Externalizing and personalizing biases in persecutory delusions: the relationship with poor insight and theory-of-mind

The presence of externalizing bias (EB) for negative events together with personalizing bias (PB) (a bias to blame others rather than circumstances) may jointly constitute a vulnerability to develop persecutory delusions (PDs). Whereas EB purportedly serves to defend a vulnerable self-concept by avoiding negative self-attributions and might therefore exacerbate poor insight, PB may reflect cognitive deficits, including theory-of-mind impairment. We investigated these proposals in 34 schizophrenic patients with a history of PDs and 21 healthy controls. Patients with moderate- to severe-PDs and patients without a current PD showed excessive EB which was, surprisingly, absent in patients with mild persecutory delusions (mild-PDs). That EB might wax and wane with fluctuating delusional intensity was interpreted in accord with a new dynamic model of attribution self-representation cycles. As predicted, EB exacerbated poor insight. However, counter to predictions, theory-of-mind impairment did not increase PB, which was marked in all participants, whether clinical or non-clinical; instead, theory-of-mind impairment was also correlated with poor insight. Our findings indicate multiple pathways to poor insight, one of which is a theory-of-mind difficulty, impairing the capacity to simulate other perspectives for the purpose of critically evaluating one's own beliefs and circumstances.     

Bring It On: Proactive Coping with Discrimination

We investigated proactive coping with discrimination among heavy women in both a high impact lab study (101 women) and a daily diary study (62 women). Heavy women assessed greater harm and fewer coping resources for discriminatory, as compared to non-discriminatory, hassles (Study 2). Primary appraisals of harm were important determinants of proactive coping, including primary control (attempts to change the environment) and secondary control (attempts to change the self to fit the environment) directed at discriminatory stressors (Studies 1 and 2). When heavy women used primary control coping efforts, they experienced positive interpersonal outcomes (Study 1) and less negative intrapersonal outcomes (Study 2). We discuss the benefits and limitations of engaging in proactive coping and suggest avenues for future research.

Media exposure, mood, and body image dissatisfaction: an experimental test of person versus product priming

In the current study, 138 college females were randomly assigned to four media exposure conditions based on the presence or absence of an attractive person (fashion model) and the presence or absence of an appearance-related product. Outcome measures consisted of visual analogue ratings of multiple body image and mood variables. The results revealed a significant main effect for person, indicating that the presence of a model increased levels of body dissatisfaction and negative mood. No product effect emerged and there was no significant interaction between person and product. These findings suggest that the appearance priming effect of media exposure on body dissatisfaction and mood is specific to a person stimulus, with no additional effect promoted by a generic appearance-relevant stimulus.     

Effects of Irrelevant Sounds on Phonological Coding in Reading Comprehension and Short term Memory

The effects of irrelevant sounds on reading comprehension and short-term memory were studied in two experiments. In Experiment 1, adults judged the acceptability of written sentences during irrelevent speech, accompanied and unaccompanied singing, instrumental music, and in silence. Sentences varied in syntactic complexity: Simple sentences contained a right-branching relative clause ( The applause pleased the woman that gave the speech ) and syntactically complex sentences included a centre-embedded relative clause ( The hay that the farmer stored fed the hungry animals ). Unacceptable sentences either sounded acceptable ( The dog chased the cat that eight up all his food ) or did not ( The man praised the child that sight up his spinach ). Decision accuracy was impaired by syntactic complexity but not by irrelevant sounds. Phonological coding was indicated by increased errors on unacceptable sentences that sounded correct. These error rates were unaffected by irrelevant sounds. Experiment 2 examined effects of irrelevant sounds on ordered recall of phonologically similar and dissimilar word lists. Phonological similarity impaired recall. Irrelevant speech reduced recall but did not interact with phonological similarity. The results of these experiments question assumptions about the relationship between speech input and phonological coding in reading and the short-term store.     

Using the family life cycle with later life families

The development of a family clinic for later life families within an Old Age Psychiatry service is briefly described. An extended life cycle model has been found useful in understanding and working with such families and is also described, together with two cases which illustrate the practical application of the model.     

