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.     

Designing Urban Experiences. The Case of Zuidas,Amsterdam

Zuidas is a new city centre, which is emerging in the outskirts of Amsterdam. The ambitious project of developing a new international city centre has been carefully planned as the Netherlands has a strong and meticulous tradition for urban planning. The planning has however not only encompassed traditional urban planning aspects such as infrastructure, environmental factors and aesthetics, but has also dealt with the design of urban experiences. Through an introduction of the framework of the structure of experiences, this article examines how urban experiences can be understood and analysed, and deals with how urban experiences can be designed through careful consideration of how experiences are constituted. Taking the psychological structure of experiences into account when designing urbanity is not only interesting, but also highly relevant as Zuidas is competing with other international venues such as La Défense, the Docklands and Potsdamer Platz.     

Imitative interaction increases social interest and elicited imitation in non‐verbal children with autism

Recent studies indicate that being intensely imitated for a brief period of time increases social interest among children with autism. The aim of this study was to replicate and extend these findings. Twenty children with an autism spectrum disorder (ASD) were randomly assigned to one of two interaction strategies: imitation (n=10) or contingent (n=10). The children had little or no functional speech, and their developmental age averaged 25 months (mean chronological age =6:5 years). Both conditions were presented with repeated sessions of a modified version of Nadel's ‘still‐face’ paradigm (still‐face/intervention/still‐face/spontaneous play). The analysis revealed a significant increase of both proximal and distal social behaviours (touch and look at person) for the imitation condition, which confirms previous reports. In addition, an increase in elicited imitation, as measured with the PEP‐R developmental assessment procedure, was also observed for children in the imitation condition, but not in the contingent condition. This finding extends earlier reports in that it suggests that the social expectancies unlocked by imitation also spread to tasks outside the experimental setting. Copyright © 2006 John Wiley & Sons, Ltd.     

THREE THEORIES OF HUMAN NATURE

In The Blank Slate: The Modern Denial of Human Nature, Steven Pinker maintains that at present there are three competing views of human nature—a Christian theory, a “blank slate” theory (what I call a social constructivist theory), and a Darwinian theory—and that the last of these will triumph in the end. I argue that neither the outcome of such competition nor the particular content of these theories is as clear as Pinker believes. In this essay I take a critical as well as a constructive look at the challenge presented by a Darwinian theory of human nature—a challenge to the social sciences and the humanities and also to theology and more specifically to a Christian understanding of human nature.     

Assessment of self-conscious emotions: a Swedish psychometric and structure evaluation of the Test of Self-Conscious Affect (TOSCA)

The Test of Self-Conscious Affect (TOSCA) is a well-established scenario-based questionnaire assessing self-conscious emotions, such as shame and guilt, which have been shown to be differentially associated with a variety of functional, motivational, behavioral and health outcomes. The aim of this study was to evaluate the psychometric properties and internal structure of a Swedish version of TOSCA in a sample of 361 healthy adults. The psychometric properties and internal consistency of the Swedish version were at level with the original US TOSCA version for shame, guilt and detachment. The internal structure of the Swedish version was acceptable for shame, guilt and detachment but contained shortcomings in assessment of externalization.     

An Unfinished Debate: What Are the Aims of Religion and Science?

I discuss the kinds of fundamental questions that must be addressed by people who develop theories about how religion and science are (or should be) related. After categorizing these questions as axiological, epistemological, ontological, or semantic, I focus on those that concern the goals of religion and science (the axiological issues). By distinguishing between epistemic and practical goals, individual and collective goals, and manifest and latent goals, I identify seven axiological questions. The various answers that religion/science theorists give or presuppose to these axiological questions help to explain why such deep, ongoing differences continue among them.     

Infant recall memory and communication predicts later cognitive development

This longitudinal study investigates the relation between recall memory and communication in infancy and later cognitive development. Twenty-six typically developing Swedish children were tested during infancy for deferred imitation (memory), joint attention (JA), and requesting (nonverbal communication); they also were tested during childhood for language and cognitive competence. Results showed that infants with low performance on both deferred imitation at 9 months and joint attention at 14 months obtained a significantly lower score on a test of cognitive abilities at 4 years of age. This long-term prediction from preverbal infancy to childhood cognition is of interest both to developmental theory and to practice.     

Conceptual and perceptual memory: retrieval orientations reflected in event-related potentials

In memory retrieval, search can be guided by mental sets towards different subsets of the available evidence. Such retrieval orientations have been suggested to leave an imprint on event-related potentials (ERPs). The present study aimed at characterizing orientations towards perceptual and conceptual evidence in a recognition task, where pictures and words were studied. In the recognition test, items were presented in either the same format as at study or in the opposite format. A between-subjects manipulation modified the task, instructing an Exclusion group to endorse only items that preserved their format from study, and an Inclusion group to endorse both formats of a studied item. It was hypothesized that exclusion instructions would instill a perceptual and inclusion instructions a conceptual orientation. As a corollary, instructions were expected to dissociate the high end from the low end of the picture-word mirror effect. This expectation was confirmed in a behavioural experiment. In an ERP experiment, retrieval orientations were examined in their effects on correct rejections of new pictures and words. Confirming earlier findings [Hornberger, M., Morcom, A. M., & Rugg, M. D. (2004). Neural correlates of retrieval orientation: effects of study-test similarity. Journal of Cognitive Neuroscience, 16(7), 1196-1210], a perceptual orientation was accompanied by more positive-going amplitudes over widespread areas. The difference was larger for pictures than for words, supporting behavioural evidence that new pictures are more easily rejected on perceptual grounds than are new words. The Exclusion group showed no ERP evidence of cross-format old-new effects, despite reaction times indicative of involuntary conceptual recognition. The results indicate that perceptual and conceptual retrieval orientations imprint distinct signatures on ERPs. They further suggest that the examined old-new effects in ERPs are mainly linked to voluntary aspects of memory, even in a task where involuntary memory exerts effects on reaction times.     

THE MYSTERIANISM OF OWEN FLANAGAN'S NORMATIVE MIND SCIENCE

This article critically analyzes Owen Flanagan's physicalism and attempt at deriving ethical normativity from current neuroscience. It is argued that neurophysicalism, despite Flanagan's harsh critique of “the new mysterians,” entails a form of mysterianism and that it fails to appropriately ground human mentality within physicalism. Flanagan seeks to bring spirituality and a physicalist ontology together by showing how it is possible to derive an account of the good life from science. This attempt is critiqued and it is shown that Flanagan fails to establish the consistency between ethical normativity and physicalism. Hence, another form of mysterianism seems to emerge within this normative mind science.