Initiation of evidence-based psychotherapies in Veterans with posttraumatic stress disorder

The Department of Veterans Affairs (VA) requires that all VA hospitals and clinics provide access to evidence-based psychotherapies (EBPs). Despite these widespread dissemination efforts, only a minority of Veterans receive EBP services. Reasons for these low rates of EBP utilization are largely unknown. This study examined the characteristics of Veterans with posttraumatic stress disorder (PTSD) who did (Initiation group) and did not (No-Initiation group) initiate a VA-approved EBP after participating in an information session. Veterans chose their preferred treatment from a menu of EBPs. Results demonstrated that Veterans in the No-Initiation group had longer periods of time between their referral and first EBP visit. Among Veterans in the Initiation group, the majority (68%) initiated a trauma-focused EBP as their first or second treatment, suggesting that providing a range of treatment options did not negatively impact their willingness to engage in PTSD treatment. Results are discussed in terms of VA initiatives to improve access to and initiation of mental health care for Veterans.     

The interaction of pathways to fear in childhood anxiety: a preliminary study

Recent research has shown that the verbal information pathway to fear creates long-term fear cognitions and can create cognitive biases and avoidance in children. However, the interaction between the verbal information pathway to fear and other pathways is untested. This experiment exposed children (aged 6–8) to threat information about a novel animal to see the impact on a measure of avoidance after a subsequent simulated direct negative encounter with that animal. Results showed that a direct negative experience (without prior information) or threat information (without a subsequent negative experience) produced similar effects, but in combination (verbal threat information followed by a direct negative experience) the effect was significantly magnified. These results support theories of fear acquisition that suppose that verbal information impacts on the strength of associations formed in subsequent conditioning episodes, and suggest that pathways to fear have interactive effects.     

Workplace emotions: the role of supervision and leadership

In this experience sampling study, the authors examined the role of organizational leaders in employees' emotional experiences. Data were collected from health care workers 4 times a day for 2 weeks. Results indicate supervisors were associated with employee emotions in 3 ways: (a) Employees experienced fewer positive emotions when interacting with their supervisors as compared with interactions with coworkers and customers; (b) employees with supervisors high on transformational leadership experienced more positive emotions throughout the workday, including interactions with coworkers and customers; and (c) employees who regulated their emotions experienced decreased job satisfaction and increased stress, but those with supervisors high on transformational leadership were less likely to experience decreased job satisfaction. The results also suggest that the effects of emotional regulation on stress are long lasting (up to 2 hr) and not easily reduced by leadership behaviors.     

Knowledge about a common source can promote visual- haptic integration

The brain integrates object information from multiple sensory systems to form a unique representation of our environment. Temporal synchrony and spatial coincidence are important factors for multisensory integration, indicating that the multisensory signals come from a common source. Spatial separations can lead to a decline of visual-haptic integration (Gepshtein et al, 2005 Journal of Vision 5 1013-1023). Here we tested whether prior knowledge that two signals arise from the same object can promote integration even when the signals are spatially discrepant. In one condition, participants had direct view of the object they touched. In a second condition, mirrors were used to create a spatial separation between the seen and the felt object. Participants saw the mirror and their hand in the mirror exploring the object and thus knew that they were seeing and touching the same object. To determine the visual-haptic interaction we created a conflict between the seen and the felt shape using an optically distorting lens that made a rectangle look like a square. Participants judged the shape of the probe by selecting a comparison object matching in shape. We found a mutual biasing effect of shape information from vision and touch, independent of whether participants directly looked at the object they touched or whether the seen and the felt object information was spatially separated with the aid of a mirror. This finding suggests that prior knowledge about object identity can promote integration, even when information from vision and touch is provided at spatially discrepant locations.     

Memory for thematically arousing events

Many studies have indicated that emotional arousal improves memory for the center, or gist, of an event but undermines memory for the event's periphery. However, all of these studies have elicited emotion by showing participants some salient visual stimulus intended to arouse them (e.g., the sight of a wound). This stimulus may have served as an attention magnet, and this, not the arousal, may have been the cause of the observed narrowing of memory. In this article, we examine how participants remember events that involve thematically induced arousal, arousal produced by empathy, rather than by a visual emotional stimulus. The data show that emotionality improves memory for all aspects of these events, with no memory narrowing.     

