Cognitive behavioral therapy for panic disorder and comorbidity: more of the same or less of more?

This study compared the effects of a higher dose of cognitive behavioral therapy (CBT) for panic disorder versus CBT for panic disorder combined with "straying" to CBT for comorbid disorders in individuals with a principal diagnosis of panic disorder with or without agoraphobia. Sixty-five participants were randomly assigned to one of two treatment conditions, either CBT focused solely upon panic disorder and agoraphobia or CBT that simultaneously addressed panic disorder and agoraphobia and, to a lesser degree, the most severe comorbid condition. Results indicated a significant reduction in panic disorder severity and a decline in severity of comorbid diagnoses across both treatment conditions. However, individuals receiving CBT focused only on panic disorder were more likely to meet high end-state functioning at post-treatment, even in intent-to-treat analyses, and report zero panic attacks at the 1-year follow-up, although this effect was not retained in intent-to-treat analyses. At follow-up, CBT focused only on panic disorder yielded more substantial improvement in the most severe baseline comorbid condition, although not in intent-to-treat analyses, and a greater proportion of individuals in this treatment condition were rated as having no comorbid diagnoses, even in intent-to-treat analyses. These findings raise the possibility that remaining focused on CBT for panic disorder may be more beneficial for both principal and comorbid diagnoses than combining CBT for panic disorder with 'straying' to CBT for comorbid disorders.     

The use of the Ego Impairment Index across the schizophrenia spectrum

The goal of this study was to assess perceptual and thought disturbance, as indexed by the Ego Impairment Index (EII; Perry & Viglione, 1991), a Rorschach-derived measure, across the schizophrenia spectrum. We hypothesized that there would be an increase in EII scores (indicating increased disturbance) across the spectrum from nonpatients to severely disturbed, hospitalized schizophrenia patients. Normal comparison participants (n = 66), students with elevated scores on either the Perceptual Aberration/Magical Ideation or the Physical Anhedonia Scales (n = 24), first-degree relatives of schizophrenia patients (n = 36), participants diagnosed with Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) schizotypal personality disorder (n = 36), outpatient schizophrenia participants (n = 33), and hospitalized schizophrenia patients (n = 56) were studied. As hypothesized, we found increased EII scores in all of the schizophrenia spectrum groups when compared against normal comparison participants. Furthermore, the EII was significantly different between the schizophrenia patients and the other schizophrenia spectrum groups. These findings support the use of the EII as a sensitive measure of perceptual and thought disturbance across the schizophrenia spectrum that yields specific information regarding the type of thinking problems that occur within schizophrenia spectrum subgroups.     

Factor analytic properties of the Quality of Life Profile: examination of the nine subdomain Quality of Life Model

The Quality of Life Profile is a 54-item multidimensional measure of quality of life. The measure is based upon a theoretical approach that considers quality of life to include satisfaction with nine subdomains of functioning. To date, the factor structure of this 54-item collection has not been examined. To do so, an examination was made of the factor structure that emerged from an administration to 219 gay men, half of whom were HIV+. Analysis indicated that seven subdomains were clearly represented in seven of the 11 factors that emerged. One subdomain was fractured into two factors and one subdomain did not appear in the factor structure. Two minor factors appeared to represent issues that may be especially important to gay men living in the HIV era. The study provides insights into the structure of quality of life among gay men living in Ontario.     

Infants’ grip strength predicts mu rhythm attenuation during observation of lifting actions with weighted blocks

Research has established that the body is fundamentally involved in perception: bodily experience influences activation of the shared neural system underlying action perception and production during action observation, and bodily characteristics influence perception of the spatial environment. However, whether bodily characteristics influence action perception and its underlying neural system is unknown, particularly in early ontogeny. We measured grip strength in 12‐month‐old infants and investigated relations with mu rhythm attenuation, an electroencephalographic correlate of the neural system underlying action perception, during observation of lifting actions performed with differently weighted blocks. We found that infants with higher grip strength exhibited significant mu attenuation during observation of lifting actions, whereas infants with lower grip strength did not. Moreover, a progressively strong relation between grip strength and mu attenuation during observation of lifts was found with increased block weight. We propose that this relation is attributable to differences in infants’ ability to recognize the effort associated with lifting objects of different weights, as a consequence of their developing strength. Together, our results extend the body's role in perception by demonstrating that bodily characteristics influence action perception by shaping the activation of its underlying neural system.     

The Attractiveness of Panentheism—a Reply to Benedikt Paul Göcke

In his recent article in Sophia, Benedikt Paul Göcke concluded that ‘as long as we do not have a sound argument entailing the necessity of the world, panentheism is not an attractive alternative to classical theism’ (Benedikt Paul Göcke, ‘Panentheism and Classical Theism’, Sophia 52, no. 1 (2013): 75). As the article progresses, Göcke clarifies his view of what panentheism is, essentially identical to Göcke’s view of classical theism in every way, except in the world’s modal relation to God. This concept is vastly different to many of the panentheistic notions that are more commonly held. While it is not initially made transparent—especially with the label Göcke chooses to use—it becomes increasingly clear that Göcke critiques a God concept of his own making. More common variations of panentheism are contrasted with Göcke’s version, in order to provide a broader and more accurate view of the ancient concept, and to demonstrate that Göcke’s view of panentheism is idiosyncratic. It is finally explained that even if Göcke’s view of panentheism were definitive, he has not successfully argued for the relative unattractiveness of the concept, relative to his view of classical theism.     

《没有耶稣 没有上帝:关于一神论的科学的、历史的、哲学的证据的学术考察和讨论》

<正>这一本独特的著作,是对宗教的怀疑性学术探讨。它力图弥补流行的无神论著述和严格的学术探索之间的罅隙。尽量规避对宗教对社会的影响这种无休止的争论,该书仅专注于证据。第一部分主要揭示了耶稣并不存在。揭示了用于确立耶稣存在和基督教真理性的原始资料的欺骗性质,以及一些圣经学者所运用的欺骗方法。认为毫无疑问,基督信仰的真实性是不可能的。第二部分集中揭示了