Memory flexibility training for autobiographical memory as an intervention for maintaining social and mental well-being in older adults

Autobiographical memory specificity (AMS) reduces with increasing age and is associated with depression, social problem-solving and functional limitations. However, ability to switch between general and specific, as well as between positive and negative retrieval, may be more important for the strategic use of autobiographical information in everyday life. Ability to switch between retrieval modes is likely to rely on aspects of executive function. We propose that age-related deficits in cognitive flexibility impair AMS, but the “positivity effect” protects positively valenced memories from impaired specificity. A training programme to improve the ability to flexibly retrieve different types of memories in depressed adults (MemFlex) was examined in non-depressed older adults to determine effects on AMS, valence and the executive functions underlying cognitive flexibility. Thirty-nine participants aged 70+ (MemFlex, n?=?20; control, n?=?19) took part. AMS and the inhibition aspect of executive function improved in both groups, suggesting these abilities are amenable to change, although not differentially affected by this type of training. Lower baseline inhibition scores correlated with increased negative, but not positive AMS, suggesting that positive AMS is an automatic process in older adults. Changes in AMS correlated with changes in social problem-solving, emphasising the usefulness of AMs in a social environment.     

Basic Conditional Reasoning: How Children Mimic Counterfactual Reasoning

Children approach counterfactual questions about stories with a reasoning strategy that falls short of adults’ Counterfactual Reasoning (CFR). It was dubbed “Basic Conditional Reasoning” (BCR) in Rafetseder et al. (Child Dev 81(1):376–389, 2010). In this paper we provide a characterisation of the differences between BCR and CFR using a distinction between permanent and nonpermanent features of stories and Lewis/Stalnaker counterfactual logic. The critical difference pertains to how consistency between a story and a conditional antecedent incompatible with a nonpermanent feature of the story is achieved. Basic conditional reasoners simply drop all nonpermanent features of the story. Counterfactual reasoners preserve as much of the story as possible while accommodating the antecedent.     

Rehabilitation Counseling: Evolution and Current Status

This article provides a brief review of the evolution and current status of rehabilitation counseling. Rehabilitation counseling practice is described along with the required competencies of rehabilitation counselors in providing services to individuals with disabilities. The professional status of the discipline is reviewed in terms of programs for educational preparation, professional associations, accreditation, regulation of practice, ethical mandates, and research. Finally, continuing challenges for the discipline are identified.     

Predicting cognitive recovery from closed head-injury in children and adolescents

Longitudinal data from 84 head-injured children and adolescents, who were tested at three points in the first year postinjury, were analyzed to determine the best combination of demographic, injury-related, and behavioral factors predicting cognitive performance. Dependent variables were language, memory, visuomotor, and speeded performance factor scores obtained through confirmatory factor analyses of an extensive test battery. Multiple regression analyses indicated that injury severity and the existence of previous psychological, physical, or cognitive disorders were primary for predicting acute (1 month post-hospital discharge) performance for older subjects. For younger subjects, however, parental marital status was the most important correlate of acute cognitive performance. Those residing in homes with both parents fared better than children in one-parent families. At 6 months and 1 year postinjury, the older subjects who performed most poorly initially remained the most impaired. For younger children, acute cognitive standing was also an important predictor of later performance, but parental marital status remained a crucial influence on their longer-term recovery of cognitive skills.     

The development of classificatory skills and sex-trait stereotypes in children

The development of knowledge of sex-trait stereotypes was related to changes in classification skills during childhood. Children of 4, 6, and 8 years of age were tested for knowledge of sex-trait stereotypes on the Williams, Bennett, and Best measure; ability to reclassify sex-traits; and on measures of consistent sorting and reclassification. Knowledge of sex-trait stereotypes improved with age and with performance on the consistent sorting task. Subjects who were able to recognize that sex traits are manifested by persons of both genders were older and more likely to pass measures of nonsocial reclassification. Claims that some males manifest feminine behavior did not change with age. The findings suggest that at first, traits are classified as stereotypical of a gender category; but with increasing cognitive level, these traits become less stereotypical of gender.This study was supported by National Institute of Mental Health Grant MH 29863 to Robert Leahy. The authors wish to acknowledge the assistance of Jill Bresler in the collection and scoring of data.     

A comparison of verbal and non-verbal reports of fragmenting visual images

Sixty-eight Ss voluntarily restrained head, eye and blinking movements while viewing a luminous “HB” figure in a darkened room. All Ss were told that voluntary fixation would cause parts of the pattern to disappear; they were to report the parts that remained intact. Half of the Ss reported their disappearances verbally. The other half traced their disappearances on an outline “HB” figure. Results showed that the verbal method significantly favored the reporting of elements from the set H, h, B, b, 1, 11, +. These data suggest that response bias rather than perceptual organization may be responsible for the preponderance of meaningful disappearances noted in previous research.     

Cognitive load and the imagination effect

When presented with a procedure or concept to learn, imagining the procedure or concept may be an effective instructional technique compared to conventional studying, thus generating an imagination effect. However, it was hypothesized that the importance of learning through imagining as an instructional technique depends on modes of presentation. Experiment 1 tested adults studying or imagining contour maps as participants and was designed to verify the generality of the imagination effect. Imagination instructions were superior to study instructions on subsequent test questions. Experiment 2 further investigated the effect by comparing much younger students (Grade 4), studying or imagining temperature/time graphs presented in either a split‐attention (spatially separated diagram and text) or an integrated (spatially combined diagram and text) format. Results on a subsequent test indicated that the Grade 4 students found imagining beneficial to their learning, compared with studying the material but the effect was only obtained using an integrated rather than a split‐attention format. Experiment 3 was conducted to obtain verbal protocols from Grade 4 imagination and study groups using the same instructional materials to throw light on the cognitive mechanisms behind the imagination effect. Copyright © 2004 John Wiley & Sons, Ltd.     

Assessing executive functions in traumatic brain injury: an exploratory study of the Executive Interview

Executive dysfunction is a frequent sequela of traumatic brain injury. Two correlational studies using samples of inpatients and outpatients diagnosed with traumatic brain injury were undertaken to evaluate the validity of a bedside screening test of executive functioning, the 1992 Executive Interview EXIT 25 by Royall, Mahurin, and Gray. In the first study of 23 inpatients receiving rehabilitation, the EXIT 25 was strongly related to both the Mini-Mental State Examination and the Modified Mini-Mental State Examination. In the second study of 20 outpatients, the EXIT 25 correlated with other executive function measures and with ratings of functional disability at discharge, although a ceiling effect raised questions about its utility for patients with mild to moderate disability. Further study of the EXIT 25 is justified with a larger sample of inpatients, although caution should be exercised when using the EXIT 25 in mildly impaired outpatients.     

Emotional Schemas and Self-Help: Homework Compliance and Obsessive-Compulsive Disorder

Many patients will either refuse to enter treatment or will drop out of treatment where exposure and response prevention (ERP) are employed. Patients may have a number of “good reasons” for noncompliance with ERP. For example, they may view their intrusions as conveying responsibility, reflecting higher threat, as personally relevant, and as requiring perfect and certain solutions. Inducing anxiety, from this perspective, only exacerbates the “problem.” Moreover, patients may employ beliefs about emotion and anxiety that conflict with exposure—such as the belief that anxiety should always be avoided or decreased because it is assumed to rise indefinitely and cause psychological harm. Homework or between-session self-help necessarily involves exposure with increased anxiety and discomfort. In the current case study, both meta-cognitive and meta-emotional conceptualization and strategies were employed in the treatment of a previously treatment-resistant case of OCD, and homework compliance was improved through the use of an emotional schema approach.