Cognitive-behavioral therapy for insomnia in alcohol dependent patients: a randomized controlled pilot trial

In a randomized controlled trial, we evaluated the efficacy of cognitive-behavioral treatment for insomnia to improve sleep and daytime symptoms, and to reduce relapse in recovering alcohol dependent (AD) participants. Seventeen abstinent AD patients with insomnia (6 women, mean age 46.2 ± 10.1 years) were randomized to 8 sessions of cognitive-behavioral treatment for insomnia for AD (CBTI-AD, n = 9) or to a behavioral placebo treatment (BPT, n = 8). Subjective measures of sleep, daytime consequences of insomnia and AD, alcohol use, and treatment fidelity were collected at baseline and post-treatment. Diary-rated sleep efficiency and wake after sleep onset, and daytime ratings of General Fatigue on the Multidimensional Fatigue Inventory improved more in the CBTI-AD compared to the BPT group. In addition, more subjects were classified as treatment responders following CBTI-AD. No group differences were found in the number of participants who relapsed to any drinking or who relapsed to heavy drinking. The findings suggest that cognitive-behavioral insomnia therapy benefits subjective sleep and daytime symptoms in recovering AD participants with insomnia more than placebo. The benefits of treating insomnia on drinking outcomes are less apparent.     

Regional differences in brain volume predict the acquisition of skill in a complex real-time strategy videogame

Previous studies have found that differences in brain volume among older adults predict performance in laboratory tasks of executive control, memory, and motor learning. In the present study we asked whether regional differences in brain volume as assessed by the application of a voxel-based morphometry technique on high resolution MRI would also be useful in predicting the acquisition of skill in complex tasks, such as strategy-based video games. Twenty older adults were trained for over 20 h to play Rise of Nations, a complex real-time strategy game. These adults showed substantial improvements over the training period in game performance. MRI scans obtained prior to training revealed that the volume of a number of brain regions, which have been previously associated with subsets of the trained skills, predicted a substantial amount of variance in learning on the complex game. Thus, regional differences in brain volume can predict learning in complex tasks that entail the use of a variety of perceptual, cognitive and motor processes.     

A Black Theological Response to Race-Based Medicine: Reconciliation in Minority Communities

The harm race-based medicine inflicts on minority bodies through race-based experimentation and the false solutions a race-based drug ensues within minority communities provokes concern. Such areas analyze the minority patient in a physical proxy. Though the mind and body are important entities, we cannot forget about the spirit. Healing is not just a physical practice; it includes spiritual practice. Efficient medicine includes the holistic elements of the mind, body, and spirit. Therefore, the spiritual discipline of black theology can be used as a tool to mend the harms of race-based medicine. It can be an avenue of research to further particular concerns for justice in medical care . Such theology contributes to the discussion of race-based medicine indicating the need for the voice, participation, and interdependence of minorities. Black theology can be used as a tool of healing and empowerment for health equity and awareness by exploring black theology’s response to race-based medicine, analyzing race in biblical literature, using biblical literature as a tool for minority patient empowerment, building on past and current black church health advocacy with personal leadership in health advocacy.

     

Working memory and mental arithmetic: A case for dual central executive resources

The current study was designed to examine the possible existence of two limited-capacity pools of central executive resources: one each for verbal and visuospatial processing. Ninety-one college students (M age = 19.0, SD = 2.2) were administered a verbal working memory task that involved updating numbers in 2-, 3-, and 4-load conditions. The task was administered in both single task (no-interference condition) and dual-task (verbal interference and visuospatial interference conditions) formats. Findings indicated main effects for both memory load and type of interference, as well as, a load × interference interaction. Verbal interference led to a steeper increase in errors on the primary verbal working memory task; whereas, there was a smaller increase in errors across load in both the non-verbal and no-interference conditions. The effect of verbal interference and the lack of a spatial interference effect on a primary task that utilized verbal working memory resources, suggests that the processing of verbal and spatial stimuli in a dual-task paradigm requires separate central executive resources.     

