Youth-caregiver Agreement on Clinical High-risk Symptoms of Psychosis

Early identification of individuals who will go on to develop schizophrenia is a difficult endeavor. The variety of symptoms experienced by clinical high-risk youth make it difficult to identify who will eventually develop schizophrenia in the future. Efforts are being made, therefore, to more accurately identify at-risk individuals and factors that predict conversion to psychosis. As in most assessments of children and adolescents, however, both youth and parental report of symptomatology and resulting dysfunction are important to assess. The goals of the current study were to assess the extent of cross-informant agreement on the Structured Interview for Prodromal Symptoms (SIPS), a widely-used tool employed to determine clinical high-risk status. A total of 84 youth-caregiver pairs participated. Youth and caregiver raters displayed moderate overall agreement on SIPS-rated symptoms. Both youth and caregiver ratings of youth symptomatology contributed significantly to predicting conversion to psychosis. In addition, youth age and quality of youth-caregiver relationships appear to be related to cross-informant symptom ratings. Despite differences on individual SIPS domains, the majority of dyads agreed on youth clinical high-risk status. Results highlight the potential clinical utility of using caregiver informants to determine youth psychosis risk.     

What is Mormon Transhumanism?

Abstract

Mormon transhumanism is the idea that humanity should learn how to be compassionate creators. This idea is essential to Mormonism, which provides a religious framework consistent with naturalism and supportive of human transformation. Mormon transhumanists are not limited to traditional or popular accounts of religion, and embrace opportunities and risks of technological evolution. Although usually considered secular, transhumanism has some religious origins and sometimes functions as religion. Accelerating change contextualizes a Mormon transhumanist narrative of common expectations, aspirations, and parallels between Mormonism and transhumanism. Mormon transhumanism has produced secular arguments for faith in God and religious arguments for transhumanism.     

An electromyographic investigation of the impact of task relevance on facial mimicry

When viewing a face expressing emotion, the viewer's face mimics the same emotion. It is unknown whether such facial mimicry takes place when the viewed emotion is a task irrelevant property of the face. The present experiment addressed this question by asking participants to judge either the emotional expression or the colour of a series of happy and angry faces that were either blue or yellow. Electromyographical recordings showed that when emotion was ignored, there was a tendency for facial muscle activity to be suppressed. Nonetheless, participants’ facial expressions mimicked target expressions, with the zygomaticus cheek muscle being more active when viewing a smiling face and the corrugator brow muscle more active when viewing an angry face. These data support the automatic encoding of irrelevant emotional information, as well as suppression of emotional information by selective attention.     

Sensorimotor fluency influences affect: Evidence from electromyography

Fluency of visual processing induces affective responses, with easier-to-process stimuli being preferred (Winkielman & Cacioppo, 2001). The present study extends this research to the motor domain by investigating the effect of sensorimotor fluency on affective reactions to objects in a categorisation task. In fluent stimulus–response (s–r) trials, grasp-compatible objects were presented on the same side of the screen as the response hand; in non-fluent trials, grasp incompatible objects were presented on the opposite side of the screen to the response hand. Affective responses were measured implicitly using face muscle activity (electromyography). As predicted, participants exhibited greater cheek muscle activity (associated with smiling) in trials with s–r compatible responses compared with incompatible responses. These findings support hedonic models of fluency in which fluent processing elicits direct emotional experience, and suggest that models of hedonic fluency should take into account the integration of the motor system in visual processing.     

Pramipexole: augmentation in the treatment of depressive symptoms

We describe a retrospective case series of three patients, two with bipolar depression and one with unipolar depression. Pramipexole is a Food and Drug Administration-approved antiparkinsonian agent, which, when used to augment antidepressants, would be considered an off-label use and should be discussed with the patient. These patients had robust responses to pramipexole augmentation of their treatment regimen. All three patients had been taking an atypical antipsychotic. The depressive symptoms were evaluated using the Hamilton Rating Scale for Depression.     

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.     

Avoiding an EST Monopoly: Toward a Pluralism of Philosophies and Methods

We contend in this article that the EST movement is becoming an ideological and economic monopoly through the exclusive use of one philosophy of science—empiricism. This epistemology monopolizes the methods that produce the ESTs. We provide lists of the values and assumptions that other scholars have demonstrated is endemic to empirical research, and we provide here an in-depth discussion about one central, uninvestigated value of such research. We, then, show the impact of this value—bias and favoritism—not only on the research itself but also on what is deemed an EST. This is followed by a discussion of a non-monopolistic alternative, an alternative that disallows the relativism and anything goes of psychotherapys history but avoids the dogmatism of an exclusive ideology.     

Psychosocial functioning of borderline patients and axis II comparison subjects followed prospectively for six years

The purpose of this study was to determine the course of the psychosocial functioning of patients with borderline personality disorder (BPD) over 6 years of prospective follow-up. The psychosocial functioning of 290 patients meeting both DIB-R and DSM-III-R criteria for BPD and 72 patients meeting DSM-III-R criteria for another Axis II disorder (and neither criteria set for BPD) was assessed at baseline using a semistructured interview of demonstrated reliability. Over 94% of surviving patients were reinterviewed about their psychosocial functioning blind to all previously collected information at three distinct follow-up waves: 2-, 4-, and 6-year follow-up. The psychosocial functioning of borderline patients improved substantially over time, with the percentage meeting criteria for good overall psychosocial functioning increasing from 26% at baseline to 56% during the third wave of follow-up. Despite this improvement, borderline patients functioned significantly more poorly than Axis II comparison subjects, particularly in the area of vocational achievement. However, a more detailed examination revealed that borderline patients who had experienced a symptomatic remission during the course of the study functioned significantly better both socially and vocationally than never-remitted borderline patients. More specifically, they were significantly more likely to have a good relationship with a spouse/partner and at least one parent, good work/school performance, a sustained work/school history, a GAF score of 61 or higher (43% vs. 0% 6 years after their index admission), and to have good overall psychosocial functioning (66% vs. 27% at 6 year follow-up). Taken together, the results of this study suggest that psychosocial improvement is both common among borderline patients and strongly related to their symptomatic status.