Comorbidity in compulsive hoarding: a case report

A 56-year-old male presented with compulsive hoarding along with attention-deficit/hyperactivity disorder and schizotypal personality disorder. Hoarding has been described as difficult to treat both pharmacologically and behaviorally, and this patient's comorbid conditions also contributed to his overall impairment. The patient's treatment regimen of fluvoxamine, amphetamine salts, and risperidone, along with behavioral therapy, has helped with hoarding behaviors, motivation, procrastination, and increased socialization. Hoarding may be a unique subtype of obsessive-compulsive disorder with poorer prognosis and distinct neuroanatomic dysfunction. Augmentation with stimulants may provide benefits in aspects of hoarding such as procrastination, especially in patients with comorbid attention-deficit hyperactivity disorder.     

Impact of recent findings on study design of future autism clinical trials

There are specific challenges to studying the design of pharmacologic trials in child/adolescent and adult autism, such as subject stratification and parallel versus crossover designs. This article describes how optimal study design is influenced by subject selection and outcome measures chosen. Lessons learned in study design from the Research Units on Pediatric Psychopharmacology Autism Network trial with risperidone, Seaver Center trials with fluoxetine and valproate, Dartmouth trials with amantadine, and National Institutes of Health secretin trials are highlighted. The Internet System for Assessing Autistic Children system for managing multicenter clinical trials in autism and statistical issues in autism research are also described.     

The use of a distractor-assigned response slows later responding in a location negative priming task

Responding to a target's location takes longer when that location has recently contained a distractor event (ignored-repetition [IR] trial) relative to when it has been unoccupied (control trial). This is known as the location negative priming (NP) effect. We aimed to determine whether the elevated reaction time observed for IR trials was due to the reuse of a distractor location (location locus) and/or to the need to execute a (just inhibited) distractor response (response locus). We isolated these loci latency effects by using many-to-one and one-to-many location-response assignments. Our results showed that reusing a distractor location hastened target processing at that position (facilitative location locus), whereas the production of a distractor response was associated with a time cost (interfering response locus). Accordingly, part of the latency elevation seen with IR trials results from the need on these occasions to execute ajust inhibited (distractor) response, and, hence, the location NP effect has a response locus.     

Competitive martial arts and aggressiveness: a 2-yr. longitudinal study among young boys

This study is a follow-up study of Reynes and Lorant's studies assessing the effect of one year of judo and karate training on aggressiveness scores among young boys. The data reported here were obtained after a second year of practice, 14 judoka, 9 karateka, and 20 control participants who filled out the Buss-Perry Aggression Questionnaire three times, 1 year apart. At the first assessment, all participants, born the same year, were 8 yr. old and at the third they were 10 yr. old. Analysis indicated that after two years of practice, karate training seemed to have neither positive nor negative effects on aggressiveness scores, while judo training seemed to have a negative effect on anger scores. However, the results suggested the importance of kata or meditation in training sessions on self-control acquisition for such young boys.     

Equivalents of Mingle and Positive Paradox

Relevant logic is a proper subset of classical logic. It does not include among its theorems any ofpositive paradox A (B A)mingle A (A A)linear order (A B) (B A)unrelated extremes (A ) (B B¯)This article shows that those four formulas have different effects when added to relevant logic, and then lists many formulas that have the same effect as positive paradox or mingle.     

Transition planning and recidivism among mentally ill juvenile offenders

OBJECTIVES: To determine the extent to which transition planning and community service would predict lower levels of recidivism among mentally ill juvenile offenders. DESIGN: Review of legal, medical and social service records including examination of 3-month period following community release. PARTICIPANTS: Juvenile offenders incarcerated for 6 months or more (N = 44) transitioning to community. MEASURES: Child and Adolescent Functional Assessment Scale (CAFAS), sum of different documented pre- and post-release discharge planning contacts, documented community service contacts. OUTCOMES: Re-offense during the first year post-release. RESULTS: Documented community service contacts in the 3 months following discharge were rare for mental health (20.5%), substance abuse (38.6%), financial assistance (29.5%), and school placement (34.1%). The average number of different pre-release and post-release discharge planning contacts was also low, M(SD)=1.86(1.68) and M(SD)= 2.34(1.71) respectively. Post-release discharge planning and the receipt of financial assistance and mental health services were all associated with lower levels of reoffending. CONCLUSIONS: Community transition planning, including the coordination and provision of community services, is an essential component of community reintegration for juvenile offenders and is associated with lower rates of recidivism during the first year post-discharge.     

