A Phenomenological Analysis of the Invisibility Syndrome

Interpretative phenomenological analysis was used to explore 10 African American men's perceptions of invisibility. Participants perceived invisibility as an extra unwarranted burden that is accompanied by feelings of hopelessness, anxiety, and anger. Participants also coped with invisibility by finding safe havens within the Black community. Implications for counselors are discussed. Se empleó el análisis interpretativo fenomenológico para explorar las percepciones de invisibilidad de 10 varones Afroamericanos. Los participantes percibían la invisibilidad como una carga extra injustificada que va acompañada de sentimientos de desesperanza, ansiedad y rabia. Los participantes también afrontaban la invisibilidad encontrando refugio entre la comunidad Negra. Se discuten las implicaciones para consejeros.     

The Questioning Process in Maudsley Family-Based Treatment. Part 1: Deviation Amplification

Maudsley family based treatment (FBT) continues to demonstrate promising evidence in the treatment of adolescent presentations of anorexia nervosa. In the earlier stages of this treatment modality, the process of empowering families, and in particular, helping parent to follow their natural instincts in making united decisions around re-feeding their child is critical. This paper aims to provide FBT practitioners with structured interviewing guidelines around the amplification of familial interactions around food, drawing on existing familial strengths and therefore empowering parents and families in their process of change. The questioning skills outlined are discussed in light of the theoretical tenets of the Maudsley FBT model.     

Apathy in frontotemporal dementia: behavioral and neuroimaging correlates

We investigated the occurrence of goal-directed motivational change in the form of apathy in patients with frontotemporal dementia (FTD), particularly those with behavioral variant social and executive deficits (bvFTD). Standardized behavioral inventory was employed to survey and compare apathy ratings from patients and caregivers. In cases of bvFTD, apathy ratings were further related to measures of social cognition, executive function, and atrophy on brain MRI. Results indicated that caregivers rated bvFTD patients as having significantly elevated apathy scores though patient self-ratings were normal. Caregiver and self-ratings of FTD samples with progressive nonfluent aphasia and semantic dementia did not differ from healthy controls and their informants. In the bvFTD sample, caregiver apathy scores were not correlated with general cognitive screening or depression scores, but were significantly correlated with social cognition and executive function measures. Voxel-based morphometry revealed that apathy ratings in bvFTD were related to prominent atrophy in the right caudate (including the ventral striatum), the right temporo-parietal junction, right posterior inferior and middle temporal gyri, and left frontal operculum- anterior insula region. Findings suggest that bvFTD is associated with a significant breakdown in goal-directed motivated behavior involving disruption of cortical-basal ganglia circuits that is also related to social and executive function deficits.     

On near misses and completed tasks: the nature of relief

What is the nature and function of relief? Relief has been studied little in psychological science despite its familiarity and pervasiveness. Two studies revealed that relief can result from two distinct situations: the narrow avoidance of an aversive outcome (near-miss relief) and completion of an onerous or aversive event (task-completion relief). Study 1 found that recollections of near-miss relief were marked by more downward counterfactual thoughts and greater feelings of social isolation than recollections of task-completion relief. Study 2 experimentally elicited the two types of relief and found mediational evidence that relief following near misses elicits feelings of social isolation via its stimulation of counterfactual thinking. That near-miss relief is characterized by counterfactual thinking suggests that it prompts people to contemplate how to avert similar experiences in the future, whereas task-completion relief may serve to reinforce endurance during difficult tasks.     

Reliability,validity, and prevalence of partner violence measured by the conflict tactics scales in male-dominant nations

This article evaluates whether use of the Conflict Tactics Scales (CTS) with women in male-dominant nations results in reliable and valid data. Tabulation of ten published studies in male-dominant nations found a median alpha coefficient of reliability of .86. For university students in the 32 nation International Dating Violence Study, the median alpha for women is .82 and .78 for males. Similar alpha coefficients were found regardless of the national level of male-dominance. Validity was measured by estimating the sensitivity of the CTS in eliciting data on perpetration of physical assault, by evaluating the degree to which assaults reported by the women were acts of self-defense, and by construct validity analyses to test the hypothesis that being a victim of physical assault as measured by the CTS is associated with physical injury, depressive symptoms, and post-traumatic stress symptoms. The hypothesized relationships were found regardless of the degree of male dominance in a nation. The results support continued use of the CTS to investigate PV in the lives of women worldwide. The discussion suggests that the effort to combat violence against women could be enhanced by using the full CTS to provide data on perpetration by women as well as victimization of women.     

