An internet survey of emotional health,treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia

The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score?=?23.96; SD?=?9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population.     

Augmenting treatment efficiency in exposure therapy for PTSD: a randomized double-blind placebo-controlled trial of yohimbine HCl

The alpha-2 adrenergic receptor antagonist, yohimbine, can facilitate fear extinction in animals and humans. One potential mechanism is increased noradrenergic activity and associated arousal in the presence of conditioned stimuli. Accordingly, yohimbine might augment prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD), where heightened exposure-oriented arousal is a theorized driver and empirical predictor of treatment success. A double-blind placebo-controlled randomized trial (NCT 01031979) piloted yohimbine augmentation in 26 males with combat-related PTSD. Participants were given one-time dose of yohimbine or placebo prior to the first imaginal exposure. Subsequently, both arms completed standard PE. The primary outcome was trauma-cued heart-rate reactivity a week after the drug/exposure visit, a highly specified, objective measure sensitive to incremental change. Secondary outcomes included arousal during the drug/exposure visit and slope of distress, PTSD, and depression over the course of PE. Consistent with hypothesis, yohimbine led to higher objective and subjective arousal during the drug/exposure visit and to lower trauma-cued heart-rate reactivity one-week later. One dose of yohimbine also led to greater between-session habituation and more rapid improvement on depression, but not PTSD, over the course of care. Results of this controlled pilot indicate support for continued investigation of yohimbine-augmented exposure therapy for PTSD.     

Seeing structure: Shape skeletons modulate perceived similarity

An intrinsic part of seeing objects is seeing how similar or different they are relative to one another. This experience requires that objects be mentally represented in a common format over which such comparisons can be carried out. What is that representational format? Objects could be compared in terms of their superficial features (e.g., degree of pixel-by-pixel overlap), but a more intriguing possibility is that they are compared on the basis of a deeper structure. One especially promising candidate that has enjoyed success in the computer vision literature is the shape skeleton—a geometric transformation that represents objects according to their inferred underlying organization. Despite several hints that shape skeletons are computed in human vision, it remains unclear how much they actually matter for subsequent performance. Here, we explore the possibility that shape skeletons help mediate the ability to extract visual similarity. Observers completed a same/different task in which two shapes could vary either in their skeletal structure (without changing superficial features such as size, orientation, and internal angular separation) or in large surface-level ways (without changing overall skeletal organization). Discrimination was better for skeletally dissimilar shapes: observers had difficulty appreciating even surprisingly large differences when those differences did not reorganize the underlying skeletons. This pattern also generalized beyond line drawings to 3-D volumes whose skeletons were less readily inferable from the shapes’ visible contours. These results show how shape skeletons may influence the perception of similarity—and more generally, how they have important consequences for downstream visual processing.

     

EXPLORING OLD AND NEW PATHS IN THEODICY

Christopher Southgate's work raises questions about God, evolution, and suffering. In this article, I begin by contributing an alternative to Southgate's “only way” argument and by offering a third option in speculations about the nature of nonhuman animals in heaven. The second half of the article starts with Southgate's approach of evolutionary theodicy as “an adventure in theology” and proposes a new path branching off his work. “Compassionate theodicy” is a reworking of the method and audience of traditional theodicy in the hope that it might become something that could offer theological resources to those who suffer.     

Units of visual individuation in rhesus macaques: objects or unbound features?

Vision begins with the processing of unbound visual features, which must eventually be bound together into object representations. Such feature binding is required for coherent visual perception, and accordingly has received a considerable amount of study in several domains. Neurophysiological work, often in monkeys, has revealed the details of how and where feature binding occurs in the brain, but methodological limitations have not allowed this research to elucidate just how feature binding operates spontaneously in real-world situations. In contrast, behavioral work with human infants has demonstrated how we use simpler unbound features to individuate and identify objects over time and occlusion in many types of events, but this work has not typically been able to isolate the role of feature binding in such processing. Here we provide a method for assessing the spontaneity and fidelity of feature binding in non-human primates, as this process is utilized in real-world situations, including simple foraging behaviors. Using both looking-time and manual-search measures in a natural environment, we show that free-ranging rhesus macaques (Macaca mulatta) spontaneously bind features in order to individuate objects across time and occlusion in dynamic events. This pattern of results demonstrates that feature binding is used in subtle ways to guide ecologically relevant behavior in a non-human animal, spontaneously and reliably, in its natural environment.     

Introduction to Michotte's heritage in perception and cognition research

Several decades after Michotte's work was published, it continues to inspire current research in perception, cognition, and beyond. In this special issue we pay tribute to this heritage with a collection of empirical and theoretical papers on amodal completion and the perception of causality, two areas of research within which Michotte's work and ideas have had a lasting influence. As a background to better understand the remaining papers, we briefly sketch Michotte's life and work and the scope (in breadth and in depth) of his impact. We then review Michotte's seminal contributions to the areas covered in this special issue, some of the major research discoveries and themes in the intervening decades, and the major open questions and challenges we are still facing. We also include a sneak preview of the papers in this special issue, noting how they relate to Michotte's work and to each other. This review shows both how much influence Michotte has had on contemporary perception and cognition research, and how much important work remains to be done. We hope that the papers in this special issue will serve both to celebrate Michotte's heritage in this respect, and to inspire other investigators to continue the projects he began.     

Disgust vulnerability and symptoms of contamination-based OCD: descriptive tests of incremental specificity

The present investigation examines the incremental association between disgust propensity and sensitivity and contamination-based obsessive-compulsive disorder (OCD) symptoms. Structural equation modeling in Study 1 indicated that general disgust was related to contamination fear even when controlling for negative affect in a nonclinical sample. Evidence was also found for a model in which the effect of negative affect on contamination fear is mediated by general disgust. Study 1 also showed that both disgust sensitivity and disgust propensity uniquely predicted contamination fear when controlling for negative affect. Growth curve analyses in Study 2 indicated that higher baseline contamination fear is associated with less reduction in contamination fear over a 6-week period as disgust sensitivity increases even when controlling for negative affect. Lastly, disgust propensity was associated with concurrent levels of excessive washing symptoms among patients with OCD in Study 3 when controlling for depression. Implications of these findings from nonclinical, analogue, and clinical samples for future research on the specificity of disgust-related vulnerabilities in the etiology of contamination concerns in OCD are discussed.     

Disclosure of anxiety in everyday life: Effects of social anxiety

The current study examined the likelihood of disclosing one’s anxiety to others during anxiety-provoking conversations, as reported by individuals high or low in social anxiety. It investigated to whom these disclosures are made, and the content and intended purposes of these disclosures. Undergraduate students and community members low (n = 79) or high (n = 81) in social anxiety completed the Anxiety Disclosure in Everyday Life questionnaire, as well as several other measures as part of another study. Analyses indicated that individuals high in social anxiety were significantly less likely to disclose their anxiety as compared to individuals low in social anxiety. The likelihood of disclosing one’s anxiety varied significantly depending on to whom one was speaking, with intimate partners being disclosed to the most. The content of the disclosures typically involved stating that one is feeling shy or nervous without offering an explanation, or attributing it to one’s personality traits (e.g., shyness), with the intended purpose often being to elicit assistance or reassurance from their conversation partner or to manage the impressions of others.     

From Good to Great: Examining Exemplary Counselor Development

Some counselors excel in the profession. Few do so while maintaining a balance in life. This article examines the life of one such individual, Samuel T. Gladding. He models for counselors an aspirational process of making significant contributions to the profession while staying personally grounded. Qualities that propel professionals like Gladding from being good as a young professional into prominence as a mature counselor are examined.