Activating Posthypnotic Conflict: Emergent Uncovering Psychopathology Repression,and Psychopathology

An attempt was made to observe the process of repression and symptom formation. Emergent uncovering techniques were used to weaken a spontaneous repression that was produced by the posthypnotic activation of sexual impulses stemming from an implanted oedipal paramnesia. Twelve hypnotic and ten simulating subjects were used in a modified real-simulator design. Although it was not possible to 'lift' the spontaneous repression of derivatives of oedipal strivings in the course of uncovering via visual imagery, a wide variety of spontaneous symptoms were produced in the hypnotically conditioned subjects. The type of symptom was shown to be related to the degree of repression. Simulating subjects produced only a few symptoms. The manifestation of a symptom was concomitant with an increase in the GSR, but not the blatancy of drive representation. These findings were consistent with the phenomena observed using free imagery in emergent uncovering psychotherapy.     

Reflections on the varieties of hypnotizables: A commentary on Terhune and Cardeña

This commentary reflects on the varieties of high hypnotizable subjects suggested in the works by Barber, Barrett, Pekala and colleagues, and Terhune and Cardeña (2010). These different studies point to the existence of different types of low, medium, and high hypnotizable subjects. However, types of high hypnotizables have received the most attention. Two main concerns are raised in this commentary: (a) drawing parallels between the suggested typologies is not without problems given methodological differences among different studies, and (b) the low base rates of these special types is likely not to appeal to a typical clinician, already resistant to testing for hypnotizability, to conduct initial assessments so as to tailor suggestion to fit specific typologies.     

Desktop flight simulators: Simulation fidelity and pilot performance

Improvements in the computing power and visual resolution of modern desktop computing systems, as well as advances in software technology for displaying high-speed animations, have encouraged the development of relatively sophisticated real-time flight simulators for the PC and Macintosh. We review some of the factors that determine how well such programs capture the actual experience of flight. The most significant factor limiting the quality of performance in flying a simulated aircraft is the “frame rate” problem: at low altitudes and in highly detailed visual environments, as in approaching a runway threshold during landing, the computational demands of the animation may necessitate a reduction in the number of frames displayed per second on the screen. The delayed sensory feedback that results proves to be very detrimental to sustaining smooth control of the aircraft, especially during the flare to touchdown where such control is needed most. This finding parallels the well-known effects of delayed auditory feedback (Lee, 1950) and delayed visual feedback (Smith, 1962).     

The power of prospection: mental contrasting and behavior change

People often immerse themselves in dreams and fantasies about a desired future. Though such future fantasies are pleasant, they do not necessarily lead to the effort required to attain the desired future. Indeed, the more positively people fantasize about their desired futures, the less effort they invest and the less successful they are in realizing these futures. However, when fantasies about a desired future are complemented with a clear sense of reality, people find the direction and energy needed to realize their fantasies. We review Fantasy Realization Theory, which explicates these ideas and led to the discovery of mental contrasting future and reality, a self‐regulation strategy of behavior change. Mental contrasting helps people figure out what they really want and wisely select, commit to, and actively pursue prioritized wishes while constructively dealing with setbacks. It helps them live a rewarding life through work, play, health, and relationships.     

Concurrent reinforcement schedules: behavior change and maintenance without extinction

We evaluated the effects of concurrent schedules of reinforcement on negatively reinforced problem behavior and task completion with 3 children with autism. Results indicated that problem behavior occurred at high levels and relatively few tasks were completed when problem behavior produced a break (from tasks) and task completion produced either no consequence or a break. By contrast, problem behavior was eliminated and tasks were completed when problem behavior produced a break and task completion produced a break with access to preferred activities. Treatment gains were maintained without the use of extinction when the response requirement was increased and the schedule of reinforcement was thinned.     

Avoiding another mistake: Error and posterror neural activity associated with adaptive posterror behavior change

The magnitude of posterior medial frontal cortex (pMFC) activity during commission of an error has been shown to relate to adaptive posterror changes in response behavior on the trial immediately following. In the present article, we examined neural activity during and after error commission to identify its relationship to sustained posterror behavior changes that led to performance improvements several trials into the future. The standard task required participants to inhibit a prepotent motor response during infrequent lure trials, which were randomly interspersed among numerous go trials. Posterror behavior was manipulated by introducing a dynamic condition, in which an error on a lure trial ensured that the next lure would appear within two to seven go trials. Behavioral data indicated significantly higher levels of posterror slowing and accuracy during the dynamic condition, as well as fewer consecutive lure errors. Bilateral prefrontal cortex (PFC) and pMFC activity during the posterror period, but not during commission of the error itself, was associated with increased posterror slowing. Activity within two of these regions (right PFC and pMFC) also predicted success on the next lure trial. The findings support a relationship between pMFC/PFC activity and adaptive posterror behavior change, and the discrepancy between these findings and those of previous studies-in the present study, this relationship was detected during the posterror period rather than during commission of the error itself--may have resulted from the requirements of the present task. Implications of this discrepancy for the flexibility of cognitive control are discussed.     

