Life-Review Technique in the Treatment of PTSD in Elderly Patients: Rationale and Three Single Case Studies

Persons exposed to traumatic events in childhood and adolescence may suffer from the symptoms of posttraumatic stress disorder (PTSD) well into old age. The aim of this paper is to introduce a structured life-review technique for the treatment of elderly PTSD patients. This technique centers on the discussion and evaluation of each consecutive stage of life. The therapist encourages the patient to reminisce on both positive and negative experiences; positive coping experiences are reinforced. A single session on the traumatic event is integrated into the discussion of the stages of life, which are dealt with in chronological order. In the following, 3 case studies (e.g., survivors of the 1945 Dresden bombing) are presented. Psychometric measures (PTSS-10, IES-R) for the case studies are reported. Finally, the potential and limitations of the pilot study and the new approach are discussed.     

Mind, Self, and Personality: Dynamic Interactions from Late Childhood to Early Adulthood

This paper aims to integrate research on mind, personality, and self-development using a general model which hypothesizes that mind and personality are organized in 3 levels. The first level includes environment-oriented, domain-specific systems that specialize in the representation of and interaction with particular types of relationships in the environment in both the cognitive and the social realms. The second level comprises self-oriented monitoring and representation processes that build maps of the environment-oriented systems. Self and identity derive from the interaction between these 2 levels, which is subject to the constraints and the system's processing capacity at the successive ages. These constraints may be taken as the third level of the self. Efficiency in overcoming these constraints is determined by the self-oriented processes, generating feelings and self-representations of self-worth. These feelings are idiosyncratic, and function as a personal constant, which is applied on self-evaluation and self-representations. This constant is rescaled and differentiated with development. Thus, we have simultaneously both modular and transmodular constructs in the mind and the self, which change with relative independence of each other under the constraints of the general processing capabilities and the personal constant. A series of studies are presented to support this model, and its implications for life-span theories of development are discussed.     

The costs and benefits of processing emotional stimuli during rapid serial visual presentation

Using a dual-target identification task during rapid serial visual presentation (RSVP), we examined facilitation and interference effects exerted by emotional stimuli. Emotionally arousing first targets (T1s) were encoded with higher accuracy than neutral T1s. At the same time, identification of a second neutral target (T2) was impaired reflecting a failure of disengaging attention from arousing T1s. Similar interference was triggered by arousing filler stimuli that were not voluntarily searched for in the RSVP stream (Experiment 2). In Experiment 3, we showed that interference is reduced (though facilitation for arousing T1s is maintained) when the second task itself involves variations in emotional arousal. Vice versa, when arousal associated with the T2 stimulus was predictable, interference recurred (Experiment 4). Our findings indicate that the perceived emotional intensity of a stimulus is a determinant of successful identification during RSVP: Encoding of arousing stimuli is reliably facilitated. Interference effects with subsequent processing arise independently and are strongly modulated by the overall task context and specific processing strategies.     

Reaction time measurement of temporal integration and organization of form

Temporal integration of patterned stimuli was investigated by introducing an interstimulus interval (ISI) between brief exposures of two matrices of illuminated squares. These matrices were identical except for their spatial displacement, arranged such that they could be superimposed to yield either horizontal or vertical stripes. Choice reaction times to the composite stripe orientation were a progressively increasing function of ISI, suggesting some integration over an ISI range in excess of 224 msec. Similar functions were obtained with both regular and irregular order of ISI presentation. The results from an additional experiment employing an extraneous warning signal discounted the possibility that preparatory factors developing over the ISI were responsible for the obtained reaction time functions.     

Selective attention and serial processing in briefly presented visual displays

Displays of eight capital letters were presented in a circular arrangement around a central fixation point at tachistoscopic durations. Under different experimental conditions, one or two indicators, presented either 250 msec before, simultaneously with, or after the display, designated the letters that S was to report. The arrangement of conditions permitted inferences as to the order in     

Visual search under conditions of very rapid sequential Input rates

The purposes of the present experiment were to provide information on rate of information processing in visual perception and to determine the degree to which the “sequential blanking” effect found by Mayzner. Tresselt, and Cohen (1966) constituted a limitation on rapid sequential input rates. A 10-channel tachisto scope was employed that permitted controlled durations of each of the 10 channels and the 9 inter channel intervals. The S’s task was one of visual search or detection in which he searched for a target letter among noise letters. A temporal interval forced-choice procedure was used. In addition to varying the rate at which letters were sequentially presented, various irregular temporal spatial orders of presentation of the letter sequences were employed and the direction and orientation of the display in the visual field was varied as was also the spacing between adjacent stimuli. No evidence of “sequential blanking” was found either in terms of the detection criterion or in the Ss’ phenomenal reports. Detection performance was as good at a rate of 2 1/2 msec per letter as it was at a rate of 30 msec per letter.