Enhancing treatment effectiveness through social modelling: A pilot study

Objective: Medical treatments take place in social contexts; however, little research has investigated how social modelling might influence treatment outcomes. This experimental pilot study investigated social modelling of treatment effectiveness and placebo treatment outcomes.

Design: Fifty-nine participants took part in the study, ostensibly examining the use of beta-blockers (actually placebos) for examination anxiety. Participants were randomly assigned to observe a female confederate report positive treatment effects (reduced heart rate, relaxed, calm) or feeling no different.

Main outcome measures: Heart rate, anxiety and blood pressure were assessed, as were symptoms and attributed side effects.

Results: Heart rate decreased significantly more in the social modelling compared to control condition, p = .027 (d = .63), and there were trends towards effects in the same direction for both anxiety, p = .097 (d = .46), and systolic blood pressure, p = .077 (d = .51). Significant pre-post placebo differences in heart rate, anxiety and diastolic blood pressure were found in the social modelling group, ps < .007 (ds = .77–1.37), but not the control condition, ps > .28 (ds = .09–.59).

Conclusions: Social observation of medication effectiveness enhanced placebo effectiveness in heart rate, and showed a trend towards enhancing treatment effectiveness in both anxiety and systolic blood pressure. Social modelling may have utility in enhancing the effectiveness of many active medical treatments.     

A Comparison of Latent Inhibition and Learned Irrelevance Pre-Exposure Effects in Rabbit and Human Eyeblink Conditioning

The learning of an association between a CS and a US can be retarded by unreinforced presentations of the CS alone (termed latent inhibition or LI) or by un-correlated presentations of the CS and US (termed learned irrelevance or LIRR). In rabbit eyeblink conditioning, there have been some recent failures to replicate LI. LIRR has been hypothesized as producing a stronger retardation effect than LI based on both empirical studies and computational models. In the work presented here, we examined the relative strength of LI and LIRR in eyeblink conditioning in rabbits and humans. In both species, a number of preexposure trials sufficient to produce LIRR failed to produce LI (Experiments 1 & 3). Doubling the number of CS pre-exposures did produce LI in rabbits (Experiment 2), but not in humans (Experiment 4). LI was demonstrated in humans only after manipulations including an increased inter-trial interval or ITI (Experiment 5). Overall, it appears that LIRR is a more easily producible pre-exposure retardation effect than LI for eyeblink conditioning in both rabbits and humans. Several theoretical mechanisms for LI including the conditioned attention theory, stimulus compression, novelty, and the switching theory are discussed as possible explanations for the differences between LIRR and LI. Overall, future work involving testing the neural substrates of pre-exposure effects may benefit from the use of LIRR rather than LI.     

"I Know Just How You Feel": The Validity of Healthy Women's Perceptions of Breast-Cancer Patients Receiving Treatment

The accuracy of healthy women's perceptions of how breast-cancer patients cope with treatment was assessed in this study. Standardized questionnaires measuring distress, coping, and illness perceptions were completed by 78 women undergoing postsurgical treatment for primary breast cancer. The patients' responses were then compared with assessments made by a matched community sample. The results showed a marked incongruity between healthy women's perceptions and actual patients' experiences of the disease and its treatment. Community women overestimated patients' distress, perceived the consequences of breast cancer to be more severe, and were more likely to believe that patients used denial and disengagement strategies. The discrepancy in findings has implications for the appropriateness of the support offered to patients by healthy women.     

Welcome to “the Rock”: Service Providers’ Views on Newcomer Youth Integration in Newfoundland and Labrador

This study investigates the needs of newcomer youth in Newfoundland and Labrador, and the services provided to them in the provincial capital, St. John’s, through the lens of service providers. We employ Bronfenbrenner’s bioecological model (1999, 2005) as the conceptual framework to explore how various ecological systems interact with one another to influence the development of newcomer youth. Data were drawn from 33 semi-structured interviews with personnel in various immigrant and refugee support agencies, medical and counseling units, municipal recreational offices, and educational programs, as well as ten observations of their programs. Our findings indicate that the current services and programs provide effective support in a number of areas. However, closer collaboration can be established between schools and community organizations, among different service agencies, and involving the business community. Service gaps identified include a lack of transportation to and from school, insufficient academic bridging programs, and no career counseling catering to newcomer students. We argue that service agencies should consider shifting some of their programs to the newcomer youth’s microsystems of school and family, and that the provincial educational authorities need to look into the transportation issue that infringes upon the rights of these students to appropriate school instruction.     

