Posttraumatic stress and depression: potential pathways to disease burden among heart failure patients

Background and Objectives: Posttraumatic stress disorder (PTSD) and Major Depressive Disorder (MDD) are associated with high disease burden. Pathways by which PTSD and MDD contribute to disease burden are not understood. Design: Path analysis was used to examine pathways between PTSD symptoms, MDD symptoms, and disease burden among 251 low-income heart failure patients. Methods: In Model 1, we explored the independent relationship between PTSD and MDD symptoms on disease burden. In Model 2, we examined the association of PTSD symptoms and disease burden on MDD symptoms. We also examined indirect associations of PTSD symptoms on MDD symptoms, mediated by disease burden, and of PTSD symptoms on disease burden mediated by MDD symptoms. Results: Disease burden correlated with PTSD symptoms (r = .41; p < .001) and MDD symptoms (r = .43; p < .001) symptoms. Both models fit the data well and displayed comparable fit. MDD symptoms did not mediate the association of PTSD symptoms with disease burden. Disease burden did mediate the relationship between PTSD symptoms and MDD symptoms. Conclusions: Results support the importance of detection of PTSD in individuals with disease. Results also provide preliminary models for testing longitudinal data in future studies.     

Expert testimony on malingering: The admissibility of clinical procedures for the detection of deception

The detection of malingering in the legal context frequently requires the use of psychiatric and psychological expert testimony. These experts may rely on certain clinical techniques in order to detect deception. This article addresses the problem of the admissibility in evidence of clinical procedures used by these experts. The scientific reliability and effect on constitutional rights of procedures such as hypnosis, polygraphy, “truth” drugs, and psychological tests is examined.     

Infant sensitivity to audiovisually coherent events

Summary We examined 5-month-old infants' sensitivity to audiovisually coherent and incoherent events. A person speaking and an automobile with engine running were filmed approaching and receding with corresponding (coherent) soundtracks. Infants were tested with a habituation paradigm in which they observed coherent or incoherent films, involving, respectively, acoustical radial motion in the direction seen or opposite to the direction seen. Infants habituated to both person and car films, but coherent events uniformly yielded more rapid habituation than did incoherent ones. In addition, infants treated silent events more like audiovisual coherence than like incoherence. Infants habituated more to cars than to people, suggesting that a speaking person may especially maintain infant attention.     

Auditory apparent motion in the free field: The effects of stimulus duration and separation

The effects of stimulus duration and spatial separation on the illusion of apparent motion in the auditory modality were examined. Two narrow-band noise sources (40 dB, A-weighted) were presented through speakers separated in space by 2.5°, 5°, or 100, centered about the subject’s midline. The duration of each stimulus was 5, 10, or 50 msec. On each trial, the sound pair was temporally separated by 1 of 10 interstimulus onset intervals (ISOIs): 0, 2, 4, 6, 8, 10, 15, 20, 50, or 70 msec. Five subjects were tested in nine trial blocks; each block represented a particular spatial-separation-duration combination. Within a trial block, each ISOI was presented 30 times each, in random order. Subjects were instructed to listen to the stimulus sequence and classify their perception of the sound into one of five categories: single sound, simultaneous sounds, continuous motion, broken motion, or successive sounds. Each subject was also required to identify the location of the first-occurring stimulus (left or right). The percentage of continuous-motion responses was significantly affected by the ISOI [F(9,36) = 5.67,p < .001], the duration × ISOI interaction [F(18,72) = 3.54,p < .0001], and the separation × duration × ISOI interaction [F(36,144) = 1.51,p < .05]. The results indicate that a minimum duration is required for the perception of auditory apparent motion. Little or no motion was reported at durations of 10 msec or less. At a duration of 50 msec, motion was reported most often for ISOIs of 20–50 msec. The effect of separation appeared to be limited to durations and-ISOIs during which little motion was perceived.     

Habituation,memory, and the evaluative dimension of meaning

Two groups of subjects were exposed to a series of 20 either positively evaluated words (E⁺ group) or negatively evaluated words (E^? group). On the twenty-first trial, half the subjects in E⁺ group (the E^+? group) received a negatively evaluated word while the other half of the subjects received a further positively evaluated word (E⁺⁺ group). A similar subdivision was made with the E^? group to yield E^?+ and E^?? groups. Skin conductance responses to all stimulus words were measured. The responses of the E^+? and E^?+ groups were compared to those of their control groups (E⁺⁺ and E^??) for stimulus words 21 and 22. The results of these analyses, and the data concerning responses prior to stimulus word 21, indicated that subjects habituated to semantic stimuli of the same evaluative meaning. Memory for the words was assessed postexperimentally and its relationship to the orienting response in discussed.     

Body posture and gender impact neural processing of power-related words

Judging others’ power facilitates successful social interaction. Both gender and body posture have been shown to influence judgments of another’s power. However, little is known about how these two cues interact when they conflict or how they influence early processing. The present study investigated this question during very early processing of power-related words using event-related potentials (ERPs). Participants viewed images of women and men in dominant and submissive postures that were quickly followed by dominant or submissive words. Gender and posture both modulated neural responses in the N2 latency range to dominant words, but for submissive words they had little impact. Thus, in the context of dual-processing theories of person perception, information extracted from both behavior (i.e., posture) and from category membership (i.e., gender) are recruited side-by-side to impact word processing.     

Who Counts as Human? Antecedents to Androcentric Behavior

People view men as typically human, although some conditions may make this more or less likely. Language has been implicated as one factor, with masculine generic language (e.g., he used neutrally) leading to more androcentrism relative to its alternatives. However, the influence of two types of alternatives (e.g., they vs. he or she) remains unclear. The present study asked 297 male and female online participants from the United States to select typical representations of humanity from a set of White and Black male and female faces. The wording for the concept humanity was manipulated to be either a typical member of mankind, a typical human, or a typical man or woman (or woman or man). Overall, participants selected more White targets. Participants also selected more male targets, but the degree to which that was the case was affected by wording and participant’s gender. Participants, particularly male participants, in the mankind and human wording conditions were more likely to select a male target as representative, whereas in the man or woman condition, participants’ choices did not differ from chance. Thus, androcentric thinking may be more mutable than previously surmised, varying by participants’ gender and by context.     

Gaze following and gaze priming in lemurs

Although primates have often been found to co-orient visually with other individuals, members of these same species have usually failed to use co-orientation to find hidden food in object-choice experiments. This presents an evolutionary puzzle: what is the function of co-orientation if it is not used for a function as basic as locating resources? Co-orientation responses have not been systematically investigated in object-choice experiments, and requiring co-orientation with humans (as is typical in object-choice tasks) may underestimate other species’ abilities. Using an object-choice task with conspecific models depicted in photographs, we provide experimental evidence that two lemur species (Eulemur fulvus, n = 4, and Eulemur macaco, n = 2) co-orient with conspecifics. Secondly, by analysing together two measures that have traditionally been examined separately, we show that lemurs’ gaze following behaviour and ultimate choice are closely linked. Individuals were more likely to choose correctly after having looked in the same direction as the model, and thus chose objects correctly more often than chance. We propose a candidate system for the evolutionary origins of more complex gaze following: ‘gaze priming.’