Cognitive development in absence epilepsy during long-term follow-up

Absence epilepsy (AE) has been associated with lower than average cognitive functioning, which are clinically relevant in some and may predispose to problems later in life. This study aimed to assess cognitive development during long-term follow-up in children with AE. Thirty-one children with AE, who had undergone two neuropsychological assessments between 2010 and 2017 were analyzed retrospectively. Cognitive measurements were 1.7 ± 0.95 years apart. The difference in neurocognitive test scores was assessed on a group level and on an individual level using reliable change methodology. Results show that sustained attention was lower at the first measurement compared to the normative mean. Sustained attention improved during follow-up and 7 out of 14 children showed improvement after correction for practice effects. Receptive vocabulary showed a decline over time, but did not differ from the normative mean. Significant lower mean group scores were present for performance IQ, perceptual organization, processing speed, simple reaction times, and visual motor integration, while being stable over time in the majority of children. Cognitive development was not associated with seizure freedom. Mild-to-severe academic underachievement was present in 65% and comorbidities that might affect learning in 38%. This study in children with AE showed improvement in sustained attention during long-term follow-up while other cognitive weaknesses persisted over time, regardless of seizure freedom.     

Hobbes's Account of Distributive Justice as Equity

This paper examines the rationale for and grounds and implications of Hobbes's redefinition of distributive justice as equity. I argue that this unprecedented reformulation served to ensure the justness of distributive laws. Hobbes acknowledges that the sovereign can distribute rights and goods iniquitously by failing to treat citizens as equals. However, he insists that improper allocations are not unjust, properly speaking – they do not `wrong' citizens. To support this claim, Hobbes puts forth the un-Aristotelian maxim that merit in distributive justice is due by grace alone. You deserve what the sovereign gives you: there is no desert prior to and independent of his allocation of rights. For Hobbes, distributive justice does not track but create merit. It follows that distributive laws cannot fail to give what is due (which would be unjust). This paper proceeds to analyze the nature of the limits equity sets to the apportionment of goods. I argue that these limits are moral and purely procedural: citizens cannot invoke equity to claim a fair share of the goods distributed. Thanks to Hobbes's redefinition of distributive justice, the justness of the sovereign's conduct, and hence his legal immunity, remains intact.     

Preferential processing of visual trauma-film reminders predicts subsequent intrusive memories

This study used an analogue design to test the hypothesis that preferential processing of visual trauma reminders in the aftermath of a stressful or traumatic event gives rise to subsequent intrusive memories. Shortly after the presentation of a stressful film fragment, participants (n=36) were asked to detect neutral targets (rotated buildings or nature scenes) in a single target rapid serial visual presentation (RSVP) paradigm. During half of the streams, the target was preceded by a distracter. The distracters consisted of visual images extracted from an earlier presented stressful film (e.g., persons and objects that figured in the film). The degree of interference by these film reminders predicted subsequent intrusions recorded in a one-week diary. The results provide evidence that a deficient ability to obtain attentional control over perceptual “trauma” reminders during goal-directed behaviour may set people at risk for persistent intrusive memories. Implications for research investigating attentional bias and intrusive memories in context of posttraumatic stress disorder (PTSD) are discussed.     

Incidental image memorability

ABSTRACT

Recent studies using intentional memory tasks showed that images differ consistently in memorability. Here, we used a surprise recognition memory test. We asked how incidental encoding would affect the consistency and ranking of the memorability scores. If memorability is truly an intrinsic property of the image, one should not expect large differences between incidental and intentional conditions. On the other hand, participants might process images differently when not anticipating a memory test, yielding different results. The study list of our incidental memory task was identical to our previous, intentional study. Participants were to watch the images of this list carefully as they appeared on the screen one by one (free viewing); supposedly for a study about eye movements. Afterwards, a surprise recognition memory test was administered. Despite the free viewing instructions during the study phase, the resulting incidental image memorability scores still showed high levels of consistency across participants. In addition, the overlap between the incidental and intentional memorability ranking was large. These results provide further support for the idea of memorability as an intrinsic image property and add to its ecological validity, as people rarely memorise images intentionally.     

Why is working memory related to intelligence? Different contributions from storage and processing

Domain-specific contributions of working memory (WM), short-term memory (STM), and executive functioning (EF) to individual differences in intelligence were analysed using a latent variable approach. A sample of 345 participants completed a battery of 24 tests tapping the constructs of interests as comprehensively as possible. Visuospatial and verbal STM and WM tasks were administered along with three subcomponents of EF, namely inhibition, planning, and shifting. Intelligence was assessed by non-verbal/abstract/fluid intelligence (Gf) and verbal/crystallised intelligence (Gc) standardised tests. Structural equation modelling results show that EF is the main predictor of Gf, whereas verbal STM is the main predictor of Gc. Storage and processing providing different contributions to the prediction of Gf and Gc supports the view that both short-term storage and executive functioning account for the relationship between WM and intelligence. This main conclusion stresses the importance of acknowledging core cognitive constructs as being hierarchical systems with general and domain-specific mechanisms.     

Professional values and their development among trainees in psychoanalytic psychotherapy1

Forty-six psychotherapy students in three groups at one training institute for psychoanalytic psychotherapy in Sweden were asked to fill out a questionnaire about important influences on their professional development during their three-year training and afterwards. The questionnaire was distributed on three occasions during the training program and on one later occasion. Twenty-one students responded to the questionnaire on all four occasions. Working with patients in therapy, getting supervision, and participating in personal psychotherapy were viewed as the three most important influences on the students. The importance attributed to specialist literature and technical skills seemed to increase over time during the training, while the influences of experiences in personal life and personal qualities decreased. These changes in reported views were reversed in the initial years after graduation. Concerning assets, the students valued the ability to be containing and emphatic as the most important, but in their first years as licensed psychotherapists assigned more importance to the ability to create contact. The training program led to a change over time in a higher rating for the importance of technical and methodological attributes and less emphasis on personal characteristics and experiences. Most of the changes reported during training tended to be reversed afterwards.     

Type D Personality as a Prognostic Factor in Heart Disease: Assessment and Mediating Mechanisms

Type D personality, a synergy between negative affectivity and social inhibition, has established itself as a serious risk factor for morbidity and mortality in patients suffering from cardiovascular disease. In this review, we summarize studies on the validity of the assessment methods of Type D, emphasizing its role as an independent vulnerability factor in the progression of cardiovascular disease. We further present evidence on the physiological characteristics that accompany the 2 psychological traits negative affectivity and social inhibition and may mediate the relation between personality and prognosis in heart disease. Further research needs to determine the mechanisms by which Type D affects the course and outcome of cardiovascular disease as well as how Type D patients may benefit from psychosocial intervention.     

Exploring the personal and social context of female youth sex offenders

This study explored the personal and social context of young female sex offenders, probing their risk profiles for prospective treatment interventions. A convenience sample of eight young South African female sexual offenders participated in the study (black = 88%, Indian = 12%, age range = 14–20 years). They completed semi-structured interviews on their perceptions of the influences to commit a sexual offence. The data were thematically analysed. Emergent themes on factors associated with sexual offending included: peer influence, poor child monitoring, parental neglect, unproductive sexual health education, as well as insight into the participants’ maladaptive beliefs and distorted thinking.