Studies in Affective Reaction: II. Dependence of Affective Ratings upon the Stimulus-Situation

Meehl, Paul E. Clinical vs. Statistical Prediction: A Theoretical Analysis and Review of the Evidence. Minneapolis: Univ. Minnesota Press, 1954. Pp. 149. Reviewed by Henry Winthrop.     

Visual search,anticipation, and reactive comparisons between highly-skilled and beginning tennis players

Abstract

Simulated tennis playing situations were created for the laboratory testing of visual search patterns, anticipation, reactions, and movements to compare male and female high-level and beginning players. Of particular interest was the degree to which each measure would differentiate the groups. Participants were highly-rated university players (N-30) and students enrolled in a beginning tennis class (N = 30). Under one testing condition, visual search patterns were recorded as they viewed filmed opponents serve (60 trials) and hit ground strokes (60 trials). Also recorded was anticipation accuracy and speed of the intended type and location of serves and the intended placement of ground strokes. In other testing, execution of a split step was followed by moving rapidly to the comet location for a simulated stroke in response to a series of light cues. Reaction and movement times were recorded. Discrimination analysis revealed that experts and beginners were most differentiated due to fixations on certain cues and predicting ball direction. As to visual search analysis of fixation duration for nine possible areas during the serves, only the head area was significant. Beginners directed more time toward the head region than did the highly skilled. Experts and novices had similar visual patterns with respect to ground strokes, and a few differences existed within the two female groups, in the two male groups. as well as between males and females. Anticipation measures for the serve indicated that experts were faster and more accurate than beginners, and males were faster than females. Ground stroke data revealed that the highly-skilled were faster and more accurate than novices. Finally, the simulated split-step data showed that reaction times and movement times were faster for the experts versus the beginners, and males were quicker in movement times than females.     

The Adolescent Brain and the Emergence and Peak of Psychopathology

Adolescence is a period of heightened emotionality and increased risk for mental illness, affecting as many as one in five persons. This article reviews recent human imaging and animal studies that demarcate adolescent specific changes in brain and behavior that may help to explain this period of increased risk for psychopathology. We highlight adolescence as a sensitive period when: 1) the environment has particularly strong influences on brain and behavior and 2) normative changes in brain development can lead to an imbalance between rapidly changing limbic circuitry and relatively slower developing prefrontal circuitry. This imbalance can be exacerbated by both genetic and environmental influences leading to less capacity to regulate emotions and higher risk for psychopathology. We discuss these findings in the context of understanding who may be at greatest risk for psychopathology and when and how to best treat symptoms of emotional dysregulation.     

Adolescent-specific patterns of behavior and neural activity during social reinforcement learning

Humans are sophisticated social beings. Social cues from others are exceptionally salient, particularly during adolescence. Understanding how adolescents interpret and learn from variable social signals can provide insight into the observed shift in social sensitivity during this period. The present study tested 120 participants between the ages of 8 and 25 years on a social reinforcement learning task where the probability of receiving positive social feedback was parametrically manipulated. Seventy-eight of these participants completed the task during fMRI scanning. Modeling trial-by-trial learning, children and adults showed higher positive learning rates than did adolescents, suggesting that adolescents demonstrated less differentiation in their reaction times for peers who provided more positive feedback. Forming expectations about receiving positive social reinforcement correlated with neural activity within the medial prefrontal cortex and ventral striatum across age. Adolescents, unlike children and adults, showed greater insular activity during positive prediction error learning and increased activity in the supplementary motor cortex and the putamen when receiving positive social feedback regardless of the expected outcome, suggesting that peer approval may motivate adolescents toward action. While different amounts of positive social reinforcement enhanced learning in children and adults, all positive social reinforcement equally motivated adolescents. Together, these findings indicate that sensitivity to peer approval during adolescence goes beyond simple reinforcement theory accounts and suggest possible explanations for how peers may motivate adolescent behavior.     