EQUATING INVERSE PROBABILITIES IN IMPLICIT PERSONALITY JUDGMENTS

Abstract— Meehl and Rosen (1955) observed that their colleagues tended to equate the sensitivity of a sign (its probability given a diagnostic category) with its predictive accuracy (the probability of the diagnostic category given the sign). Such equating of inverse probabilities implies ignoring base rates. Later, many researchers demonstrated such neglect in a number of experimental contexts involving hypothetical judgments; others have found some use of base rates—but only when base rates were supplied by the experimenter, in which case even irrelevant base rates influenced judgment. The present study tested for equating conditional probabilities in a context similar to the contexts involved in the initial observations—that is, subjects strove for accuracy rather than attempted to make good judgments about hypothetical problems, and the base rates were generated by the subjects themselves. Neglect of base rates was revealed by within-individual comparisons showing subjects equated inverse probabilities without equating the corresponding unconditional ones.     

Avoidance of eye gaze by adults who stutter

PurposeAdults who stutter are at significant risk of developing social phobia. Cognitive theorists argue that a critical factor maintaining social anxiety is avoidance of social information. This avoidance may impair access to positive feedback from social encounters that could disconfirm fears and negative beliefs. Adults who stutter are known to engage in avoidance behaviours, and may neglect positive social information. This study investigated the gaze behaviour of adults who stutter whilst giving a speech.Method16 adults who stutter and 16 matched controls delivered a 3-min speech to a television display of a pre-recorded lecture theatre audience. Participants were told the audience was watching them live from another room. Audience members were trained to display positive, negative and neutral expressions. Participant eye movement was recorded with an eye-tracker.ResultsThere was a significant difference between the stuttering and control participants for fixation duration and fixation count towards an audience display. In particular, the stuttering participants, compared to controls, looked for shorter time at positive audience members than at negative and neutral audience members and the background.ConclusionsAdults who stutter may neglect positive social cues within social situations that could serve to disconfirm negative beliefs and fears.Educational objectives: The reader will be able to: (a) describe the nature of anxiety experienced by adults who stutter; (b) identify the most common anxiety condition among adults who stutter; (c) understand how information processing biases and the use of safety behaviours contribute to the maintenance of social anxiety; (d) describe how avoiding social information may contribute to the maintenance of social anxiety in people who stutter; and (e) describe the clinical implications of avoidance of social information in people who stutter.     

Explaining the errors away: Young children forgive understandable semantic mistakes

Errors differ in degree of seriousness. We asked whether preschoolers would use the magnitude of an informant's errors to decide if that informant would be a good source of information later. Four- and 5-year-olds observed two informants incorrectly label familiar objects, but one informant's errors were closer to the correct answer than the other's (e.g., one referred to a comb as a brush and the other referred to the same comb as a thunderstorm). When informants had an unambiguous view of the objects, children could identify which informant was closer to being correct, but they did not favor novel labels the “closer” informant later provided. When the informants had an ambiguous view of the objects (e.g., only the handle of the comb was visible), children preferred the novel labels provided later by the “closer” informant. Preschoolers are willing to overlook semantic errors that are close to being correct, but only when there is an understandable reason for the speaker's errors.     

Women and body dissatisfaction: Does sexual orientation make a difference?

In this study, heterosexual (n = 95) and nonheterosexual (n = 84) women were asked to rate figure drawings and computer-generated images of women that varied in body fat, waist-to-hip ratio, and breast size in terms of self, ideal, and cultural ideal; discrepancy indices, indicating body dissatisfaction, were created for each body aspect. Nonheterosexual women had significantly higher body mass indices (BMIs) than heterosexual women, but when the effects of BMI were controlled, participants evidenced similar perceptions of their bodies, their ideal bodies, and the female cultural ideal, as well as similar levels of body dissatisfaction for body fat, waist-to-hip ratio, and breast size. The results of this study suggest that being a member of a society that highly values a thin, curvaceous, relatively large-breasted body puts women, regardless of sexual orientation, at risk for body dissatisfaction.