The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder

Treatment studies and particularly psychotherapeutic treatment studies of patients suffering from an adjustment disorder are very scarce, leading to insufficient evidence regarding the efficacy of treatment in this population. Whereas timely psychotherapy is known to be of benefit in the treatment of adjustment disorders, the ideal duration of psychotherapeutic interventions is not known. This study examined whether a brief 12-session focused psychodynamic psychotherapy may be as efficient as a longer intermediate-term (1?year) psychodynamic psychotherapy in treating patients suffering from an adjustment disorder. Subjects (n?=?66) were randomly assigned to either brief or intermediate psychotherapy. They were assessed by self-report measures and clinician’s evaluation at baseline, end of therapy, and 9?months after therapy was terminated. The results showed a good overall improvement in the whole group. Furthermore, brief psychotherapy was found to be as good as intermediate psychotherapy both at the end of treatment and at follow-up. Although our study was not designed to confirm the efficacy of dynamic psychotherapy in the treatment of adjustment disorders, our results suggest that brief interventions may be good enough in adjustment disorder, thus allowing treatment of a greater number of patients without compromising for the quality and suitability of treatment.     

On the time course of accessing meaning in a second language: An electrophysiological and behavioral investigation of translation recognition

In 2 experiments, relatively proficient Chinese-English bilinguals decided whether Chinese words were the correct translations of English words. Critical trials were those on which incorrect translations were related in lexical form or meaning to the correct translation. In Experiment 1, behavioral interference was revealed for both distractor types, but event-related potentials (ERPs) revealed a different time course for the 2 conditions. Semantic distractors elicited effects primarily on the N400 and late positive component (LPC), with a smaller N400 and a smaller LPC over the posterior scalp but a larger LPC over the anterior scalp relative to unrelated controls. In contrast, translation form distractors elicited a larger P200 and a larger LPC than did unrelated controls. To determine whether the translation form effects were enabled by the relatively long, 750-ms stimulus onset asynchrony (SOA) between words, a 2nd ERP experiment was conducted using a shorter, 300-ms, SOA. The behavioral results revealed interference for both types of distractors, but the ERPs again revealed different loci for the 2 effects. Taken together, the data suggest that proficient bilinguals activate 1st-language translations of words in the 2nd language after they have accessed the meaning of those words. The implications of this pattern for claims about the nature of cross-language activation when bilinguals read in 1 or both languages are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

What lies behind postnatal depression: is it only a mood disorder?

Postnatal depression (PND) is a common condition that has been extensively researched specifically because of its negative impact on the mother-infant relationship. Psychiatric research has looked at comorbidity of major depressive disorder and found it to be strongly associated with Axis II disorders. This study's principal aim was to investigate whether there is a greater incidence of personality disorder (PD) among a PND population than among a non-PND population at 3 months postpartum. A secondary aim was to define the different types of PD. Depression was assessed with the Montgomery and Asberg Depression Rating Scale (MADRS), and PD was assessed with the Structured Interview for DSM-IV Personality Disorders (SIDP-IV) in 109 women with their 12-week-old infants. Twice as many depressed mothers had PD. The PND group presented a greater number of severe clinical symptoms than the nondepressed group (p < .002). Further research is necessary to reexamine the heterogeneity of PND and reassess its impact on infant development.     

Telehealth for persons with severe functional disabilities and their caregivers: facilitating self-care management in the home setting

Persons with severe functional disabilities are the highest users of health care services. Caring for the needs of this population represents a significant percentage of our national health care costs. A growing body of research has demonstrated the efficacy of self-management strategies and caregiver engagement for effective long-term care for individuals with chronic medical conditions. Economic forces over the past decade have led to new challenges and resulted in major changes in health care delivery resulting in shortened length of inpatient stays and greater limits on the length of outpatient treatment. Telehealth is an innovative method for health care delivery and a means of meeting this new challenge. This article highlights the findings of 3 pilot studies on the use of telecommunications technologies in promoting self-care management and enhancing health care outcomes in persons with severe disabilities and their family caregivers. The importance of matching technology to the needs of this population, lessons learned from these investigations, and future directions for research are addressed.     

