A treadmill and motion coupled virtual reality system for gait training post-stroke.

A virtual reality (VR)-based locomotor training system has been developed for gait rehabilitation post-stroke. The system consists of a self-paced treadmill mounted onto a 6-degrees-of-freedom motion platform. Virtual environments (VEs) that are synchronized with the speed of the treadmill and the motions of the platform are rear-projected onto a screen in front of the walking subject. A feasibility study was conducted to test the capability of two stroke patients and one healthy control to be trained with the system. Three VE scenarios (corridor walking, street crossing, and park stroll) were woven into a gait-training program that provided three levels of complexity (walking speed, slopes, collision avoidances), progression criteria (number of successful trials) and knowledge of results. Results show that, with practice, patients can effectively increase their gait speed as demanded by the task and adapt their gait with respect to the change in physical terrain. However, successful completion of tasks requiring adaptation to increasing demands related to speed and physical terrains does not necessarily predict the patient's ability to anticipate and avoid collision with obstacles during walking. This feasibility study demonstrates that persons with stroke are able to adapt to this novel VR system and be immersed in the VEs for gait training.     

Rapprochement in Sight? Postmodern Family Therapy and Psychoanalysis

This paper explores aspects of the theory and practice of psychotherapy with the aim of identifying similarities in the approaches of both family therapists and psychoanalytic psychotherapists. The author calls for a dialogue between the disciplines, and makes specific reference to the potential value of this in relation to training and research.     

Absolutist thinking and emotional problems

Anger is a common emotional experience which can have a very distrubing impact upon the angered person, physically and psychologically, and upon that person's relations with others. The arousal of anger can be best explained in many instances as the reaction of people when they see or anticipate the violation of their demands, that is, as reflecting absolutist thinking. Such thinking can not only lead to anger but is also believed to play an important role in promoting other emotional problems, including those of anxiety and depression. This paper characterises the absolutist style of thinking and illustrates its hypothesized role in several emotional problems using brief case histories. It is suggested that the failure of a therapist to identify absolutist thinking, when it exists, deprives the therapist of considerable leverage in handling a patient's problems and may explain the limited effectiveness of cognitive therapy for such patients.     

The lost direction in binocular vision: the neglected signs posted by Wells, Towne, and LeConte

Studies of vision have informed theories first in philosophy and then in psychology. Over the centuries, an increasing number of phenomena have been enlisted to refute or reinforce particular theories. Nowhere has this been more evident than in binocular vision. How we see a single world with two eyes is one of the oldest and most consistently studied topics in vision research. It has been discussed at least since the time of Aristotle and it has been examined experimentally since the second century, when Ptolemy defined lines of visual correspondence for the two eyes. Prior to Wheatstone's invention of the stereoscope in the 1830s, binocular vision had been studied in terms of visual directions. The stereoscope established distance (or depth) as well as direction as dimensions of binocular vision. Subsequently, depth rather than direction has been the principal concern of students of vision, and texts in English devoted to analyses of direction rather than depth have been neglected. We examine the experiments on binocular visual direction conducted by Wells before Wheatstone, and by Towne and LeConte after him, and discuss the reasons for their neglect.     

Relationships and the social brain: integrating psychological and evolutionary perspectives

Psychological studies of relationships tend to focus on specific types of close personal relationships (romantic, parent-offspring, friendship) and examine characteristics of both the individuals and the dyad. This paper looks more broadly at the wider range of relationships that constitute an individual's personal social world. Recent work on the composition of personal social networks suggests that they consist of a series of layers that differ in the quality and quantity of relationships involved. Each layer increases relationship numbers by an approximate multiple of 3 (5-15-50-150) but decreasing levels of intimacy (strong, medium, and weak ties) and frequency of interaction. To account for these regularities, we draw on both social and evolutionary psychology to argue that relationships at different layers serve different functions and have different cost-benefit profiles. At each layer, the benefits are asymptotic but the costs of maintaining a relationship at that level (most obviously, the time that has to be invested in servicing it) are roughly linear with the number of relationships. The trade-off between costs and benefits at a given level, and across the different types of demands and resources typical of different levels, gives rise to a distribution of social effort that generates and maintains a hierarchy of layered sets of relationships within social networks. We suggest that, psychologically, these trade-offs are related to the level of trust in a relationship, and that this is itself a function of the time invested in the relationship.