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.     

Age differences in forgivingness: The role of transgression frequency and intensity

The present study examined age differences in the disposition to forgive others and the role of interpersonal transgression frequency and intensity. Data from a representative cross-sectional sample of Swiss adults (N = 451, age: 20–83 years) were used. Participants completed a self-report measure of forgivingness and indicated whether and how intense they have experienced different types of interpersonal transgressions during the past 12 months. Results indicate that older adults were, on average, more willing to forgive others than younger adults. Frequency and intensity of transgressions were negatively related with age. Moreover, the results show that transgression frequency and intensity explained, in part, age differences in forgivingness. Future directions concerning the meaning of age differences in forgivingness are discussed.     

The Occipital Cortex in the Blind

ABSTRACT— Studying the brains of blind individuals provides a unique opportunity to investigate how the brain changes and adapts in response to afferent (input) and efferent (output) demands. We discuss evidence suggesting that regions of the brain normally associated with the processing of visual information undergo remarkable dynamic change in response to blindness. These neuroplastic changes implicate not only processing carried out by the remaining senses but also higher cognitive functions such as language and memory. A strong emphasis is placed on evidence obtained from advanced neuroimaging techniques that allow researchers to identify areas of human brain activity, as well as from lesion approaches (both reversible and irreversible) to address the functional relevance and role of these activated areas. A possible mechanism and conceptual framework for these physiological and behavioral changes is proposed.     

Peer interaction in child care centres at 15 and 23 months: stability and links with children's socio-emotional adjustment

In this longitudinal study, 70 children were observed during 90 min of free play in their child care centres at 15 and 23 months of age. The children (39 boys and 31 girls) attended 51 different care groups in 39 centres. The occurrence and stability of peer interactions in the second year of life and their relations to children's socio-emotional adjustment were examined. The frequency of children's negative initiatives towards peers showed significant inter-individual stability from 15 to 23 months and predicted child aggressive/disruptive behaviour at 23 months as rated by professional caregivers in child care. Involvement in positive interactions with peers, and particularly positive responses to peer behaviours at 15 months, predicted well-being in child care at 23 months as rated by professional caregivers. The frequency of negative initiatives towards peers significantly increased and the frequency of positive responses to peer behaviours significantly decreased from 15 to 23 months.     

Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study

The objective of this study was to evaluate and compare the efficacy of two short-term individual therapy interventions for sexually abused girls and their nonoffending female caretakers. Thirty-two girls, ages 8 to 13, and their caretakers from primarily low-income, African-American families were randomly assigned to a theoretically based, structured experimental treatment program or to a relatively unstructured comparison intervention. Measures of child outcome were completed before and after the treatment program by each parent and child, and by a clinician blind to treatment condition. Pre- and postmeasures of maternal outcome were completed by the caretaker and a clinician not involved in the treatment. Both treatment programs yielded decreases in children's posttraumatic stress disorder symptoms and traumagenic beliefs reflecting self-blame and powerlessness, and increases in children's overall psychosocial functioning. The experimental intervention was more effective than the comparison program in increasing abuse-related caretaker support of the child and in decreasing caretaker self-blame and expectations of undue negative impact of the abuse on the child. Clinical impfications of these findings include the development of interventions targeting sexually abused children's traumagenic beliefs and nonoffending parents' support of their victimized children.This research was supported by the Emory Medical Care Foundation and the Children's Trust Fund of Georgia. Preliminary findings were presented at the Society for Research in Child Development, New Orleans, March 1993.The authors thank the clinic families, volunteer therapists, and project staff members whose work together made this research possible. Core project staff members other than the authors include Milonne Ambroise, Mary Lynn Dell, Sherry Dey, Beth Dreelin, Jenny Gould, Katherine January, Suzann Lawry, Marie Simmons, and Lisseth Rojas.     

Putnam,Searle, and externalism

Summary To sum up, then, both kinds of Putnam's arguments established externalism, though they suffer from several defects. Yet, I think Searle's discussion of these arguments contributes to our understanding of what makes externalism true, and forces us to accept a moderate version of externalism. Searle's own account of the TE story shows us, within a solipsistic outline, how two identical mental states can be directed towards different objects, and further, that the content-determination of indexical thoughts does not necessarily involve external factors. We are thus led to search elsewhere (i.e., not in the nature of indexical thoughts nor in the mere fact of there being identical thoughts with different intentionalities) for what makes the thoughts in question external. Searle formulates the thesis that intension determines extension as asserting that intension sets certain conditions that anything has to meet in order to fall under its extension. I showed that this is a trivial and implausible understanding of that thesis. Yet, it leads us to distinguish between an intension's setting conditions for falling under its extension and its fully determining such conditions, and thus to see in what sense externalism is true: in the sense that there are intensions that do not fully determine the conditions for falling under their extensions. Rather, they leave indeterminacies. This version of externalism is a moderate one, since though the intensions do not fully determine extensions, they, so to speak, determine their indeterminacies, by specifying the possible external facts that can complete the determination of extension. (The intensions, as I said, function like open sentences, and can be viewed as narrow contents.) So what's in the head plays a much more important role in determining content than Putnam takes it to play. Searle's pointing out that Hilary's concepts elm and beech are different also contributes to seeing this phenomenon: we realize that in that case the difference between the concepts is what is responsible for the fact that the completions of the extension-determinations are different. I think that this way of viewing the facts shows that the externalist turn is not a great revolution, and that with the help of the concept of narrow content we can accept it without abandoning the traditional views about the mind as the source of content, and without being embarrassed by the very idea of (realistic) belief-desire psychology.     

RELATIONS BETWEEN PREDICTION- AND ESTIMATION-RESPONSES IN CUE-PROBABILITY LEARNING AND TRANSFER

B auer M arianne Relations between prediction- and estimation-responses in cue-probability learning and transfer. Scand. J. Psychol ., 1972, 13 , 198–207. —Comparisons were made between prediction- and estimation-responses, preceded by training with different types of responding and when task probabilities were shifted. The main results were: ( a ) differential effects of procedure of learning and shift in task structure on predictions and estimates support the hypothesis of two different processes, ( b ) estimates as indicators of probability learning reflect traits assumed to characterize the perception process, viz. sensitivity to shifts in probabilities, and robustness against influence from procedure of learning, and ( c ) prediction-responses were affected in the direction of more extreme responses by simultaneous estimation, which result strengthens the supposition that probability estimates are insufficient as indicators of the complete perception process in a prediction task.     

Implicit memory bias for threat-relevant information in individuals with generalized social phobia

The authors used a noise judgment task to investigate implicit memory bias for threat in individuals with generalized social phobia (GSP). Participants first heard neutral sentences (e.g., "The manual tells you how to set up the tent.") and social-threat sentences (e.g., "The classmate asks you to go for drinks."). Implicit memory for these sentences was then tested by asking participants to rate the volume of noise accompanying the presentation of these "old" sentences intermixed with "new" sentences that had not been previously presented. Implicit memory for old sentences is revealed when participants rate the noise accompanying old sentences as less loud than the noise accompanying new sentences. Those with GSP demonstrated an implicit memory bias for social-threat sentences, whereas controls did not. This differential priming effect suggests that information about threat may be automatically accessed in GSP.     

Psychoanalysis--Myth and Science: The Challenge to Become Open-Minded to Infinite Complexity

The American Journal of Psychoanalysis -