Addressing Challenges in Individual Psychotherapy with Delusional Patients: A Case Study

Although cognitive-behavioral treatments for schizophrenia and other psychotic disorders demonstrate strong results in clinical trials, not all patients respond to these treatments. Common challenges in psychotherapy with delusional patients include a mismatch between the therapist’s and the patient’s expectations about the purpose of therapy, the patient’s lack of motivation to reduce delusional beliefs in service of other goals, and the patient’s dependence on the delusions in order to preserve an intact sense of self. This case highlights the value of integrating a psychodynamic perspective with cognitive-behavioral interventions to address challenges in psychotherapy with chronically delusional patients.     

Working Memory Effects of Gap-Predictions in Normal Adults: An Event-Related Potentials Study

The current study examined the relationship between verbal memory span and the latency with which a filler-gap dependency is constructed. A previous behavioral study found that low span listeners did not exhibit antecedent reactivation at gap sites in relative clauses, in comparison to high verbal memory span subjects (Roberts et?al. in J Psycholinguist Res 36(2):175-188, 2007), which suggests that low span subjects are delayed at gap filling. This possibility was examined in the current study. Using an event-related potentials paradigm, it was found that low span subjects have an onset latency delay of about 200?ms in brain responses to violations of syntactic expectancies after the gap site, thus providing a time course measure of the delay hypothesized by previous literature.     

Global and local pitch perception in children with developmental dyslexia

This study investigated global versus local pitch pattern perception in children with dyslexia aged between 8 and 11 years. Children listened to two consecutive 4-tone pitch sequences while performing a same/different task. On the different trials, sequences either preserved the contour (local condition) or they violated the contour (global condition). Compared to normally developing children, dyslexics showed robust pitch perception deficits in the local but not the global condition. This finding was replicated in a simple pitch direction task, which minimizes sequencing and short term memory. Results are consistent with a left-hemisphere deficit in dyslexia because local pitch changes are supposedly processed by the left hemisphere, whereas global pitch changes are processed by the right hemisphere. The present data suggest a link between impaired pitch processing and abnormal phonological development in children with dyslexia, which makes pitch pattern processing a potent tool for early diagnosis and remediation of dyslexia.     

Attachment‐based intervention for substance‐using mothers: A preliminary test of the proposed mechanisms of change

Although randomized controlled trials examining the efficacy of attachment‐based interventions have been increasing in recent years, adequate measurement of treatment integrity, integrity–outcome associations, and mechanisms of change has been rare. The aim of this investigation was to conduct a rigorous test of proposed mechanisms of change in the Mothers and Toddlers Program (MTP) treatment model, a 12‐session, attachment‐based individual therapy for substance‐using mothers of children birth to 3 years of age. The MTP aims to improve maternal reflective functioning (RF) and representation quality (RQ) to bring about second‐order change in maternal caregiving behavior. Following guidelines from M.K. Nock ( 2007 ), it was hypothesized that (a) therapist adherence to unique MTP treatment components would uniquely predict improvement in RF and RQ and that (b) improvement in RF and RQ would function as unique mechanisms of change (when compared with other potential mechanisms—reduction in depression and increase in abstinence from drug use) in the improvement of caregiving behavior. Findings supported each hypothesis, confirming the proposed mechanisms of the treatment model. However, improvement in maternal depression also uniquely predicted improvement in caregiving behavior. Results underscore the potential value of attachment‐based parenting interventions for improving mother–child relations and the importance of providing these interventions in clinic settings where mothers have access to comprehensive care (e.g., psychiatric services).     

Birth order, sex of child, and perceptions of parental favoritism

Many studies have examined factors that influence discriminative parental solicitude. Sex, birth order, and age of the mother are a few factors demonstrated to influence levels of parental investment (especially as measured by offspring self-report). One indicator of a high level of parental investment is being a parental favorite. Using self-reports from a sample of several hundred young adults, we secured support for two hypotheses related to the influence of birth order and sex on parental favoritism. Fathers are not perceived as having a favorite child more often than are mothers, but are more likely to favor female children than are mothers. Mothers are perceived to be more likely to favor female children in blended sibships. Both mothers and fathers are perceived as favoring genetically-related children. The results also suggest that the birth order of the parental favorite varies with the birth order of the participant. Firstborns and lastborns report a pattern of favoritism that suggests parents favor firstborn and lastborn children. The discussion addresses limitations of the methodology and presents directions for future research.