End-of-Life Case Study: The Use of Narrative Therapy on a Holocaust Survivor with Lifelong Depression

Journal of Contemporary Psychotherapy - End-of-life is associated with several physical and existential challenges that may necessitate and yet limit intervention. However, there is limited...     

The relationship among self-efficacy, negative self-referent cognitions, and social anxiety in children: a multiple mediator model

Evidence suggests that general self-efficacy, an individual's beliefs about his global abilities, and social self-efficacy, an individual's beliefs in his ability to navigate social situations, are strongly connected to levels of social anxiety. Negative self-statements, also known as negative self-referent cognitions, have also been linked with levels of social anxiety. Although self-efficacy and negative self-statements have been shown to be important variables in the phenomenology and maintenance of social anxiety in children, they have yet to be examined in conjunction with one another. The purpose of this study was to examine the relationship between negative self-referent cognitions and self-efficacy and to examine both general self-efficacy and social self-efficacy as mediator variables in the relationship between negative self-statements and social anxiety. Results were based on a sample of 126 children ages 11 to 14 years. A significant association between negative self-statements and both general self-efficacy and social self-efficacy was established. Results also indicated that general self-efficacy fully mediated the relationship between negative self-statements and social anxiety; however, contrary to hypotheses, social self-efficacy did not mediate the relationship between negative self-statements and social anxiety. Implications and future recommendations are discussed.     

Domestic dogs’ (Canis familiaris) choices in reference to agreement among human informants on location of food

When interacting with others, informants may offer conflicting information or information of varying accuracy. Recent research suggests that young children do not trust all informants equally and are selective in both whom they solicit for information and whose claims they support. We explored whether domestic dogs (Canis familiaris) are similarly sensitive to agreement among informants. To this end, we utilized a common human gesture, pointing, to which recent research suggests dogs are sensitive. We conducted two experiments in which an experimenter secretly hid food in one of two clear containers while the dog was distracted. Next, a small group moved to indicate the food's location using stationary points positioned above the containers. In Experiment 1, two experimenters moved to stand behind the non-baited container, while a third experimenter moved to stand behind the baited container. Then, all directed one static point at the container in front of them. Experiment 2 exactly resembled Experiment 1 with the exception that the single experimenter standing behind the baited container directed two static points at the container (one with each hand). Dogs chose the container indicated by the majority in Experiment 1 significantly more often than chance, but chose the container indicated by the minority in Experiment 2 significantly more often than chance. This suggests that the number of points, not the number of people, more strongly influenced dogs' choices.     

Cognitive pitfall! Videogame players are not immune to dual-task costs

With modern technological advances, we often find ourselves dividing our attention between multiple tasks. While this may seem a productive way to live, our attentional capacity is limited, and this yields costs in one or more of the many tasks that we try to do. Some people believe that they are immune to the costs of multitasking and commonly engage in potentially dangerous behavior, such as driving while talking on the phone. But are some groups of individuals indeed immune to dual-task costs? This study examines whether avid action videogame players, who have been shown to have heightened attentional capacities, are particularly adept multitaskers. Participants completed three visually demanding experimental paradigms (a driving videogame, a multiple-object-tracking task, and a visual search), with and without answering unrelated questions via a speakerphone (i.e., with and without a dual-task component). All of the participants, videogame players and nonvideogame players alike, performed worse while engaging in the additional dual task for all three paradigms. This suggests that extensive videogame experience may not offer immunity from dual-task costs.     

Youth’s Negative Self-Statements as Related to Social Self-Efficacy Among Differing Relationships

Background

Cognitive variables are often neglected in child and adolescent populations despite their roles in the development and maintenance of psychopathology. Furthermore, the importance of examining these variables contextually is underestimated.

Objective

The present study aimed to examine the relationship between two theoretically related cognitive variables in a contextually relevant fashion by proposing several models demonstrating the association between negative self-statements and social self-efficacy holistically and among differing relationships (i.e., peers, adults, strangers) using Structural Equation Modeling (SEM) techniques.

Method

As part of a larger study, 126 participants (ages from 11 to 14 years) were recruited for participation from the middle school grades. Participants’ parents were contacted for informed consent, and subsequently, participants were asked to fill out a set of measures in assembly format.

Results

Results indicated that the structural model was well-fitted to the data. Specifically, the frequency of negative self-statements was found to indicate the amount of social self-efficacy present with more negative self-statements being associated with less social self-efficacy. Further, when examined among differing relationships via path analysis, the frequency of negative self-statements was found to be indicative of the social self-self efficacy with peers and adults, but not with strangers.

Conclusions

These findings provide useful information concerning cognitive trends, which are likely relevant for the enhancement of treatment processes in children and adolescents. Implications and recommendations are discussed.     

Influences of appearance-behaviour congruity on memory and social judgements

Prior work shows that appearance-behaviour congruity impacts memory and evaluations. Building upon prior work, we assessed influences of appearance-behaviour congruity on source memory and judgement strength to illustrate ways congruity effects permeate social cognition. We paired faces varying on trustworthiness with valenced behaviours to create congruent and incongruent face-behaviour pairs. Young and older adults remembered congruent pairs better than incongruent, but both were remembered better than pairs with faces rated average in appearance. This suggests that multiple, even conflicting, valenced cues improve memory over receiving fewer cues. Consistent with our manipulation of facial trustworthiness, congruity effects were present in the strength of trustworthiness-related but not dominance judgements. Subtle age differences emerged in congruity effects when learning about others, with older adults showing effects for approach judgements given both high and low arousal behaviours. Young adults had congruity effects for approach, prosociality and trustworthiness judgements, given high arousal behaviours only. These findings deepen our understanding of how appearance-behaviour congruity impacts memory for and evaluations of others.     

