Everyday‐like memory for objects in ageing and Alzheimer's disease assessed in a visually complex environment: The role of executive functioning and episodic memory

To investigate everyday memory, more and more studies rely on virtual‐reality applications to bridge the gap between in situ approaches and laboratory settings. In this vein, the present study was designed to assess everyday‐like memory from the virtual reality‐based Human Object Memory for Everyday Scenes (HOMES) test (Sauzéon et al., 2012 , Exp. Psychol., 59, 99) in ageing and in Alzheimer's disease (AD). Two aims motivated this study: the first was to assess multiple processes of episodic memory (EM) functioning embedded within contexts closely related to real life in ageing and AD using the multi‐trial free‐recall paradigm, and the second aim was to evaluate the mediating effects of executive functioning (EF), EM, and subjective memory complaints (SMCs) on age differences in the HOMES measures and in AD. To this end, the HOMES test and neurocognitive tests of EF and EM were administered to 23 younger adults, 23 older adults, and 16 patients with AD. The results were: firstly, compared to young adults, elderly adults presented only free‐recall decline that almost disappeared in recognition condition whereas AD patients exhibited a poor clustering, learning, and recognition performance, and also a high amount of false recognition; secondly, age differences as well as AD related deficits on the HOMES test were mediated by both memory and EF measure while those observed on false memory indices were only mediated by EM measure; thirdly, the HOMES indices are related to SMCs even when episodic or EF measures are controlled. Overall, the results supported the fact that the VR‐based memory test is an appropriate device to capture age‐related differences as well as the AD effect with respect to both in situ and laboratory settings.     

Tool use in left brain damage and Alzheimer's disease: What about function and manipulation knowledge?

Tool use disorders are usually associated with difficulties in retrieving function and manipulation knowledge. Here, we investigate tool use (Real Tool Use, RTU), function (Functional Association, FA) and manipulation knowledge (Gesture Recognition, GR) in 17 left‐brain‐damaged (LBD) patients and 14 AD patients (Alzheimer disease). LBD group exhibited predicted deficit on RTU but not on FA and GR while AD patients showed deficits on GR and FA with preserved tool use skills. These findings question the role played by function and manipulation knowledge in actual tool use.     

The feasibility,acceptability and possible benefit of a positive psychology intervention group in an adolescent inpatient eating disorder service

Positive affect focused therapies could increase subjective happiness and life satisfaction for patients with eating disorders (EDs), illnesses known to significantly impact quality of life. This longitudinal pilot study aimed to develop and implement a five session ‘Positivity Group’ using positive psychology interventions (PPIs) in an adolescent ED inpatient service. Eight female inpatients aged 11–18 years attended the group and subjective happiness and life satisfaction were assessed before, after and at 6-month follow-up. Patients provided feedback on acceptability and feasibility was assessed via patient engagement, facilitator and team feedback and the data support the feasibility and acceptability of the group. A possible benefit was derived from the group, with 75% of patients reporting meaningful improvement in subjective happiness and 87.5% in life satisfaction. Involving the wider team and supporting homework were identified as considerations for future replication alongside the assessment of implementation, acceptability, feasibility and effectiveness in other clinical contexts.     

The Future of Training and Credentialing in Group Psychotherapy

High-quality group psychotherapy training is seen as more important than ever in the current health care environment. The training opportunities available at present are assessed. It is argued that there is a body of knowledge about generic group psychotherapy that can and should be taught, and that there are appropriate people to teach it. Credentialing is discussed, and it is suggested that the assessment of actual work in clinical situations must be emphasized if such efforts are to be meaningful.     

Predicting Cognitive and Social Consequences of Emotional Episodes: The Contribution of Emotional Intensity, the Five Factor Model, and Alexithymia

Emotional events are followed by recurrent thoughts (rumination) and talking about the event (social sharing of emotion). Factors that can account for variations in these consequences were examined (emotional intensity, the Five Factor Model, and two factors of alexithymia). In two samples, participants reported the most negative emotional event of recent months and in one sample also reported the most positive one. Results indicated that emotional intensity predicted social sharing and rumination, while neuroticism was positively related to intrusive thoughts about negative events and extraversion to rumination and social sharing about positive events. Difficulty describing feelings was negatively related to social sharing for negative events and reduced fantasy to rumination for positive events.     

Case illustration: Moving along…and,is change gradual or sudden?

A sequence of analytic sessions of a professional woman in her forties is used to illustrate the moving along process. The material shows a gradual change, where the patient's experience of her sense of agency is altered through a particular kind of interactive sequence. The example is intended to make it clear that the group's view of how change occurs is not strictly or primarily in terms of sudden changes, and that the problem of assessing moments of meeting as well as quantitative and qualitative shifts is one with which the group continues to struggle. © 1998 Michigan Association for Infant Mental Health     

A comparison of self-report and interview diagnoses of DSM-III-R personality disorders

A total of 73 psychiatric inpatients, all of whom (but two) fulfilled criteria for at least one specific personality disorder (PD) on SCID-II PQ, were interviewed with the help of PDE. The self-report PD diagnosis was confirmed in 35 (48 per cent) patients. The diagnostic agreement between the two instruments was poor, yielding an overall weighted kappa of 0.22. Levelling off the PD base rates by increasing or decreasing the diagnostic threshold of SCID-II PQ and PDE respectively increased the overall weighted kappa to 0.38 in both instances. 70 per cent of SCID-II PQ but only 29 per cent of PDE personality disorders were of extensive type. Most frequent important co-occurrences occurred between individual PD types within cluster 2. On the whole, the results confirmed the relatively poor agreement between self-report and interview PD diagnoses. The utilization of self-report questionnaires in a clinical practice remains a controversial issue. © 1998 John Wiley & Sons, Ltd.     

Alexithymia and its measurement: confirmatory factor analyses of the 20‐item Toronto Alexithymia Scale and the Bermond–Vorst Alexithymia Questionnaire

Alexithymia refers to the difficulties an individual has in experiencing and expressing feelings. The 20‐item Toronto Alexithymia Scale (TAS‐20) and the Bermond–Vorst Alexithymia Questionnaire (BVAQ) with two parallel versions of 20 items have been constructed to measure it. The present study compared the psychometric properties of these two self‐report questionnaires in English (N=290) and French (N=322) language versions. Confirmatory factor analysis was used to examine the fit between the hypothesized factors and the data. Results revealed a better fit to the data for the second version of the BVAQ (BVAQ‐20B) for both language versions as compared to the TAS‐20, the whole BVAQ, or the first version of the BVAQ (BVAQ‐20A). Additionally, the factor comparison of both language versions indicated that only the factorial structure of the BVAQ‐20B was replicable across languages. Concurrent validity of the questionnaires is discussed. Copyright © 1999 John Wiley & Sons, Ltd.