Task switching in a hierarchical task structure: evidence for the fragility of the task repetition benefit

This study examined how task switching is affected by hierarchical task organization. Traditional task-switching studies, which use a constant temporal and spatial distance between each task element (defined as a stimulus requiring a response), promote a flat task structure. Using this approach, Experiment 1 revealed a large switch cost of 238 ms. In Experiments 2-5, adjacent task elements were grouped temporally and/or spatially (forming an ensemble) to create a hierarchical task organization. Results indicate that the effect of switching at the ensemble level dominated the effect of switching at the element level. Experiments 6 and 7, using an ensemble of 3 task elements, revealed that the element-level switch cost was virtually absent between ensembles but was large within an ensemble. The authors conclude that the element-level task repetition benefit is fragile and can be eliminated in a hierarchical task organization.     

The influence of irrelevant stimulus changes on stimulus and response repetition effects

In this study the influence of irrelevant stimulus changes from one trial to another in a serial reaction time task was investigated. Two experiments were performed in which subjects were required to respond to stimulus colour. Four colours were mapped on two response keys, so that colour and response repetition effects could be dissociated. In Experiment 1, the irrelevant stimulus dimension was location and in Experiment 2 it was shape. Both experiments were performed with a short and a long response-stimulus interval (RSI)-condition. In both experiments, the irrelevant dimension influenced the response repetition effect but not the colour repetition effect. In the reaction times, a response alternation effect was observed only when the irrelevant location of the stimulus changed in the long RSI-condition. The error rates showed a response alternation benefit for both irrelevant dimensions, in the short and the long RSI-condition. The benefit for response alternations is explained in terms of a response bias towards change that is triggered by a changing stimulus feature. We assume that the response bias is stronger for location than for colour and that accuracy is more sensitive to this bias than response latencies.     

The paradoxical effects of suppressing anxious thoughts during imminent threat

In line with the ironic processing theory of Wegner (Psychol. Rev. 101 (1994) 34), it is often argued that the suppression of anxiety-related thoughts results in a paradoxical increase of anxiety and thought intrusions, both after and during the thought suppression. In a sample of undergraduate students (14 men, 18 women), we investigated the effects of suppressing anxious thoughts about an imminent painful electrocutaneous stimulus. During thought suppression, self-reported anxiety and frequency of anxious thoughts did not increase, and duration of anxious thoughts decreased. After thought suppression, participants experienced an increase in self-reported anxiety and the frequency of anxious thoughts. There was no effect upon thought duration. The results support the idea that suppression of anxiety-related thoughts may result in a paradoxical increase in anxiety, and may cause and/or maintain anxiety problems.     

An experimental test of the effect of weight-loss dieting on bulimic pathology: tipping the scales in a different direction

Although it is widely accepted that dieting increases the risk for bulimic pathology, this hypothesis has not been tested in a randomized experiment. Accordingly, the authors conducted an experimental test of the dietary restraint model by randomly assigning nonobese women (N = 82) to either a 6-week, low-calorie diet or a waitlist control condition. The diet intervention resulted in significant weight loss, confirming that dieting was successfully manipulated. Contrary to the restraint model, dieting resulted in significant decreases in bulimic symptoms relative to the control condition. Results converge with past findings from randomized obesity prevention and treatment trials and provide evidence that dieting does not promote bulimic pathology; rather, effective decreases in caloric intake appear to reduce bulimic symptoms.