A randomised controlled trial of acceptance-based cognitive behavioural therapy for command hallucinations in psychotic disorders

Command hallucinations represent a special problem for the clinical management of psychosis. While compliance with both non-harmful and harmful commands can be problematic, sometimes in the extreme, active efforts to resist commands may also contribute to their malignancy. Previous research suggests Cognitive Behaviour Therapy (CBT) to be a useful treatment for reducing compliance with harmful command hallucinations. The purpose of this trial was to evaluate whether CBT augmented with acceptance-based strategies from Acceptance and Commitment Therapy could more broadly reduce the negative impact of command hallucinations. Forty-three participants with problematic command hallucinations were randomized to receive 15 sessions of the intervention "TORCH" (Treatment of Resistant Command Hallucinations) or the control, Befriending, then followed up for 6 months. A sub-sample of 17 participants was randomized to a waitlist control before being allocated to TORCH or Befriending. Participants engaged equally well with both treatments. Despite TORCH participants subjectively reporting greater improvement in command hallucinations compared to Befriending participants, the study found no significant group differences in primary and secondary outcome measures based on blinded assessment data. Within-group analyses and comparisons between the combined treatments and waitlist suggested, however, that both treatments were beneficial with a differential pattern of outcomes observed across the two conditions.     

A Neurogenetic Approach to Impulsivity

ABSTRACT Impulsivity is a complex and multidimensional trait that is of interest to both personality psychologists and to clinicians. For investigators seeking the biological basis of personality traits, the use of neuroimaging techniques such as positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) revolutionized personality psychology in less than a decade. Now, another revolution is under way, and it originates from molecular biology. Specifically, new findings in molecular genetics, the detailed mapping and the study of the function of genes, have shown that individual differences in personality traits can be related to individual differences within specific genes. In this article, we will review the current state of the field with respect to the neural and genetic basis of trait impulsivity.     

Individual differences in learning the affective value of others under minimal conditions

This paper provides the first demonstration that people can learn about the positive and negative value of other people (e.g., neutral faces) under minimal learning conditions, with stable individual differences in this learning. In four studies, participants viewed neutral faces paired with sentences describing positive, negative or neutral behaviors on either two (Study 1) or four (Studies 2, 3, and 4) occasions. Participants were later asked to judge the valence of the faces alone. Studies 1 and 2 demonstrated that learning does occur under minimal conditions. Study 3 and 4 further demonstrated that the degree of learning was moderated by Extraversion. Finally, Study 4 demonstrated that initial learning persisted over a period of 2 days. Implications for affective processing and person perception are discussed.     

Of Mice and Men: Natural Kinds of Emotions in the Mammalian Brain? A Response to Panksepp and Izard

ABSTRACT— For almost 5 decades, the scientific study of emotion has been guided by the assumption that categories such as anger, sadness, and fear cut nature at its joints. Barrett (2006a) provided a comprehensive review of the empirical evidence from the study of emotion in humans and concluded that this assumption has outlived its usefulness. Panksepp and Izard have written lengthy papers (published in this issue) containing complementary but largely nonoverlapping criticisms of Barrett (2006a) . In our response, we address three of their concerns. First, we discuss the value of correlational versus experimental studies for evaluating the natural-kind model of emotion and refute the claim that the evidence offered in Barrett (2006a) was merely correlational. Second, we take up the issue of whether or not there is evidence for "coherently organized neural circuits" for natural kinds of emotions in the mammalian brain and counter the claim that Barrett (2006a) ignored crucial evidence for existence of discrete emotions as natural kinds. Third, we address Panksepp and Izard's misconceptions of an alternative view, the conceptual act model of emotion, that was briefly discussed in Barrett (2006a) . Finally, we end the article with some thoughts on how to move the scientific study of emotion beyond the debate over whether or not emotions are natural kinds.     

