Reality monitoring and metacognitive beliefs related to cognitive confidence in obsessive-compulsive disorder

The present study investigated general reality monitoring ability, and selective reality monitoring ability for anxiety relevant actions in a group of individuals with obsessive-compulsive disorder (OCD) and a group of non-anxious controls. In addition, reality monitoring confidence was assessed, as well as specific meta-cognitive beliefs related to cognitive confidence (by means of the Meta-Cognitions Questionnaire (MCQ)). No differences were found between both groups in actual reality monitoring ability. Unlike previous studies, the reality monitoring task included actions that were related to the individual concerns of the OCD patients and were ideographically selected. Nevertheless, no differential reality monitoring effect was observed for the anxiety relevant stimuli. Data from the MCQ, however, revealed that OCD patients had less overall confidence in their memory for actions and their reality monitoring ability. Analysis of the confidence ratings of the reality monitoring task showed that this reduced confidence was restricted to the neutral actions. No differences were observed for patients that reported low or high frequencies of checking behaviour. The whole of these data do not support memory deficit models of OCD, but are in line with recent emphasis on the importance of memory confidence and other meta-cognitive beliefs in OCD.     

The Efficacy of Acupuncture in the Treatment of Major Depression in Women

The effectiveness of acupuncture as a treatment for major depression was examined in 38 women, randomly assigned to one of three treatment groups. Specific treatment involved acupuncture treatments for symptoms of depression; nonspecific treatment involved acupuncture for symptoms that were not clearly part of depression; a wait-list condition involved waiting without treatment for 8 weeks. The nonspecific and wait-list conditions were followed by specific treatment. Five women terminated treatment prematurely, 4 prior to the completion of the first 8 weeks. Following treatments specifically designed to address depression, 64% of the women (n = 33) experienced full remission. A comparison of the acute effect of the three 8-week treatment conditions (n = 34) showed that patients receiving specific acupuncture treatments improved significantly more than those receiving the placebo-like nonspecific acupuncture treatments, and marginally more than those in the wait-list condition. Results from this small sample suggest that acupuncture can provide significant symptom relief in depression, at rates comparable to those of psychotherapy or pharmacotherapy. Acupuncture may hold sufficient promise to warrant a larger scale clinical trial.     

The person as co-investigator in self-research: Valuation theory

Recent developments in self-research show the self to be increasingly conceived as an organized and highly dynamic phenomenon. In combination with the arguments presented in the preceding article, these developments are a good reason for adopting a method in which the psychologist and the subject work together in the study of the self: The self-confrontation method and the theory on which it is based—valuation theory—are presented as an example of such an approach. This method construes the self as an organized process of valuations, a valuation being any unit of meaning that the person finds of importance in thinking about his or her life. Formulated in the language of the person him- or herself; these valuations and how they develop over time are considered in a dialogue between the psychologist and the subject. For the purposes of demonstration, two phenomena that are not easily observedare discussed here: (a) the existence of an imaginal figure not visibly present but functioning as a signifcant other in the person's daily life, and (b) the presence of a character in a recurring dream, which later gets included as an integral part of the self: Finally, the present approach is briefly discussed as representing a constructivist view of personality psychology.     

Positive crossover: Parent perceived partner responsiveness and health of youth with asthma

Romantic relationship functioning has implications that extend beyond the romantic dyad. This study tests whether a key positive aspect of relationships, perceived partner responsiveness, can cross over from parents' romantic relationships to children's health and well-being via parenting behavior. In a sample of 112 youth with asthma and their primary caregivers, when caregivers perceived higher partner responsiveness in their romantic relationship, youth experienced improved self-reported asthma symptoms, pulmonary functioning, and positive affect. The associations were robust while controlling for parents' relationship conflict and other relevant covariates, except for the pulmonary functioning outcome, which was instead predicted by parents' conflict. However, parenting behavior (i.e., positive and negative parenting) did not appear to mediate these links. This work highlights the importance of positive romantic relationship processes for youth health and well-being, emphasizing the relevance of clinical intervention work and the need to continue investigating mechanisms through which these processes may be linked.     

Stronger renewal in human fear conditioning when tested with an acquisition retrieval cue than with an extinction retrieval cue

It was previously demonstrated in our laboratory that conditioned fear in humans can renew after extinction, when this procedure took place in a different context (ABA-renewal [Vansteenwegen et al. (2005). Return of fear in a human differential conditioning paradigm caused by a return to the original acquisition context. Behaviour Research and Therapy, 43(3), 323–336]). Using the same experimental design, we now tested the power of retrieval cues to interact with this contextual renewal phenomenon. Two groups went through acquisition and extinction (in a different context). They were then tested in the original acquisition context and in the presence of a retrieval cue. In the acquisition-cue group, this cue previously featured during the acquisition procedure; in the extinction-cue group, the cue previously featured during the extinction procedure. As expected, renewal of conditioned electro-dermal responding and retrospective expectancy ratings was strongest in the acquisition-cue group. Theoretical and clinical implications of this finding are discussed.     