Social exclusion modulates pre-reflective interpersonal body representation

Perception of affordance is enhanced not only when that object is located in one’s own peripersonal space, as compared to when it is located within extrapersonal space, but also when the object is located in another person’s peripersonal space [as measured by a spatial alignment effect (SAE)]. It has been suggested that this reflects the existence of an interpersonal body representation (IBR) that allows us to represent the perceptual states and action possibilities of others. Here, we address the question of whether IBR can be modulated by higher level/reflective social cognition, such as judgments about one’s own social status. Participants responded with either the right or the left hand as soon as a go signal appeared. The go signal screen contained a task-irrelevant stimulus consisting of a 3D scene in which a mug with a left- or right-facing handle was positioned on a table. The mug was positioned either inside or outside the reaching space of the participants. In a third of the trials, the mug was positioned within the reaching space of an avatar seated at the table. Prior to this task we induced an experience of social ostracism in half of the participants by means of a standardized social exclusion condition. The results were that the SAE that normally occurs when the mug is in the avatar’s reaching space is extinguished by the induced social exclusion. This indicates that judgments about one’s own social status modulate the effect of IBR.     

Effects of Language of Implementation on Functional Analysis Outcomes

This study evaluated the influence of language of implementation on functional analysis outcomes for a child with a severe intellectual disability from a Spanish-speaking home. Challenging behavior was assessed during 5-min sessions under 4 conditions; attention, play-verbal, play-nonverbal, and demand and across 2 phases; implementation in English versus Spanish. The highest levels of challenging behavior occurred during the attention and demand conditions of the English phases. These results suggest that the language of implementation may influence the overall levels of challenging behavior within functional analysis conditions.     

Mother and infant coordinate heart rhythms through episodes of interaction synchrony

Animal studies demonstrated the powerful impact of maternal-infant social contact on the infant's physiological systems, yet the online effects of social interactions on the human infant's physiology remain poorly understood. Mothers and their 3-month old infants were observed during face-to-face interactions while cardiac output was collected from mother and child. Micro-analysis of the partners’ behavior marked episodes of gaze, affect, and vocal synchrony. Time-series analysis showed that mother and infant coordinate heart rhythms within lags of less than 1 s. Bootstrapping analysis indicated that the concordance between maternal and infant biological rhythms increased significantly during episodes of affect and vocal synchrony compared to non-synchronous moments. Humans, like other mammals, can impact the physiological processes of the attachment partner through the coordination of visuo-affective social signals.     

Psychosoziale Versorgung von Krebspatienten

Objectives

The aim of this study was to determine rates of psychooncological care for cancer inpatients and outpatients under routine conditions in a large University hospital. The percentage of patients who received care was analyzed and compared with self-rated and expert rated supportive care needs.

Methods

The percentage of inpatients who received psychooncological care was calculated by comparing the number of cancer patients treated at the hospital as documented by the local tumor registry (n=1,979) with the number of patients treated by a psychooncologist in that hospital as documented by the hospital??s psychooncological consultation liaison service. The percentage of outpatients who received psychooncological care was calculated by comparing the number of incident cancer cases as documented by the local tumor registry (n=5,886) with the number of patients who received at least one consultation at the local tumor counseling centre. Supportive care needs were estimated by analyzing data of a prospective patient survey in the same hospital (n=1,803) using the Hospital Anxiety and Depression Scale and single items to determine social burden and the wish for emotional support.

Results

The results showed that 11% of inpatients and outpatients (n=234 and n=638, respectively) received psychooncological care. Social care needs were prevalent in 37% and psychological care needs in 52% of the patients during the stay in hospital and in 42% (social and psychological) 6 months later. Of the patients 41% expressed the need to see a social worker and 29% to see a psychologist. Large differences were found between patients with different tumor entities.

Conclusion

Psychooncological care delivered to cancer patients under routine conditions was below the actual rate required as estimated by screening instruments and as expressed by the patients.     

Pr?diktoren tumorassoziierter Fatigue

Fatigue is a serious cancer-related syndrome reported by cancer patients during and after treatment. Especially the impact of chronic fatigue on quality of life is substantial. The aim of this study was to identify predictors of fatigue after finishing treatment from an early stage of the cancer treatment. A sample of 551 cancer patients with heterogeneous diagnoses completed questionnaires assessing fatigue, psychological and psychosomatic data plus treatment data. The patients were recruited from an acute care hospital (t1) and the participants completed the questionnaire 2?C2.5 years after treatment (t2). Regression analysis showed that the strongest predictor of later fatigue was fatigue during the therapy. Other impact factors are radiotherapy and pain. The results suggest that the diagnosis and treatment of acute fatigue should be carried out at an early stage of cancer treatment to prevent chronic fatigue. Suitable diagnostic methods and treatment options will be presented.