Beyond words: Sensory properties of depressive thoughts

Verbal thoughts (such as negative cognitions) and sensory phenomena (such as visual mental imagery) are usually conceptualised as distinct mental experiences. The present study examined to what extent depressive thoughts are accompanied by sensory experiences and how this is associated with symptom severity, insight of illness and quality of life. A large sample of mildly to moderately depressed patients (N = 356) was recruited from multiple sources and asked about sensory properties of their depressive thoughts in an online study. Diagnostic status and symptom severity were established over a telephone interview with trained raters. Sensory properties of negative thoughts were reported by 56.5% of the sample (i.e., sensation in at least one sensory modality). The highest prevalence was seen for bodily (39.6%) followed by auditory (30.6%) and visual (27.2%) sensations. Patients reporting sensory properties of thoughts showed more severe psychopathological symptoms than those who did not. The degree of perceptuality was marginally associated with quality of life. The findings support the notion that depressive thoughts are not only verbal but commonly accompanied by sensory experiences. The perceptuality of depressive thoughts and the resulting sense of authenticity may contribute to the emotional impact and pervasiveness of such thoughts, making them difficult to dismiss for their holder.     

Specialist, physical therapy and social work management status of older children and adolescents with cerebral palsy

In face of catamnestic examinations at a group of 61 older children and juveniles with infantile cerebral palsy we can see, that an optimal attendance by medical specialists, physiotherapists and social workers is not reached yet in each case. 39 patients (64 p.c.) are provided by a specialist regularly, 35 patients (57.4 p.c.) regularly get a physiotherapeutic treatment and 33 patients (54.1 p.c.) are often only sporadically attended by social workers. Serious disabled children, who are nursed only in their families, bring particular problems. In the authors opinion a decisive improvement of attendance is possible. For that purpose a more intensive work of "Dispensaries for disabled children and juveniles" in connexion with a consistent utilization of the socialist legislation is necessary.     

Quantitative and Qualitative Evaluation of Patterns of Cerebral Language Dominance : An Amobarbital Study

As a part of presurgical evaluation, 173 patients received bilateral intracarotid amobarbital tests for determination of cerebral language dominance. Language testing during intracarotid amobarbital procedures (IAP) consisted of the following tasks: automatic speech, sentence comprehension, body commands, naming, repetition, reading, and spontaneous speech. Patterns of cerebral language dominance were evaluated and discussed on five levels of analysis: (1) quantification of language dominance on the basis of a lateralization index derived from the total language scores in each IAP; (2) determination of five dominance subpatterns (left or right dominant, strongly bilateral, and incomplete left or right dominant) according to quantification performed on level (I) and clinical judgment; (3) qualitative differentiation of three kinds of bilaterality (positive, negative, and general) according to total language performance in left and right IAP; (4) analysis of grouped linguistic subfunctions extracted from performance in specific IAP subtests; (5) extraordinary individual case histories. The distribution of lateralization indices revealed only partially continuous degrees of lateralization, especially between the left-dominant and bilateral subgroups. As for the clinically oriented classification, incomplete left dominance is frequent (16.2%), while incomplete right dominance does not occur at all. Atypical dominance patterns are mostly correlated to bilateral and/or extratemporal foci. Concerning grouped subfunctions, a rotated factor matrix statistic yields an analysis of clusters of IAP subtests, where functions involving expressive language capacities are separated from those that are purely receptive. Further analyses of bilaterality subpatterns suggest that there are mainly four bilaterality phenomena, namely interhemispheric dissociation, double representation, unilateal representation of subfunctions, and partial representation of subfunctions in either hemisphere. Application of these differentiations to individual cases yields additional evidence that can be used in patient selection for operation in order to avoid postoperative neuropsychological deficits, especially in candidates for extratemporal surgery. In conclusion, a multilevel analysis of LAP language data is recommended since it permits a detailed account of varieties of language dominance patterns and contributes to more adequate presurgical decision-making in planned operations in cognitively relevant brain areas.     

