Additive effects of social and non‐social attention during infancy relate to later autism spectrum disorder

Emerging findings from studies with infants at familial high risk for autism spectrum disorder (ASD), owing to an older sibling with a diagnosis, suggest that those who go on to develop ASD show early impairments in the processing of stimuli with both social and non‐social content. Although ASD is defined by social‐communication impairments and restricted and repetitive behaviours, the majority of cognitive theories of ASD posit a single underlying factor, which over development has secondary effects across domains. This is the first high‐risk study to statistically differentiate theoretical models of the development of ASD in high‐risk siblings using multiple risk factors. We examined the prediction of ASD outcome by attention to social and non‐social stimuli: gaze following and attentional disengagement assessed at 13 months in low‐risk controls and high‐risk ASD infants (who were subsequently diagnosed with ASD at 3 years). When included in the same regression model, these 13‐month measures independently predicted ASD outcome at 3 years of age. The data were best described by an additive model, suggesting that non‐social attention, disengagement, and social attention as evidenced by gaze following, have a cumulative impact on ASD risk. These data argue against cognitive theories of ASD which propose that a single underlying factor has cascading effects across early development leading to an ASD outcome, and support multiple impairment models of ASD that are more consistent with recent genetic and neurobiological evidence.     

Manualizing psychotherapy: Aaron T. Beck and the origins of Cognitive Therapy of Depression

Abstract

This paper examines the origins of psychiatrist Aaron T. Beck’s 1979 Cognitive Therapy of Depression (CTOD). CTOD was the first psychotherapy manual designed to be used in a randomized controlled trial (RCT). Making psychotherapy amenable to the RCT design had been a ‘holy grail’ for leading American psychotherapy researchers since the late 1960s. Beck’s CTOD – which standardized his treatment so it could be compared with drug treatments in a clinical trial – delivered that holy grail, and ushered in the manualized treatment revolution. Manuals are now a sine qua non in psychotherapy research. In this paper, I explore some of the personal, political, and economic variables that made the idea of a manual irresistible to Beck and to those who first championed him.     

Effects of discrete emotions on young children's ability to discern fantasy and reality

This study examined 3- to 5-year-olds' (N = 128; 54% girls) ability to discriminate emotional fantasy and reality. Children viewed images depicting fantastic or real events that elicited several emotions, reported whether each event could occur, and rated their emotional reaction to the image. Children were also administered the Play Behavior Questionnaire and Pretend Action Tasks to assess play behaviors. Findings revealed age-related improvements in performance and biases in judgment based on the emotion depicted. Children reported that happy fantastic events could occur significantly more often than frightening and angry fantastic events and that happy real events could occur significantly more often than frightening and angry real events. Children's emotional reactions to the images but not play behaviors were significantly related to their fantasy-reality distinctions. Implications for the relation between emotions and children's fantasy-reality distinctions are discussed.     

Previewing the neighborhood: the role of orthographic neighbors as parafoveal previews in reading

In 2 experiments, a boundary technique was used with parafoveal previews that were identical to a target (e.g., sleet), a word orthographic neighbor (sweet), or an orthographically matched nonword (speet). In Experiment 1, low-frequency words in orthographic pairs were targets, and high-frequency words were previews. In Experiment 2, the roles were reversed. In Experiment 1, neighbor words provided as much preview benefit as identical words and greater benefit than nonwords, whereas in Experiment 2, neighbor words provided no greater preview benefit than nonwords. These results indicate that the frequency of a preview influences the extraction of letter information without setting up appreciable competition between previews and targets. This is consistent with a model of word recognition in which early stages largely depend on excitation of letter information, and competition between lexical candidates becomes important only in later stages.     

