Th.o.m.a.s.: an exploratory assessment of Theory of Mind in schizophrenic subjects

A large body of literature agrees that persons with schizophrenia suffer from a Theory of Mind (ToM) deficit. However, most empirical studies have focused on third-person, egocentric ToM, underestimating other facets of this complex cognitive skill. Aim of this research is to examine the ToM of schizophrenic persons considering its various aspects (first- vs. second-order, first- vs. third-person, egocentric vs. allocentric, beliefs vs. desires vs. positive emotions vs. negative emotions and how each of these mental state types may be dealt with), to determine whether some components are more impaired than others. We developed a Theory of Mind Assessment Scale (Th.o.m.a.s.) and administered it to 22 persons with a DSM-IV diagnosis of schizophrenia and a matching control group. Th.o.m.a.s. is a semi-structured interview which allows a multi-component measurement of ToM. Both groups were also administered a few existing ToM tasks and the schizophrenic subjects were administered the Positive and Negative Symptoms Scale and the WAIS-R. The schizophrenic persons performed worse than control at all the ToM measurements; however, these deficits appeared to be differently distributed among different components of ToM. Our conclusion is that ToM deficits are not unitary in schizophrenia, which also testifies to the importance of a complete and articulated investigation of ToM.     

Transcranial Direct Current Stimulation of the Left Temporal Lobe Modulates Insight

Creativity is the ability to come up with new and original solutions to problems. It is characterized along a dipole spectrum, with the opposing ends defined as convergent and divergent thinking. Previous studies have provided evidence that various cognitive functions and insight into non-verbal problems can be enhanced using non-invasive brain stimulation. The aim of this pilot study was to investigate whether convergent and divergent thinking, as well as insight, can be modulated by transcranial direct current stimulation (tDCS) over the anterior temporal lobe (ATL). Bilateral tDCS (1.5 mA, 20 minutes) was used to modulate activity of the right (AR tDCS) and the left (AL tDCS) ATL. Twenty-one participants performed a divergent thinking test (DTT) during tDCS, while a Remote Associates Task (RAT) was administered before and after tDCS to assess convergent thinking. A control experiment, using a Simple Reaction Time (SRT) Task, was conducted in 10 subjects before and after ATL tDCS in order to investigate whether its effects reflect attention or motor effects on the dominant hand. Results from this preliminary study showed that AL tDCS reduced RAT reaction times (RTs) by 20%. Both AL and AR tDCS did not change RAT accuracy, or the DTT total or sub-item scores. No differences were found in the SRT task after either AL or AR tDCS. These findings suggest that left but not right ATL is involved in convergent thinking. Conversely, both left and right temporal cortex tDCS-induced excitability changes failed to modulate divergent thinking. Limitations are discussed.     

Neuropsychological tools to predict conversion from amnestic mild cognitive impairment to dementia. The TREDEM Registry

Most of the studies about conversion from Mild cognitive impairment (MCI) to dementia have focused on amnestic MCI (aMCI) which is considered a preclinical phase of Alzheimer’s disease. The aim of the present study was to identify neuropsychological tools that would best predict conversion from aMCI to dementia. Fifty-five aMCI subjects on the Treviso Dementia Registry were investigated. They underwent a neuropsychological evaluation during their first assessment and again at follow-up. Cox proportional-hazard regression models were created to measure the association between the dependent variable (dementia diagnosis or MCI status maintenance) and the neuropsychological test scores at baseline. The sample (28 women and 27 men; mean age 76.82 ± 5.88 years; education 7.62 ± 3.99 years) was observed for an average time of 2.17 ± 1.25 years. A Cox backward stepwise regression showed that the Rey Auditory Verbal Learning Test, Delayed Recall (p = .041) and Semantic Verbal Fluency tests (p = .031) appear to be useful in predicting conversion to dementia.     

Why is Facebook so successful? Psychophysiological measures describe a core flow state while using Facebook

People are more and more using social networking sites (SNSs) like Facebook and MySpace to engage with others. The use of SNSs can have both positive and negative effect on the individual; however, the increasing use of SNSs might reveal that people look for SNSs because they have a positive experience when they use them. Few studies have tried to identify which particular aspects of the social networking experience make SNSs so successful. In this study we focus on the affective experience evoked by SNSs. In particular, we explore whether the use of SNSs elicits a specific psychophysiological pattern. Specifically, we recorded skin conductance, blood volume pulse, electroencephalogram, electromyography, respiratory activity, and pupil dilation in 30 healthy subjects during a 3-minute exposure to (a) a slide show of natural panoramas (relaxation condition), (b) the subject's personal Facebook account, and (c) a Stroop and mathematical task (stress condition). Statistical analysis of the psychophysiological data and pupil dilation indicates that the Facebook experience was significantly different from stress and relaxation on many linear and spectral indices of somatic activity. Moreover, the biological signals revealed that Facebook use can evoke a psychophysiological state characterized by high positive valence and high arousal (Core Flow State). These findings support the hypothesis that the successful spread of SNSs might be associated with a specific positive affective state experienced by users when they use their SNSs account.     

