Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial

The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consisted of 10 weekly 60 min sessions. The TRT treatment consisted of one 150 min session, one 30 min follow-up and continued daily use of wearable sound generators for a recommended period of at least 8 h/day for 18 months. Assessments were made at baseline, 10 weeks, 6 months and 18 months. At 10 weeks, results showed a superior effect of ACT in comparison with the WLC regarding tinnitus impact (Cohen’s d = 1.04), problems with sleep and anxiety. The results were mediated by tinnitus acceptance. A comparison between the active treatments, including all assessment points, revealed significant differences in favour of ACT regarding tinnitus impact (Cohen’s d = 0.75) and problems with sleep. At 6 months, reliable improvement on the main outcome measure was found for 54.5% in the ACT condition and 20% in the TRT condition. The results suggest that ACT can reduce tinnitus distress and impact in a group of normal hearing tinnitus patients.     

Why Levelling Down could be Worse for Prioritarianism than for Egalitarianism

Derek Parfit has argued that, in contrast to prioritarianism, egalitarianism is exposed to the levelling down objection, i.e., the objection that it is absurd that a change which consists merely in the betteroff losing some of their well-being should be in one way for the better. In reply, this paper contends that (1) there is a plausible form of egalitarianism which is equivalent to another form of prioritarianism than the Parfitian one, a relational rather than an absolute form of prioritarianism, and that (2), although this relational or egalitarian form of prioritarianism is hit by the levelling down objection, the Parfitian form is also hit by it, or worse objections, if it is fully worked out.

Women’s occupational career patterns over 27 years: Relations to family of origin, life careers, and wellness

This study aimed at identifying and describing occupational career patterns (OCPs) from age 16 to 43 by applying optimal matching techniques to sequence data obtained from a sample of Swedish women. Women’s occupational trajectories were found to be diverse. Upward mobility (3 patterns) and stable careers (4 patterns) were prevalent, but there were also women characterized by downward mobility, fluctuation and being outside the labor market (1 pattern each). Women’s OCPs were related to family of origin, but more strongly to their overall life career (i.e., multiple role constellations over the life course). The study indicates that occupational mobility patterns do matter in terms of job perceptions, work attitudes, and quality of life. The results generally confirm the popular belief of the advantage of upward mobility, followed by stable occupational careers, whereas women with downward or fluctuating careers fared worst.     

Staying in or moving away from structured activities: Explanations involving parents and peers

Adolescent participation in structured activities, meaning those with adult leaders, regular meetings, and skill-building activities, is related to good adjustment. Participation in unstructured, unsupervised, peer-oriented activities is related to poor adjustment. Structured activity participation is high in early adolescence and then declines, raising the question of why youths leave structured activities. The authors examined explanations involving parents and peers. They used longitudinal data from 861 youths (ages 13-17 years). Results showed that, compared with youths who stayed in structured activities, those who switched to hanging out on the streets were less likely to have peers in structured activities and had less positive feelings about the home context and more negative interactions with parents. In addition, delinquency predicted switching to hanging out in the streets and never joining structured activities in the first place. The results concerning parents support a theoretical explanation of how parents might unintentionally affect youths' leisure choices. Furthermore, the authors found some indications that positive feelings at home might protect youths who switch from structured activities to hanging out on the streets from increases in delinquency.     

Inferences from memory: strategy- and exemplar-based judgment models compared

What are the cognitive processes underlying people's inferences from memory? To provide an answer, the exemplar-based approach to predicting people's inferences is tested against the strategy-based approach. Exemplar models assume that people make inferences about objects by retrieving similar objects from memory. In contrast, the strategy-based approach assumes that people select cognitive strategies that make inferences based on abstracted knowledge and information the inference situation provides. In Experiment 1, in which dichotomous feedback on the level of pair-comparisons was provided, almost all participants were classified as using a simple lexicographic strategy. In Experiment 2, in which continuous feedback for single objects was provided, most participants were classified as using a compensatory strategy. Both experiments suggest that the strategy-based approach is more suitable for predicting people's inferences from memory than the exemplar-based approach. The strategy-based approach shows how people adapt to inference situations by selecting different cognitive strategies.     

Brain dynamics of word familiarization in 20-month-olds: effects of productive vocabulary size

The present study investigated the brain mechanisms involved during young children's receptive familiarization with new words, and whether the dynamics of these mechanisms are related to the child's productive vocabulary size. To this end, we recorded event-related potentials (ERPs) from 20-month-old children in a pseudoword repetition task. Results revealed distinct patterns of repetition effects for children with large and small productive vocabularies. High producers showed evidence of recognizing the novel words already after three presentations, while the low producers needed five presentations to display a recognition effect. The familiarization process was manifested in the modulations of two components, the N200-400 and a later fronto-central component, which appeared to increase in amplitude until a certain level of encoding was reached and then decrease with further repetition. These findings suggest a relation between the onset of the productive vocabulary spurt and the rate of receptive word familiarization.     

Formal Schooling Influences Two- but Not Three-Dimensional Naming Skills

The modulatory influence of literacy on the cognitive system of the human brain has been indicated in behavioral, neuroanatomic, and functional neuroimaging studies. In this study we explored the functional consequences of formal education and the acquisition of an alphabetic written language on two- and three-dimensional visual naming. The results show that illiterate subjects perform significantly worse on immediate naming of two-dimensional representations of common everyday objects compared to literate subjects, both in terms of accuracy and reaction times. In contrast, there was no significant difference when the subjects named the corresponding real objects. The results suggest that formal education and learning to read and to write modulate the cognitive process involved in processing two- but not three-dimensional representations of common everyday objects. Both the results of the reaction time and the error pattern analyses can be interpreted as indicating that the major influence of literacy affects the visual system or the interaction between the visual and the language systems. We suggest that the visual system in a wide sense and/or the interface between the visual and the language system are differently formatted in literate and illiterate subjects. In other words, we hypothesize that the pattern of interactions in the functional-anatomical networks subserving visual naming, that is, the interactions within and between the visual and language processing networks, differ in literate and illiterate subjects.     

Equality, Priority and Person-Affecting Value

Derek Parfit has argued that (Teleological) Egalitarianism is objectionable by breaking a person-affecting claim to the effect that an outcome cannot be better in any respect - such as that of equality - if it is better for nobody. So, he presents the Priorty View, i.e., the policy of giving priority to benefiting the worse-off, which avoids this objection. But it is here argued, first, that there is another person-affecting claim that this view violates. Secondly, Egalitarianism can be construed as person-affecting in a weaker sense. Thirdly, it is possible to construct a Relational version of the Priority View which incorporates the Egalitarian value of just equality in this sense. Two reasons are given for why this Relational View and Egalitarianism are superior to the Parfitian Absolute Priority View. However, no attempt is made to abjudicate between the first two views, the main point being that they both accept the value of just equality in the same sense.