Associations between childhood trauma and emotion-modulated psychophysiological responses to startling sounds: a study of police cadets

Childhood trauma may confer risk for adult psychopathology by altering emotional and physiological responses to subsequent stressors. Few studies have distinguished effects of childhood trauma from effects of current Axis I psychopathology on adult psychophysiological reactivity. The authors exposed 90 psychiatrically healthy police cadets to startling sounds under increasing threat of shock while assessing their eyeblink electromyogram (EMG), skin conductance (SC), and heart rate responses. When compared with those who did not endorse early trauma (n = 65), cadets reporting childhood trauma (n = 25) reported less positive emotion and showed greater SC responses across all threat levels. They also showed threat-dependent elevations in reported negative emotions and EMG responses. Results suggest that childhood trauma may lead to long-lasting alterations in emotional and psychophysiological reactivity even in the absence of current Axis I psychopathology.     

Alcohol: Effects on Neurobehavioral Functions and the Brain

Alcoholism results from an interplay between genetic and environmental factors, and is linked to brain defects and associated cognitive, emotional, and behavioral impairments. A confluence of findings from neuroimaging, physiological, neuropathological, and neuropsychological studies of alcoholics indicate that the frontal lobes, limbic system, and cerebellum are particularly vulnerable to damage and dysfunction. An integrative approach employing a variety of neuroscientific technologies is essential for recognizing the interconnectivity of the different functional systems affected by alcoholism. In that way, relevant experimental techniques can be applied to assist in determining the degree to which abstinence and treatment contribute to the reversal of atrophy and dysfunction.     

Visual category-selectivity for faces, places and objects emerges along different developmental trajectories

The organization of category-selective regions in ventral visual cortex is well characterized in human adults. We investigated a crucial, previously unaddressed, question about how this organization emerges developmentally. We contrasted the developmental trajectories for face-, object-, and place-selective activation in the ventral visual cortex in children, adolescents, and adults. Although children demonstrated adult-like organization in object- and place-related cortex, as a group they failed to show consistent face-selective activation in classical face regions. The lack of a consistent neural signature for faces was attributable to (1) reduced face-selectivity and extent of activation within the regions that will become the FFA, OFA, and STS in adults, and (2) smaller volumes and considerable variability in the locus of face-selective activation in individual children. In contrast, adolescents showed an adult-like pattern of face-selective activation, although it was more right-lateralized. These findings reveal critical age-related differences in the emergence of category-specific functional organization in the visual cortex and support a model of brain development in which specialization emerges from interactions between experience-dependent learning and the maturing brain.     

Executive functions after age 5: Changes and correlates

Research and theorizing on executive function (EF) in childhood has been disproportionately focused on preschool age children. This review paper outlines the importance of examining EF throughout childhood, and even across the lifespan. First, examining EF in older children can address the question of whether EF is a unitary construct. The relations among the EF components, particularly as they are recruited for complex tasks, appear to change over the course of development. Second, much of the development of EF, especially working memory, shifting, and planning, occurs after age 5. Third, important applications of EF research concern the role of school-age children’s EF in various aspects of school performance, as well as social functioning and emotional control. Future research needs to examine a more complete developmental span, from early childhood through late adulthood, in order to address developmental issues adequately.     

Cued visual attention does not distinguish between occluded and occluding objects

Does visual attention spread from the cued end of an occluded object to locations occupied by inferred portions of that object? We investigated this question by using a probe detection paradigm with two-dimensional (2-D) displays of occluded objects. Probes could appear in occluded or nonoccluded locations on either a cued or noncued object. Participants responded faster to probes appearing within the region of space occupied by the cued object. This was true not only when the probe appeared in positions separated from the cued location by an occluder (as demonstrated by Moore, Yantis, & Vaughan, 1998), but also when it appeared in positions on the occluder itself. Thus, results suggest that cued facilitation spreads to regions of noncued occluding objects that overlap cued occluded objects in 2-D space.     

Recognition of Facial Expressions of Emotion by Children with Emotional and Behavioral Disorders

Interpreting and responding appropriately to facial expressions of emotion are important aspects of social skills. Some children, adolescents, and adults with various psychological and psychiatric disorders recognize facial expressions less proficiently than their peers in the general population. We wished to determine if such deficits existed in a group of 133 children and adolescents with emotional and behavioral disorders (EBD). The subjects were receiving in-patient psychiatric services for at least one of substance-related disorders, adjustment disorders, anxiety disorders, mood disorders or disruptive behavior disorders. After being read stories describing various emotional reactions, all subjects were tested for their ability to recognize the 6 basic facial expressions of emotion depicted in Ekman and Friesen's (1976) normed photographs. Overall, they performed well on this task at levels comparable to those occurring in the general population. Accuracy increased with age, irrespective of gender, ethnicity, or clinical diagnosis. After adjusting for age effects, the subjects diagnosed with either adjustment disorders, mood disorders, or disruptive behavior disorders were significantly more accurate at identifying anger than those without those diagnoses. In addition, subjects with mood disorders identified sadness significantly more accurately than those without this diagnosis, although the effect was greatest with younger children.     

PHYSICAL AND PSYCHIATRIC CORRELATES OF GENDER DISCRIMINATION

We tested the model that sexist discrimination, measured by the Schedule of Sexist Events (SSE), would account for additional variance in women's physical and psychiatric symptoms, above and beyond that accounted for by generic stressors. A series of hierarchical regression analyses, predicting symptoms on 10 different symptom outcome measures from generic stress and sexist stress (discrimination) were conducted, with the generic stressors entered on the first step and sexist discrimination on the second. Results revealed that sexist discrimination contributed significantly to the variance in women's symptoms, accounting for additional variance in those symptoms. Furthermore, sexist discrimination accounted for more of the variance than did generic stressors in premenstrual, depressive, obsessive-compulsive, somatic, and total psychiatric and physical symptoms. These findings varied with the age and ethnicity of the women and with the symptom measure used, but nonetheless suggest that sexist discrimination plays a significant role in women's most prevalent symptoms.     

Dependence: A means or an impediment to growth?

Dependence is generally viewed negatively, and in therapeutic situations it is often considered to be 'unhealthy'. In object relations theory and attachment theory, however, it is acknowledged that dependent or care-seeking behaviour is activated even in 'healthy' adults in times of distress. This suggests that dependency is likely to be an issue for all professionals whose work involves a counselling element. In order to investigate views of dependency in the therapeutic relationship, an exploratory qualitative study was conducted with three focus groups. The resulting data indicate considerable concern relating to issues of dependency, and a need for more rigorous research into the management of client dependency.