Cognitive Therapy for Obsessive-Compulsive Disorder: a Case Example

Cognitive therapy for OCD is an empirically validated alternative to the more widely used and validated behavioral therapy for OCD. The cognitive approach is based on the premise that belief systems contribute importantly to the development and maintenance of all types of OCD. By identifying and challenging maladaptive thoughts, beliefs, and core beliefs, patients can improve significantly and maintain their gains over time. This approach is demonstrated in detail with the case of Caroline, a 51-year-old woman with contamination obsessions.     

Does work engagement increase after a short respite? The role of job involvement as a double‐edged sword

This study extends research on work engagement by examining how a short respite and general job involvement contribute to work engagement. We gathered questionnaire data from 156 nurses before and after a short respite. Results indicated an increase of work engagement after the respite. Structural equation modelling showed that nurses who experienced psychological detachment from work during the respite showed a higher increase of work engagement. Moreover, nurses who indicated higher job involvement also showed a higher increase of work engagement. Contradictory to this direct positive effect job involvement had on change in work engagement, job involvement exerted a negative indirect effect on change in work engagement by impaired psychological detachment during the respite. Hence, job involvement acted as a double‐edged sword for the increase of work engagement. Practical implications for the organization of short respites and suggestions for future research on recovery processes are discussed.     

L’indemnisation par la solidarité nationale des dommages imputables à des contaminations d’origine transfusionnelle

Until 2009, the national effort to prevent transfusion contamination was aimed exclusively at the human immunodeficiency virus. Article 67 of the law of 17th December, 2008 instituted a new procedure for the out of court settlement of litigation arising from the contamination of blood transfusions by hepatitis C virus. The application of these successive legislative regulations is bound to raise questions. With the special systems adopted in the matter of transfusion contamination, damages attributable to mandatory vaccinations, biomedical research, serious health threats or treatment with extractive human growth hormone, the legislator has sized up the usefulness of extending the protection given by the health insurance system to a larger area of national concern, that of the health risk.     

What I think you see is what you get: Influence of prejudice on assimilation to negative meta‐stereotypes among Dutch Moroccan teenagers

This research examined how Dutch Moroccan teenagers in the Netherlands deal with the negative stereotype that they believe the Dutch have about their group. We hypothesize that Moroccans act in line with this negative image when they are prejudiced against the Dutch and feel personally meta‐stereotyped. A survey study among 88 Dutch Moroccan teenagers revealed that Moroccan teenagers who felt negative about the Dutch and thought that they were personally negatively stereotyped, expressed attitudes in line with this negative “meta‐stereotype.” That is, they act in line with the outgroup's negative image by legitimizing criminality, aggression, loitering teenagers, and Muslim extremism. These findings suggest that being confronted with a negative stereotype about one's group might sometimes lead to a reaction that is both harmful for the stereotyped group as well as society in general. Copyright © 2009 John Wiley & Sons, Ltd.     

Goal-directed access to mental objects in working memory: The role of task-specific feature retrieval

In the present study, we examined the hypothesis of task-specific access to mental objects from verbal working memory. It is currently assumed that a mental object is brought into the focus of attention in working memory by a process of object selection, which provides this object for any upcoming mental operation (Oberauer, 2002). We argue that this view must be extended, since the selection of information for processing is always guided by current intentions and task goals. In our experiments, it was required that two kinds of comparison tasks be executed on digits selected from a set of three digits held in working memory. The tasks differed in regard to the object features the comparison was based on. Access to a new mental object (object switch) took consistently longer on the semantic comparison task than on the recognition task. This difference is not attributable to object selection difficulty and cannot be fully accounted for by task difficulty or differences in rehearsal processes. The results support our assumptions that (1) mental objects are selected for a given specific task and, so, are accessed with their specific task-relevant object features; (2) verbal mental objects outside the focus of attention are usually not maintained at a full feature level but are refreshed phonologically by subvocal rehearsal; and (3) if more than phonological information is required, access to mental objects involves feature retrieval processes in addition to object selection.     

Explaining Action by Emotion

I discuss two ways in which emotions explain actions: in the first, the explanation is expressive; in the second, the action is not only explained but also rationalized by the emotion's intentional content. The belief–desire model cannot satisfactorily account for either of these cases. My main purpose is to show that the emotions constitute an irreducible category in the explanation of action, to be understood by analogy with perception. Emotions are affective perceptions. Their affect gives them motivational force, and they can rationalize actions because, like perception, they have a representational intentional content. Because of this, an emotion can non–inferentially justify a belief which in its turn justifies or rationalizes an action; so emotions may constitute a source of moral knowledge.     

