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981.
982.
Shawyer F Farhall J Mackinnon A Trauer T Sims E Ratcliff K Larner C Thomas N Castle D Mullen P Copolov D 《Behaviour research and therapy》2012,50(2):110-121
Command hallucinations represent a special problem for the clinical management of psychosis. While compliance with both non-harmful and harmful commands can be problematic, sometimes in the extreme, active efforts to resist commands may also contribute to their malignancy. Previous research suggests Cognitive Behaviour Therapy (CBT) to be a useful treatment for reducing compliance with harmful command hallucinations. The purpose of this trial was to evaluate whether CBT augmented with acceptance-based strategies from Acceptance and Commitment Therapy could more broadly reduce the negative impact of command hallucinations. Forty-three participants with problematic command hallucinations were randomized to receive 15 sessions of the intervention "TORCH" (Treatment of Resistant Command Hallucinations) or the control, Befriending, then followed up for 6 months. A sub-sample of 17 participants was randomized to a waitlist control before being allocated to TORCH or Befriending. Participants engaged equally well with both treatments. Despite TORCH participants subjectively reporting greater improvement in command hallucinations compared to Befriending participants, the study found no significant group differences in primary and secondary outcome measures based on blinded assessment data. Within-group analyses and comparisons between the combined treatments and waitlist suggested, however, that both treatments were beneficial with a differential pattern of outcomes observed across the two conditions. 相似文献
983.
Neil Pembroke 《Pastoral Psychology》2012,61(2):245-258
While perfectionism has been associated with guilt dynamics, the form of perfectionism that is most frequently discussed by
psychologists is connected to self-condemnation for perceived failures to reach the high standard set for personal achievement.
There is therefore a strong link between perfectionism and inferiority shame. Psychotherapists have given quite a bit of attention
to shame-based perfectionism; it has been largely neglected by pastoral psychologists. Three approaches to the pastoral care
of shame-based perfectionism are developed. The first approach is based in cognitive therapy. It is argued that perfectionism
is grounded in a faulty core belief about the self—namely, “I am what I achieve.” The second method makes use of strategies
developed by John Bradshaw for accepting and affirming all one’s sub-selves. Bradshaw’s approach is critiqued, however, for
the way in which shame-based and guilt-based perfectionism are confused. The third method is a modification and adaptation
of Heinz Kohut’s strategy of “mirroring” (empathy, admiration, and approval) that he developed for use in work with clients
with narcissistic personality disorder. 相似文献
984.
The effects of saccadic bilateral (horizontal) eye movements on true and false memory in adults and children were investigated. Both adults and children encoded lists of associated words in the Deese-Roediger-McDermott paradigm followed by a test of recognition memory. Just prior to retrieval, participants were asked to engage in 30s of bilateral vs. vertical vs. no eye movements. For studied information, the results for adults replicated previous work; bilateral eye movements were demonstrated to increase the accuracy of memory by increasing the hit rate and reducing the false alarm rate for related and unrelated recognition test lures. The results for children also indicated an improvement in memory accuracy, and like adults, was due to both an increase in the hit rate and a reduction in the false alarm rate. In spite of these similarities, the effects of bilateral eye movements differed between adults and children for critical unstudied words; i.e., those associated with the theme of the list. Only in adults did, bilateral eye movements reduce associative false memories; children did not show a reduction in false memory for critical associates. This produced a dissociation between the effects of eye movements on associative false memory as a function of age. The results are discussed from a developmental perspective in terms of potential mechanisms underlying true and false memory. 相似文献
985.
Recent research suggests that individuals with relatively weak global precedence (i.e., a smaller propensity to view visual stimuli in a configural manner) show a reduced face inversion effect (FIE). Coupled with such findings, a number of recent studies have demonstrated links between an advantage for feature-based processing and the presentation of traits associated with autism among the general population. The present study sought to bridge these findings by investigating whether a relationship exists between the possession of autism-associated traits (i.e., as indicated by individuals'"autism quotient" [(AQ) and the size of the FIE. Participants completed an on-line study in which the AQ was measured prior to a standard face recognition task where half of the faces were inverted at test. The results confirmed that higher AQ levels were predictive of smaller FIEs. Implications for a common underlying factor relating to processing orientation are discussed. 相似文献
986.
Human brain stimulation for therapeutic purposes has many short- and long-term limitations. The possibility of implanting magnetic, rather than electrical, stimulation devices would present a possible solution to some of the problems. The development of a new microscopic magnetic stimulation device provides a glimpse of the realisation. 相似文献
987.
Neil Sinclair 《Ethical Theory and Moral Practice》2012,15(5):647-659
In this paper I grant the Humean premise that some reasons for action are grounded in the desires of the agents whose reasons they are. I then consider the question of the relation between the reasons and the desires that ground them. According to promotionalism, a desire that p grounds a reason to φ insofar as A’s φing helps promote p. According to motivationalism a desire that p grounds a reason to φ insofar as it explains why, in certain circumstances, A would be motivated to φ. I then give an argument favouring motivationalism, namely that promotionalism entails that agents have reasons to perform physically impossible actions, whereas motivationalism entails that there are no such reasons. Although this is a version of the ‘Too Many Reasons’ objection to promotionalism, I show that existing responses to that problem do not transfer to the case of reasons to perform physically impossible actions. In the penultimate section I consider and reject some objections to motivationalism made by promotionalists. The conclusion is that Humeans about reasons for action should prefer motivationalism. 相似文献
988.
Neil Levy 《Journal of applied philosophy》2003,20(2):133-142
ABSTRACT We frequently accuse heavy drinkers and drug users of self‐deception if they refuse to admit that they are addicted. However, given the ways in which we usually conceptualize it, acknowledging addiction merely involves swapping one form of self‐deception for another. We ask addicts to see themselves as in the grip of an irresistible desire, and to accept that addiction is an essentially physiological process. To the extent this is so, we, as much as the addicts, suffer from self‐deception, and the responsibility for their state is in part ours. Conversely, since addicts are compelled to accept a self‐deceptive image of themselves, they are at least partially excused from blame for their self‐deception. 相似文献
989.
990.
Richard Henson Tom Hartley Neil Burgess Graham Hitch Brenda Flude 《The Quarterly Journal of Experimental Psychology Section A: Human Experimental Psychology》2003,56(8):1307-1334
Many recent computational models of verbal short-term memory postulate a separation between processes supporting memory for the identity of items and processes supporting memory for their serial order. Furthermore, some of these models assume that memory for serial order is supported by a timing signal. We report an attempt to find evidence for such a timing signal by comparing an “item probe” task, requiring memory for items, with a “list probe” task, requiring memory for serial order. Four experiments investigated effects of irrelevant speech, articulatory suppression, temporal grouping, and paced finger tapping on these two tasks. In Experiments 1 and 2, irrelevant speech and articulatory suppression had a greater detrimental effect on the list probe task than on the item probe task. Reaction time data indicated that the list probe task, but not the item probe task, induced serial rehearsal of items. Phonological similarity effects confirmed that both probe tasks induced phonological recoding of visual inputs. Experiment 3 showed that temporal grouping of items during list presentation improved performance on the list probe task more than on the item probe task. In Experiment 4, paced tapping had a greater detrimental effect on the list probe task than on the item probe task. However, there was no differential effect of whether tapping was to a simple or a complex rhythm. Overall, the data illustrate the utility of the item probe/list probe paradigm and provide support for models that assume memory for serial order and memory for items involve separate processes. Results are generally consistent with the timing-signal hypothesis but suggest further factors that need to be explored to distinguish it from other accounts. 相似文献