Will patients accept randomization to psychoanalysis? A feasibility study

The feasibility of using a randomized design in a psychoanalytic outcome study was evaluated. Our hypothesis was that it would be feasible to randomize patients to psychoanalysis three or four times weekly on the couch for five years, supportive expressive therapy once or twice weekly for up to forty sessions, and cognitive behavior therapy once or twice weekly for up to forty sessions. Successful randomization was defined as a 30% recruitment rate among eligible patients. Recruitment began in September 2009 and closed in April 2010. A total of 132 subjects responded to study advertisements, 107 of whom (81%) were triaged out. The remaining 25 were scheduled for the first of two clinical interviews, and 21 of 25 (88%) completed the interview. Eleven of the 25 (44%) were determined to be eligible based on inclusion and exclusion criteria. Eight of the 11 accepted the idea of randomization and completed the diagnostic assessment phase. Calculated on the basis of 8 of 11 eligible patients accepting randomization, the 95% confidence interval was that 39% to 92% of eligible subjects would participate in a larger study of this design. Our findings support the feasibility of implementing an RCT comparing psychoanalysis as defined by the American Psychoanalytic Association (three or four times weekly on the couch for approximately five years) with shorter-term dynamic or cognitive behavioral therapy once or twice a week. Pre-treatment characteristics of these eight patients are presented, as are initial reliability data for the treatment adherence scales used in this trial.     

Instructional effects in the use of the mnemonic keyword method for learning German nouns and their grammatical gender

The use of the mnemonic keyword method involves (a) the formation of an orthographic link between the form of a foreign word and that of a physically similar word in one's mother tongue (i.e. the keyword), and (b) the formation of a semantic link between the referent of the foreign word and that of the keyword. In a variation of this study method, English-speaking learners were asked to study the grammatical gender of German nouns by substituting the concepts of a woman, a man, and an inanimate object for the feminine, masculine, and neuter genders, respectively. This more concrete representation of gender was then to be incorporated to an interactive image along with the referent of the keyword and that of the German noun. The three experiments reported in this paper yielded four main results: (a) instructing learners to recode the gender tag and to include its representation into an interactive mental image along with the referent of the German noun facilitated the recall of genders: (b) the facilitating effect of imagery instructions on the recall of genders was obtained only if the English translation was recalled; (c) the probability of correctly reporting the gender given that the English translation was not recalled was higher than the baseline for guessing if the learners were instructed to encode the gender before the translation, otherwise it was consistently near the baseline: and (d) in contrast with prior studies with French-speaking subjects, the modified keyword method did not always enhance the recall of the familiar translation equivalents. The discussion bears mainly on the factors that might account for the difficulty of detecting a consistent keyword advantage in the recall of the familiar translation.     

Multiplying Obstetrics: Techniques of Surveillance and Forms of Coordination

The article argues against the common notion ofdisciplinary medical traditions, i.e. Obstetrics, asmacro-structures that quite unilinearily structure thepractices associated with the discipline. It shows that the various existences of Obstetrics, their relations with practices and vice versa, the entities these obstetrical practices render present and related, and the ways they are connected to experiences, are more complex than the unilinear model suggests. What allows participants to go from one topos to another – from Obstetrics to practice, from practice to politics, from politics to experience – is not self-evidently induced by Obstetrics, but needs to be studied as a surprising range of passages that connect (or don't). Techniques and devices to supervise the delivery, to render present the fetus during pregnancy, and to monitoring birth, are described in order to show that such techniques acquire different roles in connecting and creating Obstetrics as a system andobstetrical practices.     

The self-regulation of automatic associations and behavioral impulses

The distinction between automatic processes and controlled processes is a central organizational theme across areas of psychology. However, this dichotomy conceals important differences among qualitatively different processes that independently contribute to ongoing behavior. The Quadruple process model is a multinomial model that provides quantitative estimates of 4 distinct processes in a single task: the likelihood that an automatic response tendency is activated; the likelihood that a contextually appropriate response can be determined; the likelihood that automatic response tendencies are overcome when necessary; and the likelihood that in the absence of other information, behavior is driven by a general response bias. The model integrates dual-process models from many domains of inquiry and offers a generalized, more nuanced framework of impulse regulation across these domains. The model offers insights into many central questions surrounding the operation and the interaction of automatic and controlled processes. Applications of the model to empirical and theoretical concerns in a variety of areas of psychology are discussed.     

Spatial offset of test field elements from surround elements affects the strength of motion aftereffects

Static movement aftereffects (MAEs) were measured after adaptation to vertical square-wave luminance gratings drifting horizontally within a central window in a surrounding stationary vertical grating. The relationship between the stationary test grating and the surround was manipulated by varying the alignment of the stationary stripes in the window and those in the surround, and the type of outline separating the window and the surround [no outline, black outline (invisible on black stripes), and red outline (visible throughout its length)]. Offsetting the stripes in the window significantly increased both the duration and ratings of the strength of MAEs. Manipulating the outline had no significant effect on either measure of MAE strength. In a second experiment, in which the stationary test fields alone were presented, participants judged how segregated the test field appeared from its surround. In contrast to the MAE measures, outline as well as offset contributed to judged segregation. In a third experiment, in which test-stripe offset was systematically manipulated, segregation ratings rose with offset. However, MAE strength was greater at medium than at either small or large (180 degrees phase shift) offsets. The effects of these manipulations on the MAE are interpreted in terms of a spatial mechanism which integrates motion signals along collinear contours of the test field and surround, and so causes a reduction of motion contrast at the edges of the test field.     

