Patients’ Perceptions of Risky Developments During Psychotherapy

Research on risks and unwanted effects is largely missing in psychotherapy. Using exploratory factor analysis six dimensions of personal therapy situation were identified in a preliminary study, three of them were associated with risky developments during the psychotherapeutic process: (1) (poor) quality of therapeutic relationship, (2) burden caused by psychotherapy, and (3) dependency/isolation. Based on the finding of this study an online survey was performed to examine these three dimensions. Aside from these three factors another variable was associated with risky therapy developments: the online questionnaire also asked for premature terminations of psychotherapy as a consequence of risky conditions for the therapeutic development. Risky conditions were found to be associated with the following variables: (1) the combination of female patient–male therapist, (2) the therapeutic orientation (particularly with the psychodynamic approaches) and (3) the duration of therapy. Fewer humanistic and systemic psychotherapies were found among the high risk-prone group of patients who were at risk in at least three of the four variables which were associated with risky developments. Differences in the findings of the study regarding the four therapeutic orientations stress the importance of an extensive differential indication and a cooperative partnership between patient and therapist, in order to facilitate a positive patient participation towards the choice of therapy method and subsequent successful participation throughout the course of treatment. Further studies should also focus on female patient and male therapist psychotherapies.     

Navigating conflict and power at work: the effects of power and interdependence asymmetries on conflict in organizations

Many of the most difficult conflicts people face at work are up and down; with bosses, supervisors, and important clients, or with direct reports, staff, or other employees who differ from them in terms of their power and interests. However, much of the research on power differences and conflict tends to be piecemeal, decontextualized, and focused on negative consequences. This paper presents 2 studies that investigated a new situated model of conflict and power at work. They build on classic areas of research on social conflict, power, and interdependence; and integrate them into a coherent framework for organizational conflict research. The study methods and findings are presented, and their implications for research on work conflict are discussed.     

In focus. Has patient autonomy gone to far? Geneticists' views in 36 nations

We surveyed genetics professionals, patients, and the public about rights to information, to requested services, and to parenthood, posing difficult cases found in practice. In all, 2906 genetics professionals (63%), 499 primary care physicians (59%), 476 North American genetics patients (67%), 394 French patients (51%), 593 German patients (65%), and 988 members of the American public (99%) returned anonymous questionnaires. Results suggest a trend toward increased respect for patient autonomy since an earlier survey in 1985; in most nations more would perform prenatal diagnosis for a couple with 4 daughters who desire a son. A minority (35% in U.S., 14% elsewhere) would perform PND for a deaf couple who want a deaf child, but most (94% in U.S., 62% elsewhere) would do prenatal paternity testing in the absence of rape or incest. About half (51%) would support a woman with fragile X who wants children. The trend to respect patient autonomy was greatest in the U.S. and was least evident in China and India. In general, responses to these cases illustrate a shift away from population or eugenic concerns to a model of genetics focused on the individual.     

Drawing Memories: Edouard Manet's Remembrances of the Past

The author examines Edouard Manet's quotations of traditional masters in his work. Instead of debating whether Manet simply imitated, competed with, or paid tribute to the great painters of the past, the author suggests that Manet used the depictions of his painterly past not as a remedial but as a deliberate device. By relying primarily on Freud's Interpretation of Dreams and Jokes and Their Relation to the Unconscious, the author interprets the traditional works embedded in Manet's paintings as dream thoughts lying behind a façade. The author examines these depictions as if they were associations and memories of Manet's painterly past and in so doing uncovers Manet's subtle use of the past as a means of articulating social commentaries and of creating dialogues with both his contemporaries as well as his predecessors. Drawing on Freud's idea of deferred action (Nachtraegklichkeit), the author illustrates how Manet reflects upon the present through images of the past while at the same time rearticulating the scenes of the past through the lens of the present.     

Cortical plasticity associated with stuttering therapy

Neuroimaging studies have indicated that persistent developmental stuttering (PDS) may be associated both with an abnormality in white matter of left-hemispheric speech areas and a right-hemispheric hyperactivity. The latter may compensate for the deficient structural connectivity in the left hemisphere. To investigate the effects of stuttering therapy on brain activity nine male adults with PDS underwent functional magnetic resonance imaging (fMRI) before and within 12 weeks after fluency shaping therapy. Brain response differences during overt sentence reading before and after therapy were assessed by utilizing random effects analyses. After therapy, a more widespread activation was observed in frontal speech and language regions and temporal areas of both hemispheres, particularly and more pronounced on the left side. Interestingly, distinct posttreatment left-sided activation increases were located directly adjacent to a recently detected area of white matter anomaly [M. Sommer, M.A. Koch, W. Paulus, C. Weiller, C. Buchel (2002). Disconnection of speech-relevant brain areas in persistent developmental stuttering. The Lancet, 360, 380-383] suggesting that fluency shaping techniques reorganize neuronal communication between left-sided speech motor planning, motor execution, and temporal areas. Hence, a therapeutic mechanism can be assumed to remodel brain circuitry close to the source of the dysfunction instead of reinforcing compensation via homologous contralateral brain networks. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to: (1) describe brain activation changes detected shortly after fluency-shaping therapy; (2) identify left-hemispheric regions where a (re)functionalization after fluency-shaping therapy seems to occur adjacent to a recently described abnormal white matter region in PDS subjects; and (3) discuss how an effective cerebral compensation mechanism for stuttering could work.     

