Obsessive-Compulsive Disorder in Late Life

Although obsessive-compulsive disorder (OCD) has received increasing attention, the study and treatment of OCD in late life has been neglected. The obsessions and compulsions seen with older adults do not appear to differ from the symptoms experienced by other age groups, although developmental issues might influence symptom focus (e.g., memory functioning-related obsessions). Hoarding difficulties might be prevalent in late life, although additional studies are needed. Seniors with OCD can present with comorbid psychiatric disorders, multiple general medical problems, and impaired cognitive functioning, complicating evaluation. There have not been controlled clinical trials of cognitive-behavioral therapy (CBT) for late-life OCD, although initial reports suggest older adults respond to CBT that includes age-related treatment modifications. We illustrate the challenges to assessing and treating older adults with OCD with case examples involving memory-related obsessions and clinical hoarding. The successful strategies used for adapting CBT for the treatment of late-life generalized anxiety disorder might serve as a model for advancing the study and treatment of late-life OCD.     

On The Nature of Experiencing Self‐Agency: The Role of Goals and Primes in Inferring Oneself as the Cause of Behavior

People often find themselves in situations where the cause of events may be ambiguous. Surprisingly though, the experience of self‐agency, i.e., perceiving oneself as the causal agent of behavioral outcomes, appears quite natural to most people. How then do these experiences arise? We discuss common models proposing that self‐agency experiences result from the comparison between actual action‐outcomes and the outcomes one explicitly set as a goal. However, recent developments in psychology and neuroscience suggest that our behaviors and the outcomes they produce can be primed and implicitly guided by environmental cues and yet are accompanied by experiences of self‐agency. Hence, we also review research revealing how self‐agency experiences may arise over behavioral outcomes that are implicitly primed before they occur and how such implicitly cued agency experiences may differ from agency experiences that are the result of explicitly set goals. Directions for future research are briefly addressed.     

There is a fire burning in my heart: The role of causal attribution in affect transfer

The role of causal attribution in affect transfer of primes was addressed by examining the consequences of explicit evaluation of primes within the framework of the affect misattribution procedure (AMP; Payne, Cheng, Govorun, & Stewart, 2005). We reasoned that affect transfer occurs when primed affect remains diffuse and not bound to a specific object, hence capable of freely colouring subsequent evaluations of ambiguous objects. Accordingly, we propose that when people explicitly evaluate the prime, affect is clearly bound to the prime and becomes less capable of influencing subsequent judgements. Supporting this notion, affect transfer in the AMP was observed when participants ignored the primes, thereby keeping the primed affect relatively unbound. However, this effect disappeared when participants explicitly evaluated the primes before target stimuli were presented. Implications of these findings in determining how and when affect arising from one object carries over to another is discussed.     

The effect of age on rule-based category learning

An explicit, rule-based, category-learning task with abstract visual stimuli was administered to 50 healthy older adults and 48 younger adults. Accuracy and reaction time (RT) were examined for the effects of age, perceptual abilities, rule memory, rule complexity, stimulus novelty, and response competition. Older adults performed at equivalent levels to younger adults when applying a simple rule, but showed performance decrements when applying a more complex rule. The age effect interacted with both stimulus novelty and response competition, and was not eliminated after controlling for basic perceptual abilities and rule memory. The authors suggest that older adults show category learning deficits in conditions that require enhanced cognitive control. These results are discussed in reference to the growing body of literature regarding age-related change in executive abilities and frontal lobe function.     

