Cognitive Neurorehabilitation of HIV-associated Neurocognitive Disorders: A Qualitative Review and Call to Action

Despite significant advances in the virologic management of HIV infection over the last two decades, effective treatments for HIV-associated neurocognitive disorders (HAND) remain elusive. While pharmacological interventions have yielded some success in improving neurocognitive outcomes in HIV, there is a dearth of rigorous studies examining the efficacy of cognitive rehabilitation for remediating HIV-associated neurocognitive impairment. This qualitative review summarizes and critiques the emerging literature on cognitive and behavioral treatments for HAND, which provides many reasons for optimism, but also has major limitations that underscore the scope of the work that lies ahead. Considering the notable real-world consequences of HAND, the development, validation, and clinical deployment of cognitive neurorehabilitation interventions tailored to the needs of persons living with HIV infection is a priority for clinical neuroAIDS investigators. In describing potential future directions for this endeavor, particular attention was paid to the application of cognitive neuropsychological principles in developing theory-driven approaches to managing HAND, improving everyday functioning, and enhancing HIV health outcomes.     

The Role of Face Familiarity in Judgments of Personality and Intelligence

Personality judgments based on facial features are a common occurrence. The face familiarity overgeneralization hypothesis states that people make judgments of unknown faces based on their similarity to known faces. However, there is a dearth of research regarding how face familiarity relates to perceptions of personality and intelligence in strangers. The current article used two studies to provide evidence for the relationship between face familiarity and judgments of personality and intelligence. Study 1 showed that photographs perceived as familiar by one set of participants were rated more positively regarding personality and intelligence by a second group of participants. Study 2 found that high perceived familiarity resulted in positive judgments of personality and intelligence, whereas familiarity based on exposure did not. These findings indicate both that perceived familiarity significantly impacts positive judgments of personality and intelligence and that the face familiarity overgeneralization hypothesis is a useful framework for this area of research.     

Moral Clarity in Narratives Elicits Greater Cooperation than Moral Ambiguity

In disciplines such as moral psychology and media theory, investigations of moral clarity versus ambiguity in narratives are increasingly important. Untested mechanisms have been proposed for how moral clarity and ambiguity might affect audiences. Based on literature regarding joint action and coordinated experiences, we reason that morally clear narratives elicit coordinated responses across audience members, which should increase within-group cooperation. By contrast, we reason that morally ambiguous narratives elicit divergent, uncoordinated responses across audience members, and this experience decreases cooperation. We conducted three independent studies (one using short text narratives, one using feature-length films, and one using morally and emotionally neutral stimuli). Results indicate that moral clarity is indeed associated with subsequently higher levels of group cooperation than moral ambiguity, and the effect cannot be attributed to changes in affect or moral priming.     

Collected Stories: Play in Four Acts

This article evolved from a group process where members of a psychoanalytic institute were faced with planning workshops for a professional weekend around the theme of “play.” The workshop that evolved consisted of four vignettes of play taking place in the therapeutic sessions of a child, an adolescent, an adult, and an elderly woman. The discussion of these vignettes that began at the conference and then was developed for this article focuses on tracing the development of play from childhood into adulthood (Mayes & Cohen, 1996; Russ, 2004) and on the relationship between play and the development of reflective functioning (Fonagy & Target, 1996). One area of particular interest that was focused upon was the use of play with adults who are described as “concrete,” people who function, at times, at a level of differentiation more typical of a young child. Play is described as being particularly helpful in facilitating a more differentiated and, thus, more reflective mode of psychic functioning for this group of individuals as well as for people at all levels of development.     

Imagining Disability Futurities

This article explores twelve short narrative films created by women and trans people living with disabilities and embodied differences. Produced through Project Re?Vision, these micro documentaries uncover the cultures and temporalities of bodies of difference by foregrounding themes of multiple histories: body, disability, maternal, medical, and/or scientific histories; and divergent futurities: contradictory, surprising, unpredictable, opaque, and/or generative futures. We engage with Alison Kafer's call to theorize disability futurity by wrestling with the ways in which “the future” is normatively deployed in the service of able‐bodiedness and able‐mindedness (Kafer 2013 ), a deployment used to render bodies of difference as sites of “no future” (Edelman 2004 ). By re‐storying embodied difference, the storytellers illuminate ongoing processes of remaking their bodily selves in ways that respond to the past and provide possibilities for different futures; these orientations may be configured as “dis‐topias” based not on progress, but on new pathways for living, uncovered not through evoking the familiar imaginaries of curing, eliminating, or overcoming disability, but through incorporating experiences of embodied difference into time. These temporalities gesture toward new kinds of futures, giving us glimpses of ways of cripping time, of cripping ways of being/becoming in time, and of radically re‐presencing disability in futurity.     

Ethical social justice: Do the ends justify the means?

