Attentional control in visual signal detection: effects of abrupt-onset and no-onset stimuli

The attention literature distinguishes two general mechanisms by which attention can benefit performance: gain (or resource) models and orienting (or switching) models. In gain models, processing efficiency is a function of a spatial distribution of capacity or resources; in orienting models, an attentional spotlight must be aligned with the stimulus location, and processing efficiency is a function of when this occurs. Although they involve different processing mechanisms, these models are difficult to distinguish empirically. We compared performance with abrupt-onset and no-onset Gabor patch stimuli in a cued detection task in which we obtained distributions of reaction time (RT) and accuracy as a function of stimulus contrast. In comparison to abrupt-onset stimuli, RTs to miscued no-onset stimuli were increased and accuracy was reduced. Modeling the data with the integrated system model of Philip L. Smith and Roger Ratcliff (2009) provided evidence for reallocation of processing resources during the course of a trial, consistent with an orienting account. Our results support a view of attention in which processing efficiency depends on a dynamic spatiotemporal distribution of resources that has both gain and orienting properties.     

Changes in natural language use as an indicator of psychotherapeutic change in personality disorders

Word use has been shown to reflect various psychological processes and psychological change. This study examines the self-view in personality disorders (PDs) and its change over the course of therapy using the Linguistic Inquiry and Word Count analysis procedure. A sample of 299 participants with PDs and 108 community control participants wrote short essays about their lives. Patients repeated the assignment three times over two years and completed assessments of PD-pathology, general psychopathology, PD-beliefs, and quality of life. Results show that as hypothesized the use of words in the 1st Person Singular Pronouns, Negative Emotion, Causation, Past and Future Tense Verbs categories significantly declines over the course of treatment, while the use of Present Tense Verbs and Positive Emotion increases. These categories tend to distinguish patients from non-patients prior to treatment. We also found 12 additional word categories changing over time, including Word Count and Negations. Change in word use statistically predicts better treatment outcome on all outcome measures (p < .001). Reductions in the use of Negative Emotion Words and Negations are the strongest predictors of outcome. The non-hypothesized role of Negations was explored and seemed to reflect that PD-patients miss a lot in their lives. Reduction of what they miss seems central to recovery. This issue seems relatively neglected in theoretical and treatment models of PDs. An increased focus on what patients miss in their lives might improve our understanding and treatment of PDs. In sum, Negative Emotion and Negation word categories appear to reflect key treatment targets.     

Body image, shape, and volumetric assessments using 3D whole body laser scanning and 2D digital photography in females with a diagnosed eating disorder: preliminary novel findings

We piloted three-dimensional (3D) body scanning in eating disorder (ED) patients. Assessments of 22 ED patients (including nine anorexia nervosa (AN) patients, 12 bulimia nervosa (BN) patients, and one patient with eating disorder not otherwise specified) and 22 matched controls are presented. Volunteers underwent visual screening, two-dimensional (2D) digital photography to assess perception and dissatisfaction (via computerized image distortion), and adjunctive 3D full-body scanning. Patients and controls perceived themselves as bigger than their true shape (except in the chest region for controls and anorexia patients). All participants wished to be smaller across all body regions. Patients had poorer veridical perception and greater dissatisfaction than controls. Perception was generally poorer and dissatisfaction greater in bulimia compared with anorexia patients. 3D-volume:2D-area relationships showed that anorexia cases had least tissue on the torso and most on the arms and legs relative to frontal area. The engagement of patients with the scanning process suggests a validation study is viable. This would enable mental constructs of body image to be aligned with segmental volume of body areas, overcoming limitations, and errors associated with 2D instruments restricted to frontal (coronal) shapes. These novel data could inform the design of clinical trials in adjunctive treatments for eating disorders.     

Sex differences in how erotic and painful stimuli impair inhibitory control

Witnessing emotional events such as arousal or pain may impair ongoing cognitive processes such as inhibitory control. We found that this may be true only half of the time. Erotic images and painful video clips were shown to men and women shortly before a stop signal task, which measures cognitive inhibitory control. These stimuli impaired inhibitory control only in men and not in women, suggesting that emotional stimuli may be processed with different weights depending on gender.     

Mobility: Disability and Life in the Spirit

Abstract : The author employs the narrative of his own personal experience of disability as an entry to several large issues: the place of body; the challenge of mobility; the processes of medical treatment, therapy, and fitness training; the network of dependence upon family, friends, and society; and the challenge to actively avail oneself of the resources of this network. The power of the human spirit is affirmed as the prerequisite for moving the body and attaining the possibilities of one's life. This power is the work of God's Spirit. A concept of body‐spiriting is suggested. The argument is framed in two parts: (1) in the world in my own skin, and (2) living in the presence of God.     

Maximal care considerations when treating patients with end-stage heart failure: ethical and procedural quandaries in management of the very sick

Deciding who should receive maximal technological treatment options and who should not represents an ethical, moral, psychological and medico-legal challenge for health care providers. Especially in patients with chronic heart failure, the ethical and medico-legal issues associated with providing maximal possible care or withholding the same are coming to the forefront. Procedures, such as cardiac transplantation, have strict criteria for adequate candidacy. These criteria for subsequent listing are based on clinical outcome data but also reflect the reality of organ shortage. Lack of compliance and non-adherence to lifestyle changes represent relative contraindications to heart transplant candidacy. Mechanical circulatory support therapy using ventricular assist devices is becoming a more prominent therapeutic option for patients with end-stage heart failure who are not candidates for transplantation, which also requires strict criteria to enable beneficial outcome for the patient. Physicians need to critically reflect that in many cases, the patient’s best interest might not always mean pursuing maximal technological options available. This article reflects on the multitude of critical issues that health care providers have to face while caring for patients with end-stage heart failure.     

Children's time production for concurrent nontemporal motor tasks

An internal clock model has often been used to explain disruptions in timing production that occur when temporal and nontemporal tasks are performed simultaneously. In this study, participants' ability to walk 8 m in 8 sec. while executing various secondary concurrent nontemporal tasks was assessed for 16 children enrolled in sports at school. Children participated in six trials under five randomized task conditions involving different coordinative and cognitive workloads. The duration of timing production increased as the attention requirements or cognitive demands placed upon the completion of the task increased. However, participants also showed learning of timing over the six trials. Significant differences were found between the timing task and the concurrent nontemporal tasks depending on the difficulty and cognitive load of the secondary tasks. Results are discussed using attention models of time estimation and production.     

Manipulations of start and food locations affect navigation on a foraging task

Rats were able to search multiple food cups in a foraging task and successfully return to a fixed, but not a variable, start location. Reducing the number of food cups to be searched resulted in an improvement in performance in the variable start condition. Performance was better when only one or two food cups had to be visited but was still impaired if the food was not found in the first cup searched. Variable start locations impaired performance when only one food cup had to be searched, if that cup was moved over the table. These findings suggest that there is an interaction between memory processes and the navigational processes that allows an animal to return to its start location after a foraging trip. It appears that a fixed location for the food or the start point of a foraging trip is a necessary precondition for accurate performance.