Frontolimbic response to negative feedback in clinical depression

Functional neuroimaging suggests that limbic regions of the medial frontal cortex may be abnormally active in individuals with depression. These regions, including the anterior cingulate cortex, are engaged in both action regulation, such as monitoring errors and conflict, and affect regulation, such as responding to pain. The authors examined whether clinically depressed subjects would show abnormal sensitivity of frontolimbic networks as they evaluated negative feedback. Depressed subjects and matched control subjects performed a video game in the laboratory as a 256-channel EEG was recorded. Speed of performance on each trial was graded with a feedback signal of A, C, or F. By 350 ms after the feedback signal, depressed subjects showed a larger medial frontal negativity for all feedback compared with control subjects with a particularly striking response to the F grade. This response was strongest for moderately depressed subjects and was attenuated for subjects who were more severely depressed. Localization analyses suggested that negative feedback engaged sources in the anterior cingulate and insular cortices. These results suggest that moderate depression may sensitize limbic networks to respond strongly to aversive events.     

State-dependent memory effects using caffeine and placebo do not extend to metamemory

The authors examined the impact of caffeine on human memory and predictions of memory (i.e., metamemory). On Day 1, 83 college students drank a sweetened beverage containing either caffeine (4 mg/kg body weight) or a placebo before they studied 40 pairs of words. While the participants studied, they predicted their future memory performance for each word pair. On Day 2, the participants again received caffeine or a placebo before the memory test. The participants who drank the same beverage on both days (either caffeine or a placebo) recalled more word pairs than did those who drank different beverages (caffeine on 1 day and a placebo on the other day). In contrast, memory predictions were more accurate when the beverages did not match on both days. These data provide evidence for state-dependent memory when caffeine is used, but not for state-dependent metamemory. People's memory and their predictions of memory can be influenced in different ways if they drink caffeine before they study or take a test.     

Lost and Found: Reinvention of the Self Following Migration

Migration can impact on a person's identity and this assault can require reworking or establishing aspects of the self. The study involved a cross sectional design, using both quantitative and qualitative methodologies to establish the impact of migration on women from the United Kingdom (UK) and Eire (N = 154) now living in Australia. A major aim was to determine whether the impact of multiple loss (loss of home, major attachment figure, family, community, culture, and social networks) can cause a grief reaction and threatened a person's identity, and, if so, what strategies might be used to buffer this impact and assist reinvention of the self. Bowlby's grieving process was used as a theoretical framework. Women who successfully reached the final stage were able to reinvent themselves using social strategies, whereas those less able used solitary strategies. Women, unable to reach the final stage of grieving, suffered psychological distress. The study has implications for future migrants. Migrants who use appropriate strategies to enable settlement and reinvention are also likely to achieve a sense of belonging to the new place.     

Making the Parents as Partners Principle a Reality: The Role of the Alliance

We explore the dimensions of the Parents as Partners principle, the widely touted, but somewhat elusive construct in the literature on treating children with serious mental illness, whose poorly defined boundaries, lack of empirical grounding, and overemphasis on instrumental dimensions attenuates its usefulness as a guide for practice and research. Four major barriers to the realization of this principle are outlined, all of which may impede actualizing partnership in practice and may also inhibit the early formation of a positive clinician/parent alliance, a neglected, though key dimension of true partnership practice. The alliance, which has a long clinical and research history in psychotherapy and behavioral research, and more recently, in a variety of community-based interventions, is a precursor to active client partnership with helpers and to treatment participation, as well as therapeutic in its own right. After reviewing relevant alliance research, we close with a beginning research agenda to incorporate the alliance as an integral component of future conceptualization and research about the Parents as Partners principle.     

The Prophylactic Mastectomy Dilemma: A Support Group for Women at High Genetic Risk for Breast Cancer

The goal of this pilot study was to test the usefulness of a six session psychoeducational support group for women at high genetic risk for breast cancer who were considering prophylactic mastectomy. The themes of the group sessions included overestimation of and anxiety about risk; desire for hard data; the emotional impact of watching a mother die of breast cancer; concerns about spouse reactions; self- and body image; the decision-making process; and confusion over whom to trust in decision making. Both the participants and the multidisciplinary leaders concluded that as a supplement to individual counseling, a support group is a beneficial and cost-effective treatment modality. Recommendations for the optimal format for such a group are described.     

Name that tune: Identifying popular recordings from brief excerpts

We tested listeners’ ability to identify brief excerpts from popular recordings. Listeners were required to match 200- or 100-msec excerpts with the song titles and artists. Performance was well above chance levels for 200-msec excerpts and poorer but still better than chance for 100-msec excerpts. Performance fell to chance levels when dynamic (time-varying) information was disrupted by playing the 100-msec excerpts backward and when high-frequency information was omitted from the 100-msec excerpts; performance was unaffected by the removal of low-frequency information. In sum, successful identification required the presence of dynamic, high-frequency spectral information.     

A Story of Her Own: Hester Lynch Piozzi's Autobiography

This essay examines the autobiography of Hester Lynch Piozzi and contextualizes her story within eighteenth-century ideologies of gender and aging. From a narrative understanding of identity, autobiographical writing serves as one of the many stories that constitute an individual's identity. This reading of Piozzi's account finds that it functions both as an act of reminiscing and as an effort to give meaning to life that was often misunderstood. Considering Piozzi as a woman who lived most of her life outside of the social and cultural expectations for a middle class female of her era, this essay suggests the importance of listening to and retelling the stories of others as well as our own.