Not just right experiences and obsessive-compulsive features: experimental and self-monitoring perspectives

Individuals with obsessive-compulsive disorder (OCD) often report compulsions aimed at reducing feelings of something not being just right or sensations of incompleteness. Research using self-report questionnaires has demonstrated a link between not just right experiences (NJREs) and OCD symptoms (Behav. Res. Therapy 41 (2003) 681; Anxiety, 1 (1995) 208). Extending previous work, this paper presents experimental and self-monitoring data on NJREs in an undergraduate sample. NJREs produced distress and urges to change something, but feared consequences were rare. Stronger responses were found for naturally occurring self-monitored NJREs compared to NJREs elicited in the laboratory. Several significant relationships were found between features of NJREs and OC symptoms and constructs theoretically related to OCD (e.g., responsibility, incompleteness), but no significant relationships were found between features of NJREs and non-OCD-related constructs (worry, depressive symptoms, social anxiety). Further consideration of NJREs will be useful in improving our understanding of the phenomenology, neurobiological substrates, and treatment, of OCD.     

Where did you go wrong? Errors, partial errors, and the nature of human information processing

Human performance is seldom perfect, and even when an overt response is correct it may be accompanied by partial-error activity that does not achieve the level of a complete incorrect response. Partial errors can be detected in measures of the lateralized readiness potential, of the electromyogram, and of response force. Correct responses accompanied by partial errors tend to have slower reaction times than “clean” correct responses (because of response competition), and condition differences in reaction time can, on some occasions, be explained in terms of differences in the incidence of partial errors. In two-choice reaction time tasks, partial errors are more frequent when the imperative stimulus contains information that favors both responses, than when it contains information that favors only one response. The non-random nature of partial errors supports the inference that partial information about the stimulus is used to guide responses. A similar inference is supported by the observation that, in hybrid choice Go/No-go tasks, the kinds of partial errors that follow a No-go stimulus represent activation of the response that would have been correct had the stimulus been a Go stimulus. Finally, we note that the human processing system is capable of monitoring its own behavior and of initiating remedial actions if necessary. The activity of an error-detection system, as revealed by measures of the error-related negativity, is related to the degree to which responses are slowed after errors.     

IF ATTITUDES AFFECT HOW STIMULI ARE PROCESSED, SHOULD THEY NOT AFFECT THE EVENT-RELATED BRAIN POTENTIAL?

Abstract— In Experiment 1, subjects completed an attitude survey to identify items toward which they held positive and negative attitudes. Subsequently, subjects were instructed to count the number of positive (or negative) stimuli in a series. Each series contained six attitude stimuli from a given semantic category (e.g., fruits), and the structure of the series was varied so that positive and negative stimuli, as indexed by subjects' idiosyncratic attitudes, were evaluatively consistent or inconsistent within the series. In Experiment 2, subjects were exposed to personality traits that were positive or negative in series of six. Again, the structure of the series was varied so that positive and negative traits were evaluatively consistent or inconsistent within the series. Results of Experiments 1 and 2 indicated that although the event-related brain potential did not differ as a function of stimulus valence per se, evaluatively inconsistent, in contrast to consistent, stimuli evoked a larger amplitude late P300-like positive component that was maximal over the centroparietal region.     

Your mistake is my mistake . . . or is it? Behavioural adjustments following own and observed actions in cooperative and competitive contexts

A social speeded choice-reaction-time task was used to study adaptive behaviours following own and observed actions (errors and correct responses) in cooperative and competitive contexts. After making an erroneous response, the appropriate remedial action to avoid future errors in speeded reaction tasks is to slow down. Consistent with previous results, people indeed slow down following their own errors. Importantly, people who slow down most following own errors also slow down following observed errors in a cooperative situation. In a competitive context, a different pattern was found. People accelerated after errors from their opponent. The current findings demonstrate that the social context determines the way people respond to the errors of others, indicating that the neural systems that control remedial actions are highly flexible. These systems may underlie social adaptive behaviour, enabling people to respond flexibly to other people's actions in a wide variety of social contexts.     

