Prevention of chronic PTSD with early cognitive behavioral therapy. A meta-analysis using mixed-effects modeling

Post-traumatic stress disorder (PTSD) is of great interest to public health, due to the high burden it places on both the individual and society. We meta-analyzed randomized-controlled trials to examine the effectiveness of early trauma-focused cognitive-behavioral treatment (TFCBT) for preventing chronic PTSD. Systematic bibliographic research was undertaken to find relevant literature from on-line databases (Pubmed, PsycINFO, Psyndex, Medline). Using a mixed-effect approach, we calculated effect sizes (ES) for the PTSD diagnoses (main outcome) as well as PTSD and depressive symptoms (secondary outcomes), respectively. Calculations of ES from pre-intervention to first follow-up assessment were based on 10 studies. A moderate effect (ES = 0.54) was found for the main outcome, whereas ES for secondary outcomes were predominantly small (ES = 0.27–0.45). The ES for the main outcome decreased to small (ES = 0.34) from first follow-up to long-term follow-up assessment. The mean dropout rate was 16.7% pre- to post-treatment. There was evidence for the impact of moderators on different outcomes (e.g., the number of sessions on PTSD symptoms). Future studies should include survivors of other trauma types (e.g., burn injuries) rather than predominantly survivors of accidents and physical assault, and should compare early TFCBT with other interventions that previously demonstrated effectiveness.     

Age and Gender Differences in Morningness–Eveningness During Adolescence

Morningness–eveningness was assessed in a large sample of adolescents and young adults. Morningness decreased from 12 to 15 years, and then remained on a stable level until about 20 years, when a turn back to morningness occurred. Boys and men were on average more evening-oriented than were girls and women. In detail, significant differences existed at the ages of 16, 18, and 19 years. A quadratic function explained more variance than a linear regression. Composite Scale of Morningness scores are related to puberty scores in boys and girls, and when combining data (i.e., higher pubertal development was related to eveningness).     

Counter‐prejudicial training reduces activation of biased associations and enhances response monitoring

Although implicitly measured bias was once assumed to be highly stable, subsequent research has shown that it is, in fact, malleable. One technique for altering implicit bias is through counter‐prejudicial training. At least two broad mechanisms may drive this effect. First, training people to respond in counter‐prejudicial ways may diminish the extent to which biased associations are activated in memory. Second, training may strengthen processes that reduce the influence of biased associations on responses. Participants received either counter‐prejudicial, pro‐prejudicial, or no training and then completed an implicit measure of bias. Application of the quadruple process model revealed support for both mechanisms: Counter‐prejudicial training produced less activation of biased associations as well as enhanced detection of appropriate responses compared with pro‐prejudicial or no training. Implications for the development of bias‐reduction training are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Saving or Subordinating Life? Popular Views in Israel and Germany of Donor Siblings Created through PGD

To explore how cultural beliefs are reflected in different popular views of pre-implantation genetic diagnosis for human leukocyte antigen match (popularly known as “savior siblings”), we compare the reception and interpretations, in Germany and Israel, of the novel/film My Sister’s Keeper. Qualitative analysis of reviews, commentaries and posts is used to classify and compare normative assessments of PGD for HLA and how they reproduce, negotiate or oppose the national policy and its underlying cultural and ethical premises. Four major themes emanated from the comparison: loss of self-determination and autonomy; loss of dignity through instrumentalization; eugenics and euthanasia; and saving life. In both countries, most commentaries represented a dominant position, with a few negotiated positions. We also highlight the decoding of a relatively less explored bioethical aspect of My Sister’s Keeper’s narrative, namely the meaning of euthanasia. We conclude by discussing how the findings relate to attempts of providing cultural explanations for the regulation of HLA-PGD.     

Evaluating models of recognition memory using first- and second-choice responses

Swets, Tanner Jr., and Birdsall (1961) proposed a 4-alternative forced-choice task with two choices (4AFC-2R) for distinguishing between the Equal-Variance Signal Detection model and the One-High Threshold model. This task was recently implemented in the field of recognition memory (Parks & Yonelinas, 2009), a field in which several candidate models have been proposed. One advantage of the 4AFC-2R task is that it permits parameter estimation and goodness of fit testing, something which so far was only possible through the use of Receiver Operating Characteristic (ROC) functions for the more complex candidate models. The present article provides a thorough characterization and comparison of the main recognition memory models in the context of this task. Results are illustrated by a reanalysis of Parks and Yonelinas’ original data, revealing a preference for hybrid approaches to recognition memory, more specifically for the dual-process model (Yonelinas, 1997), whereas pure signal detection models performed poorly. The present analysis provides an assessment of the merits and limitations of this task, highlighting future research applications.     

Causal reasoning

The main focus of this paper is the question as to what it is for an individual to think of her environment in terms of a concept of causation, or causal concepts, in contrast to some more primitive ways in which an individual might pick out or register what are in fact causal phenomena. I show how versions of this question arise in the context of two strands of work on causation, represented by Elizabeth Anscombe and Christopher Hitchcock, respectively. I then describe a central type of reasoning that, I suggest, a subject has to be able to engage in, if we are to credit her with causal concepts. I also point out that this type of reasoning turns on the idea of a physical connection between cause and effect, as articulated in recent singularist approaches of causation.     

Of virtual victims and victimized virtues: differential effects of experienced aggression in video games on social cooperation

Two experimental studies were used to investigate how interacting with aggressive virtual characters in video games affects trust and cooperation of players. Study 1 demonstrates that experiencing virtual aggression from a victim's perspective can impair players' investments in a subsequent common goods dilemma situation. This effect is mediated by reduced expectations of trust in the cooperativeness of interaction partners. In Study 2 the same effect was replicated by using a different cooperation task and by investigating the moderating role of justice sensitivity from a victim's perspective as a dispositional factor. Participants transferred less money to an unknown partner in a trust game after exposure to aggressive nonplayer characters in a video game. This effect was stronger for people high in victim sensitivity. Results of both studies can be interpreted in line with the sensitivity to mean intentions model and add to the body of research on violent media effects.