A Psychometric Analysis of the Revised Child Anxiety and Depression Scale—Parent Version in a Clinical Sample

The Revised Child Anxiety and Depression Scale—Parent Version (RCADS-P) is a 47-item parent-report questionnaire of youth anxiety and depression, with scales corresponding to the DSM-IV categories of Separation Anxiety Disorder, Social Phobia, Generalized Anxiety Disorder (GAD), Panic Disorder, Obsessive-Compulsive Disorder, and Major Depressive Disorder (MDD). The RCADS-P is currently the only parent-report questionnaire that concurrently assesses youth symptomatology of individual anxiety disorders as well as depression in accordance with DSM-IV nosology. The present study examined the psychometric properties of the RCADS-P in a large (N = 490), clinic-referred sample of youths. The RCADS-P demonstrated favorable psychometric properties, including high internal consistency, convergent/divergent validity, as well as strong discriminant validity—evidencing an ability to discriminate between anxiety and depressive disorders, as well as between the targeted anxiety disorders. Support for the DSM-related six-factor RCADS-P structure was also evidenced. This structure demonstrated superior fit to a recently suggested alternative to the DSM-IV classification of anxiety and affective disorders—namely, the MDD/GAD “distress” factor.     

Vector subtraction implemented neurally: a neurocomputational model of some sequential cognitive and conscious processes

Although great progress in neuroanatomy and physiology has occurred lately, we still cannot go directly to those levels to discover the neural mechanisms of higher cognition and consciousness. But we can use neurocomputational methods based on these details to push this project forward. Here we describe vector subtraction as an operation that computes sequential paths through high-dimensional vector spaces. Vector-space interpretations of network activity patterns are a fruitful resource in recent computational neuroscience. Vector subtraction also appears to be implemented neurally in primate frontal eye field activity, which computes dimensions of saccadic eye movements. We use this apparent neural implementation as a model and construct from it a general neurocomputational account of an important type of sequential cognitive and conscious process. We defend the biological plausibility of all components of the general model and show that it yields testable anatomical and physiological predictions. We close by suggesting some interesting consequences for consciousness if our model characterizes correctly the neural mechanisms producing a common type of episode in our conscious streams.     

Nina Farhi: Leaning on an Annealed Identification: Commentary on Paper by Nina Farhi

In my response to Nina Farhi's paper, I begin my discussion with the concept of a placental space that Farhi develops to represent the psychotic's internal experience of living in a fusion with the Other. Farhi's new concept of an annealed identification provides a useful addition to the psychoanalytic literature to describe the living conditions of a psychotic who is severely entrenched in an unyielding maternal bond. Basing her conceptualizations on Milner's psychotic patient Susan, Farhi also focuses on Milner's discovery that no repressed unconscious existed for her patient Susan. I suggest in my response that Freud's nearly forgotten idea of primal repression and Lacan's idea of maternal jouissance would shed additional light onto the psychotic experience and expand Farhi's notion of an annealed identification with the maternal figure. In addition, I argue for an inclusion of the Third whose presence is so powerfully lacking in the case discussion and in the patient's life.     

Love,Desire, Jouissance: Two out of Three Ain't Bad

The author demonstrates in this paper the different dynamics of love, desire, and jouissance. This impossible affair of loving whom one does not desire and desiring whom one does not love is analyzed through the writings of Jacques Lacan and Stephen Mitchell. The author illustrates Lacan's use of the “objeta” as the fragment in the Other that gives the desiring individual the illusion of completeness whereas the desired Other has no notion for whom or what she or he is desired. Desire is unmasked as this hide-and-seek game of narcissistic illusions where one is wanted for what one does not have and one desires what one cannot have. Both Lacan and Mitchell suggest that love is a far more risky encounter because all narcissistic illusions risk to be jettisoned. Although Mitchell suggests that it is only through the Other that one can discover the otherness in oneself, Lacan states that to love is to give nothing of oneself and to accept the emptinessin the Other. Texts from popular culture are used to illustrate the dynamics of live and desire and the limits of jouissance.     

Countertransference: Our new royal road to the unconscious?

In this paper I am tracing the history of countertransference and how it has informed the current debate about self‐disclosure as a pivotal instrument of analytic work. Now that the analyst's “subjective factor”; has been understood as a central influence on the analysand and as a vital source of information about the analysand's intrapsychic life, I argue that certain currents in the relational school of psychoanalysis confuse the analyst's subjectivity with his personality. While becoming more “real”; with a patient may enliven a stale analytic dialogue, it ought not be confused with, or take the place of, an analysis of unconscious desires and phantasies. I claim that a two‐person psychology can exist only within a tripartite structure in which the analyst does not lose sight of his complex function of being the carrier, observer, and conveyor of the unconscious currents holding both participants in check.     

