Executive disorders and perceived socio‐emotional changes after traumatic brain injury

Although socio‐emotional changes are very frequently encountered after traumatic brain injury (TBI), the psychological mechanisms underlying these disorders are still poorly understood. This study aimed to explore the relationships between dysexecutive syndrome (assessed with the Behavioural Assessment of the Dysexecutive Syndrome [BADS]) and socio‐emotional changes assessed by the Iowa scales of personality change (ISPC) in patients with TBI. The BADS was thus administered to 25 patients with TBI and to 25 healthy controls. Simultaneously, a close relative of each patient was given the ISPC in order to assess socio‐emotional changes. Results indicated that patients displayed significantly lower executive performances than controls and experimented significant socio‐emotional changes. The Modified Six Elements Test was the only subtask of the BADS to be significantly related to behavioural changes, and more specifically to externalizing disorders. It is concluded that executive functions, and especially multitasking, encompass processes whereby one can consciously control one's emotional reactions and behaviours.     

Phonetic recalibration only occurs in speech mode

Upon hearing an ambiguous speech sound dubbed onto lipread speech, listeners adjust their phonetic categories in accordance with the lipread information (recalibration) that tells what the phoneme should be. Here we used sine wave speech (SWS) to show that this tuning effect occurs if the SWS sounds are perceived as speech, but not if the sounds are perceived as non-speech. In contrast, selective speech adaptation occurred irrespective of whether listeners were in speech or non-speech mode. These results provide new evidence for the distinction between a speech and non-speech processing mode, and they demonstrate that different mechanisms underlie recalibration and selective speech adaptation.     

Self-constructing

In our societies, where jobs are unstable and employment uncertain, and where the traditional social bearings tend to lose their hold, individuals must deal with a major issue: designing their lives. To help them do this, counselors need to develop certain appropriate procedures. This development supposes that knowledge is available about the main factors and processes of self-construction. This article puts forth a general theoretical model that describes self-construction as a system of (past, present and anticipated) subjective identity forms the dynamic of which originates in the tension between two kinds of reflexivity. Furthermore a counseling interview that builds on this self-construction model is outlined. It aims to help clients develop some expectations regarding their future, to consider their system of subjective identity forms from a future perspective and to commit themselves to the advancement of this design and its redesigning.     

Mirror neurons and embodied simulation in the development of archetypes and self-agency

Abstract :  In this paper I explore the role of mirror neurons and motor intentionality in the development of self-agency. I suggest that this will also give us a firmer basis for an emergent view of archetypes, as key components in the development trajectory of self-agency, from its foundation in bodily action to its mature expression in mentalization and a conscious awareness of intentionality. I offer some ideas about the implications of these issues of self-agency for our clinical work with patients whose developmental trajectory of self-agency has been partially inhibited, so that their communications have a coercive effect. I discuss the possibility that this kind of clinical phenomenon may relate to Gallese and Lakoff's hypothesis that abstract thought and imagination are forms of simulated action, and that the same sensory-motor circuits that control action also control imagination, concept formation and understanding, but with a crucial development, that of an inhibition of the connections between secondary pre-motor cortical areas and the primary motor cortex. I shall speculate that in the earlier developmental stages of self-agency, the separation of secondary from primary motor areas is not complete, so that imagination and thought are not entirely independent of physical action.     

Introduction to Multi-Level Community Based Culturally Situated Interventions

This introduction to a special issue of the American Journal of Community Psychiatry is the result of a symposium at the Annual Meeting of the Society for Applied Anthropology, 2006, that brought together anthropologists and psychologists involved in community based collaborative intervention studies to examine critically the assumptions, processes and results of their multilevel interventions in local communities with local partners. The papers were an effort to examine context by offering a theoretical framework for the concept of “level” in intervention science, and advocating for “multi‐level” approaches to social/behavioral change. They presented examples of ways in which interventions targeted social “levels” either simultaneously or sequentially by working together with communities across levels, and drawing on and co‐constructing elements of local culture as components of the intervention. The papers raised a number of important issues, for example: (1) How are levels defined and how should collaborators be chosen; (2) does it matter at which level multilevel interventions begin; (3) do multilevel interventions have a greater effect on desired outcomes than level‐specific interventions; (4) are multilevel interventions more sustainable; (5) are multilevel interventions cost effective to run, and evaluate; (6) how can theories of intervention be generated and adapted to each level of a multilevel intervention; (7) how should intervention activities at each level coordinate to facilitate community resident or target population empowerment? Many of these questions were only partially addressed in the papers presented at that time, and are more fully addressed in the theoretical papers, case studies and approach to evaluation included in this collection.     

The Age of Uncertainty: Parent Perspectives on the Transitions of Young People with Mental Health Difficulties to Adulthood

For young people aged 16–24, the transition from adolescence to young adulthood involves predictable and unpredictable changes and they may encounter challenges in their roles, relationships, and responsibilities. Young people with mental health difficulties face additional challenges as they and their families navigate this transition. As a result, families commonly experience anxiety, uncertainty, frustration, and turbulent relationships. After learning to become advocates to secure appropriate services for their children, in late adolescence and young adulthood, parents are likely to find themselves excluded from their children’s treatment planning and services. This article reports findings from a recent qualitative study of the experiences and perceptions of 42 family members supporting their children with mental health difficulties during the transition years. Family members described their goals for their children, their frustrations trying to access appropriate services for their children, and their strategies to provide the support their children needed. Recommendations are for service providers to connect transition age youth with practical assistance and supportive mentoring relationships. Family members requested service providers to consider them as resources and potential collaborators in supporting young people with mental health difficulties to live successful lives in the community.     

Thwarting the Need to Belong: Understanding the Interpersonal and Inner Effects of Social Exclusion

The need to belong is a powerful motivational basis for interpersonal behavior, and it is thwarted by social exclusion and rejection. Laboratory work has uncovered a destructive set of consequences of being socially excluded, such as increased aggressiveness and reduced helpfulness toward new targets. Rejected persons do, however, exhibit a cautious interest in finding new friends. Theory and intuition associate social exclusion with emotional distress, but laboratory research finds instead that the first response is a reduced sensitivity to pain and an emotional insensitivity that hampers empathy and may contribute to a variety of interpersonal behaviors. Self-regulation and intelligent thought are also impaired as a direct result of being rejected.     

The influence of multiple readings on the missing-letter effect revisited

In searching for a target letter while reading, participants make more omissions when the target letter is embedded in frequent function words than when it is embedded in less frequent content words. According to the guidance-organization (GO) model, this occurs because high-frequency function words are processed faster than low-frequency content words, leaving less time available for letter processing. We tested this hypothesis in three experiments by increasing word-processing speed through text repetition, which should translate into higher omission rates. Participants either read the text and searched for the target letter once or read the text three times and searched for a target letter on all readings or the final reading only. In all the experiments in which participants could not anticipate the target letter to be used, results revealed the presence of a large missing-letter effect that was unaffected by familiarity with the text. In addition, when participants knew from the start the target letter to be used on the final reading, the missing-letter effect was eliminated. Repeated search of the same text for different targets increased omissions equally for function words and content words, but this finding was present even when a new text was used, suggesting that repetition of the search task, rather than familiarity with the text, was responsible.