Assessment of Psychotic Disorders in Inpatient Children and Adolescents: Use of the Devereux Scales of Mental Disorders

The Devereux Scales of Mental Disorders (DSMD), with its 3-factor model of measurement (i.e., Internalizing, Externalizing, and Critical Pathology), may be useful in screening for psychotic disorders in children. This study assessed the ability of the DSMD to differentiate between inpatient children and adolescents with psychotic disorders (n = 18) and those with other clinical syndromes (n = 71). Results of ANCOVAs indicated that the psychotic group scored significantly higher on most DSMD scales and composites than the nonpsychotic clinical group. However estimates of effect size were particularly large for the Critical Pathology Composite and the Autism and Acute Problems Scales. Diagnostic efficiency statistics revealed that the DSMD's Critical Pathology Composite was highly accurate in differentiating between the 2 clinical groups. These findings support the utility of the DSMD in identifying children and adolescents with psychotic disorders.     

Testing the cognitive relevance of a geometric model on a word association task: A comparison of humans, ACOM, and LSA

The general aim of this study is to validate the cognitive relevance of the geometric model used in the semantic atlases (SA). With this goal in mind, we compare the results obtained by the automatic contexonym organizing model (ACOM)—an SA-derived model for word sense representation based on contextual links—with human subjects’ responses on a word association task. We begin by positioning the geometric paradigm with respect to the hierarchical paradigm (WordNet) and the vector paradigm (latent semantic analysis [LSA] and the hyperspace analogue to language model). Then we compare ACOM’s responses with Hirsh and Tree’s (2001) word association norms based on the responses of two groups of subjects. The results showed that words associated by 50% or more of the Hirsh and Tree subjects were also proposed by ACOM (e.g., 71% of the words in the norms were also given by ACOM). Finally, we compare ACOM and LSA on the basis of the same association norms. The results indicate better performance for the geometric model.     

Die Bedeutung der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung für die Entstehung und Prognose von Störungen des Sozialverhaltens im Kindes- und Jugendalter

Attention Deficit/Hyperactivity Disorder (ADHD) and Conduct Disorder (CD) are two of the most common neurobehavioral disorders of childhood. Despite of their high comorbidity rate both disorders can be reliably differentiated. Especially the comorbid condition is associated with a poor outcome and some of the affected children develop an Antisocial Personality Disorder. This article summarizes diagnostic criteria and epidemiological data of both disorders and emphasises the role of ADHD in the aetiology and pathogenesis of antisocial behavior. ADHD seems to have a negative impact particular in children of the early-starter subtype of CD. Findings from genetic, psychophysiological and neuroimaging studies emphasise the relevance of biological risk factors in the etiological models and developmental pathways of antisocial behavior. We present so far unpublished data of children with ADHD and ADHD/disruptive behavior disorders which indicate group-specific neurocognitive impairments in the comorbid condition. ADHD and CD seem to constitute a synergistic and interactive relationship in that each disorder aggravates the other. Recent findings point to a “true hybrid” of ADHD/CD. Considering the negative outcome of the comorbid condition, several findings suggest that high-quality treatments may have considerable impact on restoring ADHD children to better functioning.     

Visual homing in the absence of feature-based landmark information

Despite that fact that landmarks play a prominent role in human navigation, experimental evidence on how landmarks are selected and defined by human navigators remains elusive. Indeed, the concept of a ‘landmark’ is itself not entirely clear. In everyday language, the term landmark refers to salient, distinguishable, and usually nameable objects, rendering the problem of landmark recognition a special case of the general object recognition problem. In contrast, in the insect and robot literature, this notion of landmarks is often replaced by the “local position information” [e.g., Trullier, O., Wiener, S., Berthoz, A., &; Meyer, J.-A. (1997). Biologically based artificial navigation systems: Review and prospects. Progress in Neurobiology, 51, 483–544], referring to the entire set of sensor readings obtained at one location. This set may then serve as a characteristic of the particular location. Honey bees have been shown to base place recognition and homing on a snapshot-like memory of the place’s visual environment, not on the distances to recognized objects [Cartwright, B., &; Collett, T. (1983). Landmark learning in bees. Experiments and models. Journal of Comparative Physiology A, 151, 521–543]. A number of theoretical models of snapshot-based homing [e.g., Franz, M., Schölkopf, B., Mallot, H. A., Bülthoff, H. H. (1998). Where did I take that snapshot? Scene-based homing by image matching. Biological Cybernetics, 79, 191–202; Vardy, A., &; Möller, R. (2005). Biologically plausible visual homing methods based on optical flow techniques. Connection Science, 17, 47–89] predict that the accuracy of snapshot-based homing should depend on image contrast. For rodent hippocampal place fields, models have been developed using additional image information such as three-dimensional depth and allocentric orientations (e.g., room axes) and are thus less sensitive to image contrast and noise [e.g. Barry, C., Lever, C., Hayman, R., Hartley, T., Burton, S., O’Keefe, J., et al. (2006). The boundary vector cell model of place cell firing and spatial memory. Reviews in the Neurosciences, 17, 71–79]. Here, we study human visual homing in a virtual environment void of objects and readily detected image features. The environment was a circular room with a homogenous colour gradient covering the wall and uniform floor and ceiling. Subjects were able to approach remembered places. Accuracy decreased with colour gradient modulation and room size, in qualitative agreement with the snapshot model but not with other models of place recognition. We conclude that human memory for places can make use of a snapshot algorithm.