On being lonely: fear of one's own aggression as an impediment to intimacy

This paper considers loneliness from the point of view of compromise formation and the development of fantasy as a means of defending against painful affect. Our idea is that at least one strand of loneliness derives from longing for an ideal object with whom one would never have to feel aggression and from whom no aggressive actions would have to be tolerated. The development of such a fantasy in a middle-aged man is traced to early loss of a parent with missed mourning, and is shown to be ameliorated by psychoanalytic treatment that allowed the mourning to take place.     

Selective attention in obsessive-compulsive disorder

Recent information-processing studies have suggested that a selective attention deficit may be involved in the symptomatology of obsessive-compulsive disorder (OCD). In this study, individuals diagnosed with OCD were distinguished from those with panic disorder and from control participants by their relatively poorer performance on a series of psychometric tasks of selective attention. These results are interpreted as supporting the hypothesis of a diminished ability of people with OCD to selectively ignore competing external (sensory) and internal (cognitive) stimuli, especially intrusive thoughts.     

Bipolar disorder and family communication: effects of a psychoeducational treatment program

Family psychoeducational programs are efficacious adjuncts to pharmacotherapy for patients with schizophrenic and bipolar disorders, but little is known about what these programs change about families. The authors assessed changes in face-to-face interactional behavior over 1 year among families of bipolar patients who received a 9-month family-focused psychoeducational therapy (FFT; n = 22) or crisis management with naturalistic follow-up (CMNF; n = 22), both administered with maintenance pharmacotherapy. Members of families who received FFT showed more positive nonverbal interactional behavior during a 1-year posttreatment problem-solving assessment than families who received CMNF, although no corresponding decreases were seen in negative interactional behaviors. The positive effect of family treatment on patients' symptom trajectories over 1 year was partially mediated by increases in patients' positive nonverbal interactional behaviors during this same interval.     

The Effects of Cueing Target Location and Response Mode on Interference and Negative Priming Using a Visual Selection Paradigm

Two experiments are reported that examine the effects of cueing the location of a target in the prime display on interference and subsequent negative priming. The prime and probe displays comprised two words, a target and a distractor. In the prime display, the two words were either the same (response compatible) or different (response incompatible). The target in the probe display was unrelated to the prime distractor (control), the same word as the distractor (ignored repetition), or semantically related to the distractor (ignored semantic repetition). In Experiment 1, cueing the location of the prime target significantly reduced the interference effect but not the subsequent identity negative priming (NP) effect. In contrast, not cueing the prime target resulted in the elimination of the identity NP. There was no evidence of semantic NP in this experiment. In Experiment 2, where a categorization response was required, significant interference was obtained in the prime display that was not influenced by cueing the location of the target. Although there was significant semantic NP, identity NP failed to reach significance. The two experiments were analysed together, and findings are discussed in relation to current models of negative priming.     

Space Fortress game training and executive control in older adults: A pilot intervention

ABSTRACT

We investigated the feasibility of using the Space Fortress (SF) game, a complex video game originally developed to study complex skill acquisition in young adults, to improve executive control processes in cognitively healthy older adults. The study protocol consisted of 36 one-hour game play sessions over 3 months with cognitive evaluations before and after, and a follow-up evaluation at 6 months. Sixty participants were randomized to one of three conditions: Emphasis Change (EC) – elders were instructed to concentrate on playing the entire game but place particular emphasis on a specific aspect of game play in each particular game; Active Control (AC) – game play with standard instructions; Passive Control (PC) – evaluation sessions without game play. Primary outcome measures were obtained from five tasks, presumably tapping executive control processes. A total of 54 older adults completed the study protocol. One measure of executive control, WAIS-III letter–number sequencing, showed improvement in performance from pre- to post-evaluations in the EC condition, but not in the other two conditions. These initial findings are modest but encouraging. Future SF interventions need to carefully consider increasing the duration and or the intensity of the intervention by providing at-home game training, reducing the motor demands of the game, and selecting appropriate outcome measures.     

Psychology,Religion, and Spirituality

This study focused on the relation between the manner in which pray-ers perceive God (God concept) and their tendencies to choose various prayer types. A sample of 114 Jewish Israeli religious men responded to multidimensional measures of God concept (Benevolent, Evaluation, Omniness, Guiding, and Deisticness) and of prayer type (Adoration, Confession, Thanksgiving, Supplication, Reception). Canonical correlation analysis uncovered a significant canonical model. Two canonical functions, explaining a total of 36.5% of the variance, were selected for interpretation. Function 1 indicated a perception of God as a benevolent and guiding God together with supplicative prayer. Function 2 indicated a perception of God as a meaningful and close God with active thanksgiving prayer. These results provide support for the notion that the manner in which an individual perceives God and the manner in which that individual chooses to pray to God are indeed related.     

Reliability of upper extremity kinematics while performing different tasks in individuals with stroke

Assessments of upper extremity performance typically include qualitative rather than quantitative measures of functional ability. Kinematic analysis is an objective, discriminative measure that quantifies movement biomechanics; however, the use within the poststroke impaired upper extremity is not well established. The purpose of this study was to examine the reliability of upper extremity kinematics in 18 individuals with stroke and 9 healthy controls. Participants performed reaching and grasping tasks over 2 separate days and metrics included movement time, peak velocity, index of curvature, trunk displacement, maximum aperture, and percentage of the movement cycle where maximum aperture occurred. The results showed moderate to high intraclass correlation and low standard error of measurement values for most variables, demonstrating that kinematic analysis may be a feasible and useful tool to quantify upper extremity movement after stroke.     

Inhibition of the LH Surge by Restraint Stress in Cyclic Rats: Studies on the Role of GABAA and GABAB Receptors

There is evidence that stress can alter the activity in the brain of gamma-aminobutyricacid (GABA), a neurotransmitter that has been implicated in the regulation of LH secretion. In the present study the role of GABA in the restraint stress-induced inhibition of the LH surge was investigated in the intact cyclic rat. Intracerebroventricular (icv) administration of the GABAA receptor agonist muscimol (0.1, 0.5 or 1 μg) 5 min before the presumed onset of the pro-oestrous LH surge (at 0900 h) caused a dose dependent suppression of the surge. A single dose of the GABAB receptor agonist baclofen (1 μg; icv) injected at 0855 h postponed the onset of the LH surge, and repeated injections at 0855 and 1130 h suppressed the surge. These data indicate that GABA-ergic activity in the brain can inhibit the LH surge in the cyclic rat via GABAA and GABAB receptors. Pro-oestrous rats were subjected to 5 hrs of restraint starting at 0855 h. Pretreatment with the GABAA receptor antagonist bicuculine (1 μg; icv) at 0840, 0940 and 1040 h or pretreatment with the GABAB receptor antagonist phaclofen (10 μg; icv) at 0840 h were ineffective in preventing the restraint-induced inhibition of the LH surge. The results suggest that GABAA and GABAB receptors are not involved in the inhibitory effect of restraint stress on the LH surge.