Conclusions from shifts in morbidity patterns of hospitalized children with neuropsychiatric diseases

The decrease of neurological illnesses and the corresponding increase of psychogenic disturbances by patients belonging to clinical departments of neuropsychiatry of child and youth are described. This conversion leads to a frequently longer staying of the patients within the clinics. Furthermore, changes of the behaviours of the whole team for treatment may be observed.     

Experience using the Catathymic Picture Perception in group therapy of adolescents

The Guidelt Affective Imagery (Katathymes Bilderleben (KB) by abundant trials of identification and identity within an imagination in groups of youth to be taken ill with psychogenic and psychosomatic diseases is used prevalent for the treatment of the disturbance of ego. Psychodynamic individualities during the process of imagination in groups follows from the dialectic proportion between the individual and the collective psychodynamic of the whole group.     

On Whether we Can See Intentions

Direct Perception is the view that we can see others' mental states, i.e. that we perceive others' mental states with the same immediacy and directness that we perceive ordinary objects in the world. I evaluate Direct Perception by considering whether we can see intentions, a particularly promising candidate for Direct Perception. I argue that the view equivocates on the notion of intention. Disambiguating the Direct Perception claim reveals a troubling dilemma for the view: either it is banal or highly implausible.     

What’s good for me depends on what I see in you: Intimacy avoidance and resources derived from close others

Past research has demonstrated that comfort with intimacy differentially affects the extent to which a person assimilates/contrasts to a close other. Specifically, individuals comfortable with intimacy benefit most from assimilating to those who embody positive aspects, whereas individuals uncomfortable with intimacy benefit most from contrasting to those who embody a mix of positive and negative aspects. Using a multi-method approach, the current research provides evidence suggesting that both those who are positively regarded and those who engender mixed feelings have the potential to benefit the perceiver differentially as a function of the types of traits that are most salient at the time. In Study 1, consistent with predictions, high-avoidant individuals contrasted to the salient traits of a romantic partner and performed better on an intelligence test after thinking about their partner’s unintelligent compared to intelligent traits, whereas low-avoidant individuals assimilated. In Study 2, high-avoidant individuals contrasted to friends’ traits and exhibited more positive cardiovascular responses (i.e., greater challenge) while talking about friends’ negative traits and more negative responses (i.e., greater threat) while talking about friends’ positive traits. Together, these findings suggest that there are situations during which low- and high-avoidant individuals differentially benefit from highly regarded close others.     

A Couple-Based Psychological Treatment for Chronic Pain and Relationship Distress

Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, “Mindful Living and Relating,” aimed at alleviating pain and suffering by promoting couples’ psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are each in need of developing greater psychological and relational flexibility to improve their own and their partners’ health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one’s partner, fully attending to the present moment, and responding empathically in a way that serves one’s own and one’s partner’s values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.     

Instrumental learning and cognitive flexibility processes are impaired in children exposed to early life stress

Children who experience severe early life stress show persistent deficits in many aspects of cognitive and social adaptation. Early stress might be associated with these broad changes in functioning because it impairs general learning mechanisms. To explore this possibility, we examined whether individuals who experienced abusive caregiving in childhood had difficulties with instrumental learning and/or cognitive flexibility as adolescents. Fifty‐three 14–17‐year‐old adolescents (31 exposed to high levels of childhood stress, 22 control) completed an fMRI task that required them to first learn associations in the environment and then update those pairings. Adolescents with histories of early life stress eventually learned to pair stimuli with both positive and negative outcomes, but did so more slowly than their peers. Furthermore, these stress‐exposed adolescents showed markedly impaired cognitive flexibility; they were less able than their peers to update those pairings when the contingencies changed. These learning problems were reflected in abnormal activity in learning‐ and attention‐related brain circuitry. Both altered patterns of learning and neural activation were associated with the severity of lifetime stress that the adolescents had experienced. Taken together, the results of this experiment suggest that basic learning processes are impaired in adolescents exposed to early life stress. These general learning mechanisms may help explain the emergence of social problems observed in these individuals.     

A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients

Psychosocial factors are increasingly recognized as risk indicators for coronary artery disease (CAD) prognosis and they are likely interrelated. The objective of this study is to simultaneously test the relationship between key psychosocial constructs as independent factor scores and recurrent events in CAD patients. There were 1268 CAD outpatients of 97 cardiologists surveyed at two points. Recurrent events or hospitalization in the intervening nine months were reported. Factor analysis of items from the Hospital Anxiety and Depression Scale, Perceived Stress Scale, the ENRICHD Social Support Inventory, and Hostile Attitudes Scale was performed to generate orthogonal factor scores. With adjustment for prognostic variables, logistic regression analysis was performed to examine the relationship between these factor scores and recurrent events. Factor analysis resulted in a six-factor solution: hostility, stress, anxiety, depressive symptoms, support, and resilience. Logistic regression revealed that functional status and anxiety, with a trend for depressive symptoms, were related to experiencing a recurrent event. In this simultaneous test of psychosocial constructs hypothesized to relate to cardiac prognosis, anxiety may be a particularly hazardous psychosocial factor. While replication is warranted, efforts to investigate the potential benefits of screening and to investigate treatments are needed.     

Kindergarten children's sensitivity to geometry in maps

Geometrical concepts are critical to a host of human cognitive achievements, from maps to measurement to mathematics, and both the development of these concepts, and their variation by gender, have long been studied. Most studies of geometrical reasoning, however, present children with materials containing both geometric and non-geometric information, and with tasks that are open to multiple solution strategies. Here we present kindergarten children with a task requiring a focus on geometry: navigation in a small-scale space by a purely geometric map. Children spontaneously extracted and used relationships of both distance and angle in the maps, without prior demonstration, instruction, or feedback, but they failed to use the sense information that distinguishes an array from its mirror image. Children of both genders showed a common profile of performance, with boys showing no advantage on this task. These findings provide evidence that some map-reading abilities arise prior to formal instruction, are common to both genders, and are used spontaneously to guide children's spatial behavior.