Virtual Reality Exposure in the Treatment of Panic Disorder With Agoraphobia: A Case Study

In this work we present a case example of the use of virtual reality exposure for the treatment of panic disorder with agoraphobia. The assessment protocol and procedure (including a baseline period) and the cognitive-behavioral treatment program are described. The clinical measures were categorized into target behaviors, panic and agoraphobia measures, global functioning, and general psychopathology measures. The patient’s expectations and satisfaction with regard to the virtual treatment were also assessed. The results showed an important reduction in all clinical measures after treatment with virtual exposure and the patient reached the therapeutic goals established during the pretreatment assessment. The patient also reported a good acceptance of virtual exposure. The goals achieved in the virtual environment generalized to real agoraphobic situations and to other real situations not treated. Three-, 6-, and 12-month follow-up assessments were conducted and long-term therapeutic gains were maintained.     

Validity of virtual reality as a method of exposure in the treatment of test anxiety

This is a validation study, aiming to explore the effectiveness of a set of virtual environments forproducing emotionally significant responses in students with high levels of test anxiety in order to be able to implement them later in treatment. Twenty-one students agreed to take part, 11 with high test anxiety and 10 with low test anxiety. The virtual environments were prepared in chronological order: the student's home, then the metro, and finally the corridor and lecture hall where the examination takes place. The results showed that the high-test-anxiety group presented higher levels of anxiety and depression than the low-test-anxiety group during exposure to the virtual environments. This study shows that virtual reality is able to provoke emotional responses in students with high test anxiety. This validation study should be followed up with treatment studies to evaluate the efficacy of virtual reality therapy for treating testanxiety.     

What causes the effect of age of acquisition in lexical processing?

Three hypotheses for effects of age of acquisition (AoA) in lexical processing are compared: the cumulative frequency hypothesis (frequency and AoA both influence the number of encounters with a word, which influences processing speed), the semantic hypothesis (early-acquired words are processed faster because they are more central in the semantic network), and the neural network model (early-acquired words are faster because they are acquired when a network has maximum plasticity). In a regression study of lexical decision (LD) and semantic categorization (SC) in Italian and Dutch, contrary to the cumulative frequency hypothesis, AoA coefficients were larger than frequency coefficients, and, contrary to the semantic hypothesis, the effect of AoA was not larger in SC than in LD. The neural network model was supported.     

Discursive Construction of Political Categories and Moral Fields: God Versus Rights and Access in a Reproductive Health Legislative Debate

Using a discursive lens, we argue that politicians rhetorically construct categories, storylines, and moral fields. We further claim that such discursive products are action‐oriented toward gaining popular support in a public sphere that is politically fault lined along similar moral orders. As a case in point, we analyze speeches delivered during congressional voting on a Reproductive Health bill (RH bill). Employing a mixed methods strategy, we first implement a quantitative lexical analysis of frequently used words, followed by a qualitative detection of cohering storylines on both sides of the debate. Results show that oppositionists mark their speeches with a deployment of the word God, while bill supporters use the word access conspicuously. One storyline claims that The RH bill stands against God, while the other purports that The RH bill advocates rights and access. Although both storylines assert moral righteousness, they invoke two different moral orders backed by power blocs and the public at large. The God story appeals to a Catholic discourse and the moral order loudly supported by the politically powerful Catholic Bishops Conference of the Philippines. The rights/access narrative references a liberal morality frame maintained by social liberals and Philippine President Aquino. We end our paper by introducing the idea of an intrastate discursive lens to analyze moral fields constructed by politicians, oriented toward winning support from the public at large.     

Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth

This longitudinal study examined the role of coping strategies and posttraumatic growth (PTG) on the psychological adjustment to breast cancer trajectory. The participants were 50 women assessed at the time of surgery (T1), during adjuvant treatment (T2) and six months after the end of treatment (T3). Women completed questionnaires assessing coping strategies, PTG and psychological adjustment (psychological quality of life, anxiety and depression). Results showed that the greatest impact of breast cancer on women's adjustment occurred at T1, when patients were significantly more anxious than in the other phases of the disease. The type of surgery and adjuvant treatment did not account for the course of PTG and adjustment. Coping through seeking social support and using cognitive strategies at T1 were linked to psychological quality of life and depression at T3 via PTG dimension of personal resources and skills at T2. Findings emphasise the value of promoting adaptive coping strategies and PTG in order to improve psychological adjustment in breast cancer patients.     

Do not hinder them: educating children with mental disabilities in the church

Developmental disabilities in children can be challenging to the family who desires a spiritual home for their family. Parents may hesitate to bring a special needs child to a church service, uncertain of the outcome. While public schools have amazing support for the differently abled, the Church very rarely has assistance in place for the families of handicapped individuals, let alone theology for the parents of mentally disabled children. This paper will examine possible ways for a local church leader or volunteer to educate children with mental disabilities, drawing on a variety of texts for support. The paper will conclude by offering resources for the teachers of special needs children in church education.     

Improving left spatial neglect through music scale playing

The study assessed whether the auditory reference provided by a music scale could improve spatial exploration of a standard musical instrument keyboard in right‐brain‐damaged patients with left spatial neglect. As performing music scales involves the production of predictable successive pitches, the expectation of the subsequent note may facilitate patients to explore a larger extension of space in the left affected side, during the production of music scales from right to left. Eleven right‐brain‐damaged stroke patients with left spatial neglect, 12 patients without neglect, and 12 age‐matched healthy participants played descending scales on a music keyboard. In a counterbalanced design, the participants' exploratory performance was assessed while producing scales in three feedback conditions: With congruent sound, no‐sound, or random sound feedback provided by the keyboard. The number of keys played and the timing of key press were recorded. Spatial exploration by patients with left neglect was superior with congruent sound feedback, compared to both Silence and Random sound conditions. Both the congruent and incongruent sound conditions were associated with a greater deceleration in all groups. The frame provided by the music scale improves exploration of the left side of space, contralateral to the right hemisphere, damaged in patients with left neglect. Performing a scale with congruent sounds may trigger at some extent preserved auditory and spatial multisensory representations of successive sounds, thus influencing the time course of space scanning, and ultimately resulting in a more extensive spatial exploration. These findings offer new perspectives also for the rehabilitation of the disorder.     

Evidence for a double dissociation between spatial-simultaneous and spatial-sequential working memory in visuospatial (nonverbal) learning disabled children

The paper describes the performance of three children with specific visuospatial working memory (VSWM) impairments (Study 1) and three children with visuospatial (nonverbal) learning disabilities (Study 2) assessed with a battery of working memory (WM) tests and with a number of school achievement tasks. Overall, performance on WM tests provides evidence of a double dissociation between spatial-simultaneous processes, underpinning the memorization item positioning in a spatial configuration, and spatial-sequential processes, which allow memorization of the presentation order. In both groups of children of the two studies, a selective impairment either on spatial-sequential or on spatial-simultaneous working memory tasks was observed. These data support the existence of -simultaneous and -sequential modality-dependent processes in visuospatial working memory and confirm the importance of distinguishing between different subtypes of visuospatial (nonverbal) learning-disabled children.     

IDENTITY AND IDENTIFICATION: JEWISH YOUTH IN ITALY 1870–1938

The criteria by which Jews identify themselves cover a very wide range and change over time. The aim of this essay is to stress that Italian Jewish identity must be analysed in a historical context, in the larger society in which it is located and with which it interacts. Through the study of the activities of Italian Jewish youth, this article will demonstrate, on the one hand, the integration and uniqueness of the Italian Jews and, on the other, that Italian Jewish identity has been transformed by the political ideology and economics of the surrounding society. The only way to analyse Jewish youth in Italy in their struggle with their Jewish identity should be comparatively, that is, to examine the history of Italian Jews and of Italy as a whole, not as separate but as connected entities.