Utilizing driving simulators for persons with multiple sclerosis: A scoping review

ObjectiveThis scoping review synopsized and mapped the evidence on the utility of driving simulators for drivers with Multiple Sclerosis (MS) including participant characteristics (e.g., demographic, clinical) suited to simulator use; and driving scenario environments, maneuvers, and outcomes reflective of driving performance.Data SourcesThe research team searched six databases for English studies on driving simulator performance in drivers with MS.Study SelectionFour reviewers independently screened 976 unique titles, 148 abstracts, and 18 full-text sources for study inclusion or exclusion. Inclusion criteria ensured that studies utilized measures of driving simulator performance in adults 18 years or older with MS.Data ExtractionReviewers independently charted, verified, and achieved consensus on 100% of the data in the extraction table.Data SynthesisThe scoping review included thirteen studies (twelve assessment, one intervention), published between 2001 and 2021. Studies included small samples (N = 11–50) of adults (M age = 36–50 years; 40–91% female), mostly with a relapsing-remitting (53–100%) diagnosis and low to moderate physical disability (Expanded Disability Status Scale score < 6.0). The assessment studies utilized driving scenarios to assess pre-driving (n = 1) or driving abilities (n = 2), responses to hazardous events in suburban (n = 1) or urban environments (n = 4), or the ability to maintain speed or lateral lane positioning during monotonous highway drives (n = 7), with four scenarios also including responses to secondary divided attention tasks. The intervention study utilized driving simulation as a training program to improve driving-related skills.ConclusionsThe evidence on the utility of driving simulators for adults with MS is limited to assessment of driving performance, mostly during monotonous highway drives. Further research should consider exploring how driving simulators can be utilized to assess driving performance in other environments or for intervention. Gender should be examined to support gender diverse populations.     

Predicting stability and change in toddler behavior problems: contributions of maternal behavior and child gender

This study examined the stability and continuity of early-identified behavior problems and the factors associated with this stability. Children and their mothers (N=125) were seen when the children were 2 and 4 years of age. Maternal reports of child externalizing behavior and laboratory observations of child noncompliance were stable from age 2 to age 4. Early externalizing behaviors decreased over time; however, child noncompliance in the laboratory did not. Although few associations were found between maternal positive behavior and child behavior problems, maternal controlling behavior was related to increases in child behavior problems, particularly at high levels of both prior noncompliance and prior maternal control. Child noncompliance was predictive of increases in maternal controlling behavior over time.     

Cognitive change and enhanced coping: missing mediational links in cognitive behavior therapy with anxiety-disordered children

In this review, we examine the recent cognitive behavior therapy (CBT) outcome literature with anxiety-disordered children and, specifically, explore the status of cognitive change and increased coping ability as (1) specific treatment effects, and (2) possible mediators of the efficacy of CBT. In the past decade, the number of controlled CBT studies with clinically diagnosed anxiety-disordered children has increased substantially. CBT aims to restructure distorted or maladaptive cognitions and teach the anxious child to effectively use diverse coping strategies. Our review shows that in recent CBT research with anxiety-disordered children the use of domain-specific measures like cognitive and coping measures is, unfortunately, not common practice. Furthermore, only one study examined the issue of treatment mediation. Generally, recent CBT research has not been designed to test mediational issues and does not clarify whether cognitive change and enhanced coping—the presumed central components of CBT—are in fact responsible for its efficacy. Implications for the direction of future CBT research with anxiety-disordered children are discussed.     

Developmental pathways of behavior problems in the young child: factors associated with continuity and change

The continuity and discontinuity of behavioral problems from age 4 through age 7 until 10 were examined in 120 children. The mothers rated childhood behavior problems at the three age points. Problems were defined as above 80th percentile. Individual transition classification of problematic and non-problematic children showed that 7% had stable behavior problems, 60% stable non-problematic behavior and the rest displayed transitions related to either onset or offset of problems. The mechanisms involved in onset were different from those involved in offset. Children showing onset of problems had fewer friends, participated less often in organized leisure activities and were more passive in class than the well-functioning children. Maternal characteristics such as continued education, current employment and high educational ambitions for the child were associated with having children changing their pathway from risk to an adaptive one.