Practicing Clinical Supervision in Chile: Lessons from 28 Years of Training

Journal of Contemporary Psychotherapy - This article describes a model of supervision developed by Centro MIP in Santiago, Chile. This model is situated in the cultural history and legal context of...     

The cherry effect or the issue behind well-being

Cognitive Processing - Humans define well-being on predefined assumptions, based on inner and outer criteria as references. As illustrated, these criteria are subject to constant change, even in a...     

Comparison between two continuous performance tests for identifying ADHD: Traditional vs. virtual realityEjecución continua para la detección del TDAH: pruebas tradicionales frente a la realidad virtual

Background/Objective: Continuous Performance Tests (CPTs) have demonstrated validity when differentiating children with ADHD from healthy controls. However, these CPTs have limitations such as low ecological validity. New CPTs based on the use of Virtual Reality (VR) have appeared as supposedly improved methods for assessing ADHD. This study aims to compare the discriminant value of attentional variables produced by a VR CPT (Aula Nesplora) with that of variables from a traditional CPT (Test of Variables of Attention; TOVA) for identifying ADHD. Method: A total of 338 children aged between 6 and 16 years old (M = 10.84, SD = 3.01) participated in the study: 31.95% correspond to the inattentive presentation, 15.38% to the impulsive-hyperactive presentation, 22.78% to the combined presentation, and the remaining 29.88% correspond to children without ADHD. Results: Results indicated that Aula Nesplora predicts ADHD presentations better than TOVA. It also differentiates better between ADHD and non-ADHD students. Conclusions: These findings show the potential advantages of using virtual reality in ADHD assessment, as it facilitates the diagnosis of ADHD and the differentiation of its presentations in a realistic environment.     

Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practicePropiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en oncología

Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship.     

The influence of rule availability and item similarity on metacognitive monitoring during categorisation

In four experiments, we examined the sources of metacognitive judgments during the categorisation of new items after the learning of old items was completed. In the rule condition, the categorisation rule was explicitly given to the participants during learning, while in the no-rule condition participants relied on feedback to infer category membership. In the transfer phase, two types of novel items were used: good and bad transfer items. Transfer items also differed in the level of similarity to their training pairs. In the rule condition, all types of transfer items were classified with high accuracy and confidence. In the no-rule condition, a dissociation between accuracy and confidence was revealed. Good transfer items were classified more accurately than bad transfer items, whereas similar items were classified with higher confidence than dissimilar items. The obtained results suggest the utilisation of two potential cues for metacognitive judgments: declarative knowledge if the correct rule is explicitly available, and item similarity if it is difficult to infer the correct rule from feedback.     

Factor Structure and Internal Consistency of a Spanish Version of the Family Quality of Life (FaQoL)

This study examines the factor structure and internal consistency of the Spanish version of the Family Quality of Life scale (FaQoL). After translating and back-translating the instrument, we administered it to 324 families with a child with disabilities or developmental delays or who was at risk and who was enrolled in an early intervention (EI) program. Families were recruited from EI services in Spain, from 12 autonomous communities. Children’s average age was 38.6 months. Results showed the FaQoL scores had high internal consistency. Confirmatory factor analysis showed an adequate fit with the original factors, even slightly higher than the original four-factor solution. These results allow factors scores to be used reliably with Spanish families.     

Projective Geometry in Logical Space: Rethinking Tractarian Thoughts

Customary interpretations state that Tractarian thoughts are pictures, and, a fortiori, facts. I argue that important difficulties are unavoidable if we assume this standard view, and I propose a reading of the concept taking advantage of an analogy that Wittgenstein introduces, namely, the analogy between thoughts and projective geometry. I claim that thoughts should be understood neither as pictures nor as facts, but as acts of geometric projection in logical space. The interpretation I propose thus removes the root of the identified difficulties. Moreover, it allows important clarification concerning some central aspects of the Tractarian theory of representation, and it yields a unifying elucidation regarding Wittgenstein’s remarks on the solipsistic thesis.     

Do we need visual subjects?

It is widely accepted within contemporary philosophy of perception that the content of visual states cannot be characterized simply as a list of represented features. This is because such characterization leads to the so-called ‘Many Properties’ problem, that is, it does not allow us to explain how the visual system is able to distinguish between scenes containing different arrangements of the same features. The usual solution to the Many Properties problem is to characterize some basic elements of content as subjects, to which features are attributed by a predication-like relation. In this paper, I reconsider this solution and claim that the Many Properties problem can be solved without postulating such subjects. What is more, I argue that an alternative approach has stronger justification given the empirical data concerning human vision.     

Temperament and Behavioral Problems in Young Children: the Protective Role of Extraversion and Effortful Control

This study examines the relationships between temperament traits (negative affectivity, extraversion and effortful control) and children’s externalized and internalized behavioral problems. The sample was composed of 424 children from the ages of 3–6 years old (60% male). Use of a hierarchical regression analysis revealed direct and interactive effects. Specifically, reactive temperamental traits were found to predict behavioral problems in children: negative affect tended to increase externalizing problems, and extraversion tended to decrease internalizing problems. The regulative temperament trait (“effortful control”) negatively predicted both internalizing and externalizing problems. To explore moderating effects, post‐hoc analyses were conducted using the Johnson–Neyman technique with Hayes’s PROCESS. Our analyses revealed that high levels of negative affect (characterized in our study by a higher load of anger or frustration than of fear or sadness) makes a significant and strong contribution to internalizing problems when effortful control reaches its highest levels. Thus, our results endure the protective role of extraversion as preventing the emergence of internalizing problems, and the protective role of effortful control as preventing the emergence of both, internalizing and externalizing, problems. The results also alert to the potential risk of a combination between high levels of effortful control and high levels of negative affect. Overall findings are discussed with regard to previous and future research.