Videoconferencing psychotherapy: a systematic review

Individuals with mental health problems may face barriers to accessing effective psychotherapies. Videoconferencing technology, which allows audio and video information to be shared concurrently across geographical distances, offers an alternative that may improve access. We conducted a systematic literature review of the use of videoconferencing psychotherapy (VCP), designed to address 10 specific questions, including therapeutic types/formats that have been implemented, the populations with which VCP is being used, the number and types of publications related to VCP, and available satisfaction, feasibility, and outcome data related to VCP. After electronic searches and reviews of reference lists, 821 potential articles were identified, and 65 were selected for inclusion. The results indicate that VCP is feasible, has been used in a variety of therapeutic formats and with diverse populations, is generally associated with good user satisfaction, and is found to have similar clinical outcomes to traditional face-to-face psychotherapy. Although the number of articles being published on VCP has increased in recent years, there remains a need for additional large-scale clinical trials to further assess the efficacy and effectiveness of VCP.     

The ‘theory theory’ of mind and the aims of Sellars’ original myth of Jones

Recent proponents of the ??theory theory?? of mind often trace its roots back to Wilfrid Sellars?? famous ??myth of Jones?? in his 1956 article, ??Empiricism and the Philosophy of Mind??. Sellars developed an account of the intersubjective basis of our knowledge of the inner mental states of both self and others, an account which included the claim that such knowledge is in some sense theoretical knowledge. This paper examines the nature of this claim in Sellars?? original account and its relationship to more recent debates concerning ??theory of mind??, in particular the theory theory. A close look reveals that Sellars?? original view embodied several distinctions that would enable more recent theory theorists to accommodate certain phenomenological objections that have been raised against that outlook. At the heart of the philosophical issue is an overlooked complexity involved in Sellars?? account of the ??theory/observation?? distinction, involving a conception of the distinction that is both independently plausible and a key to the issue in dispute.     

Calculating and graphing within-subject confidence intervals for ANOVA

The psychological and statistical literature contains several proposals for calculating and plotting confidence intervals (CIs) for within-subjects (repeated measures) ANOVA designs. A key distinction is between intervals supporting inference about patterns of means (and differences between pairs of means, in particular) and those supporting inferences about individual means. In this report, it is argued that CIs for the former are best accomplished by adapting intervals proposed by Cousineau (Tutorials in Quantitative Methods for Psychology, 1, 42–45, 2005) and Morey (Tutorials in Quantitative Methods for Psychology, 4, 61–64, 2008) so that nonoverlapping CIs for individual means correspond to a confidence for their difference that does not include zero. CIs for the latter can be accomplished by fitting a multilevel model. In situations in which both types of inference are of interest, the use of a two-tiered CI is recommended. Free, open-source, cross-platform software for such interval estimates and plots (and for some common alternatives) is provided in the form of R functions for one-way within-subjects and two-way mixed ANOVA designs. These functions provide an easy-to-use solution to the difficult problem of calculating and displaying within-subjects CIs.     

Optimal sample sizes for precise interval estimation of Welch’s procedure under various allocation and cost considerations

Welch’s (Biometrika 29: 350–362, 1938) procedure has emerged as a robust alternative to the Student’s t test for comparing the means of two normal populations with unknown and possibly unequal variances. To facilitate the advocated statistical practice of confidence intervals and further improve the potential applicability of Welch’s procedure, in the present article, we consider exact approaches to optimize sample size determinations for precise interval estimation of the difference between two means under various allocation and cost considerations. The desired precision of a confidence interval is assessed with respect to the control of expected half-width, and to the assurance probability of interval half-width within a designated value. Furthermore, the design schemes in terms of participant allocation and cost constraints include (a) giving the ratio of group sizes, (b) specifying one sample size, (c) attaining maximum precision performance for a fixed cost, and (d) meeting a specified precision level for the least cost. The proposed methods provide useful alternatives to the conventional sample size procedures. Also, the developed programs expand the degree of generality for the existing statistical software packages and can be accessed at brm.psychonomic-journals.org/content/ supplemental.     

Observing social signals in scaffolding interactions: how to detect when a helping intention risks falling short

In face-to-face interactions, some social signals are aimed at regulating scaffolding processes, by which more knowledgeable people try to help less knowledgeable ones, to enable them to learn new concepts or skills (Vygotsky 1978). Observing face-to-face scaffolding interactions might not only allow us to grasp a large variety of these highly interesting social signals but may also be useful for the sake of scaffolding processes themselves. It often happens, in fact, that the empowering intentions implicit in these processes end up falling short, if the social signals regulating this specific kind of face-to-face interaction are misunderstood. Interestingly, many of these misunderstood aspects are related to the recipient’s role. Indeed, attention is usually focused on the behavior of those imparting the knowledge, while skills already mastered by the learners, as well as their feedback, tend not to be taken as much into account. For the purpose of exploring the often very subtly nuanced social signals regulating on-going scaffolding processes in real-life interactions, an example of a methodological tool is presented: one already used to observe the interactions of dyads of Italian primary school teachers and their pupils, and mothers and their children. The article leads to two main conclusions: that the results of instances of scaffolding may be predicted as to their success or otherwise simply by telescoping crucial social signals during the scaffolding’s initial phases, and that when helpers disregard these signals the effects of their actions may be detrimental or even humiliating for the receivers, notwithstanding the helper’s intentions.     