The persistence of false beliefs

Do false beliefs last? To explore this question, this study planted false beliefs or memories of a childhood experience with asparagus. We found that these false beliefs had consequences for subjects, when assessed directly after the suggestive manipulation. Moreover, subjects were brought back two weeks later to see if their false beliefs persisted. After two weeks, subjects' confidence in their new memories, and the consequences of those memories were diminished, but not extinguished. These false beliefs were found to be somewhat weaker than other subjects' true beliefs for the same events. Another novel finding was that the manipulation was sufficiently powerful to affect actual food choices.     

Implicit and explicit memory for affective passages in temporal lobectomy patients

Eighteen temporal lobectomy patients (9 left, LTL; 9 right, RTL) were administered four verbal tasks, an Affective Implicit Task, a Neutral Implicit Task, an Affective Explicit Task, and a Neutral Explicit Task. For the Affective and Neutral Implicit Tasks, participants were timed while reading aloud passages with affective or neutral content, respectively, as quickly as possible, but not so quickly that they did not understand. A target verbal passage was repeated three times; this target passage was alternated with other previously unread passages, and all passages had the same number of words. The Explicit Affective and Neutral Tasks were administered at the end of testing, and consisted of multiple choice questions regarding passage content. Verbal priming effects in terms of improved reading speed with repetition for the target but not non-target passages were found for patients with both left and right temporal lobectomies. As in the Burton, Rabin et al. [Burton, L., Rabin, L., Vardy, S.B., Frohlich, J., Wyatt, G., Dimitri, D., Constante, S., Guterman, E. (2004). Gender differences in implicit and explicit memory for affective passages. Brain and Cognition, 54(3), 218-224] normative study, there were no interactions between this priming effect and affective/neutral content. For the explicit tasks, items from the repeated passages were remembered better than the unrepeated passages, and there was a trend for information from the affective passages to be remembered better than the neutral passages, similar to the normative pattern. The RTL group did not show the normative pattern of slower reading speed for affective compared to neutral passages that the LTL group showed. Thus, the present findings support the idea that intact right medial temporal structures are important for affective content to influence some aspects of verbal processing.     

The Red Herring technique: a methodological response to the problem of demand characteristics

In past research, we planted false memories for food related childhood events using a simple false feedback procedure. Some critics have worried that our findings may be due to demand characteristics. In the present studies, we developed a novel procedure designed to reduce the influence of demand characteristics by providing an alternate magnet for subjects' natural suspicions. We used two separate levels of deception. In addition to giving subjects a typical untrue rationale for the study (i.e., normal deceptive cover story), we built in strong indicators (the "Red Herring") that the study actually had another purpose. Later, we told subjects that we had deceived them, and asked what they believed the "real purpose" of the study was. We also interviewed a subset of subjects in depth in order to analyze their subjective experiences of the procedure and any relevant demand. Our Red Herring successfully tricked subjects, and left little worry that our false memory results were due to demand. This "double cross" technique may have widespread uses in psychological research that hopes to conceal its real hypotheses from experimental subjects.     

Posttraumatic stress and panic psychopathology: clinical import, research advances, and future directions--introduction to the special issue

There has been a relative dearth of empirical attention focused on the study of the co-occurrence of posttraumatic stress and panic psychopathology. Since these conditions represent two prevalent and impairing psychiatric conditions, the study of their diagnostic and phenomenological comorbidity is clinically meaningful and theoretically warranted. The articles in this series discuss the possible cognitive-affective mechanisms relevant to both conditions and elucidate innovations in applicable clinical intervention approaches. Thus, the overarching purpose of this series is to underscore key empirical questions, to showcase emerging research, and to stimulate further scientific inquiry into the co-occurrence of posttraumatic stress and panic psychopathology.     

A bifactor model of negative affectivity: fear and distress components among younger and older youth

The Positive and Negative Affect Schedule for Children (PANAS-C) is a 27-item youth-report measure of positive affectivity and negative affectivity. Using 2 large school-age youth samples (clinic-referred sample: N = 662; school-based sample: N = 911), in the present study, we thoroughly examined the structure of the PANAS-C NA and PA scales and fit a bifactor model to the PANAS-C NA items. Our exploratory factor analytic results demonstrated that negative affectivity is comprised of 2 main components-NA: Fear and NA: Distress-specifically among older youth. A bifactor model also evidenced the best model fit relative to a unidimensional and second-order factor structure of the PANAS-C NA items. The NA: Fear group factor evidenced significant correspondence with external criterion measures of anxiety. However, the original PANAS-C NA scale evidenced equal (and in some cases greater) correspondence with criterion measures of anxiety. We thus recommend continued usage and interpretation of the full PANAS-C NA scale despite the identification of the fear and distress group factors underlying general negative affectivity. The identification of these fear and distress group factors nonetheless suggest that negative affectivity may be comprised largely of a fear and distress component among older youth. The implications of these findings are discussed in relation to better understanding the structure of psychopathology across childhood development and informing the development of future treatments of negative emotions.