AN INDIVIDUALIZED LEVELS SYSTEM TO INCREASE INDEPENDENT MEALTIME BEHAVIOR IN CHILDREN WITH FOOD REFUSAL

An individualized levels system was implemented to increase independent eating in two children with food refusal. Participants earned access to different status levels associated with varying availability of preferred items/activities outside of meals according to criteria based on low levels of prompting throughout the meal. A reversal design was implemented to evaluate the effects of the intervention on independent mealtime behavior. Results demonstrated that the levels system was effective in increasing independent eating and in decreasing prompted bites for both participants. Although the effectiveness of an individualized levels system has been previously demonstrated in the treatment of severe problem behavior, it has not been empirically evaluated in the context of increasing appropriate behavior or with children with food refusal. These findings provide support for such a treatment to promote mealtime independence during an intensive feeding program and at two months follow‐up. Copyright © 2013 John Wiley & Sons, Ltd.     

Temporal constraints on binding? Evidence from quantal state transitions in perception

Do behavioural observations on the transitions between alternative perceptual interpretations of stimuli carry information about temporal characteristics of brain activity involved in binding? Promising methods for capturing critical attributes of this activity are the psychophysical methods of parameter adjustment. Of particular value are situations that include an adjustment of periodically repeating components, since the interaction of these with periodic “carrier processes” in the brain may produce informative patterns of interference. Previous evidence reveals that in different paradigms the spectral time signatures of transition tune in to a superordinate structure of quantal time values. In agreement with predictions of the taxonomic “time quantum model” (TQM), quantal time values are organized in groups called ranges which cover intervals of discretely varying sizes. These findings suggest properties characteristic of oscillatory mechanisms which are active in temporal binding. Of critical importance is the extreme precision of timing, agreement of critical periods across individuals, as well as across tasks of varying complexity, and indications of single-shot timing.     

Novel associative processing and aging: effect on creative production

ABSTRACT

Creative production has been reported to decline with age. This study investigated age-related differences in creative verbal production. Participants were 30 younger and 30 older adults. Study testing included language and cognitive assessments and the experimental task wherein participants created short stories incorporating words that are not commonly related, semantically or associatively. The resulting stories were rated by independent blinded judges for originality, cohesion, appropriateness, and organization. Younger adults' stories were rated as being significantly more original and more appropriate. Integrating unrelated words to create original stories requires activating widely distributed lexical-semantic networks to develop novel associations. Potential decreased neural network connectivity due to white matter degradation, commonly seen in normal aging, as well as decrements in front-executive disengagement may have affected older adults' performance on this story creation task. Future research using neuroimaging may elucidate possible neuroanatomic correlates of age-related changes in associative creative production..     

Recall and Recognition Measures of Paired Associate Learning in Healthy Aging

ABSTRACT

Associate-recognition has received little attention as a potential clinical tool for detecting early Alzheimer's disease (AD). As an important preliminary stage to investigating the paradigm's diagnostic utility, we designed and administered a verbal associate-recognition task to healthy elderly participants (n?=?62) and compared their performance to that on traditional cued-recall PAL. In both test conditions, the stimulus list comprised of a mixture of highly imageable and less imageable word pairs. Overall, performance on the associate-recognition task was superior to that on the cued-recall analogue. This ‘recognition advantage’ was not attributable to the higher baseline or chance guessing rate in the associate-recognition condition, as the size of the recognition advantage varied across learning trials and stimulus imageability. In comparison to performance on the imageable stimuli, performance on the less imageable stimuli was poor in both associate-recognition and cued-recall conditions. Across the delay, performances were more likely to drop in the cued-recall condition than the associate-recognition condition. These results suggest that verbal associate-recognition may be clinically efficacious and better tolerated in elderly populations than traditional cued-recall paradigms. Although these results are encouraging, further research is required to examine the utility of associate-recognition in clinical populations, particularly early AD.     

Juegos en Dinamica de Grupo (Games in Group Dynamics)

Abstract

It is widely recognized that military service during wartime can take a toll on a soldier’s psychological health. Recent work has revealed effects on the families left behind as well, as reflected, for example, in an increase in child abuse and neglect in these families. My interest in studying the transgenerational transmission of trauma led me to offer the National Guard a pro bono group therapy for women whose husbands had been deployed overseas. A slightly unorthodox approach paved the way not only to group treatment but, ultimately, individual treatment for these women and their children. My hope is that this work can serve as a model for other therapists who share my interest in treating the intergenerational transmission of trauma by implementing group and mother-child psychotherapy.     

