The neuropsychology of depression and its implications for cognitive therapy

The past few years have witnessed a growing interest in the specialty of neuropsychology as well as continued support for cognitive therapy of depression. The purpose of this paper is the examination of the neuropsychology of depression and its implications for A. T. Beck's cognitive theory and therapy of depression ([1963] Thinking and Depression: Idiosyncratic Content and Cognitive Distortions,Archives of General Psychiatry, Vol. 9, pp. 324–333; [1964] Thinking and Depression,Archives of General Psychiatry, Vol. 10, pp. 561–571; [1967]Depression: Clinical, Experimental, and Theoretical Aspects, New York: Harper & Row). Specifically, the neuropsychological and cognitive theory and therapy literatures related to depression are reviewed followed by an antegration of these areas. Neuropsychological evidence is presented that both supports cognitive theory and therapy of depression and helps explain why such therapy may prove ineffective in treating depression. Implications for clinical practice, including neuropsychological assessment of depressives, and potential future research directions are also provided.     

Social-cognitive and cognitive correlates of depression in children

The present investigation examined depression and its social-cognitive and cognitive correlates in a sample of 108 elementary school children: 36 children in each of grades 1, 4, and 8. Children were classified as depressed and nondepressed according to their scores on the Children's Depression Inventory (CDI). Depression appeared stable over a 3-week time interval. Depressed children reported a higher number of masking symptoms, were rated as more depressed by their teachers, and perceived their family environment to be more distressed. As posited, when compared to nondepressed children, depressed children have lower self-esteem, a more depressive attributional style, and more self-control deficits. Further, they have impaired performance on some cognitive tasks (block design, coding digit span) but not all (vocabulary). The prediction that depression would be manifested differently in first-, fourth-, and eighth-graders was not supported.This research was supported by a grant from the Hogg Foundation for Mental Health. We would like to specifically acknowledge the help of Dr. Wayne Holtzman, director of the Hogg Foundation.     

Cognitive and marital factors in depression

The current investigation examines three groups of wives: (1) a group of nondepressed, nondiscordant community wives; (2) a group of nondepressed, discordant clinic wives; and (3) a group of depressed, discordant clinic wives. Groups were formed on the basis of structured interview responses and responses to a self-report inventory of depressive symptomatology. To be classified as depressed, wives were required to meet DSM III criteria for depression according to interview data and to exceed a Beck Depression Inventory score of 14. Both clinic groups showed equal levels of marital discord. Both nondepressed groups showed equally few cognitive errors. Accordingly, comparisons of these three groups allow us to test current interpersonal and cognitive theories of depression. The level of closeness in the marriage differentiated the depressed, discordant from the nondepressed, discordant wives despite their equal levels of overall marital discord. The level of depressive symptomatology was greater for the nondepressed clinic wives than it was for the community wives despite their equal levels of cognitive errors. Both closeness in the marriage and cognitive errors accounted for the unique variance in level of depression. Implications for current interpersonal and cognitive accounts of depression are discussed.Support for this research came in part from NIMH Grant 38390-02. Portions of this paper were presented at the 25th Annual Convention of the American Association for the Advancement of Behavior Therapy.     

A further analysis of the affective meanings associated with male and female sex-trait stereotypes

This study was concerned with the qualitative differences in the male and female sex-trait stereotypes. Previous research employing the item pool of the Adjective Check List (ACL) had indicated no relationship between the stereotype loading of the adjectives and their favorability ratings. In the present study, university students rated the ACL items for strength and activity, and these ratings were used to demonstrate that the male stereotype was appreciably stronger and more active than the female stereotype. It was found that the strength ratings were highly correlated with both activity and favorability ratings which were, themselves, unrelated. It was concluded that the principal qualitative difference between the stereotypes lay in the connotations of activity and passivity associated, respectively, with the male and female stereotype traits, and that any assertion of greater social desirability for the male stereotype was based on its greater activity and not, as is often supposed, on its greater favorability.     

Effects of perceptual and conceptual similarity in semantic priming

Summary The study investigates the different contributions to semantic priming of two components of the semantic representation underlying a word. The two components are perceptually based information and conceptually based information. Perceptual information is based on physical attributes such as shape or color, while conceptual information consists of more abstract elements such as functional attributes. The question asked in this study was whether both components would produce an effect in semantic priming. Pairs of words either related because of a conceptual property (banana-apple), a perceptual property (ball-apple), or both because of a perceptual and conceptual property (cherry-apple) were presented as prime and target in a lexical decision and a word-naming task. The results showed independent contributions of perceptual and conceptual attributes to semantic priming.This research was supported by a grant from the Dutch Organization for the Advancement of Pure Research (ZWO). All three authors are senior authors and have contributed to all parts of the project.     

