The 'when' pathway of the right parietal lobe

The order of events, whether two events are seen as simultaneous or successive, sets the stage for the moment-to-moment interpretation of the visual world. Evidence from patients who have lesions to the parietal lobes and transcranial magnetic stimulation studies in normal subjects suggest that the right inferior parietal lobe underlies this analysis of event timing. Judgment of temporal order, simultaneity and high-level motion are all compromised following right parietal lesions and degraded after transcranial magnetic stimulation over the right parietal but not elsewhere. The results suggest that the right parietal lobe serves as part of a when pathway for both visual fields. We propose that the disruption of this mechanism is the underlying cause of a wide range of seemingly unrelated tasks being impaired in right parietal patients.     

Evaluation of a Heredofamilial Cancer Unit in Increasing Family History Collection and Genetic Counseling Referrals Among Spanish Oncologists at a University Hospital

A comprehensive family history is essential to identify patients at risk for hereditary cancer who could benefit from genetic counseling (GC). In a previous study, we observed a low occurrence of family history record (FHR) collection rate and GC referral among oncologists at our institution. The present work analyzes whether the implementation of a heredofamilial cancer unit (HFCU) would improve these parameters. We retrospectively compared the FHR rate in clinical records, National Cancer Institute (NCI) general criteria for hereditary cancer suspicion, GC referrals and FHR quality in two cohorts: cohort 1 (patients diagnosed before HFCU creation) and cohort 2 (after HFCU creation). Of 1,175 patients (590 cohort 1 and 585 cohort 2), FHRs were consigned in 27.3 % and 52.5 % of patients, respectively (p?<?0.001). The GC referral of patients with any NCI criterion was 13.6 % xin cohort 1 vs. 40.5 % in cohort 2 (p?<?0.001). FHR quality improved in terms of the total number of relatives (164 vs. 314, p?=?0.1, N.S.) and number of healthy relatives consigned (80 vs. 191, p?<?0.01). Nine mutations (6 BRCA, 1 MEN1, 2 Lynch), 4 unknown significance variants (all in BRCA) and 2 with no mutation were identified among patients referred from cohort 2. We conclude that the creation of a heredofamilial cancer unit has changed both FHR and GC referrals among oncologists at our institution, although continuous educational efforts are required.     

Changes in body image during cognitive-behavioral treatment in women with bulimia nervosa

The purposes of this study were: (1) to examine multidimensional aspects of body image of individuals with bulimia nervosa (BN) at pre-treatment, post-treatment, and at follow-up, compared to a group of participants without BN; and (2) to investigate whether measures of body image predicted outcome at post-treatment and follow-up. The clinical sample consisted of 109 females with BN who were enrolled in a 12-week cognitive-behavioral group treatment program. Participants were assessed at baseline, at the completion of treatment, and at 1- and 6-month follow-up visits. The 82 females who comprised the non-bulimic sample were assessed at comparable time intervals. At baseline, the participants with BN reported greater body dissatisfaction and overestimated body size to a significantly greater degree than the comparison group, and reported a significantly smaller ideal size relative to perceived size. Results at the end of treatment indicated significant improvement in self-reported attitudinal disturbance and size overestimation, with continued reductions at follow-up. Logistic regression analyses did not demonstrate a predictive relationship between body image measures at baseline and outcome at post-treatment or follow-up, or between post-treatment and follow-up. Implications for treatment include specifying the source of body image-related distress and enhancing treatment efforts for perceptual and attitudinal aspects of body image.     

(Inter)personal Computing: The Role of the Therapeutic Relationship in E-mental Health

E-mental health technologies are rapidly expanding the reach of psychological interventions around the globe. There is a growing evidence base supporting the potential benefits of these new technologies for psychological and behavioural health. Most of this evidence to date has focused on evaluating the feasibility and outcomes from such interventions, whilst limited research has begun to explore the change processes associated with their impact. In traditional psychological therapies the quality of common factors, including the therapeutic relationship, are widely held to be important for engagement and outcomes. E-mental health interventions present a challenge to the importance of these factors, as therapeutic interactions are typically remote, limited, or even absent in the case of fully automated e-mental health programmes. This paper explores the role of the therapeutic relationship in e-mental health. Where measured, it appears that the relationship is fairly robust to distance and limited contact, but may be less intimately associated with therapy outcomes than in traditional therapies. Where the intervention comprises little or no therapeutic contact, we explore how some of the variance in engagement and outcomes may still be accounted for by common and relational factors offered through a supportive frame or embedded within the technologies themselves. Implications for theory, research and practice are presented.     

Arousal, working memory, and conscious awareness in contingency learning

There are wide individual differences in the ability to detect a stimulus contingency embedded in a complex paradigm. The present study used a cognitive masking paradigm to better understand individual differences related to contingency learning. Participants were assessed on measures of electrodermal arousal and on working memory capacity before engaging in the contingency learning task. Contingency awareness was assessed both by trial-by-trial verbal reports obtained during the task and by a short post-task recognition questionnaire. Participants who became aware had fewer non-specific skin conductance responses and tended to score higher on a digit span assessment. Skin conductance level was not significantly lower in the aware group than in the unaware group. These findings are consistent with studies showing that lower arousal and greater cognitive processing capacity facilitate conscious perception of a greater breadth of information within a scene or a task.     

Independent, synchronous access to color and motion features

We investigated the role of attention in pairing superimposed visual features. When moving dots alternate in color and in motion direction, reports of the perceived color and motion reveal an asynchrony: the most accurate reports occur when the motion change precedes the associated color change by approximately 100ms [Moutoussis, K., & Zeki, S. (1997). A direct demonstration of perceptual asynchrony in vision. Proceedings of the Royal Society of London B, 264, 393-399]. This feature binding asynchrony was probed by manipulating endogenous and exogenous attention. First, endogenous attention was manipulated by changing which feature dimension observers were instructed to attend to first. This yielded little effect on the asynchrony. Second, exogenous attention was manipulated by briefly presenting a ring around the target, cueing the report of the color and motion seen within the ring. This reduced or eliminated the apparent latency difference between color and motion. Accuracy was best predicted by timing of each feature relative to the cue rather than the timing of the two features relative to each other, suggesting independent attentional access to the two features with an exogenous attention cue. The timing of attentional cueing affected feature pairing reports as much as the timing of the features themselves.     

Family counseling: Basic concepts for ministers

Much of the time that ministers spend counseling is taken with family related issues. Yet many ministers find themselves in the difficult position of having little or no formal education or training in family counseling. This article deals with some basic issues related to problematic families and pastoral counseling that are meant to bridge the gap between having no formal training in family counseling and having advanced training and education.     

Ministering to cancer patients

Ministers, both ordained and lay, face a special challenge in caring for cancer patients and their families. It is important for seminarians and ministers to have not only a basic understanding of cancer but also of the myriad psychological and spiritual dynamics that cancer patients and their families present. Cancer presents severe stress not only for patients and families but also for ministers who care for them. It is vitally important for ministers to develop the competence and confidence necessary to face this challenge. Michael E. Cavanagh, Ph.D., is a pastoral consultant and conductor of workshops who makes his home in Tiburon, California.