Treatment of Obsessive Compulsive Disorder in Young Children: An Intervention Model and Case Series

This article presents an intervention model for young children with obsessive-compulsive disorder (OCD). The intervention, designed to reduce compulsive behavior and improve parenting practices, was tested using a multiple baseline design with 7 children (M = 6 years old; 57% female) in which participants were randomly assigned to 1, 2, or 3 weeks of baseline (i.e., no treatment). All children were diagnosed with OCD using a semi-structured diagnostic interview. Baseline and weekly ratings of obsessive-compulsive (OC) symptoms and family accommodation were obtained. In addition, at pre- and post-treatment and 1-month follow-up, independent evaluators and/or parents completed measures assessing the severity and impact of OC symptoms and child and family functioning. Findings revealed that participants had a 33–66% reduction in OC symptoms (as measured by the Children's Yale-Brown Obsessive Compulsive Scale; CYBOCS) at posttreatment and 6 of the 7 children were rated as treatment responders on the Clinical Global Impression-Improvement (CGI-I) Scale. At the 1-month follow-up, participants had a 17–82% reduction in OC symptoms. Treatment was also effective in reducing parental accommodation of child OC behaviors. Overall treatment satisfaction was high and parents found most core treatment ingredients (e.g., psychoeducation, exposure and ritual prevention, contingency management) very helpful. Implications for further developing and testing psychosocial treatments for young children are discussed.     

Barriers to Treatment in an Ethnically Diverse Sample of Families Enrolled in a Community-Based Domestic Violence Intervention

Using quantitative and qualitative data, we examined the association between barriers to treatment, motivating factors, treatment attendance, and outcome in a sample of 63 mothers (most of Asian or Pacific Islander descent) enrolled in a family-based domestic violence treatment program. A high number of perceived barriers was associated with lower attendance and lower scores on assessment of parenting practices at posttreatment. Mothers reported relying on their own motivation, observations of children's improvement, and the quality of their relationships with staff and group members to overcome barriers. A larger number of motivating factors was associated with positive parenting practices at posttreatment. Discussion includes the benefits of a mixed-method approach to measuring barriers and its clinical application to increase treatment participation.     

Varying the response code in the blindness to response-compatible stimuli

Previous work has indicated that action-control processes can specifically influence perceptual processes. The identification of a left- or right-pointing arrow is impaired when it appears during the preparation and execution of a compatible left-right keypress (Müsseler & Hommel, 1997a, b). The present study examines the role of the response-specifying cue in order to manipulate the coding of the action-control processes. Experiment 1 shows that the size of the perceptual impairment is not affected by whether the cue has high or little feature overlap with the to-be-performed response. Cues were omitted in Experiment 2 and participants generated their responses endogenously, but the perceptual impairment still occurred. Experiment 3 examines in more detail which feature of the response contributes to the effect. The results show that it needs both an intended action goal and a corresponding motor activity to bring about the perceptual impairment.     

Visual space perception and action: Introductory remarks

Vision evolved from the vital necessity to act in a dynamic environment. Following this view it is clear that perceptual processes and action planning are much more interlocked than is evident at first sight. This is especially evident in visual space perception; actions are performed in space and are guided and controlled by objects in spatial positions. Here we shortly introduce the three research camps dealing with the relationship between space perception and action: the ecological camp, the two‐visual‐systems camp, and the constructivist camp. We show that these camps emphasize and open different theoretical and empirical perspectives, but that they can be seen to complement each other. We end with an overview of the papers in this special issue.     

Eye–voice span during rapid automatized naming of digits and dice in Chinese normal and dyslexic children

We measured Chinese dyslexic and control children's eye movements during rapid automatized naming (RAN) with alphanumeric (digits) and symbolic (dice surfaces) stimuli. Both types of stimuli required identical oral responses, controlling for effects associated with speech production. Results showed that naming dice was much slower than naming digits for both groups, but group differences in eye‐movement measures and in the eye–voice span (i.e. the distance between the currently fixated item and the voiced item) were generally larger in digit‐RAN than in dice‐RAN. In addition, dyslexics were less efficient in parafoveal processing in these RAN tasks. Since the two RAN tasks required the same phonological output and on the assumption that naming dice is less practiced than naming digits in general, the results suggest that the translation of alphanumeric visual symbols into phonological codes is less efficient in dyslexic children. The dissociation of the print‐to‐sound conversion and phonological representation suggests that the degree of automaticity in translation from visual symbols to phonological codes in addition to phonological processing per se is also critical to understanding dyslexia.     