Identifying depression in children: A comparison of alternative selection criteria

This study evaluated commonly used methods of identifying depressed children and examined the extent to which the conclusions about correlates of dysfunction vary among different selection criteria. Child psychiatric patients (N=237,ages 7–12) and their parents participated and completed measures to permit identification of depressed children on the basis of three separate criteria, including selfreport scores on the Children's Depression Inventory, parent-reported scores for the same measure, and a DSM-III diagnosis of major depression. The study examined whether depressed and nondepressed children, defined separately by the different criteria, differed in a variety of depression-related symptoms, cognitive processes, and social activity. The results indicated little overlap in the persons identified as depressed on the basis of child-or parent-completed CDI scores or DSM-III diagnosis. Depressed and nondepressed children tended to differ across all domains (depression-related symptoms, cognitive processes, and social activity) for each selection criterion. However, significant differences were evident in these domains only when the selection criterion and other domains were assessed with the same informant (e.g., self-report) and hence shared a common method (rater) component. The findings underscore the potential influence that method factors may have in influencing the conclusions that are drawn regarding the correlates of childhood depression.Completion of this research was supported by a Research Scientist Development Award (MH00353) and by a grant (MH35408) from the National Institute of Mental Health. The author is grateful to Debra Bass, Antoinette Rodgers, and Todd Siegel for assistance with this project.     

Gender,masculinity-femininity,and emotional intimacy in same-sex friendship

Using multiple regression techniques, this research examines the relationship of gender and of masculinity— femininity to self-reported emotional intimacy in same-sex friendship among male and female college students, a segment of the population for which friendship is thought to be of particular salience. Findings indicate that, as hypothesized, males report significantly lower levels of emotional intimacy in same-sex friendship than do females. Masculinity, defined in terms of instrumental qualities, has little effect on the degree of reported intimacy, while femininity, defined in terms of expressive qualities, is positively associated with intimate friendship. Findings for differences among individuals classified on combinations of masculinity and femininity are also presented. Results are interpreted in view of sex-role expectations which appear to prohibit displays of emotional vulnerability among men.The author wishes to thank Frank Bean for his many contributions to the research on which this paper is based. Appreciation is also extended to Susan Marshall for comments on an early draft.     

Gender differences in depression: The role of anxiety and generalized negative affect

This study used the tripartite model of depression and anxiety to examine whether gender differences in depression may be accounted for, in part, by the overlap of depression with anxiety and negative affectivity. The tripartite model distinguishes between pure forms of depression and anxiety, co-morbid depression and anxiety, and mixed anxiety-depression. One hundred-six college students completed questionnaires that measured depression, anxiety, and negative and positive affectivity. Results were moderately consistent with hypotheses. Specifically, the proportion of women versus men was significantly higher in the categories of co-morbid depression and anxiety and mixed anxiety-depression, but not in the categories of specific (i.e., pure) depression or anxiety. It is argued that specific depression may be equally prevalent in men and women, but that other depression-related syndromes may be more common among women than men.     

Attributions and expectations: a confluence of vulnerabilities in mild depression in a college student population

The reformulated model of learned helplessness assumes that attributional style has its impact on depression in part through the intermediary effect of pessimistic or negative expectations about the occurrence of future outcomes. A possible logical next step in testing the model is to measure jointly attributions and expectations and to examine their combined (interactive) contributions. We used a short-term longitudinal design to examine whether attributional style works in combination with other factors, such as expectations, to predispose individuals to depression. Consistent with the initial theoretical analysis, the interaction of attributional style and expectations predicted depression on the Beck Depression Inventory 6 weeks later. We also found that attributional style predicted depression 6 weeks later in interaction with initial level of depression. These findings support our confluence hypothesis, which assumes that vulnerability factors can combine interactively and qualify the effects of attributional style. These interaction-effect findings have implications for currently popular cognitive theories of depression and for previous research on vulnerability to depression that has examined only the effects of single cognitive variables (such as attributional style) considered alone. Further study is also necessary to determine the nature of the overlap of the effects of expectation and initial level of depression.     

A Systems/Dialectical Model of Supervision: A Symbolic Process

Although there has been a proliferation of models of supervision in the marriage and family therapy literature recently, most tend to focus on methods rather than on the process of supervision. The model presented here is grounded in developmental concepts and focuses on student learning through a dialectical process of cognitive and emotional growth and incorporates three stages: 1) developing relationships; 2) breaking impasses, and 3) orchestrating changes. Students discover that supervision becomes isomorphic with relationship issues that arise in their therapy sessions. Dialectical in nature in that each stage is characterized by the resolution of contradictory emotions, the supervision process helps supervisees experience emotional shifts in their interactions with others, referred to as emotional restructuring.     

Sex differences in depression

The role of housewife has been hypothesized as the source of excess mental illness among married women as compared with married men. The present study found both housewives and working wives significantly more depressed than working husbands. Although working wives report that they do more housework than husbands, this factor was not significantly related to depression for either wives or husbands. It is suggested that the risk factors for depression, including marriage for women, may be better understood in the context of clinical theories of depression, especially the learned helplessness model.     

Therapeutic Implications of a Social Interaction Model of Posttraumatic Stress

Out of the many aspects of posttraumatic adaptation the role of self-process is emphasized, where self is conceptualized as the representation of social interaction: Not only the messages conveyed by others, but also a person's inner response to that messages, forms ongoing self-processes. Traumatic experiences lead to distorted self-processes, to a great extent due to posttraumatic inner dialogues. Therapeutic implications and experiences from Bosnia are discussed, where this model has been applied.     