Social–Emotional Factors and Academic Outcomes Among Elementary‐Aged Children

Social–emotional comprehension involves encoding, interpreting, and reasoning about social–emotional information, and self‐regulating. This study examined the mediating pathways through which social–emotional comprehension and social behaviour are related to academic outcomes in two ethnically and socioeconomically heterogeneous samples totaling 340 elementary‐aged children. In both samples, social–emotional comprehension, teacher report of social behaviour, and academic outcomes were measured in a single school year. In both samples, structural equation models showed that the relationship between social–emotional comprehension and reading was mediated by socially skilled behaviour. In one sample, but not the other, the relationship between social–emotional comprehension and math was mediated by socially skilled behaviour. This paper advances our understanding of the mechanisms through which social–emotional factors are associated with academic outcomes. Copyright © 2015 John Wiley & Sons, Ltd.     

Emotions and Human Flourishing

Individual differences in emotional reactivity or affective style can be decomposed into more elementary constituents. Several separable of affective style are identified such as the threshold for reactivity, peak amplitude of response, the rise time to peak and the recovery time. latter two characteristics constitute components of affective chronometry The circuitry that underlies two fundamental forms of motivation and and withdrawal-related processes-is described. Data on differences in functional activity in certain components of these are next reviewed, with an emphasis on the nomological network of surrounding individual differences in asymmetric prefrontal The relevance of such differences for understanding the nature affective dysfunction in affective disorders is then considered. The ends by considering what the prefrontal cortex “does” in certain of affective style and highlights some of the important questions for future research.     

The Developmental Roots of Borderline Personality Disorder in Early Attachment Relationships: A Theory and Some Evidence

The paper suggests a way of understanding borderline personality disorder in terms of the failure of a secure base. We begin with an account of optimal self-development in a secure attachment context, highlighting the importance of the caregiver's ability to help the small child think about his own and others' minds. This optimal self-development is crucial in developing the child's capacity for mentalization, which can enhance his resilience in the face of later trauma. We discuss the impact of attachment trauma in later development, arguing that the extent of this impact depends on how well early attachment relationships facilitated the capacity for mentalization. We identify some of the consequences for the representations of the internal world of a failure of mentalization that may follow trauma in individuals made vulnerable by genetic predisposition or disorganized early attachment. We link these features to the clinical presentation associated with borderline personality organization. Finally, some of the necessary characteristics of successful psychotherapeutic treatment of borderline personality disorder are briefly considered.     

Enhanced Cognitive Behavior Therapy: A Single Treatment for All Eating Disorders

Eating disorders are serious mental illnesses affecting a significant proportion of women and a smaller number of men. Approximately half of those with an eating disorder (ED) will not meet the criteria for anorexia or bulimia nervosa, and will be diagnosed with an eating disorder not otherwise specified (EDNOS). Until recently, there were no recommended treatments for EDNOS. This article provides an overview of enhanced cognitive behavior therapy, a validated treatment for all forms of EDs.     

Parafoveal processing in reading

The present review summarizes research investigating how words are identified parafoveally (and foveally) in reading. Parafoveal and foveal processing are compared when no other concurrent task is required (e.g., in single-word recognition tasks) and when both are required simultaneously (e.g., during reading). We first review methodologies used to study parafoveal processing (e.g., corpus analyses and experimental manipulations, including gaze-contingent display change experiments such as the boundary, moving window, moving mask, and fast priming paradigms). We then turn to a discussion of the levels of representation at which words are processed (e.g., orthographic, phonological, morphological, lexical, syntactic, and semantic). Next, we review relevant research regarding parafoveal processing, summarizing the extent to which words are processed at each of those levels of representation. We then review some of the most controversial aspects of parafoveal processing, as they relate to reading: (1) word skipping, (2) parafoveal-on-foveal effects, and (3) n + 1 and n + 2 preview benefit effects. Finally, we summarize two of the most advanced models of eye movements during reading and how they address foveal and parafoveal processing.