Overlapping neural substrates between intentional and incidental down-regulation of negative emotions

Emotion regulation can be achieved in various ways, but few studies have evaluated the extent to which the neurocognitive substrates of these distinct operations overlap. In the study reported here, functional magnetic resonance imaging (fMRI) was used to measure activity in the amygdala and prefrontal cortex of 10 participants who completed two independent tasks of emotion regulation-reappraisal, measuring intentional emotion regulation, and affect labeling, measuring incidental emotion regulation-with the objective of identifying potential overlap in the neural substrates underlying each task. Analyses focused on a priori regions of interest in the amygdala and inferior frontal gyrus (IFG). For both tasks, fMRI showed decreased amygdala activation during emotion regulation compared with emotion conditions. During reappraisal, this decrease in amygdala activation was accompanied by a proportional decrease in emotional intensity ratings; during affect labeling, the decrease in amygdala activation correlated with self-reported aggression. Importantly, across participants, the magnitude of decrease in amygdala activation during reappraisal correlated with the magnitude of decrease during affect labeling, even though the tasks were administered on separate days, and values indexing amygdala activation during each task were extracted independently of one another. In addition, IFG-amygdala connectivity, assessed via psychophysiological interaction analysis, overlapped between tasks in two regions within the right IFG. The results suggest that the two tasks recruit overlapping regions of prefrontal cortex, resulting in similar reductions in amygdala activation, regardless of the strategy employed. Intentional and incidental forms of emotion regulation, despite their phenomenological differences, may therefore converge on a common neurocognitive pathway.     

Elevated responding to safe conditions as a specific risk factor for anxiety versus depressive disorders: evidence from a longitudinal investigation

The current study evaluated the degree to which startle reflexes (SRs) in safe conditions versus danger conditions were predictive of the onset of anxiety disorders. Specificity of these effects to anxiety disorders was evaluated in comparison to unipolar depressive disorders and with consideration of level of neuroticism. A startle paradigm was administered at baseline to 132 nondisordered adolescents as part of a longitudinal study examining risk factors for emotional disorders. Participants underwent a repetition of eight safe-danger sequences and were told that delivery of an aversive stimulus leading to a muscle contraction of the arm would occur only in the late part of danger conditions. One aversive stimulus occurred midway in the safe-danger sequences. Participants were assessed for the onset of anxiety and unipolar depressive disorders annually over the next 3 to 4 years. Larger SR magnitude during safe conditions following delivery of the aversive stimulus predicted the subsequent first onset of anxiety disorders. Moreover, prediction of the onset of anxiety disorders remained significant above and beyond the effects of comorbid unipolar depression, neuroticism, and subjective ratings of intensity of the aversive stimulus. In sum, elevated responding to safe conditions following an aversive stimulus appears to be a specific, prospective risk factor for the first onset of anxiety disorders.     

Mind the gap: assessing impairment among children affected by proposed revisions to the diagnostic criteria for oppositional defiant disorder

The Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5) workgroup for disruptive behavior disorders is considering adopting a frequency threshold for symptoms of oppositional defiant disorder (ODD). In the present study, the impact of substituting the term "often" with a specific age-based frequency on impairment and prognosis among preschool children was tested in a longitudinal design. Mutually exclusive groups were created to identify children who met criteria for ODD based on a symptom threshold of "often," as in Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition (DSM-4), and those that met criteria for ODD based on a threshold of "1-2 times per day," which approximated the proposal for DSM-5. Comparisons of these groups to each other and to nondiagnosed peers determined the impact of changing the symptom threshold on impairment and prognosis. Close to one-third of children who met DSM-4 criteria for ODD did not meet criteria under the alternative diagnosis; African American children were overrepresented in this group. Preschoolers who met DSM-4, but not the alternative criteria, had higher rates of ODD, conduct disorder (CD), and were more impaired than their nondiagnosed peers at baseline and follow-up. Preschoolers meeting DSM-4 criteria were less impaired than children meeting the alternative ODD criteria at baseline according to parent, but not according to teacher report. No differences could be detected between those meeting DSM-4 and those meeting the alternative criteria in rate of ODD, CD, or impairment at follow-up. Among clinically referred preschool children, changing the symptom threshold for ODD could result in a sizable group of children who would no longer meet diagnostic criteria, despite demonstrating significant morbidity concurrently and prospectively.     

How do alternative ways of responding influence 3- and 4-year-olds’ performance on tests of executive function and theory of mind?

A total of 69 preschool children were tested on measures of false belief understanding (the Unexpected Transfer task), inhibitory control (the Grass/Snow task), and strategic reasoning (the Windows task). For each task, children indicated their response either by pointing with their index finger or by using a nonstandard response mode (pointing with a rotating arrow). The means of responding had no effect on children's performance on the Grass/Snow task or on the Unexpected Transfer task, although children performed better on the Unexpected Transfer task when the key object in the story was removed. In contrast, performance on the Windows task was significantly better when children pointed with the rotating arrow. A follow-up experiment with 79 preschoolers found that this improved performance on the Windows task was sustained even after the nonstandard response mode was removed and children again pointed with their finger. These findings together suggest that nonstandard response modes do not help children to inhibit prepotent pointing responses but may help them to formulate response strategies on reasoning tasks by discouraging unreflective impulsive responding.