Understanding of action-related and abstract verbs in comparison: a behavioral and TMS study

Does the comprehension of both action-related and abstract verbs rely on motor simulation? In a behavioral experiment, in which a semantic task was used, response times to hand-action-related verbs were briefer than those to abstract verbs and both decreased with repetition of presentation. In a transcranial magnetic stimulation (TMS) experiment, single-pulse stimulation was randomly delivered over hand motor area of the left primary motor cortex to measure cortical-spinal excitability at 300 or 500 ms after verb presentation. Two blocks of trials were run. In each block, the same verbs were randomly presented. In the first block, stimulation induced an increase in motor evoked potentials only when TMS was applied 300 ms after action-related verb presentation. In the second block, no modulation of motor cortex was found according to type of verb and stimulation-delay. These results confirm that motor simulation can be used to understand action rather than abstract verbs. Moreover, they suggest that with repetition, the semantic processing for action verbs does not require activation of primary motor cortex anymore.     

Receiving slaps,receiving words. The violence of separation in a public service time limited psychotherapy group for adolescents

The authors propose a reflection on a time-limited psychoanalytic group for children, adolescents and families, run in a public service. Some patients in the group give accounts of violent relationships and traumatic experiences. The accounts of violent, interpersonal and intrapsychic relationships influence the group’s capacity of thinking, which leads to difficulties in the processing of symbolic aspects. The fundamental question is that of whether it is possible to work in a time-limited, institutional, psychoanalytical framework, in which psychotherapists have to attempt to give meaning to experiences which take place in a repetitive present, in a space/time in which the prospect of a conclusion appears to be inconceivable. By means of a clinical example, and with particular emphasis on the first sessions and the dream brought up by a patient who has been a victim of domestic violence, the authors discuss the possibility of modifying, chiefly from within, the feeling of the immutability of early psychic material, which is itself intrinsically violent.     

Subthreshold bipolar traits and suicide risk among undergraduates

Data from a sample of 500 undergraduate students showed that depression scores were more strongly correlated with suicide risk than were mania scores, uggesting that such traits should be routinely screened to evaluate suicide risk.     

Eudaimonic Well-Being in Transsexual People,Before and After Gender Confirming Surgery

Gender confirming surgery (GCS) and cross-sex hormones (CSH) are crucial steps in the self-realization of a transsexual individual. However, no study has analyzed the outcome of GCS in a eudaimonic perspective, nor explored eudaimonic well-being before GCS. The study compares the eudaimonic well-being of trans men (N = 56) and women (N = 89) before and after GCS; in the MtF sample, a further comparison was carried out between those who never started any medical intervention and those who were already taking CSH. Finally, the impact of experiences of harassment, discrimination and violence on eudaimonic well-being in the post-surgery sample was explored. All participants completed the Psychological Well-being Scales (Ryff in J Pers Soc Psychol 57:1069–1081, 1989) and, only the post-surgery sample, a questionnaire to assess previous experiences of harassment, discrimination and violence. Both in MtF and FtM participants, those who already received GCS showed higher scores on self-acceptance; in the MtF sample, higher scores were also found on environmental mastery and lower scores on personal growth. The association between experiences of discrimination on well-being was limited and positive, with higher scores in personal growth only in FtM participants who reported being victims of such experiences. Our results suggest that both MtF and FtM transsexuals show higher levels of eudaimonic well-being after GCS.     

Fuzzy picture processing: effects of size reduction and blurring on emotional processing

Previous studies have suggested that picture size reduction affects emotional reactions, possibly because scenes subtending a small visual angle are perceived as being more distant and less relevant compared to larger stimuli. However, pictures that subtend a small visual angle also contain few fine-grained details, which may determine less vivid representations and responses compared to larger and more detailed images. Critically, the present study compared two different types of manipulations, namely size reduction and low-pass spatial filtering, which determined similar detail loss but affected visual angles differently. Affective modulation was assessed using an evaluative task and a behavioral interference task. Results showed that the availability of fine-grained details, independently of visual angle, modulated emotional evaluation. Moreover, interference in an unrelated task was unaffected by either size reduction or low-pass spatial filtering. These findings suggest that high spatial frequencies affect subjective emotional response whereas attentional capture by affective stimuli seems to rely on information that is sufficient to allow a categorization of picture content.