The effect of dividing attention between walking and auxiliary tasks in people with Parkinson's disease

This controlled study examined the effects of dividing attention between walking and the performance of a secondary cognitive task in people with mild to moderate Parkinson's disease (Hoehn and Yahr stages 2-3.5). Participants in the training group (n=6) received 30 min divided attention training in taking big steps while simultaneously performing serial three subtractions. Participants in the control group (n=6) received no training. Stride length, gait velocity and accurate enumeration rate were measured at baseline, immediate after training and 30 min after training under single-task (walk only or subtract only) and dual-task (walk and subtract) conditions. Data were also collected at training in the training group. Immediate improvement in stride length and gait velocity was found when instruction was given to participants to pay equal attention to gait and subtractions (p=0.001, p=0.05) compared to baseline. Short-term improvement in the gait variables was also found after training when compared to the controls (p=0.001, p=0.001). Nevertheless, there was no significant difference in the accurate enumeration rate. Based on the findings, we conclude that divided attention can be used as a strategy to improve slow and short-stepped gait under dual-task conditions. Divided attention can also be used in gait training for short term stride length and gait velocity improvement.     

Verbal interference suppresses exact numerical representation

Language for number is an important case study of the relationship between language and cognition because the mechanisms of non-verbal numerical cognition are well-understood. When the Pirahã (an Amazonian hunter-gatherer tribe who have no exact number words) are tested in non-verbal numerical tasks, they are able to perform one-to-one matching tasks but make errors in more difficult tasks. Their pattern of errors suggests that they are using analog magnitude estimation, an evolutionarily- and developmentally-conserved mechanism for estimating quantities. Here we show that English-speaking participants rely on the same mechanisms when verbal number representations are unavailable due to verbal interference. Followup experiments demonstrate that the effects of verbal interference are primarily manifest during encoding of quantity information, and—using a new procedure for matching difficulty of interference tasks for individual participants—that the effects are restricted to verbal interference. These results are consistent with the hypothesis that number words are used online to encode, store, and manipulate numerical information. This linguistic strategy complements, rather than altering or replacing, non-verbal representations.     

Potentiation and overshadowing of shape by wall color in a kite-shaped maze using rats in a foraging task

The interaction between redundant geometric and featural cues in open field search tasks has been examined widely with results that are not always consistent. Cheng (1986) found evidence that when searching for food in rectangular environments, rats used the geometrical characteristics of the environment rather than local featural cues, suggesting that geometry had overshadowed featural cues. More recently, Graham et al. (2006) and Pearce et al. (2006) found that wall color facilitated (potentiated) learning about the shape of the environment by rats in a kite-shaped water maze. The first experiment in the present research replicated the paradigm used by Graham et al. and Pearce et al. using rats in a foraging situation, but with conditions similar, and found the same results, potentiation of shape by color. Experiments 2 and 3 revealed overshadowing instead of potentiation of shape by wall color under the same conditions except that the wall colors of the test environment were not the same as those used during training. The results are consistent with an analysis of the role of associations formed between wall color and geometry in such situations (Rhodes et al., 2009) and extend our understanding of how featural and spatial cues interact.     

Intimacy in young adults' narratives of romance and friendship predicts Eriksonian generativity: a mixed method analysis

A quantitative and qualitative study tested Erikson's ego developmental hypotheses regarding the positive relationship between generativity and intimacy. At age 26, participants (N = 100) told 2 stories about "relationship-defining moments," one about a romantic partner, and another about a same-sex friend. Levels of relationship intimacy were coded from these narratives. "True love" and "true friendship" themes arose as the most prototypical, highly intimate stories. Romantic intimacy and friendship intimacy as coded from narratives each contributed uniquely to the prediction of generative concern; as intimacy in each domain increased, so did generative concern. This relationship remained statistically significant, even when controlling for gender, current romantic relationship status, subjective well-being, optimism, and depressive symptoms. Results suggest that our "relationship-defining moment" narrative task is a useful tool for examining development in emerging adulthood and that intimacy may be an important precursor to generative concern in early adulthood, consistent with Erikson's model.     

