Cognitive therapy for post-traumatic stress disorder: development and evaluation

The paper describes the development of a cognitive therapy (CT) program for post-traumatic stress disorder (PTSD) that is based on a recent cognitive model (Behav. Res. Therapy 38 (2000) 319). In a consecutive case series, 20 PTSD patients treated with CT showed highly significant improvement in symptoms of PTSD, depression and anxiety. A subsequent randomized controlled trial compared CT (N = 14) and a 3-month waitlist condition (WL, N = 14). CT led to large reductions in PTSD symptoms, disability, depression and anxiety, whereas the waitlist group did not improve. In both studies, treatment gains were well maintained at 6-month follow-up. CT was highly acceptable, with an overall dropout rate of only 3%. The intent-to-treat effect sizes for the degree of change in PTSD symptoms from pre to post-treatment were 2.70-2.82 (self-report), and 2.07 (assessor-rated). The controlled effect sizes for CT versus WL post-treatment scores were 2.25 (self-report) and 2.18 (assessor-rated). As predicted by the cognitive model, good treatment outcome was related to greater changes in dysfunctional post-traumatic cognitions. Patient characteristics such as comorbidity, type of trauma, history of previous trauma, or time since the traumatic event did not predict treatment response, however, low educational attainment and low socioeconomic status were related to better outcome.     

How focus at encoding affects children’s source monitoring

Retention of source information is enhanced by focus on speakers’ feelings about statements even though recognition is reduced for both adults and children. However, does any focus on another person lead to enhanced source monitoring, or is a particular kind of focus required? Does other-focus enhance source monitoring, or does self-focus detract from it? In Experiment 1, 4- and 6-year-olds watched two speakers make statements in a no-focus control or with focus directed on how they (or a speaker) felt about the statements or on perceptual features about themselves (or the speaker). Source monitoring decisions were enhanced by other-focus in both the perceptual and emotional conditions. However, the effect was larger for the emotional condition, and source monitoring exceeded no-focus controls only for this condition. Experiment 2 showed no effect of other-focus versus self-focus on source monitoring when questions were semantic.     

Young children's use of features to reorient is more than just associative: further evidence against a modular view of spatial processing

Proponents of a geometric module have argued that instances of young children's use of features as well as geometry to reorient can be explained by a two-stage process. In this model, only the first stage is a true reorientation, accomplished by using geometric information alone; features are considered in a second stage using association ( Lee, Shusterman & Spelke, 2006 ). This account is contradicted by the data from two experiments. Experiment 1a sets the stage for Experiment 1b by showing that young children use geometric information to reorient in a complex geometric figure without a single principal axis of symmetry (an octagon). In such a figure, there are two sets of geometrically congruent corners, with four corners in each set. The addition of a colored wall leads to the existence of three geometrically congruent but, crucially, all unmarked corners; using the colored wall to distinguish among them could not be done associatively. In Experiment 1b, both 3- and 5-year-old children showed true non-associative reorientation using features by performing at above-chance levels on all-white trials. Experiment 2 used a paradigm without distinctive geometry, modeled on Lee et al. (2006) , involving an equilateral triangle of hiding places located within a circular enclosure, but with a large stable feature rather than a small moveable one. Four-year-olds (the age group studied by Lee et al.) used features at above-chance levels. Thus, features can be used to reorient, in a way not dependent on association, in contradiction to the two-stage version of the modular view.     

The world is not flat: can people reorient using slope?

Studies of spatial representation generally focus on flat environments and visual input. However, the world is not flat, and slopes are part of most natural environments. In a series of 4 experiments, we examined whether humans can use a slope as a source of allocentric, directional information for reorientation. A target was hidden in a corner of a square, featureless enclosure tilted at a 5° angle. Finding it required using the vestibular, kinesthetic, and visual cues associated with the slope gradient. In Experiment 1, the overall sample performed above chance, showing that slope is sufficient for reorientation in a real environment. However, a sex difference emerged; men outperformed women by 1.4 SDs because they were more likely to use a slope-based strategy. In Experiment 2, attention was drawn to the slope, and participants were prompted to rely on it to solve the task; however, men still outperformed women, indicating a greater ability to use slope. In Experiment 3, we excluded the possibility that women's disadvantage was due to wearing heeled footwear. In Experiment 4, women required more time than men to identify the uphill direction of the slope gradient; this suggests that, in a bottom-up fashion, a perceptual or attentional difficulty underlies women's disadvantage in the ability to use slope and their decreased reliance on this cue. Overall, a bi-coordinate representation was used to find the goal: The target was encoded primarily with respect to the vertical axis and secondarily with respect to the orthogonal axis of the slope.     

Culture and children's cosmology

In this investigation, we examined children's knowledge of cosmology in relation to the shape of the earth and the day-night cycle. Using explicit questioning involving a choice of alternative answers and 3D models, we carried out a comparison of children aged 4-9 years living in Australia and England Though Australia and England have a close cultural affinity, there are differences in children's early exposure to cosmological concepts. Australian children who have early instruction in this domain were nearly always significantly in advance of their English counterparts. In general, they most often produced responses compatible with a conception of a round earth on which people can live all over without falling off. We consider coherence and fragmentation in children's knowledge in terms of the timing of culturally transmitted information, and in relation to questioning methods used in previous research that may have underestimated children's competence.     

Knowledge,attitudes, and usage of complementary-alternative medicine (CAM): A national survey of clinical psychologists in Indonesia

Current Psychology - This nationwide cross-sectional study aimed to explore Indonesian clinical psychologists’ (CP) knowledge, attitudes, and usage of complementary-alternative medicines...     

Self-construal, mental distress, and family relations: a mediated moderation analysis with Asian American adolescents

The interactive effects between interdependent and independent self-construal on family cohesion and mental distress were examined. Survey responses from 153 Asian American high school students supported the hypothesized moderation of interdependence by independence on family cohesion, which was found to further mediate the relationship between self-construal and mental distress. Specifically, interdependence was positively associated with family cohesion when independence was high and negatively associated with family cohesion when independence was low. Accounting for the mediator effects of family cohesion, mental distress was positively associated with interdependence and more so for those low on independence than those high on independence. The benefits of biculturalism and research implications for the bidimensional conceptualization of self-construal for ethnic minority populations are discussed.     

Erratum: Durable and generalized effects of spatial experience on mental rotation: Gender differences in growth patterns

The above article (DOI: 10.1002/acp.1420 ) was published online on 26 November 2007 and in print in Volume 22: 996‐1013, 2008. A printing error was subsequently identified in the article. Page 996: Missing author information. Should read Dr. Nora S. Newcombe, Temple University, Philadelphia, USA, National Science Foundation Grants REC‐0337360 and SBE0541957.