Cognitive Behavior Therapy for Older Adults: Practical Guidelines for Adapting Therapy Structure

Cognitive behavioral therapy (CBT) has been shown to be an effective approach for a wide range of problems affecting older adults. While a variety of empirical and clinical papers have examined modifications to the content and delivery of CBT to enhance its efficacy with older adults, changes to the structure of therapy with this population have not been as widely discussed. Issues around optimizing the structure of CBT with older adults are presented, along with suggestions for realizing these changes within a clinical context.     

Working memory contributions to reading comprehension components in middle childhood children

This study examined working memory contributions to reading comprehension subskills in Greek children (mean age 9 years, 1 month). The phonological loop of the Baddeley and Hitch working memory model was assessed with 3 recall tasks (words, nonwords, and digits) and a word list matching task. The central executive (CE) was assessed with 3 tasks (listening, counting, and backward digit recall). Participants were also given a receptive vocabulary task, a reading fluency task, and written stories accompanied by comprehension questions. Canonical correlation analyses showed that the comprehension variables were related to the CE rather than the phonological loop measures. CE functions were more strongly associated with elaborative inference generation (involving significant offline processing) and comprehension control (involving metacognitive monitoring). Smaller yet significant associations were observed between the CE and the necessary inference and literal comprehension measures, whereas a moderate relationship was found in the case of the simile comprehension variable. Among the CE variables, listening recall demonstrated the highest loading on the canonical function, followed by moderate yet significant counting and backward digit recall loadings. Vocabulary was found to fully mediate several associations between working memory and comprehension measures; however, the relationship between listening recall and elaborative inferences was partly mediated. Reading fluency and, on several occasions, Greek vocabulary knowledge did not mediate the relationships between CE measures and comprehension skills assessed. This study demonstrates the usefulness of CE measures for identifying young children's possible difficulties in carrying out specific reading comprehension processes.     

Conceptualizing Patient Barriers to Nonadherence with Homework Assignments

Nonadherence with homework assignments and, by implication, “barriers” to homework assignments are a frequent occurrence in the practice of standard cognitive therapy (Beck, A.T., Rush, A.J., Shaw, B.F., Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press). The clinical examples in this article illustrate some of the ways in which environmental, patient, task, and therapist factors can serve as barriers to homework completion. Although these classes of barriers may be discussed independently, they are actually overlapping processes and are more helpful when discussed in tandem. This article illustrates how the therapist’s ability to conceptualize can serve as the context for making sense of the patient’s perceived ability to undertake an activity, the patient’s beliefs about the specific task, and how our ability to use the conceptualization to anticipate barriers is part of evaluating our own therapeutic skills. Several clinical case examples are discussed.     

Adding Involution to Residuated Structures

Two constructions for adding an involution operator to residuated ordered monoids are investigated. One preserves integrality and the mingle axiom x ²x but fails to preserve the contraction property xx ². The other has the opposite preservation properties. Both constructions preserve commutativity as well as existent nonempty meets and joins and self-dual order properties. Used in conjunction with either construction, a result of R.T. Brady can be seen to show that the equational theory of commutative distributive residuated lattices (without involution) is decidable, settling a question implicitly posed by P. Jipsen and C. Tsinakis. The corresponding logical result is the (theorem-) decidability of the negation-free axioms and rules of the logic RW, formulated with fusion and the Ackermann constant t. This completes a result of S. Giambrone whose proof relied on the absence of t.     

Interpersonal attraction as a measure of estimation of cohesiveness in elite volleyball teams

This study examined differences in interpersonal attraction between starters and nonstarters of elite male volleyball teams and the correlation between interpersonal attraction and teams' final place. 106 players from 10 teams of the A1 Greek National Volleyball League completed by a sociometric method an especially developed questionnaire. Subjects were classified as starters and nonstarters by means of a protocol of players' starting status administered to teams' coaches. Analysis showed that the task and the social dimension of interpersonal attraction differed significantly between starters and nonstarters. Starters scored higher than nonstarters on both dimensions of interpersonal attraction. Starters' task dimension of interpersonal attraction was positively correlated with the team's task dimension. Also, the teams' task dimension was positively correlated with teams' final placing, suggesting that, when starters are attracted to each other with regard to the common competitive goal, the team's performance is enhanced and leads to higher scoring.     

More than words: Rethinking sustainability communications through neuroscientific methods

In the era when the overarching problem of climate change, threatening the entire humanity and all life on earth, demands actions and behavioural change from all of the societal agents, including governments, organizations, companies and individuals, the world fails to achieve unity on the matter of existence of the problem, cause of the problem and on the solution of the problem. Since the scientific consensus on climate change is achieved, this article tries to examine why it is so hard to convey the message of needed behavioural change. The neuromarketing study presented in this article focuses on marketing communications that try to convey the message that would lead to the consumers' mental, emotional and behavioural change. Effectiveness of the branded environmental videos was evaluated utilizing the neuroscience approach. Electroencephalogram and an eye-tracking device were used to register the implicit brain reactions of the study participants viewing the branded videos. For comparison reasons, the branded videos selected for the study use two different approaches for conveying the message. The first approach relies on narrative, words and logic, whilst the second one appeals primarily to emotions. The aim of the study was to answer the question whether the words are enough or is there more to it?     

Task switching under predictable and unpredictable circumstances

Task switching was examined under predictable and unpredictable circumstances. In the first two experiments (in predictable conditions), the upcoming task was determined by the trial sequence. In unpredictable conditions, this task was signaled by the stimulus. Under speeded conditions, participants had to judge either the parity of a digit or the vowel/consonant nature of a letter. On bivalent trials, a digit and a letter were presented. On univalent trials, a task-relevant character occurred alongside a task-irrelevant character (e.g., "&"). Task-switching costs were found, and response times were generally slower on bivalent than on univalent trials. This crosstalk effect was reduced when a task repetition was expected. In the final experiment, trial predictability was defined according to whether a task precue was presented prior to or concurrently with the trial stimulus. Contrasting patterns of crosstalk effects were obtained and are discussed in terms of exogenous and endogenous factors that affect task switching.     

Behavioral assessment of auditory processing deficits in schizophrenia: Literature review and suggestions for future research

During the last decades, a considerable number of studies about auditory processing deficits in schizophrenia have been published, some of them using the term of Auditory Processing Disorder (APD). Due to heterogeneous methodology and inconsistent results concrete conclusions may not be straightforward. We focused on studies that used at least one behavioral test for the assessment of auditory processing in schizophrenia, in order to identify new evidence on auditory processing deficits in schizophrenia, and to consider fields for future research. 28 studies met inclusion criteria and are presented in this review. The articles were divided into three groups, those that implemented a test battery approach, those that used only Dichotic Listening (DL), those that used DL along with imaging or electrophysiology techniques. Most of the studies that implemented a test battery showed significant performance differences between patients and controls. This indicates APD presence. Due to the limited number of studies implementing a test battery, this is not conclusive. The majority of all studies that used a DL task showed that patients' performance or laterality was significantly lower than that of controls. Age, duration of illness, total and specific positive symptoms seem to affect significantly DL performance and auditory laterality. The results support the existence of various schizophrenia subgroups that differ in their auditory processing performance, and also have structural and functional specificities. Further research in the field is needed, especially studies that implement a test battery, and studies that examine possible correlations between clinical variables and auditory processing deficits.