Perceiving by proxy: Effect-based action control with unperceivable effects

Anticipations of future sensory events have the potential of priming motor actions that would typically cause these events. Such effect anticipations are generally assumed to rely on previous physical experiences of the contingency of own actions and their ensuing effects. Here we propose that merely imagined action effects may influence behaviour similarly as physically experienced action effects do. Three experiments in the response–effect compatibility paradigm show that the mere knowledge of action–effect contingencies is indeed sufficient to incorporate these effects into action control even if the effects are never experienced as causally linked to own actions. The experiments further highlight constraints for this mechanism which seems to be rather effortful and to depend on explicit intentions.     

Biography as an Art Form: The Story of Helen Flanders Dunbar,M.D., Ph.D., B.D., and Med. Sci. D

Helen Flanders Dunbar (1902–1959) was a physician, medieval and Renaissance scholar, theologian, and founder of the American Psychosomatic Society and its journal Psychosomatic Medicine. Her contributions are not currently well known but deserve recognition from all those involved or interested in the dialogue between medicine and spirituality. This essay explores Dunbar’s personal history and professional achievements. It focuses particular attention on a feminist perspective regarding her life and work. It will conclude with a discussion of how biography, as an art form, transforms both author and audience. This essay was originally presented as the Second Annual J.R. Williams Memorial Lecture on Spirituality and Medicine at the Tulane School of Medicine in fall 2013.     

Evaluation of a Booster Intervention Three Years After Acute Treatment for Early-Onset Disruptive Behavior Disorders

This study examines the impact of a brief booster treatment administered 3 years after the delivery of an acute treatment in a group (n?=?118) of clinically referred boys and girls (ages 6 to 11) originally diagnosed with Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD). At the conclusion of the acute treatment and three-year follow-up period (i.e., study month 42), the sample was re-randomized into Booster treatment or Enhanced Usual Care and then assessed at four later timepoints (i.e., post-booster, and 6-, 12- and 24-month booster follow-up). Booster treatment was directed towards addressing individualized problems and some unique developmental issues of adolescence based on the same original protocol content and treatment setting, whereas the Enhanced Usual Care condition involved providing clinical recommendations based on the assessment and an outside referral for services. HLM analyses identified no significant group differences and few time effects across child, parent, and teacher reports on a broad range of child functioning and impairment outcomes. Analyses examining the role of putative moderators or predictors (e.g., severity of externalizing behavior, dose of treatment) were likewise non-significant. We discuss the nature and implications of these novel findings regarding the role and timing of booster treatment to address the continuity of DBD over time.     

Diagnostic Work through Evidence-Based Guidelines: Avoiding Gaps Between Development and Implementation of a Guideline for Problem Behaviour in Elderly Care

Diagnostic work is the reflexive work of figuring out what issues are at stake and determining the scope for action. This work is not generally accommodated by evidence-based guidelines, which generally promote a uniform, predefined approach to solving healthcare problems that risk narrowing the opportunities for diagnostic work in healthcare practice. Consequently, guidelines are often criticised as too general to solve situated, individual healthcare problems and gaps between guidelines and their implementation are often reported. The Netherlands has developed a guideline for problem behaviour in elderly care, explicitly designed for diagnostic work, thus stimulating a situated approach. Relational problem behaviour is highly embedded in its context. The guideline stimulates diagnostic work, which helps to unravel problem behaviour and is opening alternatives in elderly care. Diagnostic work does not transfer guideline development problems to healthcare practice, but simply structures the decision-making process without giving a predefined answer. Diagnostic work is thus important to consider in order to avoid a gap between guideline development and implementation.     

Zum Stand der forensischen und forensisch-psychiatrischen Nachsorge in der Bundesrepublik Deutschland (Daten aus der sog. Pfingstabfrage 2013)

In 2007 forensic aftercare was integrated into the German Penal Code as part of legal supervision. Since then a large and growing number of patients have been supervised by forensic psychiatric aftercare units throughout Germany. Due to the federal system in Germany the system of forensic aftercare has developed differently in the 16 federal states. The number of patients looked after varies widely and the implementation of several legal norms also differs from state to state. This article gives an overview of the situation of forensic aftercare in the different German federal states and presents some specific characteristics of the development.     

Zones of Proximal Emotional Development — Psychotherapy Within a Neuroaffective Perspective

This article outlines a conceptual framework for assessing personal and emotional functions of a person’s zone of proximal emotional development. The framework is based on the integrative theory Neuroaffective Developmental Psychology (NADP), which brings together attachment theory, neuropsychology, developmental psychology, and trauma theory. Within the NADP framework, this article describes a way of understanding children’s normal emotional mental organization and of examining how this mental organization may be developed or disturbed by relational issues. It also describes how a child’s mental organization can be disturbed and thus, without intervention, disturb the child’s personality development on a lifelong basis. The article presents three case vignettes, describing three children growing into adolescence with three different attachment patterns and suggested individually tailored intervention plans for each of them, relevant and useful for clinicians working with vulnerable children and families. Because the nervous system retains its plasticity throughout life, attachment is not necessarily an unchangeable pattern. That is why we as clinicians should develop psychotherapeutic methods and a research-based way of determining “what works for whom” by assessing the zone of individual proximal emotional development. The text outlines the characteristics of NADP and how it can be used to structure an intervention plan.     

The Rhythm Method: A New Method for Measuring Cognitive Load—An Experimental Dual‐Task Study

The present study joins a series of studies that used the dual‐task paradigm to measure cognitive load while learning with multimedia instruction. The goal of the current work was to develop a secondary task, to measure cognitive load in a direct and continuous way using intra‐individual, behavioral measures. The new task is achieved by utilizing internalized cues. More specifically, a previously practiced rhythm is executed continuously by foot tapping (secondary task) while learning (primary task). Precision of the executed rhythm was used as indicator for cognitive load—the higher the precision, the lower cognitive load. The suitability of this method was examined by two multimedia experiments (n₁ = 30; n₂ = 50). Cognitive load was manipulated by seductive details (Experiment 1: with vs. without) and modality (Experiment 2: on‐screen text vs. narration). Learners who learned under low cognitive load conditions (Experiment 1: without seductive details; Experiment 2: narration) showed significantly higher rhythm precision. These results provide evidence that rhythm precision allows for a precise and continuous measurement of cognitive load during learning. Copyright © 2014 John Wiley & Sons, Ltd.     

Investing Even in Uneven Contests: Effects of Asymmetry on Investment in Contests

Many competitions, such as political campaigns, innovative endeavors, sports, or courting rituals, require investment of nonrefundable resources: One contestant wins the prize for the invested amount, whereas all others lose their investments without receiving compensation. Frequently, contests are asymmetric, because of differing resources or prize valuations. Does asymmetry discourage the weaker contestants from investing? Do stronger contestants take this into account and also invest less? Or does the desire to win abolish these differences? Two experiments explored the effects of asymmetry between the contestants—arising from their resources or prizes—on nonrefundable investments. Subjects repeatedly competed in both symmetric and asymmetric contests, enabling within‐subject comparisons. We observed an effect of asymmetry only when it concerned resources: Subjects overall invested less when their resources were unequal, whereas inequality in the prizes did not influence investments. This pattern suggests that winning itself is motivating. The changes between consecutive investments can be explained by reactions to the previous outcome (win or loss): Across all contests, investment decreased following a win and increased following a loss. Copyright © 2015 John Wiley & Sons, Ltd.