Work and Rest Variables in the Acquisition of Psychomotor Tracking Skill

College students (75 men, 75 women) matched in preliminary performance of 100 sec on the rotary pursuit apparatus were randomly assigned to five experimental groups. Their work/rest ratios, measured in seconds, were: 20/20, 30/30, 60/60, 90/90,120/120. All subjects received 30 min of total practice time after the matching trial. There was a significant practice effect and a significant practice x conditions interaction, but no main effect due to the cycles’ length or number. The decay rate of reactive inhibition (lr) is probably independent of its prior growth level; hence postrest residual lr is proportional to prerest accumulation. Partly because they generated lr in hypothetically greater amounts, women were significantly less proficient on the average than men, and sex interacted with practice. Although males had higher initial and final levels of ability than females, the two sexes’ acquisition curves showed the same rate parameters in our mathematical model.     

Improving executive function using transcranial infrared laser stimulation

Transcranial infrared laser stimulation is a new non‐invasive form of low‐level light therapy that may have a wide range of neuropsychological applications. It entails using low‐power and high‐energy‐density infrared light from lasers to increase metabolic energy. Preclinical work showed that this intervention can increase cortical metabolic energy, thereby improving frontal cortex‐based memory function in rats. Barrett and Gonzalez‐Lima (2013, Neuroscience, 230, 13) discovered that transcranial laser stimulation can enhance sustained attention and short‐term memory in humans. We extend this line of work to executive function. Specifically, we ask whether transcranial laser stimulation enhances performance in the Wisconsin Card Sorting Task that is considered the gold standard of executive function and is compromised in normal ageing and a number of neuropsychological disorders. We used a laser of a specific wavelength (1,064 nm) that photostimulates cytochrome oxidase – the enzyme catalysing oxygen consumption for metabolic energy production. Increased cytochrome oxidase activity is considered the primary mechanism of action of this intervention. Participants who received laser treatment made fewer errors and showed improved set‐shifting ability relative to placebo controls. These results suggest that transcranial laser stimulation improves executive function and may have exciting potential for treating or preventing deficits resulting from neuropsychological disorders or normal ageing.     

Demonstration of an Integrated Treatment for Smoking Cessation and Anxiety Symptoms in People With HIV: A Clinical Case Study

Despite high rates of co-occurring tobacco use and anxiety symptoms and disorders among persons with HIV, evidence-based interventions for these individuals are not yet available. The present study sought to evaluate an integrated treatment model addressing smoking cessation and anxiety sypmtoms among HIV-positive smokers. Treatment was an 8-week intervention integrating a standard smoking cessation protocol (i.e., cognitive-behavioral therapy [CBT], nicotine replacement therapy) with CBT for anxiety. Inclusion criteria were 18–65 years of age, ≥ 10 cigarettes/day, State–Trait Anxiety Inventory [STAI-T] score of > 39, and moderate motivation (i.e., ≥ 5 out of 10 on a 10-point Likert scale) to quit smoking. Primary outcomes included scores on the Anxiety Sensitivity Index (ASI) and cigarettes smoked per day. Self-reported abstinence was biochemically verified by carbon monoxide breath analysis. Three male participants (mean age 49.3, SD = 9.1) completed through 2-month follow-up. At baseline all participants reported smoking an average of 20 cigarettes per day. Two participants quit smoking and maintained abstinence by the 2-month follow-up, and demonstrated a reduction in ASI scores. Participant 3 continued to smoke but at a reduced rate. Participants’ response to cognitive and behavioral strategies (e.g., creating balanced thoughts, interoceptive exposures) will be discussed. Clinical lessons learned include use of a flexible approach to cognitive restructuring, use of imaginal and in vivo exposures in session to better prepare patients for homework practice, and flexibility in delivering the treatment in an individual or group format. This clinical presentation provides preliminary support for the feasibility and initial effectiveness of an integrated treatment to reduce anxiety symptoms and aid in smoking cessation in anxious, HIV-positive smokers.     

Reasoning About Collectively Accepted Group Beliefs

A proof-theoretical treatment of collectively accepted group beliefs is presented through a multi-agent sequent system for an axiomatization of the logic of acceptance. The system is based on a labelled sequent calculus for propositional multi-agent epistemic logic with labels that correspond to possible worlds and a notation for internalized accessibility relations between worlds. The system is contraction- and cut-free. Extensions of the basic system are considered, in particular with rules that allow the possibility of operative members or legislators. Completeness with respect to the underlying Kripke semantics follows from a general direct and uniform argument for labelled sequent calculi extended with mathematical rules for frame properties. As an example of the use of the calculus we present an analysis of the discursive dilemma.