A Randomized, Double-Blind, Crossover Comparison of MK-0929 and Placebo in the Treatment of Adults With ADHD

Objective: Preclinical models, receptor localization, and genetic linkage data support the role of D4 receptors in the etiology of ADHD. This proof-of-concept study was designed to evaluate MK-0929, a selective D4 receptor antagonist as treatment for adult ADHD. Method: A randomized, double-blind, placebo-controlled, crossover study was conducted in adults with primary ADHD. The primary end point was changed from baseline in total score on the Adult ADHD Investigator Symptom Rating Scale following a 4-week treatment regimen. Additional measures included Clinical Global Impression-Severity Scale, Hospital Anxiety and Depression Scale, and Brown Attention Deficit Disorder Scale and D4 genotype analysis. Results: No statistically significant treatment differences were found between MK-0929 and placebo in any of the primary or secondary assessments. Conclusion: Results from this study suggest that blockade of the D4 receptor alone is not efficacious in the treatment of adult ADHD.     

Emotion regulation and successful aging

Despite normative declines in old age, healthy elderly typically report surprisingly high levels of well-being. It is not clear why this is so. A study by Brassen and colleagues suggests that one factor may be reduced responsiveness to regret. These findings highlight the role of emotion regulation in successful aging.     

Does Children's Colour Use Reflect the Emotional Content of their Drawings?

When children draw in clinical contexts, clinicians sometimes rely on children's colour use to make inferences about their emotional reaction to the subject of the drawing. Here, we examined whether children use colour to portray emotion in their drawings. In Experiment 1, children indicated their colour preferences and then coloured in outlines of figures characterized as nasty or nice. Children also drew complex, multi‐coloured pictures about their own happy or sad experiences. In Experiment 2, hospitalized children drew about being worried or scared in hospital and about their positive experiences. In both experiments, we examined the relation between children's colour use and their colour preferences. Three‐ to 10‐year‐old children used more preferred colours to colour in the nice outline. Although they were more likely to use non‐preferred colours to colour in the nasty outline, they tended to used a mix of preferred and non‐preferred colours. When both normal and hospitalized children produced drawings about positive and negative events, there was no relation between children's colour choices and their colour preferences; children primarily used preferred colours. These data suggest that clinicians should exercise extreme caution when interpreting the meaning of colour in children's drawings. Copyright © 2011 John Wiley & Sons, Ltd.     

Electrodermal responses to sources of dual-task interference

There is a response selection bottleneck that is responsible for dual-task interference. How the response selection bottleneck operates was addressed in three dual-task experiments. The overlap between two tasks (as indexed by the stimulus onset asynchrony [SOA]) was systematically manipulated, and both reaction time and electrodermal activity were measured. In addition, each experiment also manipulated some aspect of the difficulty of either task. Both increasing task overlap by reducing SOA and increasing the difficulty of either task lengthened reaction times. Electrodermal response was strongly affected by task difficulty but was only weakly affected by SOA, and in a different manner from reaction time. A fourth experiment found that the subjectively perceived difficulty of a dual-task trial was affected both by task difficulty and by SOA, but in different ways than electrodermal activity. Overall, the results were not consistent with a response selection bottleneck that involves processes of voluntary, executive attention. Instead, the results converge with findings from neural network modeling to suggest that the delay of one task while another is being processed reflects the operation of a routing mechanism that can process only one stream of information for action at a time and of a passive, structural store that temporarily holds information for the delayed task. The results suggest that conventional blocked or event-related neuroimaging designs may be inadequate to identify the mechanism of operation of the response selection bottleneck.     

Contemplative/emotion training reduces negative emotional behavior and promotes prosocial responses

Contemplative practices are believed to alleviate psychological problems, cultivate prosocial behavior and promote self-awareness. In addition, psychological science has developed tools and models for understanding the mind and promoting well-being. Additional effort is needed to combine frameworks and techniques from these traditions to improve emotional experience and socioemotional behavior. An 8-week intensive (42 hr) meditation/emotion regulation training intervention was designed by experts in contemplative traditions and emotion science to reduce "destructive enactment of emotions" and enhance prosocial responses. Participants were 82 healthy female schoolteachers who were randomly assigned to a training group or a wait-list control group, and assessed preassessment, postassessment, and 5 months after training completion. Assessments included self-reports and experimental tasks to capture changes in emotional behavior. The training group reported reduced trait negative affect, rumination, depression, and anxiety, and increased trait positive affect and mindfulness compared to the control group. On a series of behavioral tasks, the training increased recognition of emotions in others (Micro-Expression Training Tool), protected trainees from some of the psychophysiological effects of an experimental threat to self (Trier Social Stress Test; TSST), appeared to activate cognitive networks associated with compassion (lexical decision procedure), and affected hostile behavior in the Marital Interaction Task. Most effects at postassessment that were examined at follow-up were maintained (excluding positive affect, TSST rumination, and respiratory sinus arrhythmia recovery). Findings suggest that increased awareness of mental processes can influence emotional behavior, and they support the benefit of integrating contemplative theories/practices with psychological models and methods of emotion regulation.     

