An integrated approach to delivering exposure-based treatment for symptoms of PTSD and depression in OIF/OEF veterans: preliminary findings

Combat-exposed military personnel from the wars in Iraq and Afghanistan report high rates of PTSD and associated psychiatric problems. A formidable body of research supports exposure therapy as a front-line intervention for PTSD; however, relative to studies of civilians, fewer investigations have evaluated the effectiveness of exposure therapy using military samples. Specifically, barriers to care (e.g., stigma associated with receiving mental health services ) may compromise utilization of evidence-based psychotherapy. As such, researchers have argued that veterans with PTSD may require an integrated and innovative approach to the delivery of exposure techniques. This paper presents the rationale for and preliminary data from an ongoing clinical trial that compares the home-based telehealth (HBT) application of a brief, behavioral treatment (Behavioral Activation and Therapeutic Exposure; BA-TE) for veterans with PTSD to the standard, in-person application of the same treatment. Forty OIF/OEF veterans with PTSD and MDD were consented, enrolled, and randomized to condition (BA-TE in-person, or BA-TE HBT) and symptoms of anxiety and depression were assessed at pre- and posttreatment. Participants in both conditions experienced reductions in depression, anxiety, and PTSD symptoms between pre- and posttreatment, suggesting that HBT application of an integrated PTSD treatment may be feasible and effective.     

The importance of being 'well-placed': the influence of context on perceived typicality and esthetic appraisal of product appearance

Earlier findings have suggested that esthetic appraisal of product appearances is influenced by perceived typicality. However, prior empirical research on typicality and esthetic appraisal of product appearances has not explicitly taken context effects into account. In this paper, we investigate how a specific context influences perceived typicality and thus the esthetic appraisal of product appearances by manipulating the degree of typicality of a product's appearance and its context. The findings of two studies demonstrate that the perceived typicality of a product appearance and consequently its esthetic appraisal vary depending on the typicality of the context in which the product is presented. Specifically, contrast effects occur for product appearances that are perceived as typical. Typical product appearances are perceived as more typical and are more esthetically appealing when presented in an atypical context compared to when presented in a typical context. No differences in perceived typicality and esthetic appraisal were found for product appearances that are perceived as atypical.     

Asymmetric switch-costs and ERPs reveal facial identity dominance over expression

Previous studies on face processing have revealed an asymmetric overlap between identity and expression, as identity is processed irrespective of expression while expression processing partly depends on identity. To investigate whether this relative interaction is caused by dominance of identity over expression, participants performed familiarity and expression judgments during task switching. This paradigm reveals task-set dominance with a paradoxical asymmetric switch-cost (i.e., greater difference between switch and repeat trials when switching toward the dominant task). Event-related potentials (ERPs) were recorded to find the neural signature of the asymmetric cost. As expected, greater switch-cost was shown in the familiarity task with respect to response times, indicating its dominance over the expression task. Moreover, a left-sided ERP correlate of this effect was observed at the level of the frontal N2 component, interpreted as an index of modulations in endogenous executive control. Altogether, these results confirm the overlap between identity and expression during face processing and further indicate their relative dominance.     

How Does Neurobiological Research Influence Psychoanalytic Treatments?—Clinical Observations and Reflections From a Study on the Interface of Clinical Psychoanalysis and Neuroscience

One of the counterarguments against empirical research in psychoanalysis is that research negatively influences the treatment situation. In this paper, the impact of a neurobiological study on psychoanalytically oriented treatments is presented from three different perspectives: patients' views, a study group of participating psychoanalysts and a clinical case example. Twenty chronically depressed patients, 20 healthy controls and 16 psychoanalysts participated in the project on research. Results show a clear influence of the neurobiological study on the course of treatments. Patients consistently reported that study participation had a positive impact on their treatment experiences. However, study participation was conflictual for the psychoanalysts and forced them to carefully reflect on their unconscious and conscious involvement to establish a psychoanalytic stance independent from empirical research.     

