Virtual Reality Exposure Therapy for PTSD symptoms after a road accident: an uncontrolled case series

This report examined whether Virtual Reality Exposure Therapy (VRET) could be used in the treatment of posttraumatic stress disorder (PTSD) symptoms in the aftermath of a serious motor vehicle accident. Six individuals reporting either full or severe subsyndromal PTSD completed 10 sessions of VRET, which was conducted using software designed to create real-time driving scenarios. Results indicated significant reductions in posttrauma symptoms involving reexperiencing, avoidance, and emotional numbing, with effect sizes ranging from d=.79 to d=1.49. Indices of clinically significant and reliable change suggested that the magnitude of these changes was meaningful. Additionally, high levels of perceived reality ("presence") within the virtual driving situation were reported, and patients reported satisfaction with treatment. Results are discussed in light of the possibility for VRET to be useful in guiding exposure in the treatment of PTSD following road accidents.     

Training-specific adaptations of H- and stretch reflexes in human soleus muscle

The authors investigated the effect of physical exercise on reflex excitability in a controlled intervention study. Healthy participants (N = 21) performed 4 weeks of either power training (ballistic strength training) or balance training (sensorimotor training [SMT]). Both training regimens enhanced balance control and rate of force development, whereas reductions in peak-to-peak amplitudes of stretch reflexes and in the ratio of the maximum Hoffman reflex to the maximum efferent motor response (Hmax:Mmax) measured at rest were limited to SMT. The differences in reflex excitability between the training regimens indicated different underlying neural mechanisms of adaptation. The reduced reflex excitability following SMT was most likely induced by supraspinal influence. The authors discuss an overall increase in presynaptic inhibition of Ia afferent fibers as a possible mechanism.     

Understanding the relationship between posttraumatic stress disorder and trauma cognitions: The impact of thought control strategies

Several models of PTSD suggest that dysfunctional beliefs play an important role in the maintenance of PTSD. This study examined whether thought control strategies intermediated in the relationship between PTSD and dysfunctional cognitions. It was hypothesized that PTSD would be positively associated with dysfunctional cognitions and that negative thought control strategies (worry and self-punishment) would partially account for this relationship. These maladaptive strategies were predicted to be associated with increased levels of PTSD and more trauma-related beliefs. Additionally, it was predicted that positive thought control strategies (social control and reappraisal) would be associated with decreased levels of PTSD and fewer trauma-related beliefs. Finally, because the literature supports distraction as both an adaptive and a maladaptive thought control strategy, no a priori hypothesis was made. Results support worry and self-punishment as maladaptive intervening variables in the association between PTSD and dysfunctional cognitions, resulting in greater levels of PTSD and trauma cognitions. Social control and distraction emerged as adaptive strategies, resulting in lower levels of PTSD and trauma cognitions, while reappraisal showed no relationship with PTSD severity. Although the results are cross-sectional, continued focus on the effects of thought control strategies as meditational maintenance variables over time appears warranted.     

The development and robustness of young children’s understanding of aspectuality

We investigated whether 6-year-olds’ understanding of perceptual aspectuality was sufficiently robust to deal with the presence of irrelevant information. A total of 32 children chose whether to look or feel to locate a specific object (identifiable by sight or touch) from four objects that were hidden. In half of the trials, the objects were different on only one modality (e.g., four objects that felt different but were the same color). In the remainder of the trials, the objects also differed (partially) on one irrelevant modality (e.g., four objects that felt different, two red and two blue, where the goal was to locate the soft object). Performance was worse on the latter trials. We discuss children’s difficulty in dealing with irrelevant information.     

Becoming human,becoming sober

Two themes run through Kierkegaard’s authorship. The first defines existential requirements for “becoming human”—reflective honesty and earnest humor. The second demarcates the religious phenomena of sobriety when human becoming suffers insurmountable collisions. Living with existential pathos teaches the difference between the either/or logic of collisions and the both/and logic of development and transitions. There is a difference between self-transformation and a progressive individual and social development. In the developmental mode self experiences gradual progression or adaptive evolution; in the self-transformative mode self undergoes qualitative upsurges, leaps, gestalt switches, musical key transpositions of becoming in individual and social evolutions. Each individual in every epoch begins at the beginning. The author traces the movements of becoming in their parallel dimensions, drawing a fork through Kierkegaard’s writing. The first leads through the existence spheres of his pseudonymous authorship. The second intensifies the movement on the spot and in the moment.

Interviewing Witnesses: Forced Confabulation and Confirmatory Feedback Increase False Memories

In two experiments, adults who witnessed a videotaped event subsequently engaged in face-to-face interviews during which they were forced to confabulate information about the events they had seen. The interviewer selectively reinforced some of the participants' confabulated responses by providing confirmatory feedback (e.g., "Yes, _is the correct answer") and provided neutral (uninformative) feedback for the remaining confabulated responses (e.g., "O.K. _"). One week later, participants developed false memories for the events they had earlier confabulated knowingly. However, confirmatory feedback increased false memory for forcibly confabulated events, increased confidence in those false memories, and increased the likelihood that participants would freely report the confabulated events 1 to 2 months later. The results illustrate the powerful role of social-motivational factors in promoting the development of false memories.     

The effect of causal chain length on counterfactual conditional reasoning

We investigated German and Nichols' finding that 3‐year‐olds could answer counterfactual conditional questions about short causal chains of events, but not long. In four experiments (N =192), we compared 3‐ and 4‐year‐olds' performance on short and long causal chain questions, manipulating whether the child could draw on general knowledge to answer. We failed to replicate German and Nichols' result, finding instead that in two experiments (Experiments 1 and 3) there was no difference in performance on short and long causal chain questions and in two experiments (Experiments 2 and 4) children showed the opposite pattern: short causal chain questions were more difficult than long. These two unexpected patterns of results were replicated in a fifth study (N =97). Children with lower language ability found short causal chains more difficult than long. Performance by children with higher language ability was unaffected by the length of the causal chain they had to consider. We found no evidence that children showed precocious counterfactual thinking when asked about recent events in a causal chain and conclude that counterfactual thinking develops after 4 years of age.