The effects of social comparison,emotion induction,and parent vaccination status on parental intentions for COVID-19 vaccine uptake in children

Parental vaccine hesitancy—delays in vaccine uptake for children—is a significant public health concern. Using an online adult sample of U.S. parents (N = 183), the current research experimentally examined how exposure to cautious or risky social comparison models on social media (in terms of their COVID-19 beliefs and behaviors) influenced parental intentions to vaccinate their children against COVID-19 in the early stages of the pandemic. Additionally, we examined whether the influence of social comparison models was moderated by emotional state (fear or contentment) and parental vaccination status. Overall, we found that parents exposed to cautious (vs. risky) comparison models and vaccinated (vs. unvaccinated) parents reported greater vaccine intentions for their children. We further found that vaccination intentions were highest among unvaccinated parents after exposure to cautious (vs. risky) comparison models, whereas intentions were highest among vaccinated parents after exposure to risky (vs. cautious) comparison models (but only when induced to feel content). Overall, our findings highlight the importance of understanding the additive and interactive impact of psychological and situational factors in shaping parental vaccine hesitancy.     

Reliability and concurrent relations between the teacher version of the child behavior profile and the conners revised teacher rating scale

A total of 104 disturbed boys aged 6–11 were assessed with the teacher version of the Child Behavior Profile and the Conners Revised Teacher Rating Scale (TRS). A subsample of 55 boys were reassessed with both measures at an interval of 1 week. For the teacher Profile, test-retest correlations averaged r=87 for eight behavior problem scales and r=91 for four adaptive functioning scales. Reliabilities were slightly higher for Externalizing scales (average r=.91) than for Internalizing scales (r=.80). Reliabilities averaged .94 for the Revised TRS. Correlations between the two measures indicated a strong correspondence between the three Externalizing scales of the Profile and the factor-based TRS scales. Specifically, Profile scales labeled Inattentive, Nervous-Overactive, and Aggressive correlated highly (p < .001) with TRS scales labeled Inattentive-Passive, Hyperactivity, and Conduct Problem, respectively. The Conners Hyperkinesis Index correlated highly with all three Externalizing scales of the Profile, particularly Aggressive (r=.82). Overall, these results support the reliability and concurrent validity of both measures.This research was supported by an NIMH Research Scientist Development Award (MH00403) to the first author and by NIMH grant number MH37372. The support of the William T. Grant Foundation is gratefully acknowledged. The authors are indebted to the students, teachers, and staff of PACE School for their cooperation. Tom Achenbach provided valuable comments on an earlier draft.     

Silence in Interdisciplinary Research Collaboration: Not Everything Said is Relevant,Not Everything Relevant is Said

Solving publicly important issues asks for the development of socio-technical approaches, which demands collaboration between researchers with different perspectives, values, and interests. In these complex interdisciplinary collaborations, the course of communication is of utmost importance, including the moments when people, consciously or not, keep silent. In 2012, an interdisciplinary group of water management engineers and scientists collaborated to explore how the university's separate water management research fields could fit better in today's socio-technical trends. Studying the interactional process revealed that during the collaboration many issues were not said by various parties at various times. Results show that, in particular, engineers and scientists stayed silent to secure group performance, to keep disagreements from surfacing, and manage conflicts of interest in the bargaining process. Although silence served various interactional functions, it also shaped the course of interaction in ways that were not intended, resulting in the development of a latent conflict. It is concluded that the concept of silence adds a relevant dimension to our understanding of interaction among engineers and scientists participating in interdisciplinary collaboration that is currently absent in existing literature on scientific collaboration.     

On the emergence of deprivation-reducing behaviors: Subliminal priming of behavior representations turns deprivation into motivation

Building on recent research into the emergence of human motivation and goal pursuit in the absence of the conscious awareness of the source of this pursuit, the present article aimed to shed light on how states of deprivation (e.g., deprivation of fluid) actually produce the motivation and corresponding behavior that lifts the deprivation. Two studies established that when participants were relatively deprived of fluids, they experienced enhanced motivation to drink and consumed more fluid in an alleged tasting test, and these effects were more pronounced when the concept of drinking was rendered accessible by subliminal priming. These results suggest that specific motivational goal states and corresponding behaviors do not arise directly from deprivation per se, but that accessible goal-related cognitions play a role in this process. Implications for theory and research on deprivation and non-conscious goal pursuit are briefly discussed.