discrimination proceeded, correct pointing response to comparative probes was high, but correct response to superlative probes was low. When training of superlative discriminations replaced training of comparatives, correct response to superlative probes increased, and correct response to comparative probes remained high.     

Task-specific modulations of locomotor action parameters based on on-line visual information during collision avoidance with moving objects

The objectives of this study were: (a) to determine if the control mechanism for interacting with a dynamic real environment is the same as in the virtual reality (VR) studies, and (b) to identify the action control parameters that are modulated to successfully pass through oscillating doors. The participants walked along a 14-m path towards oscillating doors (rate of change in aperture size = 44 cm/s and maximum aperture varied 70, 80, or 100 cm). The participants had to use vision to extrapolate what the aperture of the doors would be at the time of crossing and determine if a change in action parameters was necessary. If their current state did not match the required state then the participants made modifications to their actions. The results showed that individuals in a real environment used similar action modifications (i.e., velocity adjustments) as those seen in VR studies to increase success. Aside from the gradual velocity adjustments observed, there was an immergence of a different locomotor action parameter on some trials that was not seen in VR studies (i.e., shoulder rotations). These shoulder rotations occurred when the participants perceived that a velocity adjustment alone would not lead to a successful trial. These results show that participants use perception to control movement in a feedback rather than feedforward manner.     

Processing demands during mental operations

Man possesses a central system of limited capacity. Theorists at first described this system as a single limited capacity channel Two current theoretical alternatives to single-channel theory are (1) the undifferentiated capacity hypothesis that man possesses a pool of capacity units so that interference occurs oniy if the total number of capacity units that mental operations demand exceeds the system limit and (2) the hypothesis that some, but not all, mental operations require space in a limited capacity central mechanism and that any operation that requires space will interfere with any other operation that also demands space. Time on task fails as a sensitive measure of capacity demands because some task components require time but not full processing capacity. The secondary task technique uses the interference between a primary task and a secondary task to assess the extent to which the primary task makes processing demands on the central limited system. Processing demands have been measured for five categories of mental operation: (1) encoding, (2) multiple input, (3) rehearsal, (4) transformation, and (5) responding.     

Effects of cognitive training on primary mental ability structure

We report results of the first empirical test, as far as we know, of the assumption of structural invariance of latent constructs from pretest to posttest in cognitive training research on the elderly. In all, 401 participants in the Seattle Longitudinal Study, over 62 years old, received a 5-hr test battery at pre- and posttest that included 16 ability tests, marking the five primary abilities of Spatial Orientation, Inductive Reasoning, Numerical Ability, Verbal Ability, and Perceptual Speed. A total of 229 of our subjects received 5 hr of individual training on either Spatial Orientation or Inductive Reasoning. Restricted factor analysis with the LISREL algorithm tested the hypothesis of measurement equivalence across test occasions, separately for the control subjects and for each of the training groups. When ability-specific cognitive training intervenes, no structural change is observed for abilities not subject to intervention. However, slight shifts occurred in the optimal regression weights for the different markers for the training target abilities.     

Mindfulness meditation improves cognition: Evidence of brief mental training

Although research has found that long-term mindfulness meditation practice promotes executive functioning and the ability to sustain attention, the effects of brief mindfulness meditation training have not been fully explored. We examined whether brief meditation training affects cognition and mood when compared to an active control group. After four sessions of either meditation training or listening to a recorded book, participants with no prior meditation experience were assessed with measures of mood, verbal fluency, visual coding, and working memory. Both interventions were effective at improving mood but only brief meditation training reduced fatigue, anxiety, and increased mindfulness. Moreover, brief mindfulness training significantly improved visuo-spatial processing, working memory, and executive functioning. Our findings suggest that 4 days of meditation training can enhance the ability to sustain attention; benefits that have previously been reported with long-term meditators.     

The training of community mental health clinicians as infant specialists

This article describes the training program and collaborative effort between the Department of Mental Health, the Child Development Project at the University of Michigan, and community mental health agencies. The in-service training is described with special attention to content and process, including the role of case supervision. The effect of the training program as a catalyst to service development is noted.     

Effectiveness of a mental training program for novice scuba divers

Abstract

The purpose of the study was to assess the effects of a mental training program on state anxiety, respiration rate and performance of novice scuba divers. Forty-four participants enrolled in novice open water diving courses served as participants. An intervention group (n = 15), in addition to scuba training, received an audiotaped mental training program designed to reduce anxiety and improve diving performance. A placebo-control group (n = 15) followed the same procedures except that their audiotape contained general information about scuba diving. A control group (n = 14) received only scuba training. The intervention group reported lower pre-dive scores for cognitive anxiety, higher pre-dive scores for self-confidence, performed better on bail-out and mask removal tasks, and showed lower respiration rate than either control group. Respiration rate and somatic anxiety scores significantly predicted bail-out performance. Respiration rate also predicted mask removal performance. These results suggest that novice divers may benefit from mental training as part of their pre-dive instruction.     

Stimulating ethical awareness during training

This paper argues for a preventative approach to ethical violations through developing and maintaining ethical awareness in training and in the group life of each society. Rather than teaching ethics as a theoretical subject, a method is proposed that encourages direct personal confrontation with ethical dilemmas through the consideration of key examples, in the Talmudic manner. This develops ethical 'muscles' and allows candidates to explore the dilemmas of what Primo Levi called the 'grey zone' where the boundaries between good and bad are unclear. Several illustrations of such ethical dilemmas are described, as used in workshops that the author has run in several societies and developing groups. In this way, ethical awareness becomes part of the group life of the society so that analysts become an ethical resource for each other.     

Activity during unemployment and mental health

The main purpose of this study was to investigate activity during unemployment and the relationship between such activity and mental health in a sample ( n = 213) of unemployed Norwegians. The results indicate that the unemployed are generally more passive than the average population, and that they are considerably less involved in social activities. However, the unemployed do not constitute a homogenous group in terms of activity level and activity profile. Women were somewhat more active that men, particularly in connection with domestic chores. Young people were more active than the other age groups, particularly in connection with extra-familial activities. Several significant relationships were found between different activity categories and mental health. The more active the unemployed were, the better their mental health. The results are discussed in relation to similar data for the average population, other unemployment research, subjective and objective factors which can be of importance to the activity level and profile of the unemployed, sex role issues, theoretical models developed to explain and understand the effects of unemployment, methodological considerations, and the possible functions of activity for mental health.     

The first rational therapist: George Lincoln Walton and mental training

In the early years of the twentieth century, George Lincoln Walton, a Boston neurologist, developed, an approach to treating emotional disturbance which anticipated most of the principles of rational-emotive therapy. Walton argued that most neuroses are the product of irrational thinking, and that the only way to eliminate emotional distress is to adopt a rational philosophy of life. Walton's theory is examined and his place in the history of psychotherapy assessed.     

Controlled and automatic processing during mental rotation

In two experiments, 9- and 10-year-olds and adults were tested on a mental rotation task in which they judged whether stimuli presented in different orientations were letters or mirror-images of letters. The mental rotation task was performed alone on 48 trials and concurrently with a memory task on 48 additional trials. The concurrent memory task in Experiment 1 was recalling digits; in Experiment 2, recalling positions in a matrix. The key result was that the slope of the function relating response time to stimulus orientation was the same when the mental rotation task was performed alone and when performed concurrently with the memory task. This result is interpreted as showing that mental rotation is an automatic process for both children and adults.