Monitoring the effects of adult psychotherapy in routine practice in Switzerland: A feasibility trial

Background: Several studies have been published on the effects of psychotherapy in routine practice. Complementing traditional views summarised as ‘dose‐effect models’, Stiles et al. put forward data consistent with the responsive regulation model underlining the importance of the client's active participant role in defining length of treatment. One may ask what level of change reached by a patient is considered to be the ‘good enough level’ (GEL) and if it is related to the duration of psychotherapy. Aims: The main objective of the present feasibility trial was to monitor the patient's session‐by‐session evolution using a self‐report questionnaire in order to define the GEL, i.e. the number of sessions necessary for the patient to reach significant change. Method: A total of N=13 patients undergoing psychotherapy in routine practice participated in the study, completing the Outcome Questionnaire – 45.2 (OQ‐45), which assesses the symptom level, interpersonal relationships and social role after every psychotherapy session. The data was analysed using multi‐level analyses (HLMs). Results: High feasibility of fine‐grained assessment of effects of psychotherapy in routine practice in Switzerland was shown; response rates being acceptable; however, detailed analysis of the GEL was not feasible within the short study time‐frame. Conclusions: Reflections on the political context of monitoring in the specific case of routine psychiatric practice in Switzerland are discussed.     

Intrusive thoughts in patients with obsessive compulsive disorder and non-clinical participants: a comparison using the International Intrusive Thought Interview Schedule

The International Intrusive Thought Interview Schedule (IITIS) was used to assess and compare the unwanted intrusive thoughts (UITs) reported in a group of patients with obsessive compulsive disorder (OCD) and a non-clinical group. Although all participants reported at least one type of intrusion, OCD patients experienced more intrusive thoughts than non-clinical participants, and this difference was statistically significant. In the OCD group, intrusive thoughts were more frequent, interfered more with daily life, were considered to be more important to get out of the mind, and were more difficult to stop than in non-clinical participants. The two groups did not differ significantly in terms of five appraisals of the most distressing intrusive thought. One appraisal (importance) was used far more by the OCD group than the non-clinical group. For three appraisals (intolerance of anxiety, need to control, and intolerance of uncertainty), the difference was smaller. Only two of the strategies for controlling the most upsetting intrusive thought (ritual and avoidance) were of value in differentiating between the two groups. The IITIS (an instrument used to assess intrusions in non-clinical samples) appears to be of value for the assessment of patients with OCD.     

How does information from low and high spatial frequencies interact during scene categorization?

Current models of visual perception suggest that, during scene categorization, low spatial frequencies (LSF) are rapidly processed and activate plausible interpretations of visual input. This coarse analysis would be used to guide subsequent processing of high spatial frequencies (HSF). The present study aimed to further examine how information from LSF and HSF interact and influence each other during scene categorization. In a first experimental session, participants had to categorize LSF and HSF filtered scenes belonging to two different semantic categories (artificial vs. natural). In a second experimental session, we used hybrid scenes as stimuli made by combining LSF and HSF from two different scenes which were semantically similar or dissimilar. Half of the participants categorized LSF scenes in hybrids, and the other half categorized HSF scenes in hybrids. Stimuli were presented for 30 or 100?ms. Session 1 results showed better performance for LSF than HSF scene categorization. Session 2 scene categorization was faster when participants attended and categorized LSF than HSF scene in hybrids. The semantic interference of a semantically dissimilar HSF scene on LSF scene categorization was greater than the semantic interference of a semantically dissimilar LSF scene on HSF scene categorization, irrespective of exposure duration. These results suggest a LSF advantage for scene categorization, and highlight the prominent role of HSF information when there is uncertainty about the visual stimulus, in order to disentangle between alternative interpretations.     

Distorted temporal consciousness and preserved knowing consciousness in confabulation: a case study

In this study we describe a patient, TA, who developed a chronic amnesic-confabulatory syndrome, following rupture of a right internal carotid siphon aneurysm. Our aim was to elucidate as fully as possible the nature of TA's impairment and to test the hypothesis of confabulation as reflecting a dysfunction of Temporal Consciousness, i.e., to become aware of something as part of a personal past, present or future. TA's confabulations were present in answers to questions tapping Temporal Consciousness, i.e., autobiographical episodic memory, orientation in time and place, and foresight of personal future. In contrast, confabulations were not observed in answers to questions tapping Knowing Consciousness, i.e., to become aware of something as a meaning or as an element of impersonal knowledge. In fact, he had normal access to semantic knowledge, including foresight of impersonal future. TA's brain MRI showed lesions involving the right hippocampus, parahippocampal gyrus, fornix, mammillary bodies, and thalamus. Moreover TA showed sub-cortical lesions involving the caudate and putamen nuclei bilaterally, a lesion site not commonly described in amnesic-confabulatory syndrome. We suggest that this pattern of results is better accounted for within the framework of the Memory, Consciousness and Temporality Theory and reflects a specific distortion of Temporal Consciousness.     

