Development of a Cognitive-Behavioral Intervention Program to Treat Anxiety and Social Deficits in Teens with High-Functioning Autism

Anxiety is a common co-occurring problem among young people with autism spectrum disorders (ASD). Characterized by deficits in social interaction, communication problems, and stereotyped behavior and restricted interests, this group of disorders is more prevalent than previously realized. When present, anxiety may compound the social deficits of young people with ASD. Given the additional disability and common co-occurrence of anxiety in ASD, we developed a manual-based cognitive-behavioral treatment program to target anxiety symptoms as well as social skill deficits in adolescents with ASD [Multimodal Anxiety and Social Skills Intervention: MASSI]. In this paper, we describe the foundation, content, and development of MASSI. We also summarize data on treatment feasibility based on a pilot study that implemented the intervention.     

Anxiety-related bias in the classification of emotionally ambiguous facial expressions

High- and low-trait socially anxious individuals classified the emotional expressions of photographic quality continua of interpolated ("morphed") facial images that were derived from combining 6 basic prototype emotional expressions to various degrees, with the 2 adjacent emotions arranged in an emotion hexagon. When fear was 1 of the 2 component emotions, the high-trait group displayed enhanced sensitivity for fear. In a 2nd experiment where a mood manipulation was incorporated, again, the high-trait group exhibited enhanced sensitivity for fear. The low-trait group was sensitive for happiness in the control condition. The mood-manipulated group had increased sensitivity for anger expressions, and trait anxiety did not moderate these effects. Interpretations of the results related to the classification of fearful expressions are discussed.     

Too Many Boxes,or Not Enough? Preferences for How We Ask About Gender in Cisgender,LGB, and Gender-Diverse Samples

As U.S. society has become more aware of gender identity issues, there has been a push for more inclusive demographic categories that go beyond the traditional gender binary of male/female. In three studies, we assessed the attitudes of U.S. cisgender men and women across sexual orientations (Study 1), heterosexual cisgender men and women (Study 2), cisgender LGB men and women (Study 3), and transgender and gender non-binary individuals across sexual orientations (Study 3) regarding different formats of gender questionnaires. Studies 2 and 3 showed a strong overall preference for the non-binary formats. Across all three studies, preferences for the binary format and objections to the non-binary formats were related to gender-binary beliefs, distinctiveness threat, cisgender and mostly heterosexual male participants, conservative political orientation, and religiosity. These findings suggest that general opposition to utilizing non-binary formats may be influenced by institutionalized binary gender norms and heteronormativity. Across both cisgender and gender-diverse samples, most participants preferred a non-binary gender question format, and gender-diverse individuals overwhelmingly preferred the expanded format. We suggest that those who collect gender data use the expanded format in order to be more inclusive and allow gender-diverse individuals to identify themselves if they choose to do so.     

Translating the ICAP Theory of Cognitive Engagement Into Practice

ICAP is a theory of active learning that differentiates students’ engagement based on their behaviors. ICAP postulates that I nteractive engagement, demonstrated by co‐generative collaborative behaviors, is superior for learning to C onstructive engagement, indicated by generative behaviors. Both kinds of engagement exceed the benefits of A ctive or P assive engagement, marked by manipulative and attentive behaviors, respectively. This paper discusses a 5‐year project that attempted to translate ICAP into a theory of instruction using five successive measures: (a) teachers’ understanding of ICAP after completing an online module, (b) their success at designing lesson plans using different ICAP modes, (c) fidelity of teachers’ classroom implementation, (d) modes of students’ enacted behaviors, and (e) students’ learning outcomes. Although teachers had minimal success in designing Constructive and Interactive activities, students nevertheless learned significantly more in the context of Constructive than Active activities. We discuss reasons for teachers’ overall difficulty in designing and eliciting Interactive engagement.     

Testing the Structured Free Recall Intervention for Reducing the Impact of Bodyweight-Based Stereotypes on Performance Ratings in Immediate and Delayed Contexts

Purpose

This article investigates the efficacy of the Structured Free Recall Intervention (SFRI; J Bus Psychol 15:229?C246, 2000a; Organ Behav Hum Decis Process 82:237?C267, 2000b ) for reducing the impact of bodyweight-based stereotype endorsement on performance ratings, both immediately and when a time delay occurs between the observation and rating of performance.

