An Interactional Analysis of Clinical Interviewing

Clinical interviewing is viewed here as a social interactional pattern in order to examine the nature and limits of the technique as a means of scientific data acquisition. I defend the technique against criticisms that it is ecologically suspect and prone to systematic biases, mainly due to influence of the interviewer on the interviewee or to unnatural and biasing interactional patterns. The Central Hypothesis of this work is that at least some forms of clinical interviewing are derivative of naturally occurring patterns of activity and interaction. As such, they do not warrant unnecessary a priori suspicion. More importantly, this view leads to avenues of empirical examination that allow determination and checking of the character of the clinical interaction, which bears directly on how and when data extracted in clinical contexts are scientifically valid. Data from an extensive corpus involving a single subject are used to illustrate and substantiate claims.     

Deeper attentional masking by lateral objects in children with autism

Autism spectrum disorder (ASD) is often associated with a detail-oriented perception and overselective attention in visual tasks, such as visual search and crowding. These results were obtained manipulating exclusively the spatial properties of the stimuli: few is known about the spatio-temporal dynamics of visual processing in ASD. In this study we employed an attentional masking (AM) paradigm comparing children with ASD and IQ-matched typically developing (TD) controls. The AM effect refers to an impaired identification of a target followed by a competitive masking object at different proximities in space and time. We found that ASD and TD groups did not differ in the AM effect provoked by the competitive object displayed in the same position of the target. In contrast, children with ASD showed a deeper and prolonged interference than the TD group when the masking object was displayed in the lateral position. These psychophysical results suggest that the inefficient attentional selection in ASD depends on the spatio-temporal interaction between competitive visual objects. These evidence are discussed in the light of the ASD altered neural connectivity hypothesis and the reentrant theory of perception.     

Pandemic preparedness planning: will provisions for involuntary termination of life support invite active euthanasia?

A number of influential reports on influenza pandemic preparedness include recommendations for extra-autonomous decisions to withdraw mechanical ventilation from some patients, who might still benefit from this technology, when demand for ventilators exceeds supply. An unintended implication of recommendations for nonvoluntary and involuntary termination of life support is that it make pandemic preparedness plans vulnerable to patients' claims for assisted suicide and active euthanasia. Supporters of nonvoluntary passive euthanasia need to articulate why it is both morally different and morally superior to voluntary active euthanasia if they do not wish to invite expansion of end-of-life options during health system catastrophe.     

Depression, Anxiety and Anger in Subtypes of Irritable Bowel Syndrome Patients

The present study aimed to elucidate the differences in depression, anxiety, anger, and quality of life in a sample of non-psychiatric IBS patients, starting from the hypothesis that IBS subtypes may have different symptomatic expressions of negative emotions with different outcomes on quality of life measures. Forty-two constipation-predominant IBS (C-IBS) subjects and 44 diarrhea-predominant IBS (D-IBS) subjects, after an examination by a gastroenterologist and a total colonoscopy, underwent a clinical interview and psychometric examination for the assessment of depression, anxiety, anger and quality of life. IBS subtypes showed different symptomatic profiles in depression, anxiety and anger, with C-IBS patients more psychologically distressed than D-IBS subjects. Affective and emotional symptoms should be considered as specific and integral to the syndrome, and recognizing the differences between IBS subtypes may have relevant implications for treatment options and clinical outcome.     

Parenting of 7‐month‐old infants at familial risk for attention deficit/hyperactivity disorder

Patterns of interaction between parents and 7‐month‐old boys at familial risk for attention deficit/hyperactivity disorder (ADHD) and a comparison group were studied during a warm‐up and two play episodes. The sample included 78 (47 at‐risk, 31 comparison) mother–child and 45 (27 at‐risk, 18 comparison) father–child dyads. A coding system developed by G. Kochanska (1997, 1998) was used. Infants in the risk group did not differ from the comparison group in the rate of emission of infant‐related events. However, they received less adequate responsivity from both their fathers and their mothers to these events, and specifically to negative emotions or distress, than did the comparison group. Maternal psychopathology did not account for these findings. Mothers were more adequately responsive than were fathers, especially for physiological needs. The association between nonoptimal interaction in infancy and the development of ADHD is discussed.     