Screening for Muir-Torre Syndrome Using Mismatch Repair Protein Immunohistochemistry of Sebaceous Neoplasms

Screening for the Muir-Torre variant of Lynch Syndrome (LS) using Mismatch Repair (MMR) gene immunohistochemistry (IHC) on sebaceous neoplasms (SNs) is technically feasible. To date, research into the clinical utility of MMR IHC for this indication is limited. We conducted a retrospective chart review of 90 patients with MMR IHC completed on at least one SN from January 2005 to May 2010. SNs included were adenomas, epitheliomas, carcinomas and basal and squamous cell carcinomas with sebaceous differentiation. Of the 90 patients, 13 (14 %) had genetically confirmed or fulfilled clinical criteria for a diagnosis of MTS and 51 patients (57 %) presented with an abnormal MMR IHC result (loss of one or more MMR proteins) on at least one SN. Abnormal IHC had a sensitivity of 85 %, specificity of 48 %, positive predictive value (PPV) of 22 % and negative predictive value (NPV) of 95 % when evaluating for MTS. When personal or family history of colorectal cancer (≥2 family members with a history of colorectal cancer) was taken into consideration, ignoring IHC results, sensitivity was 92 %, specificity was 99 %, PPV was 92 % and NPV was 99 %. MMR IHC on SNs when used to screen for MTS has poor diagnostic utility. We recommend that MMR IHC not be performed routinely on SNs when the patient does not have either personal or family history of colorectal cancer.     

Gamers just want to have fun? Toward an understanding of the online game acceptance

This study sought to examine the factors affecting the acceptance of an entertainment medium, particularly online games, by expanding the technology acceptance model. To measure factors affecting the acceptance of online games, we fielded a survey with 244 gamers serving as respondents. Perceived usefulness, enjoyment, and economic value were found to have a positive influence on attitude toward gaming, whereas perceived ease of use was not a significant predictor. In addition, we found that gender and game type (multiplayer or not) showed differing patterns of results. Interestingly, perceptions of mass acceptance of gaming were found to have a negative effect on attitude toward online games. Theoretical and practical implications of these findings are discussed.     

Image of God and Community Volunteering among Religious Adherents in the United States

Individual theological beliefs provide important motivations for religious people to volunteer in their communities. Compassion and loving one’s neighbor are both ideas that can motivate individuals to volunteer their time and talents. Religious believers who have conservative theological beliefs may see volunteering for their communities as a minor factor in their religious calling. Recent research on the role of social embeddedness within religious communities, however, has questioned the importance of theology as a motivation to volunteer (Putnam and Campbell, in American Grace. Simon and Schuster, New York, 2010; Lewis et al., in Soc Sci Res 42: 331–346, 2013). In this paper we test the effects of a religious adherent’s image of God’s disposition toward the world on their pattern of community volunteering. Using data from the 2005 Baylor Religion Survey and multinomial logit models, we find that having an image of God as judgmental lowers the odds that religious adherents report having volunteered for the community independent of their place of worship. Adherents who are most willing to engage the external community independent of a place of worship are those with less judgmental images of God. We also find that embeddedness is associated with volunteering for and with the place of worship in the community. Implications for theory, research and social capital formation are discussed.     

Neural response to evaluating depression predicts perceivers’ mental health treatment recommendations

Nonstigmatized perceivers’ initial evaluations of stigmatized individuals have profound consequences for the well-being of those stigmatized individuals. However, the mechanism by which this occurs remains underexplored. Specifically, what beliefs about the stigmatized condition (stigma-related beliefs) shape how nonstigmatized perceivers evaluate and behave toward stigmatized individuals? We examined these questions with respect to depression-related stigmatization because depression is highly stigmatized and nondepressed individuals’ behavior (e.g., willingness to recommend treatment) directly relates to removing stigma and increasing well-being. In Study 1, we identified common stigma-related beliefs associated with depression (e.g., not a serious illness, controllable, threatening), and found that only perceptions that depression is a serious condition predicted nondepressed perceivers’ willingness to recommend mental health treatment. Moreover, perceivers’ beliefs that depression is a distressing condition mediated the relationship between perceived seriousness and treatment recommendations (Study 1). In Study 2, we used fMRI to disentangle the potential processes connecting distress to nondepressed perceivers’ self-reported treatment intentions. Heightened activity in the dorsomedial prefrontal cortex (dmPFC)—a region widely implicated in evaluating others—and the ventrolateral prefrontal cortex (vlPFC)—a region widely implicated in regulating negative emotions—emerged when nondepressed perceivers evaluated individuals who were ostensibly depressed. Beliefs that depression is a distressing condition mediated the relationship between dmPFC (but not vlPFC) activity and nondepressed individuals’ self-reported treatment recommendations.