Systems Training for Emotional Predictability and Problem Solving (STEPPS) in the United Kingdom: A Preliminary Report

The authors report the results of a pilot project to introduce the STEPPS (systems training for emotional predictability and problem solving) treatment program for persons with borderline personality disorder (BPD) to the United Kingdom. STEPPS combines cognitive-behavioral principles and skills training with a systems component that includes family members and significant others. STEPPS was developed to supplement the patient’s ongoing treatment program (e.g. medication, individual therapy, case management) and boost its effectiveness, but not replace it. Thirty-eight subjects agreed to participate at six sites in West Sussex, England. A pre- and post-intervention comparison design was used, and over the 20 week program were found to have significant improvement in their mood, BPD-related symptoms (including affective, cognitive, and impulsive domains), and both negative and positive affectivity. Subjects reported high levels of satisfaction with the program. This study provides further evidence that STEPPS, a relatively brief fully manualized group treatment program, may be used in other countries and achieves high levels of acceptance from patients and therapists.     

Introduction: A Cognitive Science Slam in Honor of Guy Van Orden

Illusory depth perception experienced in driving simulators is afforded by monocular depth information contained in visual displays. Presumably binocular convergence and binocular disparity, though useful for depth perception in real environments, may poorly contribute to illusory depth in a driving simulator. Instead, they may generate conflicting information by revealing the distance of the display screen and its flatness. Nevertheless, illusory depth induced by monocular information contained in visual displays usually produces enough immersion and realism to create the illusion of driving in a real environment.

Many authors have noted improved depth perception in paintings, photographs, and even in drawings when viewed monocularly. However, this effect, known as monocular advantage, has never been explored in driving simulation. The purpose of this experiment was to assess whether the effect might exist in driving simulation. It was expected that drivers would perceive distances in depth better and more accurately with a monocular than with a binocular viewing of the display. Distance estimates were evaluated for two types of driving maneuvers referred to as alignment and bisection. Results showed that when significant performance differences between monocular and binocular viewing conditions occurred, target cars were perceived farther in depth and more accurately using monocular vision.

Alternative viewing conditions using both eyes are discussed at the end of the article.     

Perinatally acquired HIV infection: Long-term neuropsychological consequences and challenges ahead

Over the past three decades, perinatal HIV infection in the United States has evolved from a fatal disease to a manageable chronic illness. As the majority of youth with perinatal HIV infection age into adolescence and adulthood, management of this stigmatizing, transmittable disease in the backdrop of a cadre of environmental stressors presents challenges beyond those of other chronic illnesses. The neurologic and neuropsychological consequences of this neurotropic virus have important implications for the successful navigation of responsibilities related to increasingly independent living of this aging population. This article will review the neurologic and neuropsychological consequences of perinatal HIV infection and concomitant factors in the era of highly active antiretroviral therapy and will provide an overview of the neuropathology, pathogenesis, neuroimaging findings, and treatment of perinatal HIV infection, as well as recommendations for service provision and future research.