The role of extinction and reinstatement in attentional bias to threat: a conditioning approach

We investigated the effects of extinction and reinstatement on attentional bias to fear-conditioned signals in healthy individuals using an emotional modification of a spatial cueing paradigm. Spatial cues were emotionally modulated using differential conditioning. The CS+ was sometimes followed by an aversive electrocutaneous stimulus (UCS), whereas the CS- was never followed by the UCS. During a subsequent extinction phase no UCS was presented anymore. The reinstatement phase started with one or four unpredicted UCS-only trials for half of the participants (reinstatement group). For the other half there were no additional UCS presentations (control group). We found that attention was biased to threat signals during acquisition. This biased attention largely disappeared during extinction. During the reinstatement phase attentional bias to threat signals re-emerged in the reinstatement group, but not in the control group.     

On the nature of the affective priming effect: Effects of stimulus onset asynchrony and congruency proportion in naming and evaluative categorization

In line with the hypothesis that affective priming of evaluative categorization responses is based on processes that operate at a response selection stage, it has been observed that increasing the proportion of congruent trials brings about increased affective priming effects at short stimulus onset asynchronies (SOAs) in the evaluative categorization task. In the present study, we orthogonally manipulated the congruency proportion (.25, .50, and .75) and the SOA (0, 200, and 1,000 msec) in the evaluative categorization task and a naming task. Results showed that at both short and long SOAs, the affective priming effect in the evaluative categorization task was influenced by the congruency proportion. In contrast, affective priming effects in the naming task were unaffected by the congruency proportion at short SOAs. This pattern of results provides corroborating evidence for the hypotheses (1) that different processes underlie the affective priming effect in the evaluative categorization task and the naming task and (2) that valenced stimuli can automatically preactivate the memory representations of other, affectively related stimuli.     

Metamorphosis: Essence, appearance, and behavior in the categorization of natural kinds

The transformation paradigm (Rips, 1989) was used to contrast causal homeostasis and strict essentialist beliefs about biological kinds. Participants read scenarios describing animals that changed their appearance and behavior through either accidental mutation or developmental maturation and then rated the animals on the basis of similarity, typicality, and category membership both before and after the change. Experiment 1 in the present study replicated the dissociation of typicality and categorization reported by Rips (1989) but also revealed systematic individual differences in categorization. With typicality and membership ratings collected between participants, however, Experiment 2 found no evidence for the dissociation and few essentialist responders. In Experiment 3, excluding information about offspring led most participants to categorize on the basis of appearance and behavior alone. However, with offspring information included and with questioning focused on the change of kind, essentialist categorization was still surprisingly rare. We conclude that strict essentialist categorization in the transformation task is relatively rare and highly task dependent, and that categorization is more commonly based on causal homeostasis.     

Concurrent excitors limit the extinction of conditioned fear in humans

In a human fear conditioning experiment, with on-line expectancy ratings and electrodermal responding as indices of fear, two neutral stimuli (pictures of geometric shapes) were first established as reliable predictors of an electric shock. In the subsequent extinction phase, the two stimuli were repeatedly presented in compound, without the shock. The final test phase consisted of individual stimulus presentations again, which resulted in a strong return of the conditioned responses. This effect was not observed in non-conditioned control stimuli. Hence, behavioral effects of extinction seem highly specific to the stimulus constellation that has gone through the extinction procedure. We argue that pharmacological, behavioral and/or cognitive manipulations that could prevent configural processing of stimulus constellations have direct clinical potential.     

Intentional control of attention: action planning primes action-related stimulus dimensions

Neurophysiological observations suggest that attending to a particular perceptual dimension, such as location or shape, engages dimension-related action, such as reaching and prehension networks. Here we reversed the perspective and hypothesized that activating action systems may prime the processing of stimuli defined on perceptual dimensions related to these actions. Subjects prepared for a reaching or grasping action and, before carrying it out, were presented with location- or size-defined stimulus events. As predicted, performance on the stimulus event varied with action preparation: planning a reaching action facilitated detecting deviants in location sequences whereas planning a grasping action facilitated detecting deviants in size sequences. These findings support the theory of event coding, which claims that perceptual codes and action plans share a common representational medium, which presumably involves the human premotor cortex.