Communication in early infancy: an arena of intersubjective learning

The present essay summarizes experimental, video-microanalytic and clinical aspects of the Papouseks' approach to early preverbal communication. The first section summarizes some of their video-microanalytic research on intuitive parenting and preverbal parent-infant communication. It describes the naturalistic preverbal learning context where infants learn and integrate experiences about themselves, the parent, their interrelatedness, and interactions with objects and events in the environment. The second section recapitulates research involving various kinds of experimental manipulations of the parents' communicative behavior and its effects on infant responses. The final section draws a bow to individual differences and what can be learned from the application of the still-face paradigm in clinical assessments of dysfunctional parent-infant communication.     

Creativity and schizotypy from the neuroscience perspective

Behavioral research has revealed that some cognitive features may be similar between creative and psychotic/schizophrenic-like thoughts. In this study, we addressed the potential link between creativity and schizotypy at the level of the brain by investigating functional patterns of brain activity (using functional magnetic resonance imaging) during creative cognition in preselected groups with low versus high psychometrically determined schizotypy. Our findings revealed an association between the originality component of creativity and reduced deactivation of right parietal brain regions and the precuneus during creative cognition, congruent with the idea that more-creative people may include many more events/stimuli in their mental processes than do less-creative people. Similarly, the high-schizotypy group showed weaker deactivation of the right precuneus during creative cognition. The fact that originality and schizotypy show similar functional brain activity patterns during creative ideation (i.e., reduced deactivation of the right precuneus) strongly supports the contention that similar mental processes may be implicated in creativity and in psychosis proneness.     

Allusive thinking (cognitive looseness) and the propensity to perceive “meaningful” coincidences

This study aimed at evaluating relations between the disposition to make “meaningful” associations between random events and potentially predisposing factors related to a more “loose” cognitive control, that is, loose associative processing (allusive thinking) and poorer inhibition of irrelevant memory content. As the findings of this study suggest, individuals with a higher disposition to perceive coincidences produced a higher rate of unusual associations in the Bridge-the-Associative-Gap test than low scorers, and showed poorer inhibition of no longer relevant memory content in the Recent Probes Task. These relationships were independent from individual differences in paranormal belief. Performance in a random generation task (Mittenecker Pointing Test) yielded no support for an important role of a biased concept of randomness in the perception of coincidences. The findings suggest that common mechanisms may underlie the propensity to perceive meaningful coincidences, cognitive looseness, and positive schizotypy.     

How Does Your Doctor Talk with You? Preliminary Validation of a Brief Patient Self-Report Questionnaire on the Quality of Physician–Patient Interaction

The quality of physician–patient interaction is increasingly being recognized as an essential component of effective treatment. The present article reports on the development and validation of a brief patient self-report questionnaire (QQPPI) that assesses the quality of physician–patient interactions. Data were gathered from 147 patients and 19 physicians immediately after consultations in a tertiary care outpatient setting. The QQPPI displayed good psychometric properties, with high internal consistency and good item characteristics. The QQPPI total score showed variability between different physicians and was independent of patients’ gender, age, and education. The QQPPI featured high correlations with other quality-related measures and was not influenced by social desirability, or patients’ clinical characteristics. The QQPPI is a brief patient self-report questionnaire that allows assessment of the quality of physician–patient interactions during routine ambulatory care. It can also be used to evaluate physician communication training programs or for educational purposes.     

