Are Clinical Records Really That Important? The Dearth of Research and Practice Guidelines in MFT Literature

In Marriage and Family Therapy (MFT), case notes can play an important role in providing quality care and in maintaining the integrity of the therapeutic relationship. Case notes are invaluable for clinicians on many different levels: clinically, ethically, and legally. In this article, we will highlight the many uses of case notes within the field and will give examples of what problems may occur when case notes are not adequately, thoroughly, and timely kept. We also provide a review of all research-based information available on this topic over a fifteen-year period. The results of the review are disheartening as this area has received no empirical attention in MFT Literature. We call attention to this dearth of information and give suggestions regarding future research and training.     

Perceptually Equivalent Judgments Made Visually and via Haptic Sensory-Substitution Devices

ABSTRACT

According to the ecological theory of perception–action, perception is primarily of affordances, which are directly perceivable opportunities for behavior. The current study evaluated participants’ ability to use vision and haptic sensory-substitution devices to support perceptual judgments of affordances involving the task of passing through apertures. Sighted participants made perceptual judgments about whether they could walk through apertures of various widths and their level of confidence in each judgment, using unrestricted vision and, when blindfolded, using two haptic sensory-substitution instruments: a cane-like wooden rod and the Enactive Torch, a device that converts distance information into vibrotactile stimuli. The boundary between aperture widths that were judged as pass-through-able versus non-pass-through-able was statistically equivalent across sensory modalities. However, participants were not as confident in their judgments using the rod or Enactive Torch as they were using vision. Additionally, participants’ judgments with the haptic instruments were significantly more accurate than with vision. The results underscore the need to assess sensory-substitution devices in the context of functional behaviors.     

Postural Sway and the Amplitude of Horizontal Eye Movements

In 2 experiments, we evaluated relations between postural activity and the amplitude of visually guided eye movements. Participants shifted their gaze to follow horizontal oscillation of a visible target. The target moved with amplitude 9° or 24°. In different experiments, the frequency of target oscillation was 0.5 Hz or 1.1 Hz. In both experiments, the variability of head and torso motion was reduced (in the anterior-posterior axis) when participants viewed moving targets, relative to sway during viewing of stationary targets. Sway variability was not influenced by the amplitude of target motion. The results are compatible with the hypothesis that postural activity was modulated relative to the demands of suprapostural visual tasks.     

Problems of dependence and development: Discussion

Abstract

Anna Freud: Normality and Pathology in Childhood. Assessments of Development. International Universities Press, Inc., New York, 1965. Pp. XII and 273.

M. L. Kellmer Pringle: Deprivation and Education. Longmans Green &; Co. Ltd., London, 1965. Pp. vi and 311. 42s. 6d.     

Advantages of Rhythmic Movements at Resonance: Minimal Active Degrees of Freedom,Minimal Noise,and Maximal Predictability

Using time delay embedding, the authors applied phase space reconstruction to the time series of rhythmic movements of a hand-held pendulum. Subjects (N = 6) produced the manual oscillations about the wrist at the pendulum's resonant frequency and at a higher and a lower frequency. The number of active degrees of freedom required to capture the dynamics of the rhythmic behavior was 3 for the resonant frequency and 4 for each of the nonresonant frequencies. The residual high-dimensional noise was similarly lowest for the resonant frequency. Whereas 33% and 20%, respectively, of the vectors in the phase spaces of the dynamics higher and lower than resonance were unpredictable, only 12% were unpredictable at resonance. Finally, the predictability of the evolving dynamics extended farther into the future for oscillations at the resonant frequency. At resonance, the prediction horizon was 5 times farther than the prediction horizon for the higher than resonance behavior and 2.5 times farther than that for the lower than resonance behavior. The results suggest that, in pendular oscillations of a limb or limb segment, attunement of the central nervous system to the resonant frequency minimizes the variables to be controlled and maximizes the predictability of the rhythmic movement's chaotic dynamics.     

Prime time news: The influence of primed positive and negative emotion on susceptibility to false memories

We examined the relation between emotion and susceptibility to misinformation using a novel paradigm, the ambiguous stimuli affective priming (ASAP) paradigm. Participants (N = 88) viewed ambiguous neutral images primed either at encoding or retrieval to be interpreted as either highly positive or negative (or neutral/not primed). After viewing the images, they either were asked misleading or non-leading questions. Following a delay, memory accuracy for the original images was assessed. Results indicated that any emotional priming at encoding led to a higher susceptibility to misinformation relative to priming at recall. In particular, inducing a negative interpretation of the image at encoding led to an increased susceptibility of false memories for major misinformation (an entire object not actually present in the scene). In contrast, this pattern was reversed when priming was used at recall; a negative reinterpretation of the image decreased memory distortion relative to unprimed images. These findings suggest that, with precise experimental control, the experience of emotion at event encoding, in particular, is implicated in false memory susceptibility.     

Teacher acquisition of functional analysis methodology

The current study examined methods for training teachers to use functional analysis methods. Teachers first received written and verbal instructions detailing attention and demand conditions. They then received training that included modeling, rehearsal, and performance feedback. Finally, probes were taken during ongoing class instruction. Results indicate that teachers acquired the skills and used them in classroom settings.     

REM restriction persistently alters strategy used to solve a spatial task

We tested the hypothesis that rapid eye movement (REM) sleep is important for complex associative learning by restricting rats from entering REM sleep for 4 h either immediately after training on an eight-box spatial task (0-4 REMr) or 4 h following training (4-8 REMr). Both groups of REM-restricted rats eventually reached the same overall performance level as did nonrestricted controls, but 0-4 REMr animals were delayed in their improvement in the first few days and lagged behind controls in the middle portion of the training period. More importantly, performance gains of 0-4 REMr rats depended more on simple local cues throughout the 15-d study since, unlike control and 4-8 REMr animals, their error rate increased after daily disruption of the relationship between local (intramaze) cues and the food reward. Thus, although overall performance was only subtly and transiently impaired, due to the ability to use alternate, nonspatial behavioral strategies, complex associative (spatial) learning was persistently impaired by restricting REM for a short critical period each day.     

Developmental cascades: linking academic achievement and externalizing and internalizing symptoms over 20 years

A developmental cascade model linking competence and symptoms was tested in a study of a normative, urban school sample of 205 children (initially 8 to 12 years old). Internalizing and externalizing symptoms and academic competence were assessed by multiple methods at the study outset and after 7, 10, and 20 years. A series of nested cascade models was tested through structural equation modeling. The final model indicated 2 hypothesized cascade effects: Externalizing problems evident in childhood appeared to undermine academic competence by adolescence, which subsequently showed a negative effect on internalizing problems in young adulthood. A significant exploratory effect was consistent with internalizing symptoms containing or lowering the net risk for externalizing problems under some conditions. These 3 cascade effects did not differ by gender and were not attributable to effects of IQ, parenting quality, or socioeconomic differences. Implications are discussed for developmental models of cascades, progressions, and preventive interventions.