The role of computer‐aided psychotherapy within an NHS CBT specialist service

To date, the feasibility of computer‐aided psychotherapy as an intervention has only been recognised in primary care practice. The present study sought to evaluate the impact of ‘Beating the Blues’ (BtB), an established computerised cognitive behaviour therapy (CCBT) self‐help programme for the management of anxiety and depression, within an NHS CBT specialist healthcare centre. Of the 555 service users who used BtB as part of routine care, with follow‐up assessment at six to eight weeks, 71% completed all eight sessions. Statistically significant differences on the Beck Depression Inventory‐II (BDI‐II) and Beck Anxiety Inventory (BAI) were found in completer and intention‐to‐treat analyses; 50% of completers achieved reliable change on the BDI‐II and approximately 25% of completers achieved reliable and clinically significant change on both measures. Outcomes were benchmarked against outcomes in studies of routine face‐to‐face CBT. These findings provide evidence that BtB may be of value to service users in secondary mental healthcare centres, alleviating current burdens on public health and therapeutic resources. Future research directions should include examining which factors influence individuals’ decisions to try computer‐aided psychotherapy, which individuals are best suited to using these interventions, and why some users drop out prior to programme completion.     

The perception of God in pastoral counseling

Many people who go to pastoral counselors for help have a perception of God that is psychospiritually unhelpful, if not damaging. Four examples of unhelpful God-perceptions are discussed: God is vengeful; God is needy; God is our caretaker; and God is our tutor. Pastoral examples of the negative consequences of each of these God-perceptions is given. The article ends with a section which describes the pastoral implications of unhelpful God-perceptions.     

Behavioral genetics: Psychoreligious implications

Behavioral genetics is a relatively new science that has made many significant advances over the past few years. Many of the principles and findings that these advances have generated have direct and indirect implications for the understanding of psychological, moral, and religious development. This article discusses two especially relevant issues, followed by eight practical implications for parents, religious educators, ministers, and pastoral counselors.     

Attentional resolution

Attention can enhance selectively the visual information processing of particular locations or objects. Recent studies have shown that this enhancement has limited spatial resolution, the smallest regions that can be isolated by attention are much coarser than the smallest details that can be resolved by vision. Multiple similar objects spaced more finely than the limit of attentional resolution cannot be individuated for further processing and can only be perceived as a grouped texture. As a result, at any given time, only part of the spatial and temporal information registered by the early sensory systems is available to conscious perception. It is likely that attentional resolution is limited at a stage beyond V1 and that it has a finer grain in the lower visual field than in the upper field. The spatial aperture of attention is elongated along the radial axis relative to fixation. The briefest temporal window of attention is also much broader than visual temporal resolution. Many perceptual phenomena related to rapid serial visual presentation may reflect the limited temporal resolution of attention.     

Mutuality in medical services

While available to a multitude, routine health precautions and basic, nonspecialized medical services are lacking in many societies. This may in part be the outcome of attitudinal distortions, not only at the national and global levels, but fundamentally within the patient-physician encounter. Demands for a disturbance-free subsistence clash with values of power and control within health-care sub-systems resulting in an overall neglect of primary needs and a distribution of medical services that benefits select groups. True needs are misrepresented and an intensification of particular services does not fulfill one's duties toward those who realize little or no services at all. The entire institutional system of medicine requires a rebalancing of rights, intentions and outcomes, beginning with the correlative experiences of patient and physician.     

Perception of motion in equiluminous kinematograms

Two fields of random dots that were identical except for a slight shift in a central square region were presented in rapid alternation. This produced a vivid impression of a square moving back and forth above the background. When the kinematogram is presented in equiluminous red/green, the motion of the central region can still be seen, although over a narrower range of alternation rates, interstimulus intervals, and displacements than for black/white presentation. The perception of motion for equiluminous stimuli indicates that colour and motion can be analyzed conjointly by the visual system. However, as originally reported by Ramachandran and Gregory, the segregation of the oscillating central square from the background is lost at equiluminance. This segregation process therefore appears to be colour-blind.     

Perceiving illumination inconsistencies in scenes

The human visual system is adept at detecting and encoding statistical regularities in its spatiotemporal environment. Here, we report an unexpected failure of this ability in the context of perceiving inconsistencies in illumination distributions across a scene. Prior work with arrays of objects all having uniform reflectance has shown that one inconsistently illuminated target can 'pop out' among a field of consistently illuminated objects (eg Enns and Rensink, 1990 Science 247 721 723; Sun and Perona, 1997 Perception 26 519-529). In these studies, the luminance pattern of the odd target could be interpreted as arising from either an inconsistent illumination or inconsistent pigmentation of the target. Either cue might explain the rapid detection. In contrast, we find that once the geometrical regularity of the previous displays is removed, the visual system is remarkably insensitive to illumination inconsistencies, both in experimental stimuli and in altered images of real scenes. Whether the target is interpreted as oddly illuminated or oddly pigmented, it is very difficult to find if the only cue is deviation from the regularity of illumination or reflectance. Our results allow us to draw inferences about how the visual system encodes illumination distributions across scenes. Specifically, they suggest that the visual system does not verify the global consistency of locally derived estimates of illumination direction.     

The capacity of visual short-term memory is set both by visual information load and by number of objects

Previous research has suggested that visual short-term memory has a fixed capacity of about four objects. However, we found that capacity varied substantially across the five stimulus classes we examined, ranging from 1.6 for shaded cubes to 4.4 for colors (estimated using a change detection task). We also estimated the information load per item in each class, using visual search rate. The changes we measured in memory capacity across classes were almost exactly mirrored by changes in the opposite direction in visual search rate (r2=.992 between search rate and the reciprocal of memory capacity). The greater the information load of each item in a stimulus class (as indicated by a slower search rate), the fewer items from that class one can hold in memory. Extrapolating this linear relationship reveals that there is also an upper bound on capacity of approximately four or five objects. Thus, both the visual information load and number of objects impose capacity limits on visual short-term memory.     

Feature-based attention across saccades: Pop-out in color search is spatiotopic

Our perception of the world remains stable despite the retinal shifts that occur with each saccade. The role of spatial attention in matching pre- to postsaccadic visual information has been well established, but the role of feature-based attention remains unclear. In this study, we examined the transsaccadic processing of a color pop-out target. Participants made a saccade towards a neutral target and performed a search task on a peripheral array presented once the saccade landed. A similar array was presented just before the saccade and we analyzed what aspect of this preview benefitted the postsaccadic search task. We assessed the preview effect in the spatiotopic and retinotopic reference frames, and the potential transfer of feature selectivity across the saccade. In the first experiment, the target and distractor colors remained identical for the preview and the postsaccadic array and performance improved. The largest benefit was observed at the spatiotopic location. In the second experiment, the target and distractor colors were swapped across the saccade. All responses were slowed but the cost was least at the spatiotopic location. Our results show that the preview attracted spatial attention to the target location, which was then remapped, and suggest that previewed features, specifically colors, were transferred across the saccade. Furthermore, the preview induced a spatiotopic advantage regardless of whether the target switched color or not, suggesting that spatiotopy was established independently of feature processing. Our results support independent priming effects of features versus location and underline the role of feature-based selection in visual stability.