Exhaled breath analysis in evaluation of psychological stress: A short literature review

Physiological stress is pervasive in today's society. Its detection is normally performed through several unobtrusive methods, driving both caregivers and patients to take measures to reduce the burden of this condition on human health. Among the methods for assessing stress, exhaled breath analysis represents a non‐invasive, real‐time alternative to classic laboratory tests. Therefore, a literature review was performed to assess the presence of altered parameters, related to psychological stress, in exhaled breath. Most studies in our review measured nitric oxide (NO), whose concentration was often correlated, either positively or negatively, with psychological stress, with reasonable scientific support. Other compounds (isoprene, terpene and so on) were rarely studied and with mixed evidence. Further investigations are needed to elucidate the involvement and the pathophysiological role of NO in stress, possibly including a greater number of individuals, as sample size actually represents the main limitation of the work published to date.     

Working memory and updating processes in reading comprehension

In this study, we examine the relation between reading comprehension ability and success in working memory updating tasks. Groups of poor and good comprehenders, matched for logical reasoning ability, but different in reading comprehension ability, were administered various updating tasks in a series of experiments. In the first experiment, the participants were presented with lists of words, the length of which (4-10 words) was unknown beforehand, and were required to remember the last 4 words in each series. In this task, we found a decrease in performance that was related to longer series and poor reading ability. In the second experiment, we presented lists of nouns referring to items of different sizes, in a task that simulated the selection and updating of relevant information that occurs in the on-line comprehension process. The participants were required to remember a limited, predefined number of the smallest items presented. We found that poor comprehenders not only had a poorer memory, but also made a greater number of intrusion errors. In the third and fourth experiments, memory load (number of items to be selected) and suppression request (number of potentially relevant items) were manipulated within subjects. Increases in both memory load and suppression requests impaired performance. Furthermore, we found that poor comprehenders produced a greater number of intrusion errors, particularly when the suppression request was increased. Finally, in a fifth experiment, a request to specify the size of presented items was introduced. Poor comprehenders were able to select the appropriate items, although their recall was poorer. Altogether, the data show that working memory abilities, based on selecting and updating relevant information and avoiding intrusion errors, are related to reading comprehension.     

Practicing Clinical Supervision in Chile: Lessons from 28 Years of Training

Journal of Contemporary Psychotherapy - This article describes a model of supervision developed by Centro MIP in Santiago, Chile. This model is situated in the cultural history and legal context of...     

How sublexical association strength modulates updating: Cognitive and strategic effects

In the current study, we investigated updating of long-term memory (LTM) associations. Specifically, we examined sublexical associations by manipulating preexisting LTM relations between consonant couplets (in encoding and updating phases), and explicitly instructed participants to engage with a specific strategy for approaching the task (item disjunction, grouping, or none). In two experiments, we used a multistep subject-based memory updating task in which we measured processing response times (RTs; Exp. 1, Exp. 2) and recognition RTs (Exp. 2). For the first time, in both experiments, we found costs in dismantling strong pre-existing associations from LTM and benefits in recreating strong preexisting associations. In addition, we found that control of irrelevant information was more difficult when this belonged to a strong association. Regarding task strategies, we showed that inducing a disjunction strategy enhanced updating, no matter the strength of the association. Results were discussed in the light of updating as a process of dismantling and recreating associations. The role of a specific strategic approach in enhancing the updating was also discussed.     

Attentional biases for threat after fear-related autobiographical recall

Background : Previous studies suggested that affective state could enhance stimulus salience and modulate attention allocation for mood-congruent information, but contrasting data have been reported on the effects of mood induction on attentional biases for threat (ABTs) in non-clinical individuals.

Objective : We aimed to assess whether laboratory-induced negative mood can increase individuals’ tendency to allocate attention on threatening stimuli, thus determining a difficulty in attentional disengagement from threat. We also aimed at assessing whether level of trait anxiety could modulate the effect of mood induction on attentional biases.

Methods : We used an autobiographical episode recall procedure for mood induction (fear, happiness and neutral episode recall), and an exogenous cueing task with threatening and non-threatening images to assess attentional biases in 120 undergraduate students.

Results: Participants showed a significant difficulty in disengaging attention from threat after recalling fear-related episodes, independently from their trait anxiety level.

Conclusions: These findings clarify that the ABTs are not exclusive to anxiety disorders or high trait anxiety individuals, and could also arise in non-clinical individuals in a fearful context.     

Infantile sexuality and Freud's legacy

The topic of sexuality and infantile sexuality, though less frequently discussed by psychoanalysis in recent decades, has received renewed attention for some years. The intention of this paper is to share some reflections around the role of infantile sexuality in our thinking, how we encounter it in our work with patients and in clinical material. Through reference to questions put forward by Freud (1905) in Three Essays, this paper takes into consideration some areas of the debate that has developed on the subject of infantile sexuality, starting from Freud's original intuition, including various hypotheses on the genesis of the sexual drive. The author will concentrate on two specific points. Firstly, how infantile sexuality – as a permanent dimension of the subject's existence – unfolds in the relationship and is deeply influenced by it. And that is how in childhood and adolescence, infantile sexuality ushers in parental sexuality – just as, in the case of our patients, infantile sexuality ushers in the analyst's sexuality. The second point pertains to the temporal dimension within which infantile sexuality is inscribed. The hypothesis that the author proposes is that infantile sexuality may be understood in the specific time of psychoanalysis [Nachträglichkeit], distinct and different with respect to the linear, evolutionary dimension.     

Exemptions for Whom? On the Relevant Focus of Egalitarian Concern

Granting differential treatment is often considered a way of placing some groups in a better position in order to maintain or improve their cultural, economic, health-related or other conditions, and to address persistent inequalities. Critics of multiculturalism have pointed out the tension between protection for groups and protection for group members. The ‘rule-and-exemption’ approach has generally been conceived as more resistant to such criticism insofar as exemptions are not conceded to minorities or ethical and religious groups as such, but to individuals who are part of those groups. However, I show that when a government grants an exemption, it inevitably provides a definition of the relevant group in question, and the tendency is to take cultural membership as ‘given’ or as defined by group spokespersons. I discuss some problems related to these definitions and defend instead a definition based on shared group interests.