Relationships between early behavioural characteristics and temperament at 6 years

The aim of this study was to analyze the extent to which the relations and the stability of the neonatal behaviour and the infant behaviour at both 4 and 12 months could be used to predict the infant temperament at 6 years. Seventy-two full-term, normal-weight, healthy children were followed from 3 days postpartum to 6 years. Neonatal behaviour at 3 and 30 days was assessed using the Neonatal Behaviour Assessment Scale (NBAS), behaviour at 4 and 12 months was assessed using the Infant Behaviour Record (IBR) from the Bayley Scales for Infant Development (BSID) and temperament at 6 years was assessed using the Dimensions of Temperament Survey-Revised (DOTS-R). Negative and positive affectivity and attention were the factors extracted from the behaviours of the IBR. Our results showed a low/moderate correlation between neonatal behaviour on the one hand and behaviour at 4 and 12 months and temperament at 6 years on the other hand. The motor performance, orientation and ANS stability of the neonate at 3 and 30 days were predictors of positive and negative affectivity at 4 months. State regulation and ANS stability at 3 days were predictors of negative affectivity and attention respectively at 12 months. Negative affectivity at 12 months and endurance at 30 days were predictors of general activity and persistence/attention at 6 years. Also, an inverse relation was found between state regulation at 30 days and general activity at 6 years, and a positive relation was found between attention at 4 months and persistence/attention at 6 years. We conclude that neonatal behaviour and behaviour in the first year of life are good predictors of temperament at 6 years and that early negative affectivity has an important role on infant temperament development.     

Ambulatory group treatment for cocaine dependent patients combining cognitive behavioral therapy and motivational interviewing

Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.     

“Does degree of asymmetry relate to performance?” A critical review

In a recent paper, Chiarello, Welcome, Halderman, and Leonard (2009) reported positive correlations between word-related visual field asymmetries and reading performance. They argued that strong word processing lateralization represents a more optimal brain organization for reading acquisition. Their empirical results contrasted sharply with those of another such large-scale study, by Boles, Barth, and Merrill (2008). We reported negative correlations between asymmetry and performance when both were measured using the same visual lexical tasks. Most recently, within-task negative correlations were also reported by Hirnstein, Leask, Rose, and Hausmann (2010). Here two major differences between studies are explored. Task purity refers to the influence of the same mental processes on both the asymmetry and performance measures, and is arguably maximal in studies measuring both within the same task. The other difference concerns the measurement of asymmetry. Linear corrections for ceiling and floor effects were used by Chiarello et al. and Hirnstein et al., while we used a more appropriate nonlinear one. Their results are difficult to interpret for those reasons. The operation of a third variable to which both asymmetry and performance are positively correlated could also be a factor in the Chiarello et al. findings. The Boles et al. findings reflect a negative correlation between an asymmetric visual lexical process and performance measured within the same task.     

A Qualitative Analysis of Power Differentials in Ethical Situations in Academia

Power and organizational hierarchies are ubiquitous to social institutions that form the foundation of modern society. Power differentials may act to constrain or enhance people’s ability to make good ethical decisions. However, little scholarly work has examined perceptions of this important topic. The present effort seeks to address this issue by interviewing academics about hypothetical ethical problems that involve power differences among those involved. Academics discussed what they would do in these scenarios, often drawing on their own experiences. Using a think-aloud protocol, participants were prompted to discuss their reasoning and thinking behind their ethical decisions. These interview data were content analyzed using a semantic analysis program that identified a number of distinct ways that academics think about power differences and abuses in ethical situations. Implications of these findings are discussed.     

Becoming a Caregiver: Experiences of Young Adults Moving into Family Caregiving Roles

Journal of Adult Development - While the vast majority of family caregivers struggle to find balance between different roles in their lives, young adult caregivers are faced with the atypical...     

Working with unrealistic or unshared hope in the counselling session

Hope has long been identified as an important therapeutic factor in counselling. Further, research evidence for the importance of hope to counselling practice and outcome is abundant. However, the field is only beginning to explicitly consider how hope can be effectively and intentionally practised. One of the most challenging dilemmas encountered by counsellors committed to working with this important therapeutic factor is that of so-called unrealistic hope. In this paper, we outline two real-life counselling vignettes illustrating unrealistic hope, and consider these scenarios alongside relevant scholarship and practice experience. Guiding principles and practices for conceptualising and working with unrealistic hope are offered as a means of beginning the conversation about this complex aspect of working with client hope.