Design/Methodology/Approach

512 undergraduates participated in a 2?×?2?×?2 between-subjects factorial experiment. A measure of bodyweight-based stereotype endorsement was pre-screened, and participants were randomly assigned to (a) either a no-delay or two-day time delay condition, (b) view either an average bodyweight or overweight ratee, and (c) undergo the SFRI or not.

Findings

Results suggest that (a) bodyweight-based stereotype endorsement predicts performance ratings for overweight ratees, (b) the SFRI is effective at reducing the impact of such stereotypes on performance ratings when conducted immediately after the observation of performance, and (c) the SFRI maintains this efficacy after a two-day delay between the observation and rating of performance.

Implications

These findings suggest that the best real-world application of the SFRI paradigm may be to situations with minimal delays between the observation and rating of performance, such as selection assessment centers or pre-employment interviews.

Originality/Value

Drawing on theories from the cognitive information processing literature, this paper extends previous research regarding the efficacy of the SFRI by demonstrating that short time delays between performance observation and rating??a common organizational phenomena??have minimal observed effects on the efficacy of the SFRI as a performance rating intervention.     

“?rgerlich!?“ Neuronale Korrelate der Verhaltenshemmung auf emotionale Signale

Psychotherapeutic interventions for attention deficit hyperactivity disorder (ADHD) primarily aim at the three core symptom clusters of inattention, hyperactivity and impulsivity, which are characteristic for this mental disorder. However, social and emotional difficulties are also very obvious. The ADHD patients experience conflicts with parents and partners, rejection by peers and less friendships, which negatively affects everyday life. Neuroscientific research points to a deficit in ADHD to recognize specific emotions displayed by another person. This dysfunction can be found in children as well as in adults afflicted with this disorder and is especially pronounced for anger. Additionally, the patients have problems to utilize facial anger expressions of others to regulate or inhibit their own behavior. New therapy components are needed in order to reduce this deficit. The possibilities for improving psychotherapy for ADHD by means of neuroscientific methods are discussed.     

Brain activation patterns in major depressive disorder and work stress-related long-term sick leave among Swedish females

Deficits in executive functioning and working memory associated with frontal lobe dysfunction are prominent in depression and work-related long-term sick leave (LTSL). This study used functional magnetic resonance imaging (fMRI) to investigate potential differences in brain activation patterns in these conditions. In addition, the function of the hypothalamic-pituitary-adrenal (HPA) axis was examined and compared between groups. Since there is a clear overrepresentation of women in these diagnostic groups, and to ensure a more homogenous sample population, only women were included. To examine the neural correlates of relevant cognitive processes in patients on sick leave >90 days due to work-related LTSL, recently diagnosed patients with major depression Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV criteria, untreated), and healthy controls (n?=?10, each group), a 2-back working memory task and a visual long-term memory task were administered during fMRI scanning. HPA axis functioning was investigated using a diurnal curve of saliva cortisol and a dexamethasone suppression test. Task performance was comparable among the three groups. Multivariate image analysis revealed that both memory tasks engaged a similar brain network in all three groups, including the prefrontal and parietal cortex. During the 2-back task, LTSL patients had significant frontal hypoactivation compared to controls and patients with depression. Saliva cortisol measurements showed a flattening of the diurnal rythmicity in LTSL patients compared to patients with depression and healthy contols. Taken together, these findings indicate that work stress-related LTSL and major depression are dissociable in terms of frontal activation and diurnal cortisol rhythmicity.     

Distracted by distractors: eye movements in a dynamic inattentional blindness task

Inattentional Blindness (IB) occurs when observers engaged in resource-consuming tasks fail to see unexpected stimuli that appear in their visual field. Eye movements were recorded in a dynamic IB task where participants tracked targets amongst distractors. During the task, an unexpected stimulus crossed the screen for several seconds. Individuals who failed to report the unexpected stimulus were deemed to be IB. Being IB was associated with making more fixations and longer gaze times on distractor stimuli, being less likely to fixate the unexpected stimulus, and having lower working memory capacity than those who were not IB. Noticing the unexpected stimulus was not contingent upon fixating it, suggesting that some individuals processed the unexpected stimulus via covert attention. The findings support earlier research on working memory and IB. In addition, IBs were less efficient attentional allocators than those who were not IB, as reflected in their eye tracking of irrelevant distractors.