An Inference-Based Approach to Treating Obsessive-Compulsive Disorders

This article outlines the conceptual and empirical basis for an inference-based approach (IBA) to treating obsessive-compulsive disorder (OCD). The IBA considers that in most cases the obsessional process begins with an initial doubt (e.g., “Maybe my hands are not clean”; “Perhaps the door was not locked”; “There's a chance I made an error”; “I could have harmed someone”) and that this doubt is a product of invalid reasoning. The IBA focus on initial doubt adds an extra upstream dimension to the current cognitive behavior therapy (CBT), which targets downstream appraisals, following on from the initial intrusion. Hence the aim of inference-based therapy (IBT) is to modify the reasoning narrative producing the doubt, and to return the person to the world of commonsense perception. IBT complements existing CBT and a case study illustrates the application of the IBT protocol. The IBA may be particularly useful in cases where belief in the initial probability of an obsessional doubt is strongly held and/or where consequences or appraisals following the doubt are absent or minimally associated with distress.     

Statistics between inductive logic and empirical science

Inductive logic generalizes the idea of logical entailment and provides standards for the evaluation of non-conclusive arguments. A main application of inductive logic is the generalization of observational data to theoretical models. In the empirical sciences, the mathematical theory of statistics addresses the same problem. This paper argues that there is no separable purely logical aspect of statistical inference in a variety of complex problems. Instead, statistical practice is often motivated by decision-theoretic considerations and resembles empirical science.     

The limits of top-down control of visual attention

The extent to which spatial selection is driven by the goals of the observer and by the properties of the environment is one of the major issues in the field of visual attention. Here we review recent experimental evidence from behavioral and eye movement studies suggesting that top-down control has temporal and spatial limits. More specifically, we argue that the first feedforward sweep of information is bottom-up, and that top-down control can influence selection only after the sweep is completed. In addition, top-down control can limit spatial selection through adjusting the size of attentional window, an area of visual space which receives priority in information sampling. Finally, we discuss the evidence found using brain imaging techniques for top-down control in an attempt to reconcile it with behavioral findings. We conclude by discussing theoretical implications of these results for the current models of visual selection.     

Failure to loose fear: The impact of cognitive load and trait anxiety on extinction

Exposure therapy is an effective technique for fear reduction. However, whether effective exposure requires attentional allocation to the feared situation remains a debated clinical issue. In the present study, the impact of attention allocation in extinction was investigated in an experimental conditioning study. Through a between-subjects manipulation of cognitive load, we created a condition in which participants could allocate their attention to the feared stimulus during extinction (low load condition), and a condition in which attentional allocation was impaired (high load condition). The influence of cognitive load on extinction was examined by comparing electrodermal responses and verbal ratings for the conditioned stimuli in the two extinction load conditions. The results show less successful extinction in the high load condition than in the low load condition. However, this effect was found only in low anxious participants, and it was prominent only on the skin conductance responses. The present results suggest that extinction is not automatic but requires cognitive resources.     

Transfer of avoidance responding to a sensory preconditioned cue: Evidence for the role of S-S and R-S knowledge in avoidance learning

In avoidance learning studies, a warning signal (Sd) is directly paired with an aversive unconditioned stimulus (US) unless a particular response is performed. Research by Augustson and Dougher (1997) demonstrated that not only warning signals but also stimuli that are indirectly paired with the aversive event are capable of affecting the avoidance response. In the present study, we extended these results by incorporating a sensory preconditioning paradigm in an avoidance learning procedure. Sensory preconditioning training influenced the selection of avoidance responses in the presence of warning signals that were never paired directly with the aversive events. Moreover, results suggest that the selection of the avoidance responses was based on an integration of knowledge about the relation between the Sd and the US (S-S knowledge) and knowledge about the relation between the avoidance response and the US (R-S knowledge). As the expectancy-based theory of Lovibond (2006) is the only theory of avoidance that incorporates both knowledge structures, the results provide unique support for this theory.     

ENSEMBLE RECORDINGS IN AWAKE RATS: ACHIEVING BEHAVIORAL REGULARITY DURING MULTIMODAL STIMULUS PROCESSING AND DISCRIMINATIVE LEARNING

To meet an increasing need to examine the neurophysiological underpinnings of behavior in rats, we developed a behavioral system for studying sensory processing, attention and discrimination learning in rats while recording firing patterns of neurons in one or more brain areas of interest. Because neuronal activity is sensitive to variations in behavior which may confound the identification of neural correlates, a specific aim of the study was to allow rats to sample sensory stimuli under conditions of strong behavioral regularity. Our behavioral system allows multimodal stimulus presentation and is coupled to modules for delivering reinforcement, simultaneous monitoring of behavior and recording of ensembles of well isolated single neurons. Using training protocols for simple and compound discrimination, we validated the behavioral system with a group of 4 rats. Within these tasks, a majority of medial prefrontal neurons showed significant firing‐rate changes correlated to one or more trial events that could not be explained from significant variation in head position. Thus, ensemble recordings can be combined with discriminative learning tasks under conditions of strong behavioral regularity.     

Determining the environment: a modal logic for closed interaction

The aim of the work is to provide a language to reason about Closed Interactions, i.e. all those situations in which the outcomes of an interaction can be determined by the agents themselves and in which the environment cannot interfere with they are able to determine. We will see that two different interpretations can be given of this restriction, both stemming from Pauly Representation Theorem. We will identify such restrictions and axiomatize their logic. We will apply the formal tools to reason about games and their regulation.     

Comorbid Problems in ADHD: Degree of Association,Shared Endophenotypes,and Formation of Distinct Subtypes. Implications for a Future <Emphasis Type="Italic">DSM</Emphasis>

We aimed to assess which comorbid problems (oppositional defiant behaviors, anxiety, autistic traits, motor coordination problems, and reading problems) were most associated with Attention-Deficit/Hyperactivity Disorder (ADHD); to determine whether these comorbid problems shared executive and motor problems on an endophenotype level with ADHD; and to determine whether executive functioning (EF)—and motor-endophenotypes supported the hypothesis that ADHD with comorbid problems is a qualitatively different phenotype than ADHD without comorbid problems. An EF—and a motor-endophenotype were formed based on nine neuropsychological tasks administered to 816 children from ADHD—and control-families. Additional data on comorbid problems were gathered using questionnaires. Results indicated that oppositional defiant behaviors appeared the most important comorbid problems of ADHD, followed by autistic traits, and than followed by motor coordination problems, anxiety, and reading problems. Both the EF—and motor-endophenotype were correlated and cross-correlated in siblings to autistic traits, motor coordination problems and reading problems, suggesting ADHD and these comorbid problems may possibly share familial/genetic EF and motor deficits. No such results were found for oppositional defiant behaviors and anxiety. ADHD in co-occurrence with comorbid problems may not be best seen as a distinct subtype of ADHD, but further research is warranted. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Wide distribution of external local sign in the normal population

The extent of the apparent visual field was determined for a group of 78 naïve visual observers. We find that there exists a minority (less than 10%) that is essentially veridical, but that the majority of the population experiences an apparent visual field of only about 90°, thus much narrower than the dioptrics of the eye would suggest (a little over 180°). This is in good accordance with available (albeit mainly anecdotal) evidence, though formal data have been lacking thus far. The finding is discussed in the context of metrical calibration of the topological structure of the visual field, an aspect of “local sign”.