Not just right experiences and obsessive-compulsive features: experimental and self-monitoring perspectives

Individuals with obsessive-compulsive disorder (OCD) often report compulsions aimed at reducing feelings of something not being just right or sensations of incompleteness. Research using self-report questionnaires has demonstrated a link between not just right experiences (NJREs) and OCD symptoms (Behav. Res. Therapy 41 (2003) 681; Anxiety, 1 (1995) 208). Extending previous work, this paper presents experimental and self-monitoring data on NJREs in an undergraduate sample. NJREs produced distress and urges to change something, but feared consequences were rare. Stronger responses were found for naturally occurring self-monitored NJREs compared to NJREs elicited in the laboratory. Several significant relationships were found between features of NJREs and OC symptoms and constructs theoretically related to OCD (e.g., responsibility, incompleteness), but no significant relationships were found between features of NJREs and non-OCD-related constructs (worry, depressive symptoms, social anxiety). Further consideration of NJREs will be useful in improving our understanding of the phenomenology, neurobiological substrates, and treatment, of OCD.     

Easier tasks can have better discriminating power: the case of verbal fluency

Loren and Jean Chapman highlighted the importance that the psychometric characteristics of a task may have when comparing different populations (L. J. Chapman & J. P. Chapman, 1973, 1978). Specifically, they pointed out that when comparing 2 tasks measuring different constructs, there is a greater likelihood of finding larger deficits on a task with higher discriminating power, irrespective of what the task measures. While researchers have addressed this issue, they typically have assumed that more difficult tasks have greater discriminating power, often without actually measuring discriminating power. In this article, the authors present data from 2 studies using phonologic and category fluency tasks to demonstrate that the critical factor for task selection and matching is discriminating power, not task difficulty.     

Eye movements are functional during face learning

In a free viewing learning condition, participants were allowed to move their eyes naturally as they learned a set of new faces. In a restricted viewing learning condition, participants remained fixated in a single central location as they learned the new faces. Recognition of the learned faces was then tested following the two learning conditions. Eye movements were recorded during the free viewing learning condition, as well as during recognition. The recognition results showed a clear deficit following the restricted viewing condition, compared with the free viewing condition, demonstrating that eye movements play a functional role during human face learning. Furthermore, the features selected for fixation during recognition were similar following free viewing and restricted viewing learning, suggesting that the eye movements generated during recognition are not simply a recapitulation of those produced during learning.     

Visual perception and gaze control in judging versus producing phase relations

We studied visual perception and gaze control in nine participants while they judged the relative phase between two oscillating stimuli (Experiment 1), and while they moved their hand--and therewith a concurrent feedback signal--in-phase or in antiphase with an oscillating stimulus (Experiment 2). As in previous studies, the mean relative phase judgements in Experiment 1 corresponded to the presented phase relations (0 degree, 45 degrees, 90 degrees, 135 degrees, and 180 degrees), whereas their standard deviations followed an inverted U-function of relative phase. The relative phase judgements were hardly affected by the degree of visibility (fully visible, inner parts occluded, outer parts occluded) and the amplitude (5 degrees, 10 degrees, and 20 degrees) of the stimuli. Stimulus-gaze coupling decreased as relative phase increased, and its variability correlated with that of the relative phase judgements. Taken together, task performance and gaze behaviour suggested that the judgement of relative phase might be flexibly based on different variables, rather than a single variable like relative direction of motion. In Experiment 2, the production of the antiphase relation was less stable than that of the in-phase relation. Performance deteriorated when the outer parts of the signals were occluded and when their amplitudes were reduced. Stimulus-gaze coupling was stronger during in-phase than during antiphase tracking and weaker when the signals were partially occluded and when their amplitudes were reduced. Stimulus-gaze coupling at 0 degrees and 180 degrees was stronger in Experiment 2 than in Experiment 1, suggesting that the visual perception of relative phase may benefit from its active production. Overall, the results clearly indicated that visual perception of relative phase and the corresponding gaze control are strongly task-dependent.     

The clenching-grinding spectrum and fear circuitry disorders: clinical insights from the neuroscience/paleoanthropology interface

This review discusses the clenching-grinding spectrum from the neuropsychiatric/neuroevolutionary perspective. In neuropsychiatry, signs of jaw clenching may be a useful objective marker for detecting or substantiating a self-report of current subjective emotional distress. Similarly, accelerated tooth wear may be an objective clinical sign for detecting, or substantiating, long-lasting anxiety. Clenching-grinding behaviors affect at least 8 percent of the population. We argue that during the early paleolithic environment of evolutionary adaptedness, jaw clenching was an adaptive trait because it rapidly strengthened the masseter and temporalis muscles, enabling a stronger, deeper and therefore more lethal bite in expectation of conflict (warfare) with conspecifics. Similarly, sharper incisors produced by teeth grinding may have served as weaponry during early human combat. We posit that alleles predisposing to fear-induced clenching-grinding were evolutionarily conserved in the human clade (lineage) since they remained adaptive for anatomically and mitochondrially modern humans (Homo sapiens) well into the mid-paleolithic. Clenching-grinding, sleep bruxism, myofacial pain, craniomaxillofacial musculoskeletal pain, temporomandibular disorders, oro-facial pain, and the fibromyalgia/chronic fatigue spectrum disorders are linked. A 2003 Cochrane meta-analysis concluded that dental procedures for the above spectrum disorders are not evidence based. There is a need for early detection of clenching-grinding in anxiety disorder clinics and for research into science-based interventions. Finally, research needs to examine the possible utility of incorporating physical signs into Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition posttraumatic stress disorder diagnostic criteria. One of the diagnostic criterion that may need to undergo a revision in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition is Criterion D (persistent fear-circuitry activation not present before the trauma). Grinding-induced incisor wear, and clenching-induced palpable masseter tenderness may be examples of such objective physical signs of persistent fear-circuitry activation (posttraumatic stress disorder Criterion D).     

Book Reviews

J oseph C ampbell : Creative mythology
E leanor B ertine : Jung's contribution to our time
M ichael B alint : The basic fault
H einrich R acker : Transference and counter-transference
D avid B akan : Disease, pain and sacrifice
A senath P etrie : Individuality in pain and suffering
B runo B ettelheim : The empty fortress: infantile autism and the birth of the self
P aul R oazen : Freud: political and social thought
J oel A llison , S. J. B latt and C. N. Z imet : The interpretation of psychological tests
C harles R ycroft : Anxiety and neurosis
A nthony S torr : Human aggression
M ichael C ourtenay : Sexual discord in marriage
J olande J acobi . Frauenprobleme, Eheprobleme
J. M. H eaton : The Eye; phenomenology and psychology of function and disorder