Tailoring Cognitive Behavioral Therapy for Individuals Diagnosed with Bulimia Nervosa

There is a wealth of data indicating the effectiveness of cognitive behavioral therapy in the treatment of bulimia nervosa. However, the best evidence indicates a treatment success rate of 50%. The purpose of this paper is to briefly describe cognitive behavioral treatment of bulimia nervosa and to offer suggestions on how this therapy approach may be tailored to best serve the needs of individual clients. Such tailoring should ultimately lead to even greater treatment success.     

Experimental pain thresholds influenced by sex of experimenter

Thresholds for pressure pain were tested in 64 adult human subjects (age: M=22.0 yr., SD=7.5). The subjects were young adults drawn from a student population. They were divided into two groups of men and two groups of women, with 16 participants in each group. A female experimenter tested one group of men and a male experimenter tested the other group. The women were tested in a similar way by an experimenter of the same sex for one group and the opposite sex for the other group. The two experimenters were dressed in a manner that emphasised their gender roles. The men tested by a female experimenter showed a higher average pain threshold than the men tested by a male experimenter, but there was no difference in the average pain thresholds of the two groups of women.     

Evaluation of a High School Peer Group Intervention for At-Risk Youth

The purpose of this paper is to examine the effectiveness of Reconnecting Youth, a prevention program for at-risk high school youth. Data are from a large, independently evaluated effectiveness trial in two diverse urban school districts. A total of 1,218 students participated; 50% were male; average age was 15. We tested whether positive efficacy trial effects could be replicated, and whether any negative behavioral effects occur when clustering high-risk youth. Although mixed program effects were observed at immediate post-intervention, only negative effects were found at 6-month follow-up. These effects included less optimal scores on measures of GPA, Anger, School Connectedness, Conventional Peer Bonding, and Peer High-Risk Behaviors. Overall, we found little support for the use of this social-influence—model intervention aimed at increasing school connectedness for high-risk youth. Further, this study provides evidence that clustering high-risk youth in preventive interventions has the potential for iatrogenic effects.     

Guiding the creation of knowledge and understanding in a virtual learning environment.

This article reports findings from an in-depth case study investigating processes of teaching and learning within one tutorial group studying an e-learning course presented as part of the Open University's MA in Open and Distance Education. Drawing on contemporary sociocultural theory and research, the instructional techniques used by the tutor-moderator to guide the creation of "common knowledge" and the construction of understanding are explored. The significance of tutor contributions for fostering a supportive culture of enquiry is also discussed.     

ERP study of pre-attentive auditory processing in treatment-refractory schizophrenia

Event-related potential (ERP) studies have demonstrated impaired auditory sensory processing in patients with schizophrenia, as reflected in abnormal mismatch negativity (MMN). We sought to extend this finding by evaluating MMN in 13 treatment-refractory patients with schizophrenia, and 14 age- and gender-matched healthy controls. Subjects responded to infrequent visual stimulation while ignoring binaurally presented auditory tones. The amplitude and topographical pattern of the MMN were analyzed. The control group presented the expected reduction in the amplitude of the MMN from frontal to central and parietal locations. In comparison, the MMN amplitude was not reduced in the treatment-refractory patients, and was largest at the central-posterior electrode location. In addition, patients displayed larger negativities at left frontal, and left- and right-temporal electrode locations than the control subjects. These findings are consistent with pre-attentive abnormalities in treatment-refractory patients with schizophrenia.     

Hemispheric asymmetries for selective attention apparent only with increased task demands in healthy participants

This study examined the possibility that lack of behavioral evidence indicating hemispheric specialization for selective attention in healthy individuals is due to the use of tasks that are not sufficiently demanding to require selective attention. In a group of 43 participants (ages 17-23), we compared selective attention on a cued-response time task when the target was presented alone and when a distractor was simultaneously presented. The costs of invalid cueing were minimal when the right hemisphere (RH) processed the target relative to when the left hemisphere (LH) processed the target, but only for the high load condition. These results are interpreted as RH specialization in light of evidence suggesting that the RH can direct attention to a larger portion of the visual field.     

Impaired processing of prosodic and musical patterns after right hemisphere damage

The distinction between the processing of musical information and segmental speech information (i.e., consonants and vowels) has been much explored. In contrast, the relationship between the processing of music and prosodic speech information (e.g., intonation) has been largely ignored. We report an assessment of prosodic perception for an amateur musician, KB, who became amusic following a right-hemisphere stroke. Relative to matched controls, KB's segmental speech perception was preserved. However, KB was unable to discriminate pitch or rhythm patterns in linguistic or musical stimuli. He was also impaired on prosodic perception tasks (e.g., discriminating statements from questions). Results are discussed in terms of common neural mechanisms that may underlie the processing of some aspects of both music and speech prosody.     

An Examination of the Utility of Server Intervention to Reduce Alcohol-Related Problems in College Students1

College student alcohol-related problems are a major social issue. Past research has revealed that server intervention can have a positive impact on excessive alcohol consumption and driving under the influence of alcohol. The present study is an examination of bar owners and college students' attitudes and beliefs about server intervention policies. The findings reveal group differences in acceptance and rejection of the policies. The findings are discussed with respect to change efforts geared toward alcohol service establishments.