Neurocognitive profiles of preterm infants randomly assigned to lower or higher hematocrit thresholds for transfusion

Objective: Preterm infants are frequently transfused with red blood cells based on standardized guidelines or clinical concerns that anemia taxes infants' physiological compensatory mechanisms and thereby threatens their health and well-being. The impact of various transfusion guidelines on long-term neurocognitive outcome is not known. The purpose of this study is to evaluate long-term neurocognitive outcome on children born prematurely and treated at birth with different transfusion guidelines.

Methods: Neurocognitive outcomes were examined at school age for 56 preterm infants randomly assigned to a liberal (n?=?33) or restrictive (n?=?23) transfusion strategy. Tests of intelligence, achievement, language, visual-spatial/motor, and memory skills were administered. Between-group differences were assessed.

Results: Those in the liberal transfusion group performed more poorly than those in the restrictive group on measures of associative verbal fluency, visual memory, and reading.

Conclusions: Findings highlight possible long-term neurodevelopmental consequences of maintaining higher hematocrit levels.     

Goal orientation and ability: interactive effects on self-efficacy,performance, and knowledge

This study examined the direct relationship of goal orientation--and the interaction of goal orientation and cognitive ability--with self-efficacy, performance, and knowledge in a learning context. The authors argue that whether a particular type of goal orientation is adaptive or not adaptive depends on individuals' cognitive ability. Consistent with previous research, learning orientation was positively related to self-efficacy, performance, and knowledge, whereas performance orientation was negatively related to performance only. The interactions between goal orientation and ability also supported several hypotheses. As expected, learning orientation was generally adaptive for high-ability individuals but had no effect for low-ability individuals. In contrast, the effects of performance orientation were contingent on both individuals' level of cognitive ability and the outcome examined.     

Temporal lobe epilepsy and the selective reminding test: the conventional 30-minute delay suffices

Conventional memory assessment may fail to identify memory dysfunction characterized by intact recall for a relatively brief period but rapid forgetting thereafter. This study assessed learning and retention after 30-min and 24-hr delays on auditory and visual selective reminding tests (SRTs) in right (n=20) and left (n=22) temporal lobe epilepsy (TLE) patients and controls (n=49). The left TLE group performed significantly worse than controls on all 3 trials of both tests. The right TLE group differed from the controls on all 3 visual SRT trials and on learning for the auditory SRT. There were no between-groups differences in rate of information lost at the 30-min versus the 24-hr delay. At the individual level, there was no difference in the percentage of patients versus controls who demonstrated isolated memory impairment at the 24-hr delay. Accelerated forgetting over 24 hr is uncommon in TLE patients.     

Relations among comfort of fabrics, ratings of comfort, and visual vigilance

Little is known about the relationship between perceptions of comfort and cognitive performance. In the present study, 40 subjects (20 men and 20 women) participated in a computerized cognitive task of visual vigilance. The computer task was completed under three conditions of clothing and tactile comfort: one condition was that of extreme discomfort, effected by the wearing of wool clothing material on the arms and neck in addition to each subject's normal clothing, including a short sleeve shirt; a second condition was that of minimal discomfort, effected by the wearing of cotton clothing material on the arms and neck, in addition to each subject's normal clothing, including a short sleeve shirt; and a third condition was a control, wherein no experimental material was added to each subject's normal clothing, including a short sleeve shirt. Comfort was assessed prior to, during, and after testing. Reaction time and accuracy of 400 trials of a visual vigilance task were assessed under each of these three conditions. Analysis indicated a significant difference in perceived comfort between the wool and each of the other conditions. In addition, both reaction time and accuracy declined in the wool condition. This study is among the first to identify a direct significant relationship between perceptions of clothing comfort and cognitive performance.     

Therapist perspectives on working with fears,blocks and resistances to compassion in compassion focused therapy

Objective

A core aspect of compassion focused therapy (CFT) is addressing fears, blocks, and resistances (FBRs) to compassion. How CFT therapists do this with clients remains unclear. This study aims to explore the perspectives of well-trained, experienced CFT therapists regarding how they work with FBRs in the context of CFT.

Methods

A qualitative study was conducted. Participants were asked five open-ended questions regarding (a) their experiences of working with FBRs to compassion, (b) how they understand and formulate FBRs, (c) specific ways they address FBRs, (d) how other therapists might learn about working with FBRs, and (e) their top recommendations. A total of 64 participants completed the online questionnaire, and the qualitative data were analysed using thematic analysis.

Results

The analysis produced four interrelated superordinate themes: (a) Getting “alongside” and “behind”: The central role of formulation, (b) “It's not your fault”: Psychoeducation, (c) “Get experiential”: An emphasis on experiential interventions, and (d) “Respect the wisdom”: The importance of therapeutic process.

Conclusions

Working with FBRs to compassion is critical in CFT. Understanding the wisdom in the client's FBRs, and validating and de-shaming the client's FBRs are crucial. We provide clinical recommendations regarding working with FBRs as part of CFT.     

The influence of color and demand characteristics on muscle strength and affective ratings of the environment

Demand characteristics may influence claims that the color pink inhibits muscle strength whereas blue increases muscle strength. In Experiment 1, undergraduates (N = 59; 30 women, 29 men) were told either that the experimenters thought pink would increase and blue decrease strength or that blue would increase muscle strength and pink decrease muscle strength. A hand dynamometer assessed grip strength as subjects stared at each of 8 differently colored panels. Results indicated that men viewing the pink or orange panels had higher grip strength under pink-strengthen than under pink-weaken instructions. The reverse relationship was found for men viewing a green panel. For women, the pink-weaken instructions resulted in a higher grip strength than did the pink-strengthen instructions, regardless of actual color present. In Experiment 2, women in a no-instruction control condition had lower grip strength than women given the pink-weaken instructions. For men, the control (no-instruction) condition resulted in higher grip strength than the pink-weaken condition. Results of both studies suggest that men followed overt demand characteristics but that women reacted with increased intensity to any suggestion that a stereotypically feminine pink is associated with weakness.     

Using the Family Paper Sculpture for education,therapy, and research

The Family Paper Sculpture is a semi-projective task useful in family life education, in clinical work with families, and in research involving family system variables. Families or individuals are asked to make a picture of the family using round disks for individuals, red and black strips to show similarities and differences among individuals, and boundary markers to show individuals who are separate, or pairs, or groups of individuals who belong together. Examples are given which demonstrate the value of the technique for educational, therapeutic, and research purposes.She is on leave from the University of Houston-Clear Lake, Houston, Texas, where she is an Associate Professor of Behavioral Sciences.The research reported here was supported in part by grants from the (U.S.) National Institute of Mental Health.     

Degree of Detail of Eyewitness Testimony and Mock Juror Judgments1

The influence of the degree of detail of eyewitness testimony on two sides of a court case was investigated in two experiments. In the first experiment subject-jurors read a civil court case involving an automobile-pedestrian accident. The plaintiff and the defendant presented conflicting eyewitness accounts. Judgments of the relative credibility of the eyewitnesses on each side and the percentage of negligence of the parties were influenced by the relative degree of detail of the eyewitness testimony on each side. In the second experiment subject-jurors read a criminal court case involving robbery and murder. The prosecution and defense presented conflicting eyewitness accounts. The degree of detail of the prosecution eyewitness testimony influenced judgments of guilt and judgments of the credibility of the eyewitnesses. An examination of the reasons for verdicts and credibility judgments revealed that some subjects inferred that an eyewitness who gave testimony with a greater degree of detail had a better memory for the trivial details and the culprit than an eyewitness who gave testimony with a lesser degree of detail. Implications of these results for the legal system are discussed.