The Canberra Longitudinal Study: Design,Aims, Methodology,Outcomes and Recent Empirical Investigations

The first section of this paper describes methodology and major cognitive outcomes of the Canberra Longitudinal Study (CLS). This community study of 1045 Australians aged 70 years or over commenced in 1990. Participants were reassessed on three subsequent occasions. Its major themes were investigations of prevalence of dementia and depression, risk factors, inter-individual variability and instrument development. Over 60 papers arising from the study have been published.

The second section of this paper describes the use of a Factor of Curves (FOC) latent growth model to examine the existence of a common factor responsible for age-related deterioration in cognitive and non-cognitive processes. This analysis is a logical progression in a series of investigations using the Canberra Longitudinal Study into risk factors and correlates of cognitive change using structural equation modeling techniques. The FOC model is described and is used to explore the nature of an hypothesized common factor and to determine its relationship with age, gender, education, pre-morbid intelligence and to the ApoE genotype. Latent growth models were developed for each of reaction time, Symbol Letter Modalities Test (SLMT), Grip strength, self-reported Sensory disability and memory from three waves of data. Second-order latent level slope factors were established based on the individual factor growth curve models. Although a common factor model could be fitted to the data, there is little support that it represents a single common cause.     

Making use of the vignette technique to examine methods of bereavement counselling: An exploratory study

Aim: The principal objective of this small‐scale study was to examine methods of bereavement counselling because of their lack of clarity. Method: The study made use of the vignette technique along with six semi‐structured interviews analysed by means of thematic analysis. Findings: Results showed that bereavement counsellors are using a multitude of different and diverse methods of counselling, characteristic of postmodernism. Advantages of these postmodern methods are that bereavement counselling methods are rich, creative, supportive, pluralistic and attentive to otherness. However, disadvantages of these postmodern methods have led to a lack of consensus amongst experts, unclear methods and an anti‐methodological way of working by counsellors. Implications for practice: Postmodernism is inherent in bereavement counselling. As a result no two counsellors work in exactly the same way because of the difference in their background and experience similarly it can be said that no one counselling method has exclusivity due to the diverse nature of postmodernism.     

Further Evidence for Nonspecificity of Theory of Mind in Preschoolers: Training and Transferability in the Understanding of False Beliefs and False Signs

In a training study, the authors addressed whether or not preschoolers' difficulty with false belief is due to a domain-specific problem with mental states. Following Slaughter's (1998 Slaughter , V. ( 1998 ). Children's understanding of pictorial and mental representations . Child Development , 69 , 321 – 332 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) design, 57 children who failed a false-belief (FB) pretest received two sessions of training on either an FB, false sign (FS), or control task. All children were then posttested on theory-of-mind, FS, and control tasks. Results showed the FB and FS tasks were not only empirically tested as equivalent but also potentially transferable (i.e., FB training enhanced FS posttest performance, and FS training contributed to the understanding of one's own false belief), suggesting that understanding of false beliefs is an ability of representational understanding that is not restricted to mental states.     

Mind-body meets metaethics: a moral concept strategy

The aim of this paper is to assess the relationship between anti-physicalist arguments in the philosophy of mind and anti-naturalist arguments in metaethics, and to show how the literature on the mind-body problem can inform metaethics. Among the questions we will consider are: (1) whether a moral parallel of the knowledge argument can be constructed to create trouble for naturalists, (2) the relationship between such a “Moral Knowledge Argument” and the familiar Open Question Argument, and (3) how naturalists can respond to the Moral Twin Earth argument. We will give particular attention to recent arguments in the philosophy of mind that aim to show that anti-physicalist arguments can be defused by acknowledging a distinctive kind of conceptual dualism between the phenomenal and the physical. This tactic for evading anti-physicalist arguments has come to be known as the Phenomenal Concept Strategy. We will propose a metaethical version of this strategy, which we shall call the ‘Moral Concept Strategy’. We suggest that the Moral Concept Strategy offers the most promising way out of these anti-naturalist arguments, though significant challenges remain.     

Evidence-based medicine,psychoanalysis and psychotherapy

SUMMARY

The scientific status of psychoanalysis is a matter of importance to both theorists and clinicians in psychiatry. The empirical evidence for both the theory and the practice of psychodynamic practice is much greater than is generally recognised. There is strong evidence for the effectiveness of psychoanalysis and psychoanalytically oriented therapy. the future of psychoanalysis depends on this evidence. We will discuss both the evidence and reasons why it is overlooked in certain quarters, and review the developing neuro-cognitive understanding of the mechanisms that underlie psychoanalytical processes.     

Evaluating the performance of departments of psychotherapy

Conceptual and practical issues which surround attempts at assessing the efficiency of psychotherapy departments are surveyed and the advantages and disadvantages associated with performance indicators reviewed. The issues of assessing efficiency in general and the selection of appropriate indicators at both national and local levels are discussed. It is concluded that it is possible to find indicators which reflect the value of a psychotherapeutic service to the community within which it is based, and that the identification of a generally agreed set of such parameters is a matter of priority.     

Building youths' resilience within a psychiatric outpatient setting: results from a pilot clinical intervention project

The relevance of resilience research for clinical practice has not yet been established. In this intervention pilot study, the aim was to explore how group work based on enhancing the participants' creativity, self-efficacy, active coping, and sense of continuity could be utilized within a clinical context for adolescents with stressful background experiences. 31 participants and 24 parents completed pre-, post-, and 1-yr. follow-up assessments of the youths' behavior difficulties, as well as depression, positive life attitude, coping, and prosocial behavior. Apart from a drop in self-rated prosocial behavior, no significant treatment effects were found. Implications for clinical practice and research are indicated.     

Processing of emotional information in seasonal depression across different cognitive measures

This study examined memory for emotional material, endorsement of emotional adjectives, and negative attributional style (NAS) in seasonal affective disorder (SAD). SAD patients showed elevated NAS and increased endorsement of negative self-referent adjectives, but no memory bias for negative material, when compared with never-depressed controls. Longitudinal analyses revealed that none of these cognitive measures significantly predicted later symptom levels independent of initial symptom levels, in the SAD patients. The cross-sectional findings for adjective endorsement and memory were replicated in a second experiment. These data provide further evidence that depression-related memory effects in SAD are different from those found in nonseasonal depression. Accounts of these differences involving putative mood-repair processes and/or an absence of dysfunctional negative schemas in SAD are discussed.     

A positive emotional bias in confabulatory false beliefs about place

Some neurological patients with medial frontal lesions exhibit striking confabulations. Most accounts of the cause of confabulations are cognitive, though the literature has produced anecdotal suggestions that confabulations may not be emotionally neutral, having a ('wish-fulfilment') bias that shapes the patient's perception of reality in a more affectively positive direction. The present study reviewed every case (N = 16) of false beliefs about place reported in the neuroscientific literature from 1980 to 2000, with blind raters evaluating the 'pleasantness' of the patient's actual and confabulated locations. In each case the confabulated location was evaluated as more pleasant. This striking finding supports the claim that there may be a systematic affective bias in the false beliefs held by neurological patients with confabulation.