Metacognitive therapy in treatment-resistant depression: a platform trial

Patients with treatment-resistant depression received up to 8 sessions of metacognitive therapy (MCT) targeting attentional control, rumination, worry, and metacognitive beliefs. A baseline period was followed by weekly sessions with follow-up assessments at 6 and 12 months post treatment. Large and statistically significant improvements occurred in all symptom measures at post treatment and were maintained over follow-up. Two out of 3 process measures significantly improved at post treatment and all of these measures were improved at follow-up. Treatment was associated with similar response rates on the BDI and Hamilton rating scale. Using liberal criteria 80% of completers were classified as recovered at post treatment and 70% at follow-up on the BDI. In the intention to treat sample 66.6% were recovered at post treatment and 58.3% at follow-up. More stringent criteria showed 60% recovery rates at post treatment and at 12 m. The results suggest that MCT could be a brief and effective treatment and they provide a precedent for more definitive randomized controlled trials.     

Recognizing prosody across modalities, face areas and speakers: examining perceivers' sensitivity to variable realizations of visual prosody

Prosody can be expressed not only by modification to the timing, stress and intonation of auditory speech but also by modifying visual speech. Studies have shown that the production of visual cues to prosody is highly variable (both within and across speakers), however behavioural studies have shown that perceivers can effectively use such visual cues. The latter result suggests that people are sensitive to the type of prosody expressed despite cue variability. The current study investigated the extent to which perceivers can match visual cues to prosody from different speakers and from different face regions. Participants were presented two pairs of sentences (consisting of the same segmental content) and were required to decide which pair had the same prosody. Experiment 1 tested visual and auditory cues from the same speaker and Experiment 2 from different speakers. Experiment 3 used visual cues from the upper and the lower face of the same talker and Experiment 4 from different speakers. The results showed that perceivers could accurately match prosody even when signals were produced by different speakers. Furthermore, perceivers were able to match the prosodic cues both within and across modalities regardless of the face area presented. This ability to match prosody from very different visual cues suggests that perceivers cope with variation in the production of visual prosody by flexibly mapping specific tokens to abstract prosodic types.     

It's in the sample: the effects of sample size and sample diversity on the breadth of inductive generalization

Developmental studies have provided mixed evidence with regard to the question of whether children consider sample size and sample diversity in their inductive generalizations. Results from four experiments with 105 undergraduates, 105 school-age children (M = 7.2 years), and 105 preschoolers (M = 4.9 years) showed that preschoolers made a higher rate of projections from large samples than from small samples when samples were diverse (Experiments 1 and 3) but not when samples were homogeneous (Experiment 4) and not when the task required a choice between two samples (Experiment 2). Furthermore, when a property occurred in large and diverse samples, preschoolers exhibited a broad pattern of projection, generalizing the property to items from categories not represented in the evidence. In contrast, adults followed a normative pattern of induction and never attributed properties to items from categories not represented in the evidence. School-age children showed a mixed pattern of results.     

The Color of Safety: Ingroup Associated Colors make Beer Safer

Individuals display high levels of trust and express feelings of safety when interacting with social ingroup members. Here, we investigated whether cues related to ingroup membership would change perceptions of the safety of alcohol. Participants were exposed to images of beer in either a standard can or a can featuring the colors of their university (i.e., ‘fan cans’). We hypothesized that exposure to fan cans would change perceptions of the risks of beer drinking. Results showed that participants exposed to fan cans rated beer consumption as less dangerous (Experiment 1), were more likely to automatically activate safety-related mental content after unconscious perception of beer cues (Experiment 2), and viewed their ingroup's party practices as less dangerous (Experiment 3). These results provide evidence that ingroup-associated colors can serve as a safety cue for alcohol, which may in theory perpetuate alcohol-related risk-taking, already a cause for concern on college and university campuses.     

How Sensation Seeking provides a common basis for functional and dysfunctional outcomes

This research determines if Mastery Goal Orientation mediates Sensation Seeking in the prediction of functional performance and if Sensation Seeking directly predicts dysfunctional behavior. Using two different measures of Sensation Seeking, a sample of fulltime Australian workers was used to test the proposed learning mechanism in the prediction of supervisor rated work outcomes, self-reported work outcomes, and self-reported dysfunctional behavior. As predicted, mediation and suppression analyses provided strong support for the proposed model but with just one of the measures of Sensation Seeking. It is concluded that this mechanism of learning has much to offer our understanding of functional and dysfunctional outcomes.     