What's in a name for memory errors? Implications and ethical issues arising from the use of the term "false memory" for errors in memory for details

The term "false memories" has been used to refer to suggestibility experiments in which whole events are apparently confabulated and in media accounts of contested memories of childhood abuse. Since 1992 psychologists have increasingly used the term "false memory" when discussing memory errors for details, such as specific words within lists. Use of the term to refer to errors in details is a shift in language away from other terms used historically (e.g., "memory intrusions"). We empirically examine this shift in language and discuss implications of the new use of the term "false memories." Use of the term presents serious ethical challenges to the data-interpretation process by encouraging over-generalization and misapplication of research findings on word memory to social issues.     

Risk avoidance: Graphs versus numbers

There have long been speculations that graphical and numerical presentations of risk statistics differ in their impact on people’s willingness to pursue actions that could harm or even kill them. But research has been unclear about the processes whereby the pictorial character of graphical displays per se might affect those risky decisions or even whether such effects actually occur. In two studies, we demonstrate that the pictorial nature of a graphical risk display can, indeed, increase risk avoidance. This increase is associated with a heightened impression of the riskiness of less safe alternatives. The results suggest that this picture-driven, intensified sense of riskiness, in turn, rests on two kinds of mechanisms: one cognitive, the other affective. Cognitively, pictorial presentations impose weaker upper bounds on people’s internal representations of the chances that riskier alternatives will bring about actual harm. Affectively, pictures ignite stronger, more aversive negative associations with riskier options and their outcomes.     

Use of context in question answering by 3-, 4- and 5-year-old children

This study investigates, within the theory of relevance of Sperber & Wilson (1995), how 3-, 4-, and 5-year-old children (n = 45) use context when answering questions. The children were required to answer questions that placed differing contextual and processing demands on them, as predicted by the theory. The results indicate that an increasing ability to use complex contextual information was related to age and was reflected in the children's ability to answer questions appropriately. A developmental pattern became evident in terms of how the children assigned referents, enriched semantic underdetermination, and recovered implicatures. It also became evident that even at the age of 5 years 6 months the children were in the process of becoming more skilled at integrating contextually complex inferences. It was further shown how children's selection of the appropriate context, given the focus of the question, depended on how relevance was achieved in that context.     

Do masks terminate the icon?

Iconic memory is operationally defined by part-report experiments (Sperling, 1960). If a mask is presented after the target, the mask is thought to be superposed on the target in the iconic representation, or to displace it from the representation. But could a cue presented after a pattern mask still allow selection within the target array? A target array of letters was followed by a checkerboard mask. We compared two target-mask interstimulus intervals (ISIs; 0 and 100 ms), and six cue delays. At ISI = 0 ms, performance was at chance, for part report and whole report. At ISI = 100 ms, with the shortest cue delay, observers demonstrated a part-report advantage of 25-30%. As cue delay increased the part-report advantage decreased. These results are inconsistent with an iconic memory that is automatically displaced or overwritten by new information. We consider two alternatives: a second-stage store, which represents letters in terms of their high-level features and which the mask cannot penetrate, or a four-dimensional store that preserves separately the representations of the target and its aftercoming mask. We discuss the implications of our results for studies that use backward masking to "terminate the icon".     

Concurrent reinforcement schedules: behavior change and maintenance without extinction

We evaluated the effects of concurrent schedules of reinforcement on negatively reinforced problem behavior and task completion with 3 children with autism. Results indicated that problem behavior occurred at high levels and relatively few tasks were completed when problem behavior produced a break (from tasks) and task completion produced either no consequence or a break. By contrast, problem behavior was eliminated and tasks were completed when problem behavior produced a break and task completion produced a break with access to preferred activities. Treatment gains were maintained without the use of extinction when the response requirement was increased and the schedule of reinforcement was thinned.