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91.
92.
    
Drawing on Winnicott's view of infants as subjects entitled to an intervention in their own right, infants as the referred patient have been seen in infant-parent psychotherapy for 20 years at the Royal Children's Hospital, Melbourne, Australia. This is a radically different view of infant symptomatology than viewing it as only expressing an aspect of the mother's unconscious. The clinical pathway differentiates the therapy from much parent-infant psychotherapy. The author describes the theoretical model of a twofold approach to understanding the infant's experience through interactive dialogue between therapist and infant, and sharing this understanding with the parents, and illustrates it with cases of failure-to-thrive infants. She discusses two criticisms: first, that infant-parent psychotherapy may undermine the parents and, second, that brief parent-infant psychotherapy does not alter parents' insecure attachment status. Videotaped sessions often show rapid improvement; parents generally feel relieved. This approach potentially shapes not only parents' and infants' representations, but also their implicit knowledge of relationships-partly, it is suggested, through activating the mirror neuron system to bring about implicit memory change. Change may therefore be longer lasting than psychoanalytic theory presently conceives. The approach is relevant in an outpatient setting: gains were maintained long term in 90% of out-patient cases.  相似文献   
93.
    
Older adults’ negative beliefs about ageing are related to their health and functioning, but little is known about how perceptions of ageing (POA) relate to frailty status. This study aimed to explore the relationship between POA and frailty. Secondary analysis of data used were from the English Longitudinal Study of Ageing Waves 2 and 5. A POA score was based on participants’ responses to 12 statements using a five-point Likert scale at baseline, and a Frailty Index (FI) score was calculated for each participant for both waves. Multiple linear regression models were conducted to assess the relationship between POA and frailty cross-sectionally and longitudinally in models controlled for age, gender, depression symptoms, and socioeconomic status. Older adults with more negative POA had greater frailty (β = .12, p < .001). Negative POA predicted greater frailty 6 years later (β = .03, p < .05). Future work regarding the mechanisms of this relationship is needed to identify ways of intervening to improve health.  相似文献   
94.
Understanding culture across species   总被引:1,自引:0,他引:1  
Recent claims of culture in great apes have provoked fervent argument about the 'true' definition of culture, most of which has been unhelpful. Instead, a range of definitions should be used to explore different aspects of the cognitive processes that together result in human culture, many of which can be productively studied in non-humans. A richer cognitive account of the contents of culture needs to be developed and used to compare animal and human cultures, instead of sterile searching for a cognitive Rubicon between them. Exploring six views of culture, this article highlights the fundamental contrast of whether culture evolves as a by-product of cumulative change in cognitive mechanisms, or whether it is actively selected for its advantages.  相似文献   
95.
Adaptive behavior in a nonstationary world requires humans to learn and track the statistics of the environment. We examined the mechanisms of adaptation in a nonstationary environment in the context of visual-saccadic inhibition of return (IOR). IOR is adapted to the likelihood that return locations will be refixated in the near future. We examined 2 potential learning mechanisms underlying adaptation: (a) a local tracking or priming mechanism that facilitates behavior that is consistent with recent experience and (b) a mechanism that supports retrieval of knowledge of the environmental statistics based on the contextual features of the environment. Participants generated sequences of 2 saccadic eye movements in conditions where the probability that the 2nd saccade was directed back to the previously fixated location varied from low (.17) to high (.50). In some conditions, the contingency was signaled by a contextual cue (the shape of the movement cue). Adaptation occurred in the absence of contextual signals but was more pronounced in the presence of contextual cues. Adaptation even occurred when different contingencies were randomly intermixed, showing the parallel formation of multiple associations between context and statistics. These findings are accounted for by an evidence accumulation framework in which the resting baseline of decision alternatives is adjusted on a trial-by-trial basis. This baseline tracks the subjective prior beliefs about the behavioral relevance of the different alternatives and is updated on the basis of the history of recent events and the contextual features of the current environment.  相似文献   
96.