Testing orofacial abilities of children who stutter: the Movement, Articulation, Mandibular and Sensory awareness (MAMS) assessment procedure

Objective

The purpose of this article is to introduce a new assessment designed to measure the orofacial abilities of children who stutter (CWS), the Movement, Articulation, Mandibular and Sensory Awareness (MAMS) Orofacial Assessment. The new instrument was developed and validated to measure orofacial abilities in a comprehensive manner.

Design

A group of 43 CWS (mean age 13.10 years, S.D. 2.10 years) and a control group of 32 fluent children (mean age 13.4 years, S.D. 2.6 years) were tested with the new tool. It was hypothesized, that (a) the MAMS is a reliable and valid instrument to measure orofacial abilities in CWS, (b) fluent children have better orofacial abilities than CWS and (c) that the therapy outcome of CWS depend on their orofacial abilities.

Results

The MAMS Orofacial Assessment proved to be a valid and reliable instrument to assess orofacial abilities. Compared with their fluent peers, CWS had significantly worse orofacial abilities. CWS with better orofacial abilities had a better prognosis for therapy outcome.

Conclusions

The new instrument is a reliable and valid tool to measure orofacial abilities and MAMS distinguishes CWS and controls. Orofacial abilities are one set of factors that influence therapy outcome for CWS.Educational objectives: The reader will get an overview over of the literature on orofacial abilities in people who stutter and will learn about and be able to (1) describe different characteristics of orofacial abilities, (2) use the MAMS Orofacial Assessment in the diagnostic process for CWS and for research purposes, and (3) interpret the results of the MAMS to use them for therapy planning.     

Zeitlosigkeit und Verg?nglichkeit (in) der Psychoanalyse

The author shows that the accessible psychoanalytic unconscious is not timeless. Freud??s ??timeless unconscious??, which was ontologized by himself and his successors, proves to be fiction with negative consequences. Assuming ??timeless?? primary processes psychoanalysis as a therapy would bite the hand which feeds it. Instead of contrasting linear time to the cyclic personal experience of time, the author suggests to speak about the ??emergence of lived time?? and the ??new moments?? of encounter in the therapeutic situation, to emphasize the importance of the opportune moment for change in contrast to the cyclic repetition of transference. In order to understand and approach disorders of time perception knowledge of unconscious conflicts and defense processes remains crucial. Even dreams are not timeless. While our conscious mind works according to chronological patterns, the pictorial representation in the particular form of thinking asleep, dreaming, makes it possible to map different memory traces simultaneously. Freud??s speculations about the ??timeless unconscious?? and Nirvana may originate from a longing for redemption. In contrast the author??s final chapter deals with the potential life span and transience of some central psychoanalytic concepts. Not even those who prove to be very close to observation can be attributed with ??eternal life??.     

Das Unheimliche der Ambivalenz

This essay??s main concern consists of a critical survey of the coherences, alliances and associative entanglement between psychic ambivalences, encounters of the uncanny and the connections to the issues of death. References for the considerations presented here are Freuds??s seminal papers ??The antithetical meanings of primal words?? (1910), ??The uncanny?? (1919) and ??Beyond the pleasure principle?? (1920). The axis formed by these essays is being crisscrossed by the phenomen of the uncanny valley, an issue widely discussed within the cyber scene which may introduce a new perspective in order to extend the analysis of the concept and structure of ambivalences with new questions. This approach adverts to an inherent paradox which seems to be constitutive for ambivalence itself.     

Acoustic correlates of emotional dimensions in laughter: arousal, dominance, and valence

Although laughter plays an essential part in emotional vocal communication, little is known about the acoustical correlates that encode different emotional dimensions. In this study we examined the acoustical structure of laughter sounds differing along four emotional dimensions: arousal, dominance, sender's valence, and receiver-directed valence. Correlation of 43 acoustic parameters with individual emotional dimensions revealed that each emotional dimension was associated with a number of vocal cues. Common patterns of cues were found with emotional expression in speech, supporting the hypothesis of a common underlying mechanism for the vocal expression of emotions.     

Schmerz ist nicht gleich Schmerz

Not all types of pain are the same. For successful treatment of pain, acute pain must be distinguished from chronic and nociceptive must be distinguished from neuropathic pain. Selection of the right medication is based on the severity of the pain. Despite all efforts to standardize treatment, there is still no consensus on the optimal treatment method. The effective drug must be determined for each patient by taking into account the patient’s symptom profile, the pain intensity and duration as well as the side effects and contraindications. In chronic pain syndromes, only after 6–8 weeks with adequate dosage can the ineffectiveness of a drug be assessed. Single doses, intervals between administration and routes of administration must be selected depending on the pharmacokinetics and interaction profile and the age and needs of the patient.