Cognitive processing therapy for chronic PTSD from childhood sexual abuse: A case study

This paper describes a case of chronic Post-traumatic Stress Disorder (PTSD), as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th edn; American Psychiatric Association, 1994). The client has a long history of childhood sexual abuse (CSA), as well as repeated sexual victimization as an adult and addiction issues. She presented with significant avoidance symptoms, including a highly restricted range of affect and distinct feelings of detachment from others. These symptoms had been greatly reduced by the end of the 17-week therapy including both individual and group modalities. The paper elaborates on theoretical issues, the Cognitive Processing Therapy model (Resick & Schnicke, 1993) as it was adapted for use with survivors of childhood sexual abuse, the various phases of the therapeutic process, and specific examples of therapeutic change with this particularly complicated case.     

The measurement of imagery ability

When variations in imagery ability are used to predict task performance, distinct and consistent relationships do not tend to emerge. A selective review of studies is undertaken to outline some basic reasons why individual difference measures of imagery are often so unsuccessful. Relevant studies concerning the learning and performance of motor skills are examined in some detail. It is concluded that the major problem in these studies is the types of imagery tests that have been employed; these tests have not adequately measured imagery ability. A recently developed instrument, the Movement Imagery Questionnaire, which has been designed to assess individual differences in visual and kinesthetic imagery of movement is discussed.     

Nasality and precision of articulation

Two reading passages, one with nasal consonants and one without, were tape-recorded for 72 subjects: 34 selected as having precise articulation and 38 selected as having imprecise articulation. These speech samples were evaluated for degree of precision and also for degree of nasality by the psychological scaling method of equal-appearing intervals employing a 7-point scale. Analysis indicated a relationship between degree of precision and degree of unpleasant nasality, that is, a tendency for decreases in precision to be accompanied by increased nasality and a tendency for males to be more imprecise in articulation and more nasal than females.     

Extradimensional shift learning in pigeons: Positive and negative transfer produced by prior discrimination training

Four groups of pigeons were trained on a free operant successive discrimination between line-stimuli differing in orientation. The groups differed according to their previous treatment. Two groups had received true discrimination (TD) training with stimuli differing in colour and two groups had received pseudo-discrimination (PD) training. For one pair of groups the line-stimulus that was to become the positive stimulus in the transfer stage of the experiment was superimposed on both colours and in these the subjects given PD training learned the orientation discrimination more readily than those given TD training. In the other pair of groups TD animals learned more readily than PD. These results require us to modify current theories of attentional factors in transfer.     

Three methods of developing MMPI taxonomies of sexual offenders

In a sample of 261 state hospital sexual offenders, Minnesota Multiphasic Personality Inventory (MMPI) profiles did not differ for offenders with adult victims versus offenders with child victims when offender age was controlled. MMPI 2-point analyses for the whole sample revealed five common codes that were independent of victim maturity. The sample was randomly divided in half and subjected to a cluster-analytic procedure which revealed two MMPI clusters. The first cluster was unelevated, with Scale 4 as its high point. The second cluster had multiple elevations, with Scales 8, 4, 2, and 7 as the highest scales. These clusters were replicated in a cluster analysis of the second half of the sample. However, when the sample was recombined, the two clusters were not externally validated basis on demographic and criminological variables. The results suggest that common psychological variables among sexual offenders may have more discriminative value than victim maturity in developing sexual offender taxonomies.     

Polysemy and the acquisition of the cognitive internal state lexicon

Previous research (Hall, Scholnick, & Hughes, 1987) suggested that cognitive word meanings denote six increasingly abstract and complex cognitive processes. In this paper, we further investigated two interrelated aspects of this framework. A set of 36 conversations with children aged 4:5 to 5 provided the data. In Study 1, issues related to the optimal ordering of levels were examined by comparing the original sequence with a restructured model. In Study 2, the hypothesis that, in addition toknow, other polysemous cognitive internal state words would be hierarchically organized was tested. The findings lent support to the restructured model, but rejected the hypothesis that polysemous words within the domain were characterized by equivalent,hhierarchically organized levels. We conclude by proposing that cognitive internal state words were related by complementarity of levels rather than equivalence.The research on which this paper is based was supported by a grant from the Carnegie Corporation of New York to William S. Hall. Data analysis was supported by the Computer Science Center at the University of Maryland, College Park.     

Brain transections selectively alter ingestion and behavioral activation in neonatal rats

Food-deprived neonatal rats actively ingest milk that is infused into their mouths through intraoral cannulas. This ingestion is accompanied by behavioral activation. The involvement of various brain regions in ingestion and activation was examined by making transections along the neuraxis from the olfactory bulbs to the anterior pons in 2-day-old rats. Following a 24-hr deprivation period, a series of oral milk infusions was given, and milk intake and activity were measured. Intake was severely reduced only in animals with diencephalic transections. Cuts in front of or behind the diencephalon resulted in normal or slightly decreased intake. In contrast, activity tended to decline as the level of the transection became more caudal. Thus ingestion and its accompanying behavioral activation could be separated neuroanatomically. These results suggest that two brain mechanisms are involved in the ingestive response of the infant rat, one in the diencephalon and another caudal to the mesencephalon. However, behavioral activation appears less discretely organized, involving most of the neuraxis.