Effects of group experiential cognitive therapy for the treatment of panic disorder with agoraphobia.

A treatment protocol, called experiential cognitive therapy (ExCT), was developed. It integrated traditional cognitive behavior therapy (CBT) with virtual reality exposure for the treatment of panic disorder with agoraphobia (PDA). The objective of this study was to test the efficacy of short-term (four sessions) ExCT compared with a traditional 12-session panic control program (PCP) for the treatment of PDA. Forty patients diagnosed as having PDA by the diagnostic criteria of DSM-IV were randomly assigned to ExCT and PCP groups of 20 patients each. The treatment effects were measured with self-report questionnaires, including the BDI, STAI, ASI, PBQ, ACQ, and BSQ. The authors also assessed high end-state functioning (HES), including the success rate of stopping or reducing medication at post-treatment and 6-month follow-up. In all ratings, both ExCT and PCP groups showed significant improvement post-treatment compared with pre-treatment scores. There were no significant differences between the two treatment groups in HES and medication discontinuation at post-treatment, but there was a significant difference in medication discontinuation at 6-month follow-up. These results suggested that although short-term effectiveness of ExCT might be comparable to the effectiveness of PCP, long-term effectiveness of ExCT might be relatively inferior to the effectiveness of PCP.     

Truth,Predication and a Family of Contingent Paradoxes

In truth theory one aims at general formal laws governing the attribution of truth to statements. Gupta’s and Belnap’s revision-theoretic approach provides various well-motivated theories of truth, in particular T* and T#, which tame the Liar and related paradoxes without a Tarskian hierarchy of languages. In property theory, one similarly aims at general formal laws governing the predication of properties. To avoid Russell’s paradox in this area a recourse to type theory is still popular, as testified by recent work in formal metaphysics by Williamson and Hale. There is a contingent Liar that has been taken to be a problem for type theory. But this is because this Liar has been presented without an explicit recourse to a truth predicate. Thus, type theory could avoid this paradox by incorporating such a predicate and accepting an appropriate theory of truth. There is however a contingent paradox of predication that more clearly undermines the viability of type theory. It is then suggested that a type-free property theory is a better option. One can pursue it, by generalizing the revision-theoretic approach to predication, as it has been done by Orilia with his system P*, based on T*. Although Gupta and Belnap do not explicitly declare a preference for T# over T*, they show that the latter has some advantages, such as the recovery of intuitively acceptable principles concerning truth and a better reconstruction of informal arguments involving this notion. A type-free system based on T# rather than T* extends these advantages to predication and thus fares better than P* in the intended applications of property theory.

     

Algebraic Analysis of Demodalised Analytic Implication

Journal of Philosophical Logic - The logic DAI of demodalised analytic implication has been introduced by J.M. Dunn (and independently investigated by R.D. Epstein) as a variation on a...     

Newborns are sensitive to multiple cues for word segmentation in continuous speech

Before infants can learn words, they must identify those words in continuous speech. Yet, the speech signal lacks obvious boundary markers, which poses a potential problem for language acquisition (Swingley, Philos Trans R Soc Lond. Series B, Biol Sci 364 (1536), 3617–3632, 2009). By the middle of the first year, infants seem to have solved this problem (Bergelson & Swingley, Proc Natl Acad Sci 109 (9), 3253–3258, 2012; Jusczyk & Aslin, Cogn Psychol 29 , 1–23, 1995), but it is unknown if segmentation abilities are present from birth, or if they only emerge after sufficient language exposure and/or brain maturation. Here, in two independent experiments, we looked at two cues known to be crucial for the segmentation of human speech: the computation of statistical co‐occurrences between syllables and the use of the language's prosody. After a brief familiarization of about 3 min with continuous speech, using functional near‐infrared spectroscopy, neonates showed differential brain responses on a recognition test to words that violated either the statistical (Experiment 1) or prosodic (Experiment 2) boundaries of the familiarization, compared to words that conformed to those boundaries. Importantly, word recognition in Experiment 2 occurred even in the absence of prosodic information at test, meaning that newborns encoded the phonological content independently of its prosody. These data indicate that humans are born with operational language processing and memory capacities and can use at least two types of cues to segment otherwise continuous speech, a key first step in language acquisition.     

Systemic-Oriented Psychological Counselling for Caregivers of People with Severe Brain Injury: Reflections on a Clinical Case

Severe brain injuries can have dramatic consequences on family life, often changing rules and routines and fostering intense and prolonged caregiving duties. People affected by the injuries have to face relevant restrictions in their activities and a loss of independence. Thus, primary caregivers are often involved in their assistance, which can entail the help for self-care, movements and many activities of daily living. Furthermore, cognitive and behavioural symptoms can complicate communication, disrupt previous relationships and put an additional strain on all family members. Indeed, caregiving relationships take place in wider familial and societal contexts and are obviously influenced by previous characteristic of such relationships, as they were before the onset of the pathological condition. Therefore, a thorough examination of typical emotions, feelings and thoughts that can emerge during caregiving must be paralleled by an ecological and developmental perspective, in order to appraise the complexity of these cases and provide effective interventions. The present work aims to address such topics taking inspiration from a clinical case.     

Utilizing a Creative Task to Assess Langerian Mindfulness

Despite the growing interest in mindfulness and its demonstrated benefits, there are concerns about the reliance on subjective assessment tools. This study focused on the measurement of Langerian mindfulness, which refers to the active process of noticing new things and flexibly responding to the current context. Some of its key features overlap with the construct of creativity, which can be used to create a direct assessment for central components of mindfulness. The aim is to start a discussion in the field about how a direct creativity-based tool to current subjective measures might best be used.     

Relationship quality of persons with obstructive sleep apnoea syndrome

In the field of sleep disorders, the quality of couple relationship is arousing increasing attention, given its implications for quality of life and treatment adherence. The aim of the present study was to evaluate relationship quality in a sample of treated or untreated patients with Obstructive Sleep Apnoea Syndrome. Eighty-seven patients were recruited in a hospital-based Centre for Sleep Medicine. Subjects were administered the Dyadic Adjustment Scale (DAS) to evaluate relationship quality, and the Epworth Sleepiness Scale (ESS). Apnoea-hypopnoea indexes (AHI) were collected through nocturnal polysomnography or home testing with a portable monitoring device. Although the DAS average scores were similar to local normative values, relationship quality was significantly lower in the untreated patients when compared with the ones treated. The ESS scores showed a negative correlation with many DAS scores, whereas no significant correlation emerged for AHI. Such data suggest a significant impact of perceived sleep apnoea symptoms on marital satisfaction, even though in the absence of striking differences between the whole sample and the general population.