Repurposing process measures to train psychotherapists: Training outcomes using a new approach

Aims: First, this paper presents the rationale for a novel approach to training counsellors in which measures for psychotherapy process research are taught to students before moving on to teaching basic empathic reflections and interventions. The rationale for this is that client process measures can be re‐purposed to help orient and sensitise trainees to key in‐session moments. Second, we present a training outcome study that assesses the effectiveness of this approach. Method: Using an experiential‐integrative therapy approach, a 13‐week training program was used to teach psychotherapy skills and process research measures to22 clinical graduate students taken from two cohorts. As part of the course, trainees conducted several single sessions with volunteer clients on four separate occasions. Training outcomes were measured using both trainee and client reports. Results: Compared to baseline, therapists reported significant and steady gains (all p's<.05) in session management, reducing their anxious self‐awareness, and in improved sense of self‐efficacy, with the latter having the largest effect (partial Eta Sq.=.381). Discussion: While the findings provide some support for a new training strategy, a dismantling design is needed next to more closely examine the process‐measure approach to training.     

TMS suppression of right pars triangularis, but not pars opercularis, improves naming in aphasia

This study sought to discover if an optimum 1 cm² area in the non-damaged right hemisphere (RH) was present, which could temporarily improve naming in chronic, nonfluent aphasia patients when suppressed with repetitive transcranial magnetic stimulation (rTMS). Ten minutes of slow, 1 Hz rTMS was applied to suppress different RH ROIs in eight aphasia cases. Picture naming and response time (RT) were examined before, and immediately after rTMS. In aphasia patients, suppression of right pars triangularis (PTr) led to significant increase in pictures named, and significant decrease in RT. Suppression of right pars opercularis (POp), however, led to significant increase in RT, but no change in number of pictures named. Eight normals named all pictures correctly; similar to aphasia patients, RT significantly decreased following rTMS to suppress right PTr, versus right POp. Differential effects following suppression of right PTr versus right POp suggest different functional roles for these regions.     

Self-recognition and the right prefrontal cortex

Although the anatomical and functional substrates subserving face recognition have been subject to extensive investigation, the underpinnings of self-face recognition are not well understood. Given the evidence that own-face recognition has been demonstrated by a select number of species, it is intriguing to speculate whether self-face recognition is accomplished via a 'self-network' or simply a 'face-network' within the brain. Furthermore, the relationship of self-recognition to other self-processes, such as self-evaluation and autobiographical retrieval, are not clearly defined. However, data from fMRI, ERPs and repetitive transcranial magnetic stimulation as well as from split-brain studies and patients with focal lesions, indicate that the prefrontal cortex, with possible right hemisphere lateralization, may be a preferential component in self-recognition. Studies using these methods, as well as PET, have indicated that the self-processes of self-evaluation and autobiographical memory preferentially engage networks within the right fronto-temporal region. Although it is highly improbable that there is a 'self-recognition' or 'self' center, it appears that there may be a bias for the processing of 'self' within the right prefrontal cortex.     

The role of motion direction selective extrastriate regions in reading: a transcranial magnetic stimulation study

Why reading ability is correlated with motion processing ability is perplexing. Activity in motion direction processing regions (Area V5/MT+) was perturbed by means of repetitive transcranial magnetic stimulation (rTMS) to examine its effect on reading. A functional probe (significant shortening of the motion aftereffect) was used to identify Area V5/MT+. Right-handed participants (8 m, 8 f) received three 7.5 min blocks of rTMS, after which two phonological and one orthographic reading tasks were administered. Application of rTMS to Area V5/MT+ (as compared to a non-rTMS baseline) significantly decreased performance only during non-word naming. The pattern of naming errors and the absence of deficits on the second phonological task were not consistent with a role for Area V5/MT+ in phonological decoding. Instead, its role in reading may be limited to image stabilization and/or letter localization.     

ORGANISMIC PROCESSES FOR NEO-PIAGETIAN THEORIES: A DIALECTICAL CAUSAL ACCOUNT OF COGNITIVE DEVELOPMENT

The paper criticizes some epistemological presuppositions of Piaget's and of neo-Piagetian's work, in particular, the psycho-Logical principle. This principle is contrasted with a more valid psycho-dialectical one. It is suggested that a dialectical-constructivist (i.e., causal-dynamic) perspective offers a causal theoretical framework for cognitive development that is superior to that of Piaget and many neo-Piagetians. I outline criteria for evaluating causal developmental theories, and point out deficiencies in Piaget's and neo-Piagetian's stage theories vis-à-vis the criteria. An organismic theory of constructive operators - a dialectical/causal theory - is introduced as a remedy for these deficiencies. I focus on a modular model of mental attention that is constituted by four dynamically interacting functional systems. These systems together explain the ‘beam’ of mental attention and its phenomenological/behavioural effects. I claim that the stages of cognitive development are caused by growth of mental attention. The validity of this model is supported by data on a motor performance task (Rho task). The Rho data show: (a) the existence of stage-wise plateaus in children's performance at ages congruent with the redefined Piagetian stages; (b) the psychological structures which, driven by mental attention (M-capacity), are responsible for performance on the task, appear to be located in the left hemisphere of the brain. These findings, predicted by the dialectical theory of mental attention, highlight its causal-predictive power.     

Failure of conservation training of disadvantaged black teenagers: a neo-Piagetian interpretation.

From a structural point of view, conservation tasks resemble Witkin's field-dependence situations. According to our neo-Piagetian theory, therefore, the failure of certain disadvantaged black teenagers to profit from conservation training may be related to their field dependence.     

Cortical plasticity associated with Braille learning

Blind subjects who learn to read Braille must acquire the ability to extract spatial information from subtle tactile stimuli. In order to accomplish this, neuroplastic changes appear to take place. During Braille learning, the sensorimotor cortical area devoted to the representation of the reading finger enlarges. This enlargement follows a two-step process that can be demonstrated with transcranial magnetic stimulation mapping and suggests initial unmasking of existing connections and eventual establishment of more stable structural changes. In addition, Braille learning appears to be associated with the recruitment of parts of the occipital, formerly `visual', cortex (V1 and V2) for tactile information processing. In blind, proficient Braille readers, the occipital cortex can be shown not only to be associated with tactile Braille reading but also to be critical for reading accuracy. Recent studies suggest the possibility of applying non-invasive neurophysiological techniques to guide and improve functional outcomes of these plastic changes. Such interventions might provide a means of accelerating functional adjustment to blindness.     

Executive functions underlying multiplicative reasoning: Problem type matters

We investigated the extent to which inhibition, updating, shifting, and mental-attentional capacity (M-capacity) contribute to children’s ability to solve multiplication word problems. A total of 155 children in Grades 3–6 (8- to 13-year-olds) completed a set of multiplication word problems at two levels of difficulty: one-step and multiple-step problems. They also received a reading comprehension test and a battery of inhibition, updating, shifting, and M-capacity measures. Structural equation modeling showed that updating mediated the relationship between multiplication performance (controlling for reading comprehension score) and latent attentional factors M-capacity and inhibition. Updating played a more important role in predicting performance on multiple-step problems than did age, whereas age and updating were equally important predictors on one-step problems. Shifting was not a significant predictor in either model. Implications of proposing executive function updating as a mediator between mathematical cognition and chronological age and attention resources are discussed.