Frequency of Scale Elevations and Factor Structure of the Behavior Rating Inventory of Executive Function (BRIEF) in Children and Adolescents With Intractable Epilepsy

The Behavior Rating Inventory of Executive Function (BRIEF) is a standardized rating scale that provides information about the nature and extent of executive function deficits displayed by children and adolescents in daily life. BRIEF protocols completed by parents of 80 children with intractable epilepsy were evaluated with respect to prevalence and severity of scale elevations in the sample, and also with respect to factor structure. Overall, the sample was rated as having significantly more executive function problems than healthy children in the BRIEF standardization sample; elevations on the Working Memory and Plan/Organize scales were most frequently seen. Fully 36% of the sample had four or more significantly elevated scales. However, 31% of the sample had no clinically elevated scales, indicating that executive difficulties, though frequent, are not necessarily characteristic of all children with severe epilepsy. As in the validation studies reported in the manual, a two-factor solution emerged from a principal factor analysis of BRIEF scales. However, the factor structure as given in the manual was not entirely replicated; specifically, the Monitor scale was found to load equivalently on both factors. The results of this study suggest that a substantial proportion of children with intractable epilepsy display significant executive function deficits in daily life. Research into the relationship of BRIEF scores to other measures of executive functioning in children with epilepsy is needed to further clarify its clinical utility.     

A review of: “Le Séminaire,livre V. Les formations de l'inconscient 1957-1958”

Jacques Lacan, Le Séminaire, livre V. Les formations de l'inconscient 1957-1958 [The Seminar, Book V. the Formations of the Unconscious, 1957-1958], ed. Jacques-Alain Miller, Paris: Seuil, 220 francs     

Sources of “relational homes”: a qualitative study of cancer survivors’ perceptions of emotional support

The aim of this article is to shed light on the different ways in which a group of Danish cancer survivors fulfil their need of emotional support. The study comprised participant observation at a Danish cancer rehabilitation centre, individual semi-structured interviews and focus group interviews with course participants. The analytical process combined the inductive approach of interpretative phenomenological analysis with a deductive theoretical strategy. Key concepts from Robert D. Stolorow's existential-phenomenological trauma theory were used as interpretative framework. Findings suggest that cancer survivors’ perception of emotional support is captured by the theoretical concept a “relational home,” understood here as a supportive and caring environment. A relational home may include different dimensions in various situations and contexts, including an existential and metaphysical dimension in which God/a higher power may provide emotional support similar to that obtained in human relationships.     

Freud's Jewish identity,circumcision, and the theory of castration anxiety: problem or pride?

In this work the author reflects on the Jewish identity of Sigmund Freud. It is acknowledged that Freud, even though he seemed ambivalent towards Jewishness and even though anti-Semitism was omnipresent, not necessarily perceived his Jewish identity as problematic. Rather, it seems as if Freud had a positive Jewish identity, which was connected to profound knowledge in Jewish religion and tradition, even though he declared himself as a Godless Jew. Both his Jewish identity and his knowledge in Judaism seemed to have contributed to some of his insights into the human psyche. The impact of the traditional Jewish circumcision and the insights connected to the theory of castration anxiety are specifically discussed. The author suggests that Freud's positive Jewish identity, and the significance of circumcision, contributed to his insights into the prerequisites of human development and how we as individuals are shaped both by our interpersonal relationships and by the cultural context.     

Out of nowhere: Thought insertion,ownership and context-integration

We argue that thought insertion primarily involves a disruption of the sense of ownership for thoughts and that the lack of a sense of agency is but a consequence of this disruption. We defend the hypothesis that this disruption of the sense of ownership stems from a failure in the online integration of the contextual information related to a thought, in particular contextual information concerning the different causal factors that may be implicated in their production. Loss of unity of consciousness, manifested by incoherent subjective experiences is a general phenomenal characteristic of schizophrenia. This loss of coherence has been hypothesized to reflect a generalized deficit of contextual information integration not conveyed by, but related to, a target event. This deficit is manifested across many cognitive domains. We argue that it is also manifested in the process of thinking itself, resulting in causally decontextualized thoughts that are experienced as inserted thoughts.     

Basic Response Time Tools for Studying General Processing Capacity in Attention,Perception, and Cognition

One of the more important constructs in the study of attention, perception, and cognition is that of capacity. The authors reviewed some of the common meanings of this construct and proposed a more precise treatment. They showed how the distribution of response times can be used to derive measures of process capacity and to further illustrate how these measures can be used to address important hypotheses in cognition.     

Effects of the Early Prevention Program “Keiner FÄllt Durchs Netz” (“Nobody Slips Through the Net”) on Child,Mother, and Their Relationship: A Controlled Study

The study investigated the effects of a German family‐supporting prevention program “Keiner fällt durchs Netz” (KfdN; “Nobody Slips Through the Net”) after the child's first year in the sample of 152 psychosocially stressed mothers and children who took part in this program and 150 mothers and children from comparison‐group families. The improved level of development posited in the children after intervention as compared to children from the comparison group was confirmed in the social development area (d = .35). In addition, mothers in the KfdN group judged their 1‐year‐old children to be less “difficult” compared to the assessments of the mothers in the comparison group (d = .24). Due to the intervention, the dysfunctionality of the mother–child interaction was reduced (mothers’ self‐assessment, d = .27). No intervention effects were found in for degree of maternal stress. The expected intervention effects in maternal sensitivity were not empirically confirmed. The results suggest that the KfdN intervention exerted a direct positive influence on childhood traits such as social development and temperamental “difficulty” and also positively influenced the mothers’ perceptions or attitudes toward their children's conduct.     

Development of Map Construction Skills in Childhood

Two studies examined children's map construction skills when drawing demands were removed from the task and scenes were highly simplified. Study 1 compared the performance of first graders and third graders on their ability to preserve configuration during transformation of pictured arrays from eye-level to aerial views. For children with difficulties, Study 2 exposed groups to enhanced vantage points, either pictured from an elevated view or displayed with actual blocks, to investigate effects of support on performance. Results on eye-level to aerial transformations showed that children's ability to map spatial relations developed significantly between the first and third grades, basic configuration skills were gender-neutral, and specificity of details was better for boys by third grade. Enhanced vantage points significantly improved configuration accuracy for both grades (favoring first graders) and both genders (favoring girls). Enhancements eliminated depth errors that were common in arrays with occlusions. In sum, improvement in map construction skills between first grade and third grade demonstrated increased understanding of alternative spatial perspectives, and enhanced vantage points promoted use of projective spatial concepts that were already active in younger children.     

Dynamic visuomotor synchronization: Quantification of predictive timing

When a moving target is tracked visually, spatial and temporal predictions are used to circumvent the neural delay required for the visuomotor processing. In particular, the internally generated predictions must be synchronized with the external stimulus during continuous tracking. We examined the utility of a circular visual-tracking paradigm for assessment of predictive timing, using normal human subjects. Disruptions of gaze–target synchronization were associated with anticipatory saccades that caused the gaze to be temporarily ahead of the target along the circular trajectory. These anticipatory saccades indicated preserved spatial prediction but suggested impaired predictive timing. We quantified gaze–target synchronization with several indices, whose distributions across subjects were such that instances of extremely poor performance were identifiable outside the margin of error determined by test–retest measures. Because predictive timing is an important element of attention functioning, the visual-tracking paradigm and dynamic synchronization indices described here may be useful for attention assessment.