The development of metasuggestibility in children

One component of metasuggestibility is the understanding that a person's statements can influence another person's reports. The purpose of the present study was to examine the development of this understanding in school‐aged children. We produced a short video in which a boy makes a false allegation about being hit following an adult's suggestive interview. Children aged 6–13 years (N = 196) watched the video and answered open‐ended and forced‐choice questions about why the boy made a false allegation. The 6‐ and 7‐year‐olds performed poorly on all question types, whereas the 12‐ and 13‐year‐olds were at ceiling. There were developmental increases in metasuggestibility between 8 and 11 years. Our findings indicate that metasuggestibility undergoes prolonged development well into the school years. Implications for child witness training programs are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Adapting Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression: A Clinical Case Study

Major depressive disorder (MDD) is currently ranked the third leading cause of disability in the world. Treatment-Resistant Depression (TRD) causes the majority of MDD's disability. Strikingly, 50% of individuals with MDD will fail to remit with two adequate trials of antidepressant medications, thus qualifying as treatment resistant. Current pharmacological and psychotherapeutic treatment strategies for TRD are limited in effectiveness so new interventions are needed. Mindfulness-Based Cognitive Therapy (MBCT) is a new psychotherapeutic treatment with established efficacy in preventing relapse of depression for individuals in complete remission. MBCT is a group-based, 8-week intervention that uses mindfulness meditation as its core therapeutic technique. It teaches people to have a different relationship to depressive thoughts and feelings. Strategies are focused on decreasing rumination, enhancing self-compassion, increasing acceptance and decreasing avoidance. This modified version of MCBT, which includes the use of metaphor and adaptations of the original intervention will be discussed through the clinical case of a woman with long-standing TRD. A brief review of the current MBCT literature and future directions for the treatment of TRD are discussed.     

Rolling perception without rolling motion

The texture of a rolling circle depicts the translational and rotational components of its motion. In the case of a homogeneous circle, however, visual cues to the rotational component of motion are absent. To examine how the visual system resolves undetermined motion cues, optically neutral circles were displaced so that changes in their orientation were invisible. Contextual cues systematically triggered the perception of illusory rotation, suggesting that the visual system uses contextual cues along with intrinsic surface cues to compute percepts of rolling objects. This might also explain why people rarely experience the perception of ambiguous motion.     

Review of the contemporary literature on how children report sexual abuse to others: findings, methodological issues, and implications for forensic interviewers

Methods used during forensic interviews with children are driven by beliefs about how children recall and report child sexual abuse (CSA) to others. Summit (1983) proposed a theory (Child Sexual Abuse Accommodation Syndrome) contending that, due to the specific traumatic characteristics of CSA, children will often delay disclosing abuse or altogether fail to disclose during childhood, deny abuse when asked, and often recant abuse allegations. His theory has had a tremendous impact on the field of CSA forensic evaluations, despite its dearth of empirical support. In this paper, we review and critique the contemporary literature from two main sources: retrospective accounts from adults reporting CSA experiences and studies of children undergoing forensic evaluation for CSA. We conclude that data support the notion that children often delay abuse disclosure, but that among valid abuse cases undergoing forensic evaluation, denial and recantation are not common. Methodological issues and implications for forensic interviewers are discussed.     

The social function of imitation in severe dementia

We report the case of Jessie, an individual with severe Alzheimer's disease. Over two sessions, we examine Jessie's spontaneous conversation behaviour and urge to communicate using the ‘still face’ paradigm. Spontaneous and deliberate imitation are also examined to identify their importance in social interactions in severe dementia. Although Jessie has difficulty producing meaningful conversation, she retains the urge to communicate and participate in social interactions. These results confirm the importance of imitation in facilitating and maintaining people with communication problems in the social world. Copyright © 2006 John Wiley & Sons, Ltd.     

Do IRBs Pass the Minimal Harm Test?

ABSTRACT— We describe examples of institutional review board (IRB) actions that have delayed or thwarted research that could not conceivably be considered to pose more than minimal risk to participants. We propose three changes to improve the IRB process and reduce both human and financial costs.     

Adult attachment, perceived stress, and PTSD among civilians exposed to ongoing terrorist attacks in Southern Israel

This study examined the relationships among exposure to terrorism, individual differences in adult attachment dimensions, perceived stress, and posttraumatic stress disorder (PTSD). A representative sample of 254 adults who had experienced more than 7 years of ongoing exposure (OGE) to rocket and mortar fire in southern Israel was compared to 308 individuals with no exposure (NE) to terrorism. OGE individuals reported significantly elevated levels of insecure attachment, perceived stress, and PTSD-symptoms as compared to the NE individuals. The associations between perceived stress and PTSD-symptoms were significantly stronger in the OGE group, compared to the NE group. For OGE individuals, the elevated level of perceived stress mediated the association between Attachment Anxiety and PTSD-symptoms. Theoretical and clinical implications of the findings are discussed.     

Counselling breast cancer patients: A specialist nurse service

The evaluation of a specialist nurse-counselling service is described. Forty newly diagnosed breast cancer patients, treated by mastectomy, were randomised to receive either routine care or routine care plus counselling by a nurse. Psychological morbidity was assessed at one week, 3 months and 12 months postoperatively to determine the efficacy of this service. Comparisons between the groups indicated that counselled patients were significantly less depressed at 3 months postoperatively and reported more beliefs in personal control over health. At 12 months postoperatively there were no significant differences between the groups. Although both groups continued to adjust throughout the year following surgery, this adjustment occurred more rapidly if patients were counselled. The results suggest that a nurse-counselling service can be of value in helping to reduce the amount of distress experienced as a result of the diagnosis and treatment of breast cancer.     

Decoupling neural networks from reality: dissociative experiences in torture victims are reflected in abnormal brain waves in left frontal cortex

From a neuroscience perspective, little is known about the long-term effect of torture. Dissociative experiences and posttraumatic stress disorder are often the results of this experience. We examined psychological dissociation within a group of 23 torture victims and report its manifestations within neural networks in the human brain. In particular, we observed that dissociative experiences are associated with slow abnormal brain waves generated in left ventrolateral frontal cortex. Given that focal slow waves often result from depriving neural networks of major input, the present results may indicate decoupling of frontal affective processors from left cortical language areas. This interpretation is consistent with the fact that disturbed access to structured verbal memory concerning traumatic events is a core feature of the dissociative experience.