Reversal learning by fornix-transected monkeys

Experiment 1 examined visual reversal learning and in Experiment 2 monkeys were trained to criterion in a serial reversal set between “FR” and “DRO” response requirements. In both cases impairments were observed in fornix-transected monkeys. These results are discussed in connection with previous findings that in serial reversals damage to the hippocampal system in monkeys causes a deficit in spatial but not in visual learning. A unified account is proposed.     

Effects of fornix transection upon associative memory in monkeys: Role of the hippocampus in learned action

Thirty-three monkeys took part in seven experiments designed to elucidate further the effect of fornix transection on learning and memory. In the first experiment the monkeys had to remember whether stimulus objects had previously been paired with reward or no reward, and they had to use this memory to guide choice between stimulus objects at retention tests according to an arbitrary rule which they had learned: to choose objects previously paired with no reward in preference to objects previously paired with reward. Fornix transection produced a severe and permanent impairment in this task. In the second experiment the monkeys also had to remember object-reward associations but the performance rule was more natural: to choose objects previously paired with reward. Here fornix transection had no effect. The third experiment required the monkeys to remember, given a stimulus object, which of two events of equal valence had previously been the outcome of displacing that object. The two events were either a peanut and a sultana or a black penny and a white penny of equal secondary reinforcing value. Performance was unimpaired by fornix transection. The fourth experiment also demonstrated, in a different paradigm, unimpaired recall of sensory events. The fifth experiment demonstrated an impairment following fornix transection in acquisition of simultaneous spatial-visual conditional discriminations; the sixth demonstrated normal learning by fornix-transected monkeys of a successive spatial-visual conditional discrimination and the seventh demonstrated unimpaired acquisition of a simultaneous auditory-visual conditional discrimination. These results, when considered in detail and together, are incompatible with existing hypotheses of hippocampal function. A new hypothesis is discussed.     

Psychosocial adjustment to and control of diabetes mellitus: differences by disease type and treatment

The relationship of diabetic patients' psychosocial adjustment to disease type, treatment mode, and indexes of control was examined in a representative community population. The psychometric properties of the Diabetes Educational Profile (DEP) and its application to psychosocial research in diabetes were also investigated. Findings support the reliability and validity of the DEP. Various measures of psychosocial adjustment were related to diabetes control but the specific relationships depended on the particular aspect of adjustment, the specific measure of diabetes control, and the type of disease and treatment. The findings suggest that analyses that aggregate dissimilar patient groups are subject to misinterpretation due to ecological masking and supressor effects. The results indicate that clinicians and researchers must recognize that patients with different disease types and treatment modes have different norms for psychological adjustment and diabetes control. Further, the particular aspects of psychosocial adjustment associated with diabetes control differ across patient groups.     

Effects of fornix transection on spontaneous and trained non-matching by monkeys

Three monkeys with fornix transection and three normal control monkeys performed a series of tasks which were variations of delayed non-matching. Experiment 1 showed that even at short retention intervals fornix transection impaired the spontaneous tendency to explore novel objects. Experiment 2 provided differential reward for non-matching and showed that the fornix-transected monkeys learned and performed non-matching normally even though the sample-match retention intervals were long throughout the experiment. Experiment 3 showed that non-matching performance was transiently more disrupted in fornix-transected than in normal monkeys when the testing procedure was changed, in a variety of ways, while maintaining the basic non-match rule. Experiment 4 required the monkeys to discriminate objects they had displaced from objects they had seen but not displaced; fornix transection produced in this task a substantial and stable impairment. These four experiments require a revised interpretation of the effects of fornix transection upon recognition memory and exploration. Particularly they contradict the hypothesis, suggested by previous experiments, that fornix transection produces a defect in discrimination of stimulus familiarity in long-term but not in short-term memory. They suggest rather that fornix transection impairs memory of instrumental responses.     

The experiences of person-centred counsellors working with suicidal clients online through the medium of text

ABSTRACT

In this study, we attempt to provide an understanding of the experiences of four UK-based person-centred counsellors working with suicidal clients online using text-based therapies and the impact of their clients’ suicidal ideation upon their “way of being”. The counsellors were selected purposively; each was working as a person-centred counsellor online, was encountering suicidal ideation in their clients, and was a member of a professional organisation. A narrative approach was taken, using unstructured interviews and a stanza format of representation. We found that participants had developed a way of being online that may be distinct from their in-person practice. Challenges included being more directive, lacking physical presence, lacking confidence in assessing risk and questions about empathic understanding. Working online with risk raises specific challenges for person-centred practitioners in line with what is indicated in the little relevant research currently already available.