The standard model for perceived magnitude: a framework for (almost) everything known about it

The psychophysics of perceived magnitude entails three aspects of sensory systems: range of sensitivity (dynamic range [DR]), resolving power (the capacity to resolve small changes in stimulus intensity), and the form of the function relating perceived magnitude to signal strength throughout the DR. A simple model is proposed that integrates what is known about all three aspects into a single framework. According to the model, perceived magnitude is a power function of stimulus strength (S. S. Stevens, 1956), and both the exponent of that function and a measure of resolving power are inversely related to the log of DR (R. Teghtsoonian, 1971). The DR is thought to have a characteristic value for each sensory system and may be estimated directly by measurement of upper and lower limits, or indirectly by estimating the exponent of the power function under optimal conditions. A central feature of the model is that all DRs are assumed to be subjectively equal. It is also suggested that the impression of perceived magnitude may be mediated by a single mechanism, regardless of the sensory system that is activated. It remains to be seen whether brain science is able to identify a neural basis for such a mechanism.     

Morphological priming survives a language switch

In a long-lag morphological priming experiment, Dutch (L1)-English (L2) bilinguals were asked to name pictures and read aloud words. A design using non-switch blocks, consisting solely of Dutch stimuli, and switch-blocks, consisting of Dutch primes and targets with intervening English trials, was administered. Target picture naming was facilitated by morphologically related primes in both non-switch and switch blocks with equal magnitude. These results contrast some assumptions of sustained reactive inhibition models. However, models that do not assume bilinguals having to reactively suppress all activation of the non-target language can account for these data.     

The statistical signature of morphosyntax: A study of Hungarian and Italian infant-directed speech

Does statistical learning (Saffran, Aslin, &; Newport, 1996) offer a universal segmentation strategy for young language learners? Previous studies on large corpora of English and structurally similar languages have shown that statistical segmentation can be an effective strategy. However, many of the world’s languages have richer morphological systems, with sometimes several affixes attached to a stem (e.g. Hungarian: iskoláinkban: iskolá-i-nk-ban school.pl.poss1pl.inessive ‘in our schools’). In these languages, word boundaries and morpheme boundaries do not coincide. Does the internal structure of words affect segmentation? What word forms does segmentation yield in morphologically rich languages: complex word forms or separate stems and affixes? The present paper answers these questions by exploring different segmentation algorithms in infant-directed speech corpora from two typologically and structurally different languages, Hungarian and Italian. The results suggest that the morphological and syntactic type of a language has an impact on statistical segmentation, with different strategies working best in different languages. Specifically, the direction of segmentation seems to be sensitive to the affixation order of a language. Thus, backward probabilities are more effective in Hungarian, a heavily suffixing language, whereas forward probabilities are more informative in Italian, which has fewer suffixes and a large number of phrase-initial function words. The consequences of these findings for potential segmentation and word learning strategies are discussed.     

Verbal interference suppresses exact numerical representation

Language for number is an important case study of the relationship between language and cognition because the mechanisms of non-verbal numerical cognition are well-understood. When the Pirahã (an Amazonian hunter-gatherer tribe who have no exact number words) are tested in non-verbal numerical tasks, they are able to perform one-to-one matching tasks but make errors in more difficult tasks. Their pattern of errors suggests that they are using analog magnitude estimation, an evolutionarily- and developmentally-conserved mechanism for estimating quantities. Here we show that English-speaking participants rely on the same mechanisms when verbal number representations are unavailable due to verbal interference. Followup experiments demonstrate that the effects of verbal interference are primarily manifest during encoding of quantity information, and—using a new procedure for matching difficulty of interference tasks for individual participants—that the effects are restricted to verbal interference. These results are consistent with the hypothesis that number words are used online to encode, store, and manipulate numerical information. This linguistic strategy complements, rather than altering or replacing, non-verbal representations.