Social phobia in youth: the diagnostic utility of feared social situations

The present study evaluated the utility of parent- and child-reported social fears for reaching a diagnosis of social phobia in youth. The diagnostic utility of (a) the number of fears and (b) specific feared social situations was examined. The sample included 140 youth and their parents: youth diagnosed with social phobia (n=50), youth diagnosed with generalized anxiety disorder or separation anxiety disorder but not social phobia (n=49), and youth without an anxiety disorder (n=41). Youth and their parents were interviewed separately using the Anxiety Disorders Interview Schedule for Children and Parents. Analyses indicate that a cut score of 4 parent-endorsed social fears optimally distinguished youth with and without social phobia. Analyses of child-reported fears did not identify a meaningful cut score. Conditional probability and odds ratio analyses indicated that several specific social fears have high diagnostic efficiency, and others were found to have limited diagnostic efficiency. Results are discussed with regard to informing diagnostic interviews and diagnostic systems for social phobia in youth.     

Priming of semantic classifications by novel subliminal prime words

Four experiments demonstrate category congruency priming by subliminal prime words that were never seen as targets in a valence-classification task (Experiments 1, 2, and 4) and a gender-classification task (Experiment 3). In Experiment 1, overlap in terms of word fragments of one or more letters between primes and targets of different valences was larger than between primes and targets of the same valence. In Experiments 2 and 3, the sets of prime words and target words were completely disjoint in terms of used letters. In Experiment 4, pictures served as targets. The observed subliminal priming effects for novel primes cannot be driven by partial analysis of primes at the word-fragment level; they suggest instead that primes were processed semantically as whole words contingent upon prime duration.     

Deceptiveness on the PAI: a study of naïve faking with psychiatric inpatients

In this study, we sought to explore the diagnostic accuracy of the Personality Assessment Inventory (PAI; Morey, 1991) Validity scales (Negative Impression Management [NIM] and Positive Impression Management [PIM]) and indexes (Malingering index, Defensiveness index [DEF]; Morey, 1993, 1996; Cashel Discriminant Function; Cashel, Rogers, Sewell, & Martin-Cannici, 1995; and Rogers Discriminant Function [RDF]; Rogers, Sewell, Morey, & Ustad, 1996) to identify differences in profiles completed by psychiatric inpatients under standardized instructions (Time 1) and after random assignment (Time 2) to a fake good (n=21), fake bad (n=20), or retest (n=21) scenario. Repeated measures analysis of variance revealed a significant interaction effect. Whereas the retest group did not show any significant changes on the PAI variables from Time 1 to Time 2, both faking groups showed changes in expected directions. Discriminant function analyses revealed that NIM, RDF, and lower scores on DEF best differentiated between the faking bad and retest groups. PIM was the only nonredundant significant score discriminating the faking good and retest groups. Cutoffs for these scales and indexes established in prior research were supported using diagnostic efficiency statistics. Results suggest that NIM and RDF in faking bad scenarios and PIM in faking good scenarios are most sensitive to unsophisticated attempts to dissimulate by inpatient psychiatric patients.     

Metacognitive beliefs across the continuum of psychosis: comparisons between patients with psychotic disorders, patients at ultra-high risk and non-patients

BACKGROUND: Recent models of emotional disorders and psychosis implicate metacognitive beliefs in the development and maintenance of psychological distress. We predicted that patients with established psychotic disorders and those meeting at risk mental state (ARMS) criteria (and, thus, at increased risk of developing psychosis) would show higher levels of metacognitive beliefs than non-patient controls. Furthermore, we predicted that patients with psychosis would show higher levels of such beliefs than the at risk group. METHOD: The Metacognitions Questionnaire was administered to 73 patients with psychotic disorders, 43 ARMS patients and 188 non-patients. RESULTS: As predicted, patients with psychotic diagnoses and those at risk scored higher on metacognitive belief dimensions than non-patients. Patients with psychosis showed higher positive metacognitive beliefs than the at risk patients, indicating a greater range of unhelpful metacognitions overall, when compared to non-patients. CONCLUSIONS: These findings are consistent with metacognitive conceptualisations of psychological disorders. The implications of these findings for clinical practice are discussed.     

Judgement of act-outcome contingency: The role of selective attribution

In the first experiment subjects were presented with a number of sets of trials on each of which they could perform a particular action and observe the occurrence of an outcome in the context of a video game. The contingency between the action and outcome was varied across the different sets of trials. When required to judge the effectiveness of the action in controlling the outcome during a set of trials, subjects assigned positive ratings for a positive contingency and negative ratings for a negative contingency. Furthermore, the magnitude of the ratings was related systematically to the strength of the actual contingency. With a fixed probability of an outcome given the action, judgements of positive contingencies decreased as the likelihood that the outcome would occur without the action was raised. Correspondingly, the absolute value of ratings of negative contingencies was increased both by an increment in the probability of the outcome in the absence of the action and by a decrement in the probability of the outcome following the action. A systematic bias was observed, however, in that positive judgements were given under a non-contingent relationship when the outcome frequency was relatively high. However, this bias could be reduced by giving extended exposure to the non-contingent schedule (Experiment 2).