Social anxiety and difficulty disengaging threat: evidence from eye-tracking

Theoretical models of social phobia propose that biased attention contributes to the maintenance of symptoms; however these theoretical models make opposing predictions. Specifically, whereas Rapee and Heimberg (1997) suggested the biases are characterised by hypervigilance to threat cues and difficulty disengaging attention from threat, Clark and Wells (1995) suggested that threat cues are largely avoided. Previous research has been limited by the almost exclusive reliance on behavioural response times to experimental tasks to provide an index of attentional biases. The current study evaluated the relationship between the time-course of attention and symptoms of social anxiety and depression. Forty-two young adults completed a dot-probe task with emotional faces while eye-movement data were collected. The results revealed that increased social anxiety was associated with attention to emotional (rather than neutral) faces over time as well as difficulty disengaging attention from angry expressions; some evidence was found for a relationship between heightened depressive symptoms and increased attention to fear faces.     

Sibling rivalry at work; from family to groups

Sibling relationships are ambivalent. They are full of love and hate, and therefore, our most basic wish cannot simply be to get rid of our siblings. Many of the conflicts we find ourselves in, either with friends or within institutions, may need a complex and subtle understanding of sibling dynamics. The famous Controversial Discussions that nearly destroyed the Institute of Psychoanalysis in the early forties could be partly attributed to the unacknowledged and unconscious dynamics of the sibling transferences that swirled around Melanie Klein, Anna Freud and Freud. One of the tasks of therapists is to explore how we all must live within a society, with our contemporaries. This difficulty involves observing that sometimes in therapy we are part of the nursery quarrel itself, rather than superior. And so in adult sibling conflict within an institution, there may be a need for an outside moderator, like a parent, to sort out the quarrel; for when sibling passions are revived at work or in the consulting room, they can knock one sideways with the unmeditated quality of the encounter.     

Development and Validation of a Child Version of the Obsessive Compulsive Inventory

Surprisingly, only 3 self-report measures that directly assess pediatric obsessive-compulsive disorder (OCD) have been developed. In addition, these scales have typically been developed in small samples and fail to provide a quick assessment of symptoms across multiple domains. Therefore, the current paper presents initial psychometric data for a quick assessment of pediatric OCD across multiple symptom domains, a child version of the Obsessive Compulsive Inventory (the OCI-CV). Data from a sample of over 100 youth ages 7 to 17 with a primary DSM-IV diagnosis of OCD support the use of the 21-item OCI-CV. Results support the use of the OCI-CV as a general index of OCD symptom severity and in 6 symptom domains parallel to those assessed by the revised adult version of the scale (OCI-R). The OCI-CV showed strong retest reliability after approximately 1.5 weeks in a subsample of 64 participants and was significantly correlated with clinician-rated OCD symptom severity and parent and child reports of dysfunction related to OCD. Significantly stronger correlations with self-reported anxiety than with depressive symptoms provide initial support for the divergent validity of the measure. Finally, preliminary data with 88 treatment completers suggest that the OCI-CV is sensitive to change.     

The Wild Patience of John Howard Yoder: “Outsiders” and the “Otherness of the Church”

Yoder offers a vision of particular dialogical communities that practice generous solidarity precisely through creative uses of conflict and a vulnerable receptivity to the “least of these” within the church and outside it. Few today offer as compelling a vision for pursuing justice and political engagements in heterogeneous societies. Yoder interprets the binding lordship of Christ as the opening of dialogical relations between the church and the world in which giving and receiving happens in both directions. Vulnerable relations with outsiders are integral to the otherness of the church. When this understanding of caritas is forgotten and unpractised, the church loses its otherness and assimilates to the violence of the world.     

Moving beyond an exclusive focus on harm avoidance in obsessive compulsive disorder: considering the role of incompleteness

Cognitive-behavioral conceptualizations of obsessive compulsive disorder (OCD) have predominantly viewed compulsions as being motivated by harm avoidance. However, sensations of things being incomplete or not "just right" may also underlie compulsions in OCD. Preliminary research suggests that distinguishing between harm avoidance and incompleteness in OCD may have practical utility, but the research on this topic is very limited to date. The current study further addressed the role of incompleteness in OCD. A confirmatory factor analysis provided evidence for harm avoidance and incompleteness as separate constructs in a student sample. Supporting the benefits of considering incompleteness in addition to harm avoidance, self-reported levels of both constructs were significantly correlated with all domains of OCD symptoms and perfectionism assessed. Further, some evidence for unique relationships was found (e.g., incompleteness with ordering and personally prescribed perfectionism; harm avoidance with obsessing). The role of incompleteness in OCD warrants greater attention.