Intellectual fascism

Intellectual fascism is the arbitrary belief that individuals possessing certain good traits (such as intelligence and creativity) are intrinsically superior to those possessing bad traits (such as stupidity or lack of artistry). Although it is true that under certain conditions and for various purposes some human traits are more advantageous or better than others, rating people as good or bad on the basis of their intellectual performances is inaccurate and is often as pernicious as is political-social fascism. Moreover, where political fascists at least rate themselves highly while damning and persecuting others, intellectual fascists tend to severely damn themselves (as well as others) when they lack superlative intellectual and artistic traits. According to RET, all global ratings of people tend to be fascistic overgeneralizations. Intellectual fascism is political-social fascism with the trait names changed—the same hearse with different license plates.This article is a revision of one that originally appeared in a book by Dr. Ellis entitledSuppressed.     

Desirable and undesirable masculine and feminine traits in relation to students' dieting tendencies and body image dissatisfaction

Previous research showing greater femininity among overweight persons used measures of masculinity and femininity which have been criticized for conceptual and psychometric reasons. The present study used the Spence-Helmreich measures to examine the interrelationships among socially desirable and socially undesirable instrumental (masculine) and expressive (feminine) traits, body weight, and other attributes of cognitive concern about dieting and weight-related appearance. While body weight was unrelated to these measures of psychological masculinity and femininity, sex differences were found in the relationship of masculinity and femininity to dieting tendencies. dissatisfaction with physical appearance, and achievement motivation in these samples of college undergraduates.     

Migration as one of the main causes of the weak adaptation of the family

Migration which brings about marriages between individuals from very different backgrounds is seen as one of the major causes of divorce in a sample of 250 mixed marriage families from a clinical population in Yugoslavia.     

Hypnotic aspects of spiritual experience

This article presents hypnosis as a concept, process, and perspective from which to view religious and spiritual events. Spiritual experiences are seen as internally-based occurrences which bear noticeable similarity to the characteristics of self-hypnosis. This is considered in reference to biblical accounts, mysticism, contemplation and the Jungian collective unconscious. Finally, the unconscious, which is accessed through hypnosis, is explored with regards to its role in spiritual experience.     

The neural basis of primate social communication

A sophisticated ability both to generate displays of emotion and to respond to expressive behaviors of other individuals has emerged as a specialization in the course of primate evolution. Studies of the social behavior of nonhuman primates, especially those most related to ourselves, indicate that monkeys and apes are able to interpret social signals so as to assess the motivations of others. Studies of brain activity in monkeys looking at pictures of faces, facial expressions, and body movements, reveal regions of apparent specialized responsiveness to visual social stimuli. The existence of a discrete neural system in humans for cognition which generates a psychological model of others is suggested by patterns of deficit seen in certain neurologic syndromes. Empathy has several components and appears to lie on an evolutionary continuum.Based on a presentation given in New Orleans on February 17, 1990, at the AAAS symposium Empathy in Infancy and Later Development. Supported by the Department of Veterans Affairs.     

Making noises in counterpoint or chorus: Putnam''s rejection of relativism

Putnam's internal realism entails the simultaneous rejection of metaphysical realism and (anything goes or total or cultural) relativism. Putnam argues, in some places, that relativism is self-contradictory, and in others, that it is self-refuting. This paper attempts the exegetical task of explicating these challenging arguments, and the critical task of suggesting that a full-blown epistemological relativism may be capable of surviving the Putnam attack.     

“Paramount reality” in Schutz and Gurwitsch

Conclusion Both Schutz and Gurwitsch describe reality as having a manifold character: Schutz speaks of multiple realities and Gurwitsch of orders of existence. Both hold that one realm of reality has a privileged status compared to the others: common everyday experience. However, in spite of this apparent convergence in their views, a closer reading of their various works reveal the important difference in what they understand under common everyday experience.For Schutz, it is the world of social action, characterized by him as paramount reality because of the constitutive processes of the experiences of time, space, sociality and meaning involved in action. For Gurwitsch, the realm of common everyday experience represents the counterpart and the origin of the constructed realm of science: therein lies its status of paramount reality. But what it really refers to is not ordinary experience, as most of his statements suggest, but pre-predicative experience, wherefrom the categories of the natural sciences, namely space and time, originate. Gurwitsch speaks of this pre-predicative experience, which he also calls primordial experience, as being essentially perceptual experience. However, he limits perceptual experience to sensory perception, leaving out the symbolic, social and action-related components of perception and becomes thus inconsistent with his adherence to the dismissal of the constancy hypothesis in his field theory of consciousness. The dismissal of the constancy hypothesis implies the recognition of the appresentational structures involving symbols, action and Others as inherent components of every perception. Schutz disagrees with Gurwitsch's reduction of the life-world Erlebnisse to sensory perception and this issue becomes the core of their debate on the phenomenon of paramount reality.