Philofophie und naturwiffenfchaft

Zusammenfassung Die nachfolgenden Ausführungen ftellen den (nachtr?glich rekonftruierten) Inhalt eines Vortrages dar, der im Jahre 1929 an der Univerfit?t Wien als Einleitung in einen volkstümlichen Zyklus „Das Weltbild der Naturwiffenfchaft” gehalten wurde. Die Univerfit?t hatte die Abficht, jenen Zyklus in Buchform zu ver?ffentlichen; das Manufkript wurde 1930 in Druck gegeben und fogleich gefetzt und korrigiert. Nachdem der Vortrag nebft mehreren anderen einige Jahre im Satz geftanden hatte, mu?te infolge widriger Umft?nde auf die Herausgabe des Buches verzichtet werden. Dem Zweck, den die Betrachtungen in ihrem erften Rahmen verfolgten, k?nnen fie vielleicht auch hier und jetzt noch dienen; deshlb wird der Vortrag in der „Erkenntnis” abgedruckt, obgleich feine Grundgedanken den Lefern diefer Zeitfchrift nicht neu fein dürften. Es erfchien dem Verfaffer geraten, die kleine Arbeit in ihrer urfprünglichen Form zu laffen; er fah alfo davon ab, die damals gew?hlten Formulierungen durch folche zu erfetzen, deren er fich heute bedienen würde, wenn er das Thema neu zu behandeln h?tte.     

Information seeking behavior on Facebook: The role of censorship endorsement and personality

Current Psychology - Facebook started as a platform intended for connecting people but it has developed into a rich information source. Based on the uses-and-gratification approach, we examined to...     

Item-focussed Trees for the Identification of Items in Differential Item Functioning

A novel method for the identification of differential item functioning (DIF) by means of recursive partitioning techniques is proposed. We assume an extension of the Rasch model that allows for DIF being induced by an arbitrary number of covariates for each item. Recursive partitioning on the item level results in one tree for each item and leads to simultaneous selection of items and variables that induce DIF. For each item, it is possible to detect groups of subjects with different item difficulties, defined by combinations of characteristics that are not pre-specified. The way a DIF item is determined by covariates is visualized in a small tree and therefore easily accessible. An algorithm is proposed that is based on permutation tests. Various simulation studies, including the comparison with traditional approaches to identify items with DIF, show the applicability and the competitive performance of the method. Two applications illustrate the usefulness and the advantages of the new method.     

Effects of action on children’s and adults’ mental imagery

The aim of this study was to investigate whether and which aspects of a concurrent motor activity can facilitate children’s and adults’ performance in a dynamic imagery task. Children (5-, 7-, and 9-year-olds) and adults were asked to tilt empty glasses, filled with varied amounts of imaginary water, so that the imagined water would reach the rim. Results showed that in a manual tilting task where glasses could be tilted actively with visual feedback, even 5-year-olds performed well. However, in a blind tilting task and in a static judgment task, all age groups showed markedly lower performance. This implies that visual movement information facilitates imagery. In a task where the tilting movement was visible but regulated by means of an on-and-off remote control, a clear age trend was found, indicating that active motor control and motor feedback are particularly important in imagery performance of younger children.     

“Phobie à deux” and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive–compulsive disorder

Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive–compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD. The present study aimed to elucidate the reasons why. German therapists (N = 216) completed an anonymous online survey, the newly developed Reasons for Not Performing Exposure in OCD Scale (REPEX), that inquired whether, to what extent, and how they perform ERP in the treatment of OCD. We also asked their reasons for not applying ERP in the past. Most therapists considered ERP an efficient treatment for OCD. Marked differences emerged between physicians and psychologists, however. The former used exposure less often and for a shorter period, preferred in sensu to in vivo exposure, and conducted exposure less often in the personal environment of the patient than did psychologists. Both groups were familiar with clinical guidelines to a similar extent. A factor analysis of the REPEX scale revealed five factors. Patient lack of motivation, preference for exposure to be self-help as well as alleged organizational difficulties were endorsed most often. The latter was correlated with the age of the therapist and was far more often affirmed by physicians. Fear of side effects was named by a subgroup of clinicians; in the context of patient ambivalence, this may foster “phobie à deux”. Unlike prior research, lack of expertise was rarely identified as a reason not to use ERP. Recommendations for improving adherence to guidelines are discussed.     

Beyond Strategy,Towards the Kingdom of God: The Post‐Critical Reconstructionist Mission of the Emerging Church

Abstract : The Emerging Church is a diverse global phenomenon which envisions a radical reforming of the theology and praxis of the broader Christian church in light of the philosophical and cultural shift from modernism to post‐modernism. Differing from the evangelical New Paradigm seeker‐sensitive Church's generational focus, and the organizational unity and routines of Mainline Protestant denominations the Emerging Church conversation endeavors to create committed, authentic, day‐to‐day communities that embrace ecumenical and ancient Christian theology and practices in order to live out the reality of the in‐breaking kingdom of God. Though precise systemic theological unity within the Emerging movement is recognized as an elusive goal that is generally not even sought, the movement as a whole finds much in common with post‐conservative and post‐liberal theology, and shares a joint mission with those who have been called to the task of post‐critical reconstruction.