This article offers an ethical decision‐making model, informed by community psychology values, as a means for guiding psychologists when engaging in social justice‐oriented work. The applicability of this model is demonstrated through a case analysis elucidating how America's psychologists individually and collectively arrived at the decision to endorse torture—ostensibly as a means for preventing terrorism. Critics have wondered how the American Psychological Association succumbed to these involvements, and how to prevent such ethical lapses in the future. Unfortunately, the American Psychological Association's ethical codes fail to provide explicit guidance for psychologists' involvement in social justice work that impacts communities and systems. To address this gap, we present a values‐driven, ethical decision‐making framework that may be used to guide psychologists' future practices. This framework infuses fundamental community psychology values (i.e., caring and compassion; health; self‐determination and participation, human diversity, social justice; and critical reflexivity) into a 9‐step model.     

Abduction in the Public Sphere: Sadomasochism,Surveillance, and Counterpublics

Several years ago, a negotiated, consensual abduction scenario took place in downtown Toronto, Canada. Following the public abduction the captive was taken to a secure, private location and (consensually) subjected to physical and sexual aggression: ‘gang-rape’. The public abduction involved five queer and trans persons, some of whom are people of colour. In a Foucaultian context, an abduction scenario eludes surveillance and remains invisible until revealed. During the abduction scenario some citizens stopped, observed, and considered using their cellular phones, visibly concerned with what they were witnessing. At one point the scenario paused for consultation and explanation with bystanders troubled by what they interpreted as potentially criminal behaviour. This response can be understood as policing non-normative, public, physical activity. What are the limitations of Sadomasochism (S/m) in the public sphere? And how are identifications of class, ethnicity, gender, and sexuality positioned in this analysis? To those inexperienced with S/m, unfamiliar with consensually aggressive activity, there can be a questioning of psychological contiguity. In the twenty-first century there has been a mainstreaming of kink. Yet, there remain limitations of public tolerance for S/m as counter–conduct. Through the work of Warner and Munoz, this paper suggests the scenario can be interpreted as a counterpublic. This research is an autoethnographic account of the scenario and addresses the limitations on S/m scenarios conducted in the public sphere.     

Pressure to cooperate: Is positive reward interdependence really needed in cooperative learning?

Background. Despite extensive research on cooperative learning, the debate regarding whether or not its effectiveness depends on positive reward interdependence has not yet found clear evidence. Aims. We tested the hypothesis that positive reward interdependence, as compared to reward independence, enhances cooperative learning only if learners work on a ‘routine task’; if the learners work on a ‘true group task’, positive reward interdependence induces the same level of learning as reward independence. Sample. The study involved 62 psychology students during regular workshops. Method. Students worked on two psychology texts in cooperative dyads for three sessions. The type of task was manipulated through resource interdependence: students worked on either identical (routine task) or complementary (true group task) information. Students expected to be assessed with a Multiple Choice Test (MCT) on the two texts. The MCT assessment type was introduced according to two reward interdependence conditions, either individual (reward independence) or common (positive reward interdependence). A follow‐up individual test took place 4 weeks after the third session of dyadic work to examine individual learning. Results. The predicted interaction between the two types of interdependence was significant, indicating that students learned more with positive reward interdependence than with reward independence when they worked on identical information (routine task), whereas students who worked on complementary information (group task) learned the same with or without reward interdependence. Conclusions. This experiment sheds light on the conditions under which positive reward interdependence enhances cooperative learning, and suggests that creating a real group task allows to avoid the need for positive reward interdependence.     

Effects of music on vocal stereotypy in children with autism

We examined the effects of manipulating the intensity (i.e., volume) of music on engagement in vocal stereotypy in 2 children with autism. Noncontingent access to music decreased immediate engagement in vocal stereotypy for each participant, but it produced only marginal effects on subsequent engagement in the behavior (i.e., after withdrawal). Manipulating the intensity of music did not produce differential effects on immediate engagement in vocal stereotypy. The implications of the results and applications for future research are discussed.     

Repression versus sensitization in response to media violence as predictors of cognitive avoidance and vigilance

Repression and sensitization as situational modes of coping with anxiety were examined as predictors of trait measures of cognitive avoidance and vigilance. In this study, 303 undergraduates saw a violent film clip to elicit anxiety. Increases in skin conductance level (SCL) and state anxiety (STA) from baseline were measured to identify repressors (high SCL, low STA) and contrast them with sensitizers (low SCL, high STA) and genuinely low anxious individuals (low SCL, low STA). State anger was also recorded. Trait measures of vigilance and cognitive avoidance were collected 2 weeks earlier. Significant SCL × STA interactions indicated that repressors scored higher on cognitive avoidance and lower on vigilance compared to sensitizers and low anxious participants. Repressors were less likely than sensitizers to report gaze avoidance during the clip. The anger by SCL interaction was nonsignificant, suggesting that repressors and sensitizers differ specifically in the processing of anxiety rather than negative affect in general.