Typical performance measures of emotion regulation and emotion perception and frontal EEG asymmetry in an emotional contagion paradigm

In order to replicate and extend previous observations of validity of the self-reported habitual regulation of one’s affect and the perception of other people’s emotions, prefrontal electroencephalographic (EEG) asymmetry was recorded during and after social-emotional stimulation. After stimulation with other people’s vocal expression of anxiety, individuals with lower scores on emotion regulation did not show recovery of asymmetry changes but even increased changes in the direction that had been adopted during the stimulation. Whether this was to the right or to the left depended on their scores on emotion perception. Participants high on perception showed the expected changes to the right during the anxiety stimulation (indicating increased withdrawal motivation) and to the left during the cheerfulness stimulation (indicating increased approach motivation), whereas individuals low on perception showed the opposite pattern. During the anxiety stimulation, participants low on perception only showed the unexpected change to the left if they were also low on regulation. Individual differences in regulation did not play a role when participants were confronted with other people’s laughter. The findings demonstrate the validity of the self-report measures by using EEG measures, and moreover support the usefulness of differentiated and process-oriented approaches in the field of trait emotional intelligence.     

Beyond emotional bonding: The role of preverbal communication in mental growth and health

Next to nutritive and hygienic needs, emotional needs have been most commonly considered in theories on early human development and in therapy of early disorders in social interactions. Needs concerning cognitive and communicative development have gained far less attention although they belong to species-specific means of human adaptation, depend on intrinsic motivators, and are very often involved in the symptomatology of disorders in social behavior. Most mechanisms of dialogic interchanges are based on nonconscious processes and escape parents' rational control. They may be disturbed or inhibited due to pathological deviations and/or unfavorable sociocultural circumstances, both on the parental and infant sides. Preverbal communication plays a key role in the environmental support to infant cognition, communication, and social integration. The elucidation of its forms and therapeutic application has proved helpful not only for infants but also for children whose communicative age is lower than their chronological age.     

Intra- and interindividual differences in lateralized cognitive performance and asymmetrical EEG activity in the frontal cortex

The study shows that changes in relative verbal vs. figural working memory and fluency performance from one session to a second session two to 3 weeks apart covary with spontaneously occurring changes of cortical asymmetry in the lateral frontal and central cortex, measured by electroencephalography (EEG) in resting conditions before the execution of tasks. That is, it was examined whether the current state of cortical asymmetry predicts verbal vs. figural performance. The findings complete the circle from studies showing correlations between changes of EEG asymmetry in the lateral frontal cortex and changes of mood to studies showing correlations between changes of mood and changes of relative verbal vs. figural working memory and fluency performance. The study suggests that state-dependent changes of lateralized cortical activity may underlie certain cognitive-emotional interactions observed in previous studies, and supports the assumption of reciprocal influences of specific emotional and specific cognitive processes.     

Right amygdalar and temporofrontal activation during autobiographic, but not during fictitious memory retrieval

What distinguishes the recall of real-life experiences from that of self-created, fictitious emotionally laden information? Both kinds of information belong to the episodic memory system. Autobiographic memories constitute that part of the episodic memory system that is composed of significant life episodes, primarily of the distant past. Functional imaging was used to study the neural networks engaged in retrieving autobiographic and fictitious information of closely similar content. The principally activated brain regions overlapped considerably and constituted temporal and inferior prefrontal regions plus the cerebellum. Selective activations of the right amygdala and the right ventral prefrontal cortex (at the level of the uncinate fascicle interconnnecting prefrontal and temporopolar areas) were found when subtracting fictitious from autobiographic retrieval. Furthermore, distinct foci in the left temporal lobe were engaged. These data demonstrate that autobiographic memory retrieval uses (at least in non-brain damaged individuals) a network of right hemispheric ventral prefrontal and temporopolar regions and left hemispheric lateral temporal regions. It is concluded that it is the experiential character, its special emotional infiltration and its arousal which distinguishes memory of real-life from that of fictitious episodes. Consequently, our results point to the engagement of a bi-hemispheric network in which the right temporo-prefrontal hemisphere is likely to be responsible for the affective/arousal side of information retrieval and the left-hemispheric temporal gyrus for its engram-like representation. Portions of the neural activation found during retrieval might, however, reflect re-encoding processes as well.     

Entwicklung eines Curriculums für psychosomatische Grundversorgung in Frauenheilkunde und Geburtshilfe

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