Changes in natural language use as an indicator of psychotherapeutic change in personality disorders

Word use has been shown to reflect various psychological processes and psychological change. This study examines the self-view in personality disorders (PDs) and its change over the course of therapy using the Linguistic Inquiry and Word Count analysis procedure. A sample of 299 participants with PDs and 108 community control participants wrote short essays about their lives. Patients repeated the assignment three times over two years and completed assessments of PD-pathology, general psychopathology, PD-beliefs, and quality of life. Results show that as hypothesized the use of words in the 1st Person Singular Pronouns, Negative Emotion, Causation, Past and Future Tense Verbs categories significantly declines over the course of treatment, while the use of Present Tense Verbs and Positive Emotion increases. These categories tend to distinguish patients from non-patients prior to treatment. We also found 12 additional word categories changing over time, including Word Count and Negations. Change in word use statistically predicts better treatment outcome on all outcome measures (p < .001). Reductions in the use of Negative Emotion Words and Negations are the strongest predictors of outcome. The non-hypothesized role of Negations was explored and seemed to reflect that PD-patients miss a lot in their lives. Reduction of what they miss seems central to recovery. This issue seems relatively neglected in theoretical and treatment models of PDs. An increased focus on what patients miss in their lives might improve our understanding and treatment of PDs. In sum, Negative Emotion and Negation word categories appear to reflect key treatment targets.     

Integration of pragmatic and phonetic cues in spoken word recognition

Although previous research has established that multiple top-down factors guide the identification of words during speech processing, the ultimate range of information sources that listeners integrate from different levels of linguistic structure is still unknown. In a set of experiments, we investigate whether comprehenders can integrate information from the 2 most disparate domains: pragmatic inference and phonetic perception. Using contexts that trigger pragmatic expectations regarding upcoming coreference (expectations for either he or she), we test listeners' identification of phonetic category boundaries (using acoustically ambiguous words on the /hi/～/∫i/ continuum). The results indicate that, in addition to phonetic cues, word recognition also reflects pragmatic inference. These findings are consistent with evidence for top-down contextual effects from lexical, syntactic, and semantic cues, but they extend this previous work by testing cues at the pragmatic level and by eliminating a statistical-frequency confound that might otherwise explain the previously reported results. We conclude by exploring the time course of this interaction and discussing how different models of cue integration could be adapted to account for our results.     

The role of the executive functions in school achievement at the end of Grade 1

The aim of this study was to determine the role of executive functions (EFs) in early school achievement when a variety of potential confounding factors were controlled. Measures of EF (inhibition, flexibility, and working memory) and school readiness were administered to a sample of 85 kindergartners (39 boys and 46 girls, 5-6 years old). School achievement was then assessed at the end of Grade 1. Results show math and reading/writing skills at the end of Grade 1 to be associated with kindergarten EFs. Only working memory contributed uniquely to the variance in school achievement after all covariates (preacademic abilities, affective variables, and family variables) were controlled and, even then, only with respect to math skills. On the other hand, working memory and inhibition had an indirect effect on reading/writing skills via anger-aggression. EF implication in school achievement is discussed in terms of task demands and child age.     

On the development and mechanics of delayed matching-to-sample performance

Despite its frequent use to assess effects of environmental and pharmacological variables on short-term memory, little is known about the development of delayed matching-to-sample (DMTS) performance. This study was designed to examine the dimensions and dynamics of DMTS performance development over a long period of exposure to provide a more secure foundation for assessing stability in future research. Six pigeons were exposed to a DMTS task with variable delays for 300 sessions (i.e., 18,000 total trials; 3,600 trials per retention interval). Percent-correct and log-d measures used to quantify the development of conditional stimulus control under the procedure generally and at each of five retention intervals (0, 2, 4, 8 and 16-s) individually revealed that high levels of accuracy developed relatively quickly under the shorter retention intervals, but increases in accuracy under the longer retention intervals sometimes were not observed until 100-150 sessions had passed, with some still increasing at Session 300. Analyses of errors suggested that retention intervals induced biases by shifting control from the sample stimulus to control by position, something that was predicted by observed response biases during initial training. These results suggest that although it may require a great deal of exposure to DMTS prior to obtaining asymptotic steady state, quantification of model parameters may help predict trends when extended exposure is not feasible.     