Testing the repression hypothesis: Effects of emotional valence on memory suppression in the think – No think task

It has been proposed that performance in the think – no think (TNT) task represents a laboratory analogue of the voluntary form of memory repression. The central prediction of this repression hypothesis is that performance in the TNT task will be influenced by emotional characteristics of the material to be remembered. This prediction was tested in two experiments by asking participants to learn paired associates in which the first item was either emotionally positive (e.g. joy) or emotionally negative (e.g. hatred). The second word was always emotionally neutral (e.g. socks). Consistent with the repression hypothesis, significant memory suppression was observed in both experiments following ‘no think’ instructions for memories associated with emotionally negative material. No suppression was observed for memories associated with emotionally positive information. Implications of these findings for the relationship between performance in the TNT task and the controversial notion of memory repression are considered.     

Counseling would‐be entrepreneurs

The aim of this article is to provide counselors, academic advisers, and career coaches with a basic understanding of entrepreneurial careers. After presenting a brief history of entrepreneurship, the authors discuss various psychological, social, and economic factors associated with selecting, preparing for, and remaining successful in an entrepreneurial career. They also discuss various ways counselors can help aspiring entrepreneurs achieve their goals. An extensive annotated bibliography of online entrepreneurship resources is included.     

Hope for the Worst: Occasional Reinforced Extinction and Expectancy Violation in the Treatment of OCD

An inhibitory learning conceptualization of treatment mechanisms in exposure-based therapy appears to better account for durability of symptom reduction and index overall learning. Presented here is an overview of two core elements of inhibitory learning, expectancy violation and occasional reinforced extinction, as they are thought to function in exposure and response prevention (ERP) for OCD. The overview is then followed by case examples illustrating these processes at work in a naturalistic clinical setting. Implications for treatment are broadly discussed.     

Multidimensional Perfectionism and Ruminative Brooding in Current Dysphoria,Anxiety, Worry,and Anger

The current study examined links between dimensions of perfectionism, ruminative and distractive coping, and multiple measures of current distress (dysphoria, anxiety, worry, and anger) in 205 university students. A main goal was to test the hypothesis that perfectionism is related to a new measure of the critical maladaptive component of rumination (i.e., ruminative brooding) that is not confounded with symptoms and confirm that both constructs function as non-specific vulnerabilities for emotional distress. Our study revealed numerous significant findings, including: (1) socially prescribed perfectionism (SPP) was the dimension most strongly related to brooding in response to depression and anxiety; (2) SPP, self-oriented perfectionism (SOP), and brooding predicted various indices of distress; (3) SOP predicted anxiety and worry in women, and it predicted dysphoria and anger in men; (4) despite the strong associations between ruminative brooding and distress, perfectionism still accounted for unique variance in distress, and vice-versa. Implications for the issue of the adaptiveness versus maladaptiveness of perfectionism and for counseling perfectionists who fall into the “brooding trap” are discussed.

Scientist versus Practitioner–An abridged meta-analysis of the changing role of psychologists

This study investigated factors of conflicting expectations and roles of the current psychology practitioners, as well as how these factors were associated with the founding principles of the scientist-practitioner model. Data were gathered from ten published journal articles and then interpreted using an abridged meta-analysis methodology. Results revealed: (a) the scientist-practitioner model needs to adapt to survive, preferably with the aim of becoming more versatile; (b) The majority of graduate level clinical psychology training programs are based on a flawed version of the scientist-practitioner model, which renders the training inadequate and ineffective; (c) The identity of clinical psychology should remain firmly grounded in mental health care, and so not encroach on the territory of any other psychological divisions. Implications of these findings and suggestions for psychology practitioners are also discussed.     

Rapid acquisition of phonological alternations by infants

We explore whether infants can learn novel phonological alternations on the basis of distributional information. In Experiment 1, two groups of 12-month-old infants were familiarized with artificial languages whose distributional properties exhibited either stop or fricative voicing alternations. At test, infants in the two exposure groups had different preferences for novel sequences involving voiced and voiceless stops and fricatives, suggesting that each group had internalized a different familiarization alternation. In Experiment 2, 8.5-month-olds exhibited the same patterns of preference. In Experiments 3 and 4, we investigated whether infants' preferences were driven solely by preferences for sequences of high transitional probability. Although 8.5-month-olds in Experiment 3 were sensitive to the relative probabilities of sequences in the familiarization stimuli, only 12-month-olds in Experiment 4 showed evidence of having grouped alternating segments into a single functional category. Taken together, these results suggest a developmental trajectory for the acquisition of phonological alternations using distributional cues in the input.