Shell games,information, and counterfactuals

Cohen and Meskin 2006 Cohen, Jonathan and Aaron, Meskin. 2006. An Objective Counterfactual Theory of Information. Australasian Journal of Philosophy, 84: 333–352. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar] have recently proposed a novel counterfactual account of information. I argue that it is a step down from its intended target, namely Dretske's 1981 Dretske, Fred. 1981. Knowledge and the Flow of Information, Cambridge Mass: MIT Press.  [Google Scholar] theory of information. Thinking of the information carried by signals in terms of counterfactuals leads to falsely diagnosing bona fide instances of information transmission as not being instances of information transmission at all, with major loss of explanatory power.     

A trans-disciplinary study of the therapist's self

Participation in personal therapy during training is required by British accreditation bodies for counselling psychology as well as by most psychotherapy trainings. By contrast, trainee clinical psychologists are not required to undertake personal therapy, although they may elect to. Prior research in Britain and the US suggests that practitioners have a wide range of motives for entering therapy as well as motives for not doing so (Norcross &; Connor, 2005). This study addresses the fact that no research to date has specifically explored what individuals beginning their counselling psychology, clinical psychology and counselling training think and feel about participation in personal therapy during training. Data from open-ended questionnaires was analysed using inductive thematic analysis. Two main themes were identified. These consisted of: ‘Personal therapy helps me to be a better practitioner’, and ‘Personal therapy costs me’. The study results are considered in light of the limited prior research and recommendations for training are made.     

Envy and Generosity Between Co-Therapists

This paper explores the dynamics of envy and generosity between co-therapists. Generally speaking, co-therapists can be drawn into the same social comparisons (overt and covert), competitiveness, and envy as their group members. The list of valued resources can include the group's affection, appreciation, and recognition, or, more generally, one's status, popularity, creativity, sensitivity, understanding, or parental functioning. The group in turn, will sometimes tend to divide the therapists into the good one and the bad one in order to serve its own developmental needs. This process can increase the tension between the therapists, and feed their envy. I present an argument for processing those feelings and assert that awareness of co-therapist envy can promote the expression of generosity and enhance the capacity of group members for similar experiences. Clinical material will be presented to demonstrate how this works.     

Auditory temporal processing deficits in children with periventricular brain injury

The present study investigated whether auditory temporal processing deficits are related to the presence and/or the severity of periventricular brain injury and the reading difficulties experienced by extremely low birthweight (ELBW: birthweight <1000 g) children. Results indicate that ELBW children with mild or severe brain lesions obtained significantly lower scores on a test requiring auditory temporal order judgments than ELBW children without periventricular brain injury or children who were full-term. Structural equation modeling indicated that a model in which auditory temporal processing deficits predicted speech sound discrimination and phonological processing ability provided a better fit for the data than did a second model, which hypothesized that auditory temporal processing deficits are associated with poor reading abilities through a working memory deficit. These findings suggest that an impairment in auditory temporal processing may contribute to the reading difficulties experienced by ELBW children.     

Face recognition by hand

We investigated participants' ability to identify and represent faces by hand. In Experiment 1, participants proved surprisingly capable of identifying unfamiliar live human faces using only their sense of touch. To evaluate the contribution of geometric and material information more directly, we biased participants toward encoding faces more in terms of geometric than material properties, by varying the exploration condition. When participants explored the faces both visually and tactually, identification accuracy did not improve relative to touch alone. When participants explored masks of the faces, thereby eliminating material cues, matching accuracy declined substantially relative to tactual identification of live faces. In Experiment 2, we explored intersensory transfer of face information between vision and touch. The findings are discussed in terms of their relevance to haptic object processing and to the face-processing literature in general.