Microswitch technology and contingent stimulation to promote adaptive engagement in persons with minimally conscious state: a case evaluation

This study assessed whether a post-coma woman functioning at the lower end of the minimally conscious state would (a) develop adaptive responding through the use of microswitch technology and contingent stimulation, (b) consolidate and maintain her responding over time, and (c) show evidence of response-consequences awareness (learning and discrimination). The study involved an ABABB¹CB¹ sequence in which the A represented baseline phases, the B and B¹ intervention phases, and the C a control phase with continuous stimulation. Results indicated that the woman developed adaptive responding and consolidated it over the intervention phases of the study. The woman also showed evidence of being aware of response-consequences links. Potential implications and limitations of these findings are discussed.     

Ileal inducible nitric oxide synthase mRNA expression in response to stress is modified in Sprague-Dawley rats exposed to a previous intestinal inflammation

The ability of stress to initiate or reactivate an inflammatory process seems to depend on an individual's susceptibility to stressful stimuli. The aim of this study was to establish whether previous inflammation alters the response to stress in Sprague-Dawley rats, a strain not especially susceptible to stressful stimuli. Stress exposure was performed in rats treated with indomethacin, to induce cyclic intestinal inflammation, during the inactive phase of inflammation. Both control and indomethacin-treated rats submitted to stress showed a decrease in body weight gain and blood leukocyte levels, as well as an increase in fecal pellet output. The increase in intestinal mucosal mast cell count induced by stress was similar in both groups of animals. Moreover, no differences were observed between control and indomethacin-treated rats in the degree of bacterial translocation and myeloperoxidase levels after stress exposure. Despite these similarities, differences between groups were observed in inducible nitric oxide synthase (iNOS) mRNA expression. Although ileal iNOS mRNA expression was inhibited in healthy rats submitted to stress, stress failed to modify this parameter in indomethacin-treated rats. As iNOS is another inflammatory marker, our results may allow the possibility that a previous intestinal inflammation could change the intestinal susceptibility to stress. Whether these differences in ileal iNOS expression can be indicative of a possible change in the predisposition to develop an intestinal inflammatory reaction in response to stress in Sprague-Dawley rats remains to be elucidated.     

Grasping with the eyes: The role of elongation in visual recognition of manipulable objects

Processing within the dorsal visual stream subserves object-directed action, whereas visual object recognition is mediated by the ventral visual stream. Recent findings suggest that the computations performed by the dorsal stream can nevertheless influence object recognition. Little is known, however, about the type of dorsal stream information that is available to assist in object recognition. Here, we present a series of experiments that explored different psychophysical manipulations known to bias the processing of a stimulus toward the dorsal visual stream in order to isolate its contribution to object recognition. We show that elongated-shaped stimuli, regardless of their semantic category and familiarity, when processed by the dorsal stream, elicit visuomotor grasp-related information that affects how we categorize manipulable objects. Elongated stimuli may reduce ambiguity during grasp preparation by providing a coarse cue to hand shaping and orientation that is sufficient to support action planning. We propose that this dorsal-stream-based analysis of elongation along a principal axis is the basis for how the dorsal visual object processing stream can affect categorization of manipulable objects.     

Interactive effects of personality and separation as acculturation style on adolescent antisocial behaviour

The primary aim of this study was to assess the interaction between personality and acculturation variables in predicting antisocial behaviour among adolescent immigrants living in Spain. Previous studies have shown that the acculturation style referred to as separation (rejection of the host country's culture, and a strong desire to preserve the culture of the country of origin) was strongly related to antisocial behaviour among immigrants. A further aim of this study was to examine if the relationship between separation and antisocial behaviour was moderated by personality variables, in particular impulsivity, sensation-seeking, and personal competence. Self-reported data of a sample of 750 adolescent immigrants living in Galicia's and Madrid's regions (Spain) were gathered using previously validated scales. The results revealed that both separation and personality variables were significantly related to antisocial behaviour. Moreover, hierarchical regression analysis with the interaction terms entered found significant moderating effects i.e., the relationship between separation and antisocial behaviour was significantly amplified when impulsivity or sensation-seeking were high. The results underscore the need to examine the effects of personality, acculturation, and the interaction between both on antisocial behaviour among adolescent immigrants.     