This pattern of contingency judgements can be explained if it is assumed that a process of selective attribution operates, whereby people are less likely to attribute an outcome to some potential target cause if another effective cause is present. Experiments 2 and 3 demonstrated the operation of this process by showing that initially establishing another agent as an effective cause of the outcome subsequently reduced or blocked the extent to which the subjects attributed the outcome to the action.

Finally, we argue that the pattern and bias in contingency judgements based upon interactions with a causal process can be explained in terms of contemporary conditioning models of associative learning.     

Examination of the PC-PTSD in previously deployed Air Force Medical Service personnel

This study assessed the performance of the PC-PTSD in diagnosing postdeployment posttraumatic stress disorder (PTSD) in a cohort of Air Force Medical Services personnel (N = 18,530). The prevalence of PTSD in the cohort was 5.18% based on medical record data. The area under the receiver operating characteristic curve was 0.69, indicating poor classification accuracy. Sensitivity was 47.55%, specificity was 90.68%, positive predictive value was 21.79%, and negative predictive value was 96.94%. The positive and negative likelihood ratios were 5.10 and 0.58, respectively. Several risk factors were found to be associated with a diagnosis of postdeployment PTSD: being a nurse, being enlisted in the medical service career field, being enlisted in the mental health service career field, those over age 30, being a member of the Active Duty service component, and having one’s first deployment be to Iraq. Being an officer was found to be a protective characteristic. These factors could potentially improve screening for PTSD among Air Force healthcare personnel.     

Treating disturbed emotional regulation in sexual offenders: The potential applications of mindful self-regulation and controlled breathing techniques

It has been noted that some offenders are characterized by problems in the appropriate regulation of emotional states. Deficits in emotional regulation are particularly pertinent in sexual offenders. Therefore, therapeutic programs should, in part, focus on the development of effective strategies for the control of emotional arousal. In this review, we will provide an outline of how anatomical structures including the amygdala and regions of the prefrontal cortex (PFC) are involved in the appropriate regulation of emotion. It is argued in this paper that the effective control of emotional states may be helped through the adoption of a group of meditational practices, known as mindfulness techniques, which have emerged from Buddhist philosophy. These techniques involve slow, deep breathing and have been shown to affect vagal modulation of the heart and the functioning of specific neural circuits which are critically involved in emotional regulation.     

Finding MAPs using strongly equivalent high order recurrent symmetric connectionist networks

Belief revision is the problem of finding the most plausible explanation for an observed set of evidences. It has many applications in various scientific domains like natural language understanding, medical diagnosis and computational biology. Bayesian Networks (BN) is an important probabilistic graphical formalism widely used for belief revision tasks. In BN, belief revision can be achieved by finding the maximum a posteriori (MAP) assignment. Finding MAP is an NP-Hard problem. In previous work, we showed how to find the MAP assignment in BN using High Order Recurrent Neural Networks (HORN) through an intermediate representation of Cost-Based Abduction. This method eliminates the need to explicitly construct the energy function in two steps, objective and constraints. This paper builds on that previous work by providing the theoretical foundation and proving that the resultant HORN used to find MAP is strongly equivalent to the original BN it tries to solve.     

IRTs of the ABCs: children's letter name acquisition

We examined the developmental sequence of letter name knowledge acquisition by children from 2 to five years of age. Data from 2 samples representing diverse regions, ethnicity, and socioeconomic backgrounds (ns = 1074 and 500) were analyzed using item response theory (IRT) and differential item functioning techniques. Results from factor analyses indicated that letter name knowledge represented a unidimensional skill; IRT results yielded significant differences between letters in both difficulty and discrimination. Results also indicated an approximate developmental sequence in letter name learning for the simplest and most challenging to learn letters--but with no clear sequence between these extremes. Findings also suggested that children were most likely to first learn their first initial. We discuss implications for assessment and instruction.     

Predicates in perspective

A familiar strategy of argument to the effect that natural-language predicates are semantically context dependent rests on constructing what I term Travis cases: different contexts for the use of a predicate are imagined in which its semantic (typically, truth-conditional) properties are claimed to differ. I propose an account of the semantic properties of predicates that give rise to Travis cases; I then argue that the account underwrites a genuine alternative to the standard explanations of Travis cases to be found in the literature; I close with a brief sketch of the connections, required by a fuller development of my account, among the semantic notion of a predicate??s content, the metaphysical notion of a property??s instantiation, and the cognitive notion of a language user??s perspective in using a predicate.