Young infants' eye movements over "natural" scenes and "experimental" scenes

Eye movements of 30 4-month-olds were tracked as infants viewed animals and vehicles in “natural” scenes and, for comparison, in homogeneous “experimental” scenes. Infants showed equivalent looking time preferences for natural and experimental scenes overall, but fixated natural scenes and objects in natural scenes more than experimental scenes and objects in experimental scenes and shifted fixations between objects and contexts more in natural than in experimental scenes. The findings show how infants treat objects and contexts in natural scenes and suggest that they treat more commonly used experimental scenes differently.     

Is there an advantage for recognizing multi-modal emotional stimuli?

Emotions can be recognized whether conveyed by facial expressions, linguistic cues (semantics), or prosody (voice tone). However, few studies have empirically documented the extent to which multi-modal emotion perception differs from uni-modal emotion perception. Here, we tested whether emotion recognition is more accurate for multi-modal stimuli by presenting stimuli with different combinations of facial, semantic, and prosodic cues. Participants judged the emotion conveyed by short utterances in six channel conditions. Results indicated that emotion recognition is significantly better in response to multi-modal versus uni-modal stimuli. When stimuli contained only one emotional channel, recognition tended to be higher in the visual modality (i.e., facial expressions, semantic information conveyed by text) than in the auditory modality (prosody), although this pattern was not uniform across emotion categories. The advantage for multi-modal recognition may reflect the automatic integration of congruent emotional information across channels which enhances the accessibility of emotion-related knowledge in memory.     

Emotional speech processing: disentangling the effects of prosody and semantic cues

To inform how emotions in speech are implicitly processed and registered in memory, we compared how emotional prosody, emotional semantics, and both cues in tandem prime decisions about conjoined emotional faces. Fifty-two participants rendered facial affect decisions (Pell, 2005a), indicating whether a target face represented an emotion (happiness or sadness) or not (a facial grimace), after passively listening to happy, sad, or neutral prime utterances. Emotional information from primes was conveyed by: (1) prosody only; (2) semantic cues only; or (3) combined prosody and semantic cues. Results indicated that prosody, semantics, and combined prosody-semantic cues facilitate emotional decisions about target faces in an emotion-congruent manner. However, the magnitude of priming did not vary across tasks. Our findings highlight that emotional meanings of prosody and semantic cues are systematically registered during speech processing, but with similar effects on associative knowledge about emotions, which is presumably shared by prosody, semantics, and faces.     

An Assessment of Time Involved in Pre-test Case Review and Counseling for a Whole Genome Sequencing Clinical Research Program

Whole genome sequencing (WGS) is being used for evaluation of individuals with undiagnosed disease of suspected genetic origin. Implementing WGS into clinical practice will place an increased burden upon care teams with regard to pre-test patient education and counseling about results. To quantitate the time needed for appropriate pre-test evaluation of participants in WGS testing, we documented the time spent by our clinical research group on various activities related to program preparation, participant screening, and consent prior to WGS. Participants were children or young adults with autism, intellectual or developmental disability, and/or congenital anomalies, who have remained undiagnosed despite previous evaluation, and their biologic parents. Results showed that significant time was spent in securing allocation of clinical research space to counsel participants and families, and in acquisition and review of participant’s medical records. Pre-enrollment chart review identified two individuals with existing diagnoses resulting in savings of $30,000 for the genome sequencing alone, as well as saving hours of personnel time for genome interpretation and communication of WGS results. New WGS programs should plan for costs associated with additional pre-test administrative planning and patient evaluation time that will be required to provide high quality care.