Chickadees discriminate contingency reversals presented consistently,but not frequently

Chickadees are high-metabolism, non-migratory birds, and thus an especially interesting model for studying how animals follow patterns of food availability over time. Here, we studied whether black-capped chickadees (Poecile atricapillus) could learn to reverse their behavior and/or to anticipate changes in reinforcement when the reinforcer contingencies for each stimulus were not stably fixed in time. In Experiment 1, we examined the responses of chickadees on an auditory go/no-go task, with constant reversals in reinforcement contingencies every 120 trials across daily testing intervals. Chickadees did not produce above-chance discrimination; however, when trained with a procedure that only reversed after successful discrimination, chickadees were able to discriminate and reverse their behavior successfully. In Experiment 2, we examined the responses of chickadees when reversals were structured to occur at the same time once per day, and chickadees were again able to discriminate and reverse their behavior over time, though they showed no reliable evidence of reversal anticipation. The frequency of reversals throughout the day thus appears to be an important determinant for these animals’ performance in reversal procedures.     

Does Yoga Help College-Aged Women with Body-Image Dissatisfaction Feel Better About Their Bodies?

Sex Roles - A majority of U.S. college-aged women experience body-image dissatisfaction, which puts them at heightened risk for the development of an eating disorder. However, evidence-based...     

Bullying and Victimization: Cause for Concern for both Families and Schools

This study examines the roles of family variables (authoritarian and authoritative parenting, family disharmony) and school variables (liking school, perceived control of bullying and school hassles) in discriminating non-bully/non-victims, victims and bullies. Participants were parents and their children aged 9–12 years (N = 610). Data were analyzed using ANOVA and discriminant function analysis (DFA). Two significant functions emerged, both of which appeared important in discriminating children according to their bullying status. Together they allowed for the correct classification of 76% of the non-bully/non-victims, 57% of victims, and 61% of bullies. The main conclusion is that family and school systems working together may provide the most effective means of intervention for bullying problems. This revised version was published online in August 2006 with corrections to the Cover Date.     

Dialectical Theology as Theology of Mission: Investigating the Origins of Karl Barth's Break with Liberalism

Based on a thorough investigation of Karl Barth's early writings, this article proposes a new interpretation of dialectical theology as fundamentally concerned with the issue of mission. Documents from 1914 and 1915 show that the turning point in Barth's thinking about mission – and about Christian theology in general – occurred, at least in part, in response to a largely forgotten manifesto published in September 1914. This manifesto appealed to Protestants around the world to support Germany's cause in the war on the grounds that they would be supporting the work of the Great Commission. Barth's reaction to this document sheds light on the missionary nature of dialectical theology, which pursues an understanding of God and God‐talk that does not conflate the mission of the church with the diffusion of culture.     

Women are more sensitive than men to prior trial events on the Stop‐signal task

Sexual dimorphism in the brain and cognition is a topic of widespread interest. Many studies of sex differences have focused on visuospatial and verbal abilities, but few studies have investigated sex differences in executive functions. We examined two key components of executive function – response inhibition and response monitoring – in healthy men (n = 285) and women (n = 346) performing the Stop‐signal task. In this task, participants are required to make a key press to a stimulus, unless a tone is presented at some delay following the initial stimulus presentation; on these infrequent trials, participants are instructed to inhibit their planned response. Response inhibition was assessed with an estimate of the latency needed to inhibit a response (stop‐signal reaction time), and response monitoring was measured by calculating the degree to which participants adjusted their reaction times based on the immediately preceding trial (e.g., speeding following correct trials and slowing following errors). There were no sex differences in overall accuracy or response inhibition, but women showed greater sensitivity to trial history. Women sped up more than men following correct ‘Go’ trials, and slowed down more than men following errors. These small but statistically significant effects (Cohen's d = 0.25–0.3) suggest more flexible adjustments in speed–accuracy trade‐offs in women and greater cognitive flexibility associated with the responsive control of action.