Disaster recovery experiences of a South African rural farming community

This study explored the bush fire disaster experiences and coping of South African farmers. Participants consisted of seven male farmers (6?=?White Afrikaans-speaking; 1?=?Black Tswana-speaking). Data were collected using semi-structured interviews, nine months after the disaster, and analysed thematically. The findings showed that the farmers’ recovery was characterised by three distinct, transitioning phases. The first period involved resource-maintenance coping and emotion-focused coping. The second time period was characterised by meaning making related strategies. Finally, the third time period was charactirised by anxiety over reoccurrence and resource-maintenance coping. The results also suggest that successful coping is reliant on the individual's ability to adapt coping strategies continually, in a context-appropriate manner.     

The perceived onset position of a moving target: Effects of trial contexts are evoked by different attentional allocations

Previous studies have shown that the localization of the perceived onset position of a moving target varies with the trial context. When the moving target appeared at predictable positions to the left or right of fixation (constant context), localization judgments of the perceived onset positions were essentially displaced in motion direction (Fröhlich effect). In contrast, when the target appeared at unpredictable positions in the visual field (random context), localization judgments were at least drastically reduced. Four explanations of this influence of trial context on localization judgments were examined in three experiments. Findings ruled out an overcompensation mechanism effective in random-context conditions, a predictive mechanism effective in constant-context conditions and a detrimental mechanism originating from more trial repetitions in constant-context conditions. Instead, the results indicated that different attentional allocations are responsible for the localization differences. They also demonstrated that attentional mechanisms are at the basis of the Fröhlich effect.     

Sensory memory of structure-from-motion is shape-specific

Perceptual priming can stabilize the phenomenal appearance of multistable visual displays (Leopold, Wilke, Maier, & Logothetis, Nature Neuroscience, 5, 605–609, 2002). Prior exposure to such displays induces a sensory memory of their appearance, which persists over long intervals and intervening stimulation, and which facilitates renewed perception of the same appearance. Here, we investigated perceptual priming for the apparent rotation in depth of ambiguous structure-from-motion (SFM) displays. Specifically, we generated SFM objects with different three-dimensional shapes and presented them in random order and with intervening blank periods. To assess perceptual priming, we established the probability that a perceived direction of rotation would persist between successive objects. In general, persistence was greatest between identical objects, intermediate between similar objects, and negligible between dissimilar objects. These results demonstrate unequivocally that sensory memory for apparent rotation is specific to three-dimensional shape, contrary to previous reports (e.g., Maier, Wilke, Logothetis, & Leopold, Current Biology, 13, 1076–1085, 2003). Because persistence did not depend on presentation order for any pair of objects, it provides a commutative measure for the similarity of object shapes. However, it is not clear exactly which features or aspects of object shape determine similarity. At least, we did not find simple, low-level features (such as volume overlap, heterogeneity, or rotational symmetry) that could have accounted for all observations. Accordingly, it seems that sensory memory of SFM (which underlies priming of ambiguous rotation) engages higher-level representations of object surface and shape.     

Does a tool eliminate spatial compatibility effects?

Responding to a stimulus is faster and more accurate when stimulus location and response location spatially correspond than when they do not correspond (stimulus–response compatibility). In five experiments this standard compatibility effect is examined when using a T-shaped lever as a tool. Handling the lever allowed distinguishing body-related action effects (e.g., the tactile feedback from the moving finger) from external action effects (e.g., reaching at the stimulus with the lever's end-point). Results showed that the spatial relationship between stimulus and the direction of the hand movement (S-R compatibility) as well as the relationship between the stimulus and the functional end-points of the tool (S-E compatibility) determine performance. More precisely, responses were fast and less error prone when both kinds of compatibility did correspond than when they did not correspond.     

Personality differences in hindsight bias

Ten personality correlates of hindsight bias were tested in a study with 75 participants answering almanac-type knowledge questions. Participants showed hindsight bias when hindsight estimates were compared to foresight estimates (memory condition), when hindsight estimates were compared to foresight estimates of other participants (BS = between-subjects hypothetical condition), and when hindsight estimates were compared to foresight estimates in response to equally difficult control items (WS = within-subject hypothetical condition). The magnitude of hindsight bias in both hypothetical conditions was positively associated with the participant's field dependence and his or her tendency for favourable self-presentation (as measured by social desirability and impression management). Between-subjects hypothetical hindsight was associated with the participant's conscientiousness and need for predictability and control (as measured by a rigidity scale). In a multiple regression analysis, 39% of the variance in BS hypothetical hindsight, 24% of the variance in WS hypothetical hindsight, but no significant proportion of the variance in memory hindsight could be accounted for by personality measures. It is concluded that individual differences in hindsight bias exist and must be taken into account in a complete model of the effect.