Imageability estimates for 3,000 disyllabic words

We provide imageability estimates for 3,000 disyllabic words (as supplementary materials that may be downloaded with the article from www.springerlink.com ). Imageability is a widely studied lexical variable believed to influence semantic and memory processes (see, e.g., Paivio, 1971). In addition, imageability influences basic word recognition processes (Plaut, McClelland, Seidenberg, & Patterson, 1996). In fact, neuroimaging studies have suggested that reading high- and low-imageable words elicits distinct neural activation patterns for the two types e.g., Bedny & Thompson-Schill (Brain and Language 98:127-139, 2006; Graves, Binder, Desai, Conant, & Seidenberg NeuroImage 53:638-646, 2010). Despite the usefulness of this variable, imageability estimates have not been available for large sets of words. Furthermore, recent megastudies of word processing e.g., Balota et al. (Behavior Research Methods 39:445-459, 2007) have expanded the number of words that interested researchers can select according to other lexical characteristics (e.g., average naming latencies, lexical decision times, etc.). However, the dearth of imageability estimates (as well as those of other lexical characteristics) limits the items that researchers can include in their experiments. Thus, these imageability estimates for disyllabic words expand the number of words available for investigations of word processing, which should be useful for researchers interested in the influences of imageability both as an input and as an outcome variable.     

Diagnosticity and the base-rate effect

A common judgmental task involves predicting the category membership of an individual on the basis of information specific to that individual and background information regarding the base rate of different categories. According to statistical theory, predictions may deviate from base rates only to the extent that the individuating information is diagnostic. Previous research has demonstrated that diagnosticity is often judged by “representativeness,” the degree to which the individuating information is differentially suggestive of the different possible categories. Thus, information with high differential representativeness will swamp base-rate information even if it is almost worthless (e.g., because its source is unreliable). The present studies varied differential representativeness by manipulating the prediction categories’ similarity to one another vis-a-vis the individuating information. It was found that the effect of the base rate increased systematically as differential representativeness decreased. Representativeness was measured independently by several converging techniques. These measures predicted the magnitude of the base-rate effect, supporting the hypothesis that neutral stimuli are assigned to categories in proportion to the base rates.     

Some teasers concerning conditional probabilities

A family of notorious teasers in probability is discussed. All ask for the probability that the objects of a certain pair both have some property when information exists that at least one of them does. These problems should be solved using conditional probabilities, but cause difficulties in characterizing the conditioning event appropriately. In particular, they highlight the importance of determining the way information is being obtained. A probability space for modeling verbal problems should allow for the representation of the given outcome and the statistical experiment which yielded it. The paper gives some psychological reasons for the tricky nature of these problems, and some practical tips for handling them.     

The base-rate fallacy in probability judgments

The base-rate fallacy is people's tendency to ignore base rates in favor of, e.g., individuating information (when such is available), rather than integrate the two. This tendency has important implications for understanding judgment phenomena in many clinical, legal, and social-psychological settings. An explanation of this phenomenon is offered, according to which people order information by its perceived degree of relevance, and let high-relevance information dominate low-relevance information. Information is deemed more relevant when it relates more specifically to a judged target case. Specificity is achieved either by providing information on a smaller set than the overall population, of which the target case is a member, or when information can be coded, via causality, as information about the specific members of a given population. The base-rate fallacy is thus the result of pitting what seem to be merely coincidental, therefore low-relevance, base rates against more specific, or causal, information. A series of probabilistic inference problems is presented in which relevance was manipulated with the means described above, and the empirical results confirm the above account. In particular, base rates will be combined with other information when the two kinds of information are perceived as being equally relevant to the judged case.     

Age of acquisition ratings for 3,000 monosyllabic words

Age of acquisition (AoA) ratings made on a 1-7 scale for 3,000 monosyllabic words were obtained from 32 participants across four blocks of 750 trials (two blocks of 750 trials were completed in each of 2 days). These results, as well as those of the regression analyses and reliability and validity measures that were originally reported in Cortese and Khanna (2007), are summarized here. Here, we also report high interblock correlations across items, indicating that participants were consistent in their ratings across blocks. The norms for the 3,000 words are important for researchers interested in word processing and may be downloaded from the Psychonomic Society's Norms, Stimuli, and Data archive at www.psychonomic.org/archive.