The Roots of Love and Commitment in Childhood

Drawing from her clinical work with children and own childhood reflections, Dr. Lawrence underscores that the earliest sense of a true self is for the infant an experience of a self as worthy of love. This self-image becomes internalized as the infant looks into the mirror of the not too conflicted caregiver. She stresses that love which only can exist in relationship, is a social experience, does organize social experience, outstanding among these being commitments—commitments that bind a person to a course of action and connection. Dr. Lawrence interfaces psychoanalytic wisdom with spiritual references as she describes her work with children and families.     

Overlearning in the conditioning treatment of enuresis: A long-term follow-up study

V studies have reported high rates of relapse following the otherwise highly successful conditioning treatment of childhood enuresis nocturna (Young, 1969). Relapse would seem to be a hazard inherent in this form of treatment, and to be independent of patient variables (Young and Morgan, 1972a). Use of the technique of intermittent reinforcement schedules (Lovibond, 1964; Turner, Young and Rachman, 1970) and of CNS stimulant drugs (Young and Turner, 1965; Turner and Young, 1966) to counteract the problem of relapse have failed to achieve satisfactory results.

Young and Morgan (1972b) have demonstrated the success of overlearning therapy in reducing the relapse rate. This regime requires the child to maintain or regain his learned nocturnal bladder control, to a success criterion of 14 consecutive dry nights, while drinking up to 2 pints of liquid in the hour before retiring. The present paper reports the experience gained in the counteraction of relapse by the use of overlearning therapy over approximately 4 yr at the Vale Drive Clinic, at which enuresis is treated by conditioning techniques (Young, 1965; Morgan and Young, 1972).     

Dopamine,depressive symptoms,and decision-making: the relationship between spontaneous eye blink rate and depressive symptoms predicts Iowa Gambling Task performance

Depressive symptomatology has been associated with alterations in decision-making, although conclusions have been mixed, with depressed individuals showing impairments in some contexts but advantages in others. The dopaminergic system may link depressive symptoms with decision-making performance. We assessed the role of striatal dopamine D₂ receptor density, using spontaneous eye blink rates, in moderating the relationship between depressive symptoms and decision-making performance in a large undergraduate sample that had not been screened for mental illness (N?=?104). The regression results revealed that eye blink rate moderated the relationship between depressive symptoms and advantageous decisions on the Iowa Gambling Task, in which individuals with more depressive symptomatology and high blink rates (higher striatal dopamine D₂ receptor density) performed better on the task. Our computational modeling results demonstrated that depressive symptoms alone were associated with enhanced loss-aversive behavior, whereas individuals with high blink rates and elevated depressive symptoms tended to persevere in selecting options that led to net gains (avoiding options with net losses). These findings suggest that variation in striatal dopamine D₂ receptor availability in individuals with depressive symptoms may contribute to differences in decision-making behavior.     

Ostracism Reduces Reliance on Poor Advice from Others during Decision Making

Decision making is rarely context‐free, and often, both social information and non‐social information are weighed into one's decisions. Incorporating information into a decision can be influenced by previous experiences. Ostracism has extensive effects, including taxing cognitive resources and increasing social monitoring. In decision making situations, individuals are often faced with both objective and social information and must choose which information to include or filter out. How will ostracism affect the reliance on objective and social information during decision making? Participants (N = 245) in Experiment 1 were randomly assigned to be included or ostracized in a standardized, group task. They then performed a dynamic decision making task that involved the presentation of either non‐social (i.e. biased reward feedback) or social (i.e., poor advice from a previous participant) misleading information. In Experiment 2, participants (N = 105) completed either the ostracism non‐social condition or social misleading information condition with explicit instructions stating that the advice given was from an individual who did not partake in the group task. Ostracized individuals relied more on non‐social misleading information and performed worse than included individuals. However, ostracized individuals discounted misleading social information and outperformed included individuals. Results of Experiment 2 replicated the findings of Experiment 1. Across two experiments, ostracized individuals were more critical of advice from others, both individuals who may have ostracized them and unrelated individuals. In other words, compared with included individuals, ostracized individuals underweighted advice from another individual but overweighed non‐social information during decision making. We conclude that when deceptive objective information is present, ostracism results in disadvantageous decision making. Copyright © 2015 John Wiley & Sons, Ltd.     

Patient Perceptions of Telephone vs. In-Person <Emphasis Type="Italic">BRCA1/BRCA2</Emphasis> Genetic Counseling

Telephone genetic counseling (TC) for hereditary breast/ovarian cancer risk has been associated with positive outcomes in high risk women. However, little is known about how patients perceive TC. As part of a randomized trial of TC versus usual care (UC; in-person genetic counseling), we compared high risk women’s perceptions of: (1) overall satisfaction with genetic counseling; (2) convenience; (3) attentiveness during the session; (4) counselor effectiveness in providing support; and (5) counselor ability to recognize emotional responses during the session. Among the 554 participants (TC, N?=?272; UC, N?=?282), delivery mode was not associated with self-reported satisfaction. However, TC participants found counseling significantly more convenient than UC participants (OR?=?4.78, 95 % CI?=?3.32, 6.89) while also perceiving lower levels of support (OR?=?0.56, 95 % CI?=?0.40–0.80) and emotional recognition (OR?=?0.53, 95 % CI?=?0.37–0.76). In exploratory analyses, we found that non-Hispanic white participants reported higher counselor support in UC than in TC (69.4 % vs. 52.8 %; OR?=?3.06, 95 % CI?=?1.39–6.74), while minority women perceived less support in UC vs. TC (58.3 % vs. 38.7 %; OR?=?0.80, 95 % CI?=?0.39–1.65). We discuss potential research and practice implications of these findings which may further improve the effectiveness and utilization of TC.     

Retrospective and prospective metacognitive judgments in rhesus macaques (Macaca mulatta)

A growing body of research suggests that some non-human animals are capable of making accurate metacognitive judgments. In previous studies, non-human animals have made either retrospective or prospective judgments (about how they did on a test or how they will do on a test, respectively). These two types of judgments are dissociable in humans. The current study tested the abilities of two rhesus macaque monkeys to make both retrospective and prospective judgments about their performance on the same memory task. Both monkeys had been trained previously to make retrospective confidence judgments. Both monkeys successfully demonstrated transfer of retrospective metacognitive judgments to the new memory task. Furthermore, both monkeys transferred their retrospective judgments to the prospective task (one, immediately, and one, following the elimination of a response bias). This study is the first to demonstrate both retrospective and prospective monitoring abilities in the same monkeys and on the same task, suggesting a greater level of flexibility in animals’ metacognitive monitoring abilities than has been reported previously.     

Mother–Toddler Affect Exchanges and Children's Mastery Behaviours during Preschool Years

This study examined the longitudinal relations of mother–child affect exchanges at 18 months with children's mastery motivation at 39 months. Observation and questionnaire data were collected from mother–child dyads when children were 18 months; 43 mothers again rated their children's mastery motivation at 39 months. Results suggested that after controlling for gender and the corresponding 18‐month mastery aspect, positive affect exchanges had long‐term positive relationships with children's persistence and competence, whereas dismissed affect exchanges had long‐term negative relationships with children's persistence and independent mastery. Findings suggest that children's autonomous mastery‐oriented endeavours have deep roots in their early mother–child affective interactions. Copyright © 2013 John Wiley & Sons, Ltd.