Delay-dependent working memory impairment in young-adult and aged 5-HT1BKO mice as assessed in a radial-arm water maze

Serotonin (5-HT) plays a modulatory role in mnemonic functions, especially by interacting with the cholinergic system. The 5-HT1B receptor is a key target of this interaction. The 5-HT1B receptor knockout mice were found previously to exhibit a facilitation in hippocampal-dependent spatial reference memory learning. In the present study, we submitted mice to a delayed spatial working memory task, allowing the introduction of various delays between an exposure trial and a test trial. The 5-HT1BKO and wild-type mice learned the task in a radial-arm water maze (returning to the most recent presented arm containing the escape platform), and exhibited a high level of performance at delays of 0 and 5 min. However, at the delay of 60 min, only 5-HT1BKO mice exhibited an impairment. At a delay of 90 min, all mice were impaired. Treatment by scopolamine (0.8 mg/kg) induced the same pattern of performance in wild type as did the mutation for short (5 min, no impairment) and long (60 min, impairment) delays. The 22-month-old wild-type and knockout mice exhibited an impairment at short delays (5 and 15 min). The effect of the mutation affected both young-adult and aged mice at delays of 15, 30, and 60 min. Neurobiological data show that stimulation of the 5-HT1B receptor inhibits the release of acetylcholine in the hippocampus, but stimulates this in the frontal cortex. This dual function might, at least in part, explain the opposite effect of the mutation on reference memory (facilitation) and delay-dependent working memory (impairment). These results support the idea that cholinergic-serotonergic interactions play an important role in memory processes.     

Models of causation and the semantics of causal verbs

This research examines the relationship between the concept of CAUSE as it is characterized in psychological models of causation and the meaning of causal verbs, such as the verb cause itself. According to focal set models of causation (; ), the concept of CAUSE should be more similar to the concepts of ENABLE and PREVENT than either is to each other. According to a model based on theory of force dynamics, the force dynamic model, the concepts of CAUSE, ENABLE, and PREVENT should be roughly equally similar to one another. The relationship between these predictions and the meaning of causal verbs was examined by having participants sort causal verbs and rate them with respect to the dimensions specified by the two models. The results from five experiments indicated that the force dynamic model provides a better account of the meaning of causal verbs than do focal set models of causation. Implications for causal inference and induction are discussed.     

The effect of a masked stimulus on the response to the masking stimulus

Four experiments are reported in which the subjects had to respond to a target that masked a preceding prime via metacontrast masking. In one part of Experiment l, the subjects discriminated the target's shape (square or diamond) by a motor-choice reaction, and in another part they had to respond with a simple reaction. The prime was neutral (circular) with respect to the target's shape. The data showed a facilitation effect. In both tasks the reaction time was reduced by the masked prime. However, the reduction was more pronounced with simple reaction than with choice reaction. In the other experiments, additional primes were used with the same angular shapes as the targets. In Experiments 2 and 3, after discriminating the target's shape by a choice reaction, the subjects had to judge the prime's shape in a signal-detection task. While neither the d' value for discriminating the angular primes from the circular ones (Exp. 2) nor the d' value for distinguishing between the angular primes (Exp. 3) was different from zero, the choice-reaction data showed a congruency effect. With a congruent prime (i.e., a prime that had the same shape as the target), the reaction times were reduced. With an incongruent prime, the reaction times grew. In Experiment 4 the errors were investigated. The facilitation effect was present in the RT, but not in the number of errors, whereas the congruency effect was present in the number, but not in the RT of errors.While the facilitation effect can be attributed either to an unspecific activation by the masked prime or to an influence of the prime on attentional processes, the congruency effect can be explained by the assumption that the masked prime directly activates the specific response, which corresponds to the prime's shape.     

Evolution and devolution of folkbiological knowledge

In this paper we present evidence in support of the hypothesis that the average person's knowledge about trees, and about the natural world in general, has declined during the 20th century. Our investigations are based on examination of a large sample of written material from the 16th through 20th centuries contained in the Oxford English Dictionary. In Analysis 1, we show a precipitous decline in the use of tree terms after, but not before, the 19th century. In Analysis 2, we analyze tree terms at different levels of organization and show that the decline observed in Analysis 1 occurs for all levels of organization. This second analysis also reveals that during the 16th to 19th centuries tree terms became progressively more specific, suggesting that during these periods knowledge about trees increased. In Analysis 3, we show similar rates of decline in other folkbiological categories, indicating that the change in tree terms reflects a general decline in knowledge about living kinds. Also in Analysis 3, we show that several non-biological categories have experienced evolution during the 20th century, indicating that the declines in the 20th century for folkbiological categories are not an inevitable outcome of the corpus. Finally, Analysis 4 also shows declines in the frequency of quotations for which the tree term was not the topic of the sentence, and thus incidental to the purposes of the writer. The results from Analysis 4 reassure us that the results from Analyses 1-3 were not solely due to change in the aims and purposes of writers over the centuries. In sum, the analyses indicate that in the domain of trees, there has been a long and sustained period of conceptual evolution followed by a recent pronounced period of devolution.