Compliance with requests by children with autism: the impact of sentence type

This study assesses the extent to which children with autism understand requests performed with grammatically non-imperative sentence types. Ten children with autism were videotaped in naturalistic conditions. Four grammatical sentence types were distinguished: imperative, declarative, interrogative and sub-sentential. For each category, the proportion of requests complied with significantly exceeded the proportion of requests not complied with, and no difference across categories was found. These results show that children with autism do not rely exclusively on the linguistic form to interpret an utterance as a request.     

A continuous false belief task reveals egocentric biases in children and adolescents with autism spectrum disorders

This study reports on a new false belief measure in a sample of 124 children and adolescents with or without high functioning autism (HFASD). In the classic paradigm, a participant predicts in which of two discrete locations a deceived protagonist will look for an object. In the current Sandbox task, the object is buried and reburied in a sandbox, thus creating a continuum between locations. Compared to typically developing individuals (n=62), those with HFASD (n=62) showed a larger egocentric bias on the Sandbox task. They failed to take the protagonist's false belief into account, despite their adequate ability to infer advanced mental states. This indicates that sensitive measures can reveal subtle first order Theory of Mind impairments in HFASD individuals.     

Domestic dogs’ (Canis familiaris) choices in reference to agreement among human informants on location of food

When interacting with others, informants may offer conflicting information or information of varying accuracy. Recent research suggests that young children do not trust all informants equally and are selective in both whom they solicit for information and whose claims they support. We explored whether domestic dogs (Canis familiaris) are similarly sensitive to agreement among informants. To this end, we utilized a common human gesture, pointing, to which recent research suggests dogs are sensitive. We conducted two experiments in which an experimenter secretly hid food in one of two clear containers while the dog was distracted. Next, a small group moved to indicate the food's location using stationary points positioned above the containers. In Experiment 1, two experimenters moved to stand behind the non-baited container, while a third experimenter moved to stand behind the baited container. Then, all directed one static point at the container in front of them. Experiment 2 exactly resembled Experiment 1 with the exception that the single experimenter standing behind the baited container directed two static points at the container (one with each hand). Dogs chose the container indicated by the majority in Experiment 1 significantly more often than chance, but chose the container indicated by the minority in Experiment 2 significantly more often than chance. This suggests that the number of points, not the number of people, more strongly influenced dogs' choices.     

Space coding for sensorimotor transformations can emerge through unsupervised learning

The posterior parietal cortex (PPC) is fundamental for sensorimotor transformations because it combines multiple sensory inputs and posture signals into different spatial reference frames that drive motor programming. Here, we present a computational model mimicking the sensorimotor transformations occurring in the PPC. A recurrent neural network with one layer of hidden neurons (restricted Boltzmann machine) learned a stochastic generative model of the sensory data without supervision. After the unsupervised learning phase, the activity of the hidden neurons was used to compute a motor program (a population code on a bidimensional map) through a simple linear projection and delta rule learning. The average motor error, calculated as the difference between the expected and the computed output, was less than 3°. Importantly, analyses of the hidden neurons revealed gain-modulated visual receptive fields, thereby showing that space coding for sensorimotor transformations similar to that observed in the PPC can emerge through unsupervised learning. These results suggest that gain modulation is an efficient coding strategy to integrate visual and postural information toward the generation of motor commands.     

Contingency learning with evaluative stimuli: testing the generality of contingency learning in a performance paradigm

In two experiments, we tested the generality of the learning effects in the recently-introduced color-word contingency learning paradigm. Participants made speeded evaluative judgments to valenced target words. Each of a set of distracting nonwords was presented most often with either positive or negative target words. We observed that participants responded faster on trials that respected these contingencies than on trials that contradicted the contingencies. The contingencies also produced changes in liking: in a subsequent explicit evaluative rating task, participants rated positively-conditioned nonwords more positively than negatively-conditioned nonwords. Interestingly, contingency effects in the performance task correlated with this explicit rating effect in both experiments. In Experiment 2, all effects reported were independent of subjective and objective contingency awareness (which was completely lacking), even when awareness was measured at the item level. Our results reveal that learning in this type of performance task extends to nonword-valence contingencies and to responses different from those emitted during the performance task. We discuss the implications of these findings for theories about the processes that underlie contingency learning in performance tasks and for research on evaluative conditioning.     

Conflict: run! Reduced Stroop interference with avoidance responses

Conflict has been hypothesized to be aversive, triggering avoidance behaviour (Botvinick, 2007). To test this hypothesis, a standard Stroop task was modified such that avoiding was part of the response set. More precisely, participants were asked to move a manikin towards or away from Stroop stimuli, depending on the colour of the words. Results showed that the type of response (approach versus avoidance) modulated the Stroop congruency effect. Specifically, the reaction time analysis revealed that the stimulus congruency effect disappeared with avoidance responses, contrary to approach responses where a stimulus congruency effect was present. Moreover, the error data showed a reduction of the general congruency effect when avoiding. These results suggest that in the face of conflict, avoidance is the predominant response.     

The culture of care within psychiatric services: tackling inequalities and improving clinical and organisational capabilities

Introduction

Cultural Consultation is a clinical process that emerged from anthropological critiques of mental healthcare. It includes attention to therapeutic communication, research observations and research methods that capture cultural practices and narratives in mental healthcare. This essay describes the work of a Cultural Consultation Service (ToCCS) that improves service user outcomes by offering cultural consultation to mental health practitioners. The setting is a psychiatric service with complex and challenging work located in an ethnically diverse inner city urban area. Following a period of 18 months of cultural consultation, we gather the dominant narratives that emerged during our evaluation of our service.

Results

These narratives highlight how culture is conceptualized and acted upon in the day-to-day practices of individual health and social care professionals, specialist psychiatric teams and in care systems. The findings reveal common narratives and themes about culture, ethnicity, race and their perceived place and meaningfulness in clinical care. These narratives express underlying assumptions and covert rules for managing, and sometimes negating, dilemmas and difficulties when considering “culture” in the presentation and expression of mental distress. The narratives reveal an overall “culture of understanding cultural issues” and specific “cultures of care”. These emerged as necessary foci of intervention to improve service user outcomes.

Conclusion

Understanding the cultures of care showed that clinical and managerial over-structuring of care prioritises organisational proficiency, but it leads to inflexibility. Consequently, the care provided is less personalised and less accommodating of cultural issues, therefore, professionals are unable to see or consider cultural influences in recovery.

     

sleep complaints,behavioral characteristics and vital exhaustion in myocardial infarction cases

Abstract

Prodromal symptoms of vital exhaustion and sleep complaints are increasingly being recognized as important risk indicators for myocardial infarction (MI). In this study, the relationships between vital exhaustion, behavioral characteristics, and MI, and between several sleep complaints and MI were investigated. The subjects were 133 male cases with first MI, 192 male hospital controls, and 133 male neighborhood controls. The instruments used were the Maastricht Questionnaire (vital exhaustion), the Life Styles Questionnaire (sleep complaints, coffee consumption, and current smoking), and the Structured Interview (Type A behavior). All sleep complaints, vital exhaustion, Type A behavior, excessive coffee consumption, and current smoking occurred significantly more often in MI-cases. After controlling for these potential confounders, and age, most sleep complaints retained significant associations with MI, in particular often taking naps during the day and waking up in the morning feeling tired and exhausted.