The effect of word frequency, word predictability, and font difficulty on the eye movements of young and older readers

Young adult and older readers' eye movements were recorded as they read sentences containing target words that varied in frequency or predictability. In addition, half of the sentences were printed in a font that was easy to read (Times New Roman) and the other half were printed in a font that was more difficult to read (Old English). Word frequency, word predictability, and font difficulty effects were apparent in the eye movement data of both groups of readers. In the fixation time data, the pattern of results was the same, but the older readers had larger frequency and predictability effects than the younger readers. The older readers skipped words more often than the younger readers (as indicated by their skipping rate on selected target words), but they made more regressions back to the target words and more regressions overall. The E-Z Reader model was used as a platform to evaluate the results, and simulations using the model suggest that lexical processing is slowed in older readers and that, possibly as a result of this, they adopt a more risky reading strategy.     

THE EFFECTS OF FIXED‐TIME ESCAPE ON INAPPROPRIATE AND APPROPRIATE CLASSROOM BEHAVIOR

Few studies have explored the effects of fixed‐time (FT) reinforcement on escape‐maintained behavior of students in a classroom setting. We measured the effects of an FT schedule on the disruptive and appropriate academic behaviors of 2 junior high students in a public school setting. Results demonstrated that FT escape from tasks resulted in a substantial decrease in disruptive behavior and an increase in time engaged in tasks for both participants.     

Field Conditions: Discussion of Donnel B. Stern's Field Theory in Psychoanalysis

In this discussion we applaud Donnel B. Stern for undertaking his rigorous comparison of the “field” concept in interpersonal and relational psychoanalysis (IRP) and Bionian field theory (BFT). Stern offers a balanced presentation of similarities and differences between these two conceptual models, but we focus primarily on certain differences, starting with what we perceive as differing notions of the nature, purpose, and clinical function of the field itself. We distinguish the interactional view of an essentially relational model of the field in IRP (where the clinical aim is to enlarge the domain of the interpersonal dialogue and the capacity for mutual recognition) from the BFT model of a field viewed in terms of emergent phenomena, realized in multiple modalities of experience (here the clinical aim is to expand the scope of contact with unconscious life and to facilitate the capacity to transform emotional, psycho-sensory and proto-emotional experience). We also take up the differing relationships to external reality and authority within these two models, with special reference to the role of the frame in the function of the field.     

Making Our Hairs Stand on End—A Call to Psychoanalysis to Look Outside Itself: Response to Commentaries

I am grateful for the rich commentaries of Ogden and Ferro and Civitarese, and wish we could continue this discussion, as it speaks to the importance of psychoanalysis looking outside itself to the arts and other disciplines to enrich and expand our ways of hearing. In my response I take up Ogden's discussion of the resistance of the medium of psychoanalysis and the necessity of “changing the terms.” I present a short sequel to the clinical material presented in my paper to illustrate what Ogden is discussing. I also agree with the importance of Ferro and Civitarese's focus on the primacy of incarnate emotional experience and the necessity of moving in and out of integration and nonintegration as we struggle to register what is going on in the analytic encounter and how we may all generate meaning out of these experiences.     

Reduced willingness to approach genuine smilers in social anxiety explained by potential for social evaluation,not misperception of smile authenticity

ABSTRACT

We investigate perception of, and responses to, facial expression authenticity for the first time in social anxiety, testing genuine and polite smiles. Experiment 1 (N?=?141) found perception of smile authenticity was unaffected, but that approach ratings, which are known to be reduced in social anxiety for happy faces, are more strongly reduced for genuine than polite smiles. Moreover, we found an independent contribution of social anxiety to approach ratings, over and above general negative affect (state/trait anxiety, depression), only for genuine smiles, and not for polite ones. We argue this pattern of results can be explained by genuine smilers signalling greater potential for interaction – and thus greater potential for the scrutiny that is feared in social anxiety – than polite smiles. Experiment 2 established that, relative to polite smilers, genuine smilers are indeed perceived as friendlier and likely to want to talk for longer if approached. Critically, the degree to which individual face items were perceived as wanting to interact correlated strongly with the amount that social anxiety reduced willingness to approach in Experiment 1. We conclude it is the potential for social evaluation and scrutiny signalled by happy expressions, rather than their positive valence, that is important in social anxiety.