Unpacking cognitive reappraisal: goals, tactics, and outcomes

Studies of emotion regulation typically contrast two or more strategies (e.g., reappraisal vs. suppression) and ignore variation within each strategy. To address such variation, we focused on cognitive reappraisal and considered the effects of goals (i.e., what people are trying to achieve) and tactics (i.e., what people actually do) on outcomes (i.e., how affective responses change). To examine goals, we randomly assigned participants to either increase positive emotion or decrease negative emotion to a negative stimulus. To examine tactics, we categorized participants' reports of how they reappraised. To examine reappraisal outcomes, we measured experience and electrodermal responding. Findings indicated that (a) the goal of increasing positive emotion led to greater increases in positive affect and smaller decreases in skin conductance than the goal of decreasing negative emotion, and (b) use of the reality challenge tactic was associated with smaller increases in positive affect during reappraisal. These findings suggest that reappraisal can be implemented in the service of different emotion goals, using different tactics. Such differences are associated with different outcomes, and they should be considered in future research and applied attempts to maximize reappraisal success.     

Trait anxiety and perceptual load as determinants of emotion processing in a fear conditioning paradigm

The impact of trait anxiety and perceptual load on selective attention was examined in a fear conditioning paradigm. A fear-conditioned angry face (CS+), an unconditioned angry face (CS-), or an unconditioned face with a neutral or happy expression were used in distractor interference and attentional probe tasks. In Experiments 1 and 2, participants classified centrally presented letters under two conditions of perceptual load. When perceptual load was high, distractors had no effect on selective attention, even with aversive conditioning. However, when perceptual load was low, strong response interference effects for CS+ face distractors were found for low trait-anxious participants. Across both experiments, this enhanced distractor interference reversed to strong facilitation effects for those reporting high trait anxiety. Thus, high trait-anxious participants were faster, rather than slower, when ignoring CS+ distractors. Using an attentional probe task in Experiment 3, it was found that fear conditioning resulted in strong attentional avoidance in a high trait-anxious group, which contrasted with enhanced vigilance in a low trait-anxious group. These results demonstrate that the impact of fear conditioning on attention is modulated by individual variation in trait anxiety when perceptual load is low. Fear conditioning elicits an avoidance of threat-relevant stimuli in high trait-anxious participants.     

The Zhuangzi and You 遊: Defining an Ideal Without Contradiction

You ?[ is a crucial term for understanding the Zhuangzi. Translated as ??play,?? ??free play,?? and ??wandering,?? it is usually defined as an ideal, playful Zhuangzian way of being. There are two problems with this definition. The first is logical: the Zhuangzi cannot consistently recommend playfulness as an ideal, since doing so vitiates the essence of you??it becomes an ethical imperative instead of an activity freely undertaken for its own sake. The second problem is performative: arguments for playful Zhuangzi as exemplar resemble those of the logicians and philosophers who appear to come in for Zhuangzian criticism. This essay addresses these tensions by demonstrating how the Zhuangzi ambiguates the nature and value of you. Apparent endorsements of you are not freestanding, instead occurring in grudging replies of teachers to overly zealous students. In light of this recontextualization, a new version of you is offered that accommodates ??non-playful?? ways of being.     

A facial expression for anxiety

Anxiety and fear are often confounded in discussions of human emotions. However, studies of rodent defensive reactions under naturalistic conditions suggest anxiety is functionally distinct from fear. Unambiguous threats, such as predators, elicit flight from rodents (if an escape-route is available), whereas ambiguous threats (e.g., the odor of a predator) elicit risk assessment behavior, which is associated with anxiety as it is preferentially modulated by anti-anxiety drugs. However, without human evidence, it would be premature to assume that rodent-based psychological models are valid for humans. We tested the human validity of the risk assessment explanation for anxiety by presenting 8 volunteers with emotive scenarios and asking them to pose facial expressions. Photographs and videos of these expressions were shown to 40 participants who matched them to the scenarios and labeled each expression. Scenarios describing ambiguous threats were preferentially matched to the facial expression posed in response to the same scenario type. This expression consisted of two plausible environmental-scanning behaviors (eye darts and head swivels) and was labeled as anxiety, not fear. The facial expression elicited by unambiguous threat scenarios was labeled as fear. The emotion labels generated were then presented to another 18 participants who matched them back to photographs of the facial expressions. This back-matching of labels to faces also linked anxiety to the environmental-scanning face rather than fear face. Results therefore suggest that anxiety produces a distinct facial expression and that it has adaptive value in situations that are ambiguously threatening, supporting a functional, risk-assessing explanation for human anxiety.     

Student ethics in an era of personal entitlement

397 students arriving to take an exam in a junior level Principles of Management course were clearly warned on several occasions to keep cell phones outside the testing area or receive a failing test grade if the policy was violated. Just before the examination was administered, with all students sitting in their assigned seats, the professor made a final announcement that anyone still in possession of a cell phone would have one last opportunity to come forward and place it in a box at the front of the testing room. After eight students accepted this final "opportunity," the professor produced a hand-held metal detector, demonstrated how it could detect cell phones placed inside clothing, and informed the class that random screening of students would be conducted as they handed in their examinations. He then added that, as a special favor, he would allow a two-minute amnesty period during which any student could bring a cell phone to the front of the room for storage during the test. 38 students responded by turning in cell phones they had retained in direct violation of course policy. Implications of this cell phone dishonesty for creating viable business ethics and the role of perceived entitlement in shaping the behavior of these future business leaders were discussed.