Healthy ageing,perceived motor‐efficacy,and performance on cognitively demanding action tasks

Current measures assessing older adults' functional ability detect existing limitations on essential tasks rather than changes in other aspects of functioning that could indicate future limitations. The perceived motor‐efficacy scale was developed to measure capability beliefs of healthy older adults across a range of daily action tasks. Subscales were developed through interviews with older volunteers and academics, then administered to participants aged 60–96 (N=300). Factor analysis of subscale scores produced 10 subscales. These demonstrated strong internal reliability, which was replicated with a second sample aged 60–92 (N=167). The influence of perceived motor‐efficacy on performance of cognitively demanding action tasks was investigated with a third sample aged 60–88 (N=134). On a task assessing the inhibition of an inappropriate action, older adults in their 80s with high confidence produced minor errors, whereas those with lower confidence produced extreme errors. On another task assessing the ability to inhibit a previously learnt action, those with high levels of perceived motor‐efficacy performed better amongst those least able to inhibit, but more poorly among those most able. Perceived motor‐efficacy may therefore be useful in identifying older adults at risk of functional limitations and enabling interventions before the onset of illness.     

Predictors of Emotional Security in Survivors of Interpersonal Violence

As emotional security theory has recently been extended to understand recovery from interpersonal violence, the present study aimed to understand whether and to what extent trauma-specific aspects of the family environment (caregiver responses to disclosure, non-disclosure) and more general aspects of the family environment (interparental conflict, parental invalidation of emotions) explained variance in emotional security in the family in a sample of emerging adults with a history of interpersonal violence (physical or sexual abuse or assault). Results indicated that substantiated aspects of the interparental subsystem (interparental conflict) and parent–child subsystem (parental invalidation of emotions) predicted all three aspects of emotional security (preoccupation, disengagement, and security) in regression models where trauma-specific variables were included. Additionally, non-supportive caregiver response to disclosed trauma also accounted for significant variance in felt security, supporting the idea that problematic caregiver responses to traumatic events can erode emotional security for survivors of interpersonal violence, in addition to broader patterns in the interparental and parent–child subsystems.     

Reliability and validity of the Spanish Version of the Crisis in Family Systems-Revised

Increasing the representation of Spanish-speaking study participants requires development and dissemination of reliable and valid translated scales. In the urrent study the construct validity was assessed of the Spanish version of the Crisis n Family Systems-Revised, a measure of contemporary life stressors, with a convenience sample of 377 parents interviewed in a study of childhood asthma, although over half of the respondents did not have children with asthma. Most respondents were foreign-born women between 20 to 60 years old (M=35, SD=7). 52% had not completed high school or its equivalent, and 55% reported a household income of dollar 15,000 or less. For a subsample of 25 respondents test-retest reliability was .86 over 2 wk. Reporting more life stressors was associated with greater depressive symptomatology, poorer physical and mental health function, and lower household income. These relationships support the construct validity of the test in Spanish. This study provided strong evidence that this version is a valid and reliable measure of life stressors for a Spanish-speaking population living in the United States.     

The Language of Love: Sex, Sexual Orientation, and Language Use in Online Personal Advertisements

Stereotypes and biological theories suggest that psychological gender differences found in predominantly heterosexual samples are smaller or reversed among gay men and lesbians. Computerized text analysis that compares peoples language style on a wide range of dimensions from pronoun use to body references offers a multivariate personality marker to test such assumptions. Analysis of over 1,500 internet personal advertisements placed by heterosexual men, heterosexual women, gay men, and lesbians found little evidence that orientation alters the impact of gender on linguistic behaviors. Previously reported gender differences were replicated in the gay as well as the heterosexual advertisements studied. Main effects of sexual orientation indicated that gay people of both sexes apparently felt less need to differentiate themselves from potential mates than did heterosexual people. Virtually no crossover sexual orientation by sex interactions emerged indicating that several popular models of sexual orientation are not supported on a linguistic level.     

Motivation to hide emotion and children's understanding of the distinction between real and apparent emotions

The authors investigated the extent to which children's understanding of the distinction between real and apparent emotions varied according to the motivation to hide emotions. Children, aged 6-7 and 10-11 years, were read stories designed to elicit either prosocial or self-protective motivated display rules and were asked to predict the facial expressions the protagonists would make to hide felt emotions. Children were found to understand the distinction between real and apparent emotions very well, independently of the type of motivation. Contrary to predictions, boys understood this distinction better than did girls when the motivation to hide positive emotions was prosocial. Children perceived neutralization as the most appropriate strategy to hide felt emotions, followed by masking.