How do spatial representations enhance cognitive numerical processing?

Several philosophical theories attempt to explain how actions performed in the world enhance cognitive processing: internalism, active externalism, and cognitive integration. The aim of this paper is to examine whether the use of spatial representations in arithmetic can shed light on this debate. Relying on philosophical analysis, on a discussion of empirical work in the cognitive neuroscience of number, and on a historical case study, I will show that spatial representations of number indicate an integration between internal and external cognitive processes.     

Exploring the role of primary and supplementary motor areas in simple motor tasks with fNIRS

Studies employing functional magnetic resonance imaging (fMRI) have highlighted a covariation between the amplitude of hemodynamic responses recorded in primary and supplementary motor areas (M1 and SMA) and the duration of a motor task. A subset of these studies have hinted to a possible functional dissociation between processing carried out in these areas, with SMA primarily involved in action preparation, while M1 involved in action execution. This proposed functional dissociation was explored in the present study using a different technique—functional near-infrared spectroscopy—which enabled a finer-grained monitoring of the temporal characteristics of the hemodynamic response compared to fMRI. Here, hemodynamic responses in M1 and SMA were recorded in 7 participants during a right-finger-tapping task of short (1 s) or long (3 s) duration. Hemodynamic responses of larger amplitude were recorded from both contralateral M1 and SMA during long-duration than short-duration tapping. Furthermore, the analysis of the temporal profiles of these responses revealed a more sustained and prolonged activity for long-duration versus short-duration tapping in M1, but not in SMA. Rather than functionally dissociable areas, the present results are more compatible with the hypothesis that M1 and SMA subserve different, though strongly interacting, functional subroutines subtended in motor task preparation and execution.     

Modeling body state-dependent multisensory integration

The brain often integrates multisensory sources of information in a way that is close to the optimal according to Bayesian principles. Since sensory modalities are grounded in different, body-relative frames of reference, multisensory integration requires accurate transformations of information. We have shown experimentally, for example, that a rotating tactile stimulus on the palm of the right hand can influence the judgment of ambiguously rotating visual displays. Most significantly, this influence depended on the palm orientation: when facing upwards, a clockwise rotation on the palm yielded a clockwise visual judgment bias; when facing downwards, the same clockwise rotation yielded a counterclockwise bias. Thus, tactile rotation cues biased visual rotation judgment in a head-centered reference frame. Recently, we have generated a modular, multimodal arm model that is able to mimic aspects of such experiments. The model co-represents the state of an arm in several modalities, including a proprioceptive, joint angle modality as well as head-centered orientation and location modalities. Each modality represents each limb or joint separately. Sensory information from the different modalities is exchanged via local forward and inverse kinematic mappings. Also, re-afferent sensory feedback is anticipated and integrated via Kalman filtering. Information across modalities is integrated probabilistically via Bayesian-based plausibility estimates, continuously maintaining a consistent global arm state estimation. This architecture is thus able to model the described effect of posture-dependent motion cue integration: tactile and proprioceptive sensory information may yield top–down biases on visual processing. Equally, such information may influence top–down visual attention, expecting particular arm-dependent motion patterns. Current research implements such effects on visual processing and attention.     

On the recognition of emotional vocal expressions: motivations for a holistic approach

Human beings seem to be able to recognize emotions from speech very well and information communication technology aims to implement machines and agents that can do the same. However, to be able to automatically recognize affective states from speech signals, it is necessary to solve two main technological problems. The former concerns the identification of effective and efficient processing algorithms capable of capturing emotional acoustic features from speech sentences. The latter focuses on finding computational models able to classify, with an approximation as good as human listeners, a given set of emotional states. This paper will survey these topics and provide some insights for a holistic approach to the automatic analysis, recognition and synthesis of affective states.     

Spatial working memory for clustered and linear configurations of sites in a virtual reality foraging task

Two experiments using an immersive virtual reality foraging environment determined the spatial strategies spontaneously deployed by people in a foraging task and the effects on immediate serial recall of trajectories though the foraging space, which could conform or violate specific organisational constraints. People benefitted from the use of organised search patterns when attempting to monitor their travel though either a clustered "patchy" space or a matrix of locations. The results are discussed within a comparative framework.