Reflecting on imagery: a clinical perspective and overview of the special issue of memory on mental imagery and memory in psychopathology

The authors provide an overview of the papers in the special issue of Memory on mental imagery and memory in psychopathology. The papers address emotional, intrusive mental imagery across a range of psychological disorders including post-traumatic stress disorder (PTSD), agoraphobia, body dysmorphic disorder, mood disorders, and psychosis. They include work on information processing issues including modelling cravings, conditioning, and aversions, as well as imagery qualities such as vividness and emotionality. The overview aims to place the articles in a broader context and draw out some exciting implications of this novel work. It provides a clinical context to the recent growth in this area from a cognitive behavioural therapy (CBT) perspective. We begin with PTSD, and consider links to imagery in other disorders. The clinical implications stemming from this empirical work and from autobiographical memory theory are discussed. These include consideration of a variety of techniques for eliminating troublesome imagery, and creating healthy, realistic alternatives.     

Effects of early seizures on later behavior and epileptogenicity

Both clinical and laboratory studies demonstrate that seizures early in life can result in permanent behavioral abnormalities and enhance epileptogenicity. Understanding the critical periods of vulnerability of the developing nervous system to seizure-induced changes may provide insights into parallel or divergent processes in the development of autism. In experimental rodent models, the consequences of seizures are dependent on age, etiology, seizure duration, and frequency. Recurring seizures in immature rats result in long-term adverse effects on learning and memory. These behavioral changes are paralleled by changes in brain connectivity, changes in excitatory neurotransmitter receptor distribution, and decreased neurogenesis. These changes occur in the absence of cell loss. Although impaired cognitive function and brain changes have been well-documented following early-onset seizures, the mechanisms of seizure-induced dysfunction remain unclear.     

The influence of a visuospatial grounding task on intrusive images of a traumatic film

Nonclinical participants watched a trauma film under two processing conditions. During part of the film participants carried out a concurrent visuospatial grounding task consisting of the construction of shapes out of plasticine (modelling clay), while the rest of the film constituted a control, no task condition. The visuospatial task was predicted to selectively compete for processing resources required for intrusive image formation. As predicted, spontaneous intrusive images during the succeeding week were significantly less common from those parts of the film that coincided with the concurrent task. The task had no effect on levels of distress or peritraumatic dissociation, consistent with the hypothesis that intrusions were reduced because the task competed for resources necessary for encoding into an image-based memory system.     

The wrecking effects of race and social class on self and success

The literature on success neurosis has expanded in recent years to include a consideration of preoedipal as well as oedipal factors. Typically, success neurosis is considered to be a symptomatic result of complex intrapsychic phenomena, whether they be at the oedipal and/or preoedipal level. Having previously considered that success neurosis can also be determined by internalized representations of "real" factors, such as racism and poverty (Holmes, in press, b) the author here considers how these factors become primary intrapsychic building blocks of success neurosis through their negative impact on the components of success in the self and the ego.     

Measuring the speed of the conscious components of recognition memory: remembering is faster than knowing

Three experiments investigated response times (RTs) for remember and know responses in recognition memory. RTs to remember responses were faster than RTs to know responses, regardless of whether the remember-know decision was preceded by an old/new decision (two-step procedure) or was made without a preceding old/new decision (one-step procedure). The finding of faster RTs for R responses was also found when remember-know decisions were made retrospectively. These findings are inconsistent with dual-process models of recognition memory, which predict that recollection is slower and more effortful than familiarity. Word frequency did not influence RTs, but remember responses were faster for words than for nonwords. We argue that the difference in RTs to remember and know responses reflects the time taken to make old/new decisions on the basis of the type of information activated at test.     

Marking the anniversary: adolescents and the September 11 healing process

Clinical data are presented from a day spent at a New Jersey high school severely impacted by the World Trade Center disaster. Dissociation, a sense of numbness, anger, and guilt about feelings induced by the tragedy are all common dynamics in adolescents responding to trauma. The developmental issues that adolescents are confronting are described and discussed in terms of the challenges they present to the healing process. An argument is made that using groups to aid in the long recovery process with our young people should be a top public health priority.     

What is enumerated by subitization mechanisms?

Subitization, the rapid enumeration of small numbers of objects, is often held to reflect a general ability to process three or four items simultaneously. However, questions as to which types of visual representations count as items for subitization have, thus far, received relatively little attention. In several new experiments, we instructed participants to enumerate three or four colored regions in a display. In some trials, all of these regions belonged to separate visual objects, whereas in others, two or more belonged to the same object(s). We found far slower enumeration in the latter case than in the former case, a result that cannot be attributed to Stroop interference from the number of attended objects in a display. We conclude that subitization mechanisms cannot operate on small fragments of shape and color alone, even when such fragments are easily individuated from one another. Rather, such mechanisms are compelled to operate on object representations.