Mourning and psychosis: a psychoanalytic perspective

The author attempts to develop some of the basic models and concepts relating to mourning processes in psychotic patients on the assumption that situations of loss and mourning are key moments for psychoanalysis, psychotherapy, and therapeutic approaches in general. Secondly, he reminds us that 'mourning processes in psychotics' are not always 'psychotic mourning processes', that is to say, that they do not necessarily occur within, or give rise to, a psychotic clinical picture. These ideas are illustrated by a number of sessions and vignettes concerning two psychotic patients in psychotherapeutic and psychoanalytic treatment. In theoretical terms, it seems vitally important in this context to combine a relationship-based approach within a framework of special psychoanalytic psychopathology with an updated view of processes of mourning and affective loss. A fundamental requirement at clinical level is to determine the role to be played by psychoanalytically based treatments in combined, integrated or global therapies when working with psychotic patients. For this purpose, the paper ends by outlining a set of principles and objectives for such treatments.     

Assessment of the global intelligence and selective cognitive capacities in preterm 8-year-old children

The aim of this study was to assess various cognitive abilities such as attention, IQ, reasoning, and memory related to academic achievement in 8- and 9-year-old preterm children. A total of 141 children were assessed. The preterm group (=37 weeks) comprised 63 children and was compared to 78 full-term children. Attention was evaluated using the d2 Selective Attention test, and the IQ by the L-M form of the Stanford-Binet Intelligence Scale, establishing a profile of abilities: perception, memory, comprehension, reasoning, and verbal fluency. Significant differences in IQ were found between the preterm and full-term children. Of the cognitive abilities assessed, the only significant differences were found in verbal fluency, with preterm boys showing lower verbal fluency scores than full-term children. In conclusion, all preterm groups have attention ability similar to that of full-term children. However, preterm children obtain lower scores in intelligence measures. In addition, preterm boys have verbal fluency difficulties. Taking into account the increase in preterm births, suitable intervention programs must be planned to attend the difficulties found.     

Efficacy of a group memory training method for older adults based on visualization and association techniques: A randomized,controlled trial with a placebo group

The aim of this trial has been to determine the efficacy of a group memory training method. The experimental group was compared to a placebo group (health education) or to a control group (waiting list). Forty‐five adults between the ages of 60 and 70 years (M = 66.9) were recruited by placing notices in senior citizen community centres, which encouraged people with memory problems to participate in the study. Data were collected at baseline, 1 week, and 6 months after the intervention. The efficacy of the training was evaluated by measures of objective and subjective everyday memory performance. After intervention, the experimental group participants showed an increase in objective memory performance (d = 1.95). The effect size was even higher at 6 months after intervention (d = 2.88). Further, their subjective experience related to everyday memory slips decreased (d = ?0.52). The memory training method was effective in improving everyday memory in older people with some cognitive decline. Copyright © 2009 John Wiley & Sons, Ltd.     

Effects of perceived mutual gaze and gender on face processing and recognition memory

Perceived gaze contact in seen faces may convey important social signals. We examined whether gaze perception affects face processing during two tasks: Online gender judgement, and later incidental recognition memory. Individual faces were presented with eyes directed either straight towards the viewer or away, while these faces were seen in either frontal or three-quarters view. Participants were slower to make gender judgements for faces with direct versus averted eye gaze, but this effect was particularly pronounced for faces with opposite gender to the observer, and seen in three-quarters view. During subsequent surprise recognition-memory testing, recognition was better for faces previously seen with direct than averted gaze, again especially for the opposite gender to the observer. The effect of direct gaze was stronger in both tasks when the head was seen in three-quarters rather than in frontal view, consistent with the greater salience of perceived eye contact for deviated faces. However, in the memory test, face recognition was also relatively enhanced for faces of opposite gender in front views when their gaze was averted rather than direct. Together, these results indicate that perceived eye contact can interact with facial processing during gender judgements and recognition memory, even when gaze direction is task-irrelevant, and particularly for faces of opposite gender to the observer (an influence which controls for stimulus factors when considering observers of both genders). These findings appear consistent with recent neuroimaging evidence that social facial cues can modulate visual processing in cortical regions involved in face processing and memory, presumably via interconnections with brain systems specialized for gaze perception and social monitoring.