Why people see things that are not there: a novel Perception and Attention Deficit model for recurrent complex visual hallucinations

As many as two million people in the United Kingdom repeatedly see people, animals, and objects that have no objective reality. Hallucinations on the border of sleep, dementing illnesses, delirium, eye disease, and schizophrenia account for 90% of these. The remainder have rarer disorders. We review existing models of recurrent complex visual hallucinations (RCVH) in the awake person, including cortical irritation, cortical hyperexcitability and cortical release, top-down activation, misperception, dream intrusion, and interactive models. We provide evidence that these can neither fully account for the phenomenology of RCVH, nor for variations in the frequency of RCVH in different disorders. We propose a novel Perception and Attention Deficit (PAD) model for RCVH. A combination of impaired attentional binding and poor sensory activation of a correct proto-object, in conjunction with a relatively intact scene representation, bias perception to allow the intrusion of a hallucinatory proto-object into a scene perception. Incorporation of this image into a context-specific hallucinatory scene representation accounts for repetitive hallucinations. We suggest that these impairments are underpinned by disturbances in a lateral frontal cortex-ventral visual stream system. We show how the frequency of RCVH in different diseases is related to the coexistence of attentional and visual perceptual impairments; how attentional and perceptual processes can account for their phenomenology; and that diseases and other states with high rates of RCVH have cholinergic dysfunction in both frontal cortex and the ventral visual stream. Several tests of the model are indicated, together with a number of treatment options that it generates.     

The Religious Right and Russia: Christian Nationalism and Americans’ Views on Russia and Vladimir Putin Before and After the Ukrainian Invasion

Since 2016, Americans’ attitudes toward Russia and Vladimir Putin have shifted, with Republicans becoming far more supportive of both. And though condemnation of Russia's invasion of Ukraine in 2022 remains bipartisan, many Christian-right leaders still support Putin and Russia. What undergirds this support? Drawing on three national data sets, we theorize Americans’ warmth toward Putin and Russia is reinforced by an ideology that seeks to institutionalize America's mythical Anglo Protestant ethno-culture—Christian nationalism. Though we propose Christian nationalism's relationship with Russia is more contingent on Russia's geopolitical activity vis-à-vis the United States, we theorize that Christian nationalism consistently predicts Putin support due to his authoritarian ethno-nationalism. April 2018 data show those who affirm America's Christian heritage in the past and/or present are more likely to view Putin and Russia favorably and Russia as our ally. March 2021 data also reveal a linear positive association between Christian nationalism and favorability toward Putin. And March 2022 data reveal a linear positive association between Christian nationalism and admiring Putin's leadership. They also show a U-shaped curvilinear relationship with viewing Russia as a threat. Paradoxically, Christian nationalism may warm Americans toward foreign authoritarians like Putin even when it compels Americans to perceive their nations as threats.     

Observer-Rated Measures of Defense Mechanisms

Observer-rated measures of defense mechanisms are the direct lineal descendants of Freud's clinical proposition that an observer can reasonably infer defensive operations in an individual of which the individual himself or herself is unaware. Assessment methods of defenses have used both projective testing and clinical interview data. Recent Rorschach test methods have focused on borderline and neurotic-level defenses used to discriminate diagnostic groups and predict other aspects of functioning. A TAT method has demonstrated some evidence for age progression in the development of defensive functioning and for regression in defensive functioning following psychological stress. While interrater reliability is generally good, the methods are limited by the availability of the testing situation and the need to demonstrate generalization to external situations.
Following the early introduction of systematic methods by Haan and Vaillant, a number of methods use clinical interview data to assess specific defenses and overall defensive functioning. These methods identify defenses either as qualitative categories, rank-ordered scores by Q-sort, or actual counts of each instance a defense is used. Summary scores are generally of good reliability, with wider variation for individual defenses. There is wide variation on training required, ease of use, and levels of validation.
A review of some correlates of each method suggests that the instruments have a robust potential for use in fundamental and applied clinical research. While each method has some clear applications, the quantitative clinical interview methods appear best adapted to microanalytic process research on issues of defensive change in treatment.     

Attitudes Toward Affirmative Action in the United States and Canada

Attitudes toward affirmative action programs were investigated using a U.S. sample, an English speaking Canadian sample, and a French speaking Canadian sample. Results indicate that cultural influences in the form of individualism-collectivism were small but that ethnic and linguistic memberships were major influences on attitudes toward those programs.     

A five-year follow-up on the temporal stability of the Ego Impairment Index

This study investigated the temporal stability of the Ego Impairment Index (EII) over a 5-year period. The EII is based on the Comprehensive System (Exner, 1993) and has shown promise as a measure of internal disturbance and psychopathology (Perry & Braff, 1994; Perry & Viglione, 1991; Perry, Viglione, & Braff, 1992). This study successfully recalled 17 subjects from an original sample of 46 who initially suffered from Major Depression, Melancholic-Type 5 years earlier and were treated with antidepressant medication. These subjects did not differ significantly from those Subjects who were not successfully recalled. The Rorschach and a variety of other measures were administered to the subjects. The results revealed impressive temporal consistency over 5 years: a rank-order, test-retest correlation of .68. The EII was also correlated with some of the measures of overall adaptation. These results are consistent with the notion that the EII is a stable trait-measure of psychopathology. Limitations because of the small subgroup of subjects, although not unusual in longitudinal research, are noted.