Transforming Social Regularities in a Multicomponent Community‐Based Intervention: A Case Study of Professionals’ Adaptability to Better Support Parents to Meet Their Children's Needs

This paper presents an in‐depth case study of the dynamic processes of mutual adjustment that occurred between two professional teams participating in a multicomponent community‐based intervention (CBI). Drawing on the concept of social regularities, we focus on patterns of social interaction within and across the two microsystems involved in delivering the intervention. Two research strategies, narrative analysis and structural network analysis, were used to reveal the social regularities linking the two microsystems. Results document strategies and actions undertaken by the professionals responsible for the intervention to modify intersetting social regularities to deal with a problem situation that arose during the course of one intervention cycle. The results illustrate how key social regularities were modified in order to resolve the problem situation and allow the intervention to continue to function smoothly. We propose that these changes represent a transition to a new state of the ecological intervention system. This transformation appeared to be the result of certain key intervening mechanisms: changing key role relationships, boundary spanning, and synergy. The transformation also appeared to be linked to positive setting‐level and individual‐level outcomes: confidence of key team members, joint planning, decision‐making and intervention activities, and the achievement of desired intervention objectives.     

The cost of being watched: Stroop interference increases under concomitant eye contact

Current models in social neuroscience advance that eye contact may automatically recruit cognitive resources. Here, we directly tested this hypothesis by evaluating the distracting strength of eye contact on concurrent visual processing in the well-known Stroop’s paradigm. As expected, participants showed stronger Stroop interference under concomitant eye contact as compared to closed eyes. Two control experiments allowed ruling out low-level account of this effect as well as non-specific effect of the presence of open eyes. This suggests that refraining from processing eye contact is actually as difficult as refraining from word reading in the Stroop task. Crucially, the eye contact effect was obtained while gaze was not under the direct focus of attention and the participants were faced with another powerful distracter (the incongruent word) in the task at hand. Thus, there is a cost of being watched even in circumstances where the processing of direct gaze is strongly disfavored. The present results emphasize the crucial status of eye contact in human cognition.     

Acquisition of Reading and Intellectual Development Disorder

Journal of Psycholinguistic Research - We propose a review of the literature of the studies investigating reading acquisition in intellectual deficiency (ID), with particular focus on the...     

Flickering admissibility: neuroimaging evidence in the U.S. courts

This article explores the admissibility of neuroimaging evidence in U.S. courts, recognizing various trends in decisions about such evidence.While courts have routinely admitted some neuroimages, such as CT scans and MRI, as proof of trauma and disease, they have been more circumspect about admitting the PET and SPECT scans and fMRI evidence. With the latter technologies, courts have often expressed reservations about what can be inferred from the images. Moreover, courts seem unwilling to find neuroimaging sufficient to prove either insanity or incompetency, but are relatively lenient about admitting neuroimages in death penalty hearings. Some claim that fMRI and "brain fingerprinting" are able to detect deception. Other scholars argue that brain fingerprinting is a dubious concept and that fMRI is not yet sufficiently reliable. Moreover, there are substantial concerns about privacy and the perils of mind reading implicit in such technology. Yet, there is a movement to try to make these new technologies "courtroom ready" in the near future, raising a host of legal, policy, and ethical questions to be answered.     

On the origins of age‐of‐acquisition effects in the perception of printed words

Children from different grades were tested in a lexical decision task. Word‐stimuli consisted of words acquired in their respective grades, and in grades previous to their own. The results showed that the proportion of errors for newly acquired words increased steadily with grade (i.e. first graders made fewer errors with words of grade one than fifth graders with words of grade five). However, the proportion of errors for words acquired in a given grade remained constant throughout the following grades (fifth graders made as many errors with words acquired in grade one as first graders did). These results indicate that the strong impact that age‐ or order‐of‐acquisition of words has on the way words will be recognized is in place at a very young age.     

Conditional Reinforcers and Informative Stimuli in A Constant Environment

Five pigeons responded on steady-state concurrent variable-interval variable-interval schedules of food presentation in which half of the foods were removed and replaced with nonfood stimuli. Across conditions, the stimuli were either paired or unpaired with food, and the correlation between the ratio of food deliveries on the two alternatives and the ratio of nonfood stimuli was either −1, 0, or +1. Neither the pairing of stimuli with food, nor the correlation between stimuli and food, affected generalized-matching performance, but paired stimuli had a demonstrable effect at a local level of analysis. This effect was independent of the food–stimulus correlation. These results differ from results previously obtained in a frequently changing environment. We attribute this difference in results to differences in the information value of response-contingent stimuli in frequently changing versus relatively constant environments, as well as to differences between forward pairing and simultaneous pairing of the stimuli with food.