Wernicke's Encephalopathy is an acute neuro-psychiatric condition caused by an insufficient supply of thiamine (Vitamin B1) to the brain. If undiagnosed or inadequately treated, it is likely to proceed to Korsakoff's Syndrome. Wernicke's Encephalopathy can result from dietary deficiency alone and this form is usually successfully treated, with little chance of Korsakoff's Syndrome supervening. On the other hand, thiamine deficiency associated with alcohol misuse/dependence may require up to 1 gram of thiamine IV in the first 24 hours to be treated successfully. The reasons for this difference in treatment will be discussed. Thiamine diphosphate acts as a co-factor for a number of thiamine-dependent enzymes. Thiamine deficiency leads to a reduction in the activity of these enzymes, and this leads to alterations in mitochondrial activity, impairment of oxidative metabolism, decreased energy status and eventually selective neuronal death. The damage caused by the combination of thiamine deficiency and alcohol metabolism probably interferes with adequate thiamine transport at a number of sites in the body, including the blood-brain barrier, as well as causing damage to the apoenzymes which then require higher concentrations of thiamine to work normally. The accumulated damage is likely to render the use of oral thiamine therapeutically inadequate since the body is unable to produce high enough concentrations of thiamine in the blood to traverse the blood-brain barrier. Some individuals are probably genetically predisposed to develop Wernicke's. Long before individuals with alcohol misuse or dependence develop Wernicke's Encephalopathy the neurons and other cells of the body are functioning sub-optimally because of the inadequate supply of thiamine and the neurotoxic effect of alcohol. This relative deficiency initiates a series of pathological changes which accumulate and further interfere with the supply of thiamine and its utilisation at a time when the requirements are increased. The best treatment for Korsakoff's Syndrome is timely recognition of Wernicke's Encephalopathy and appropriate intervention and prevention.  相似文献   
97.
The present study highlights the utility of context-specific learning for different probe types in accounting for the commonly observed dependence of negative priming on probe selection. Using a Stroop priming procedure, Experiments 1a and 1b offered a demonstration that Stroop priming effects can differ qualitatively for selection and no-selection probes when probe selection is manipulated between subjects, but not when it is manipulated randomly from trial to trial within subject (see also Moore, 1994). In Experiments 2 and 3, selection and no-selection probes served as two contexts that varied randomly from trial to trial, but for which proportion repeated was manipulated separately. A context-specific proportion repeated effect was observed in Experiment 2, characterized by modest quantitative shifts in the repetition effects as a function of the context-specific proportion repeated manipulation. However, with a longer intertrial interval in Experiment 3, a context-specific proportion repeated manipulation that focused on the no-selection probes changed the repetition effect qualitatively, from negative priming when the proportion repeated was .25 to positive priming when the proportion repeated was .75. The results are discussed with reference to the role of rapid, context-specific learning processes in the integration of prior experiences with current perception and action.  相似文献   
98.
SUMMARY

This paper traces the development of the concepts of transference and counter-transference over nearly a hundred years, from the origin of the concepts to current understanding of them. Clinical material will be given to illustrate some of the ideas held today.  相似文献   
99.
Current theories of the locus of inter-trial priming effects in efficient visual search posit an early perceptual component that reflects the short-term influence of a memory trace for low-level stimulus attributes. Despite the fact that this memory trace is hypothesized to be short term, and should therefore have a diminishing influence on performance over time, there has been relatively little study of the effect of time alone on singleton priming effects. The present series of experiments addresses this issue by systematically examining the effect of time on the priming of pop-out (PoP) effect. In Experiment 1, we show that the PoP effect does indeed diminish with increases in the RSI between trials, and does so in accord with a power-law function. In Experiment 2, we show that temporal discriminability of trial n ? 1 from the trial that precedes it does not contribute to PoP effects. The results of Experiment 3 revealed two key results: (1) the PoP effect survives an equivalent number of intervening trials across very different RSI conditions; and (2) the cumulative target repetition benefit does depend on the RSI between trials. Together, the results favor neither a simple passive decay nor a strong episodic retrieval account of the PoP effect.  相似文献   
100.
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