Integrated Behavior Therapy for Selective Mutism: A randomized controlled pilot study

Objective

To evaluate the feasibility, acceptability, and preliminary efficacy of a novel behavioral intervention for reducing symptoms of selective mutism and increasing functional speech.

Method

A total of 21 children ages 4 to 8 with primary selective mutism were randomized to 24 weeks of Integrated Behavior Therapy for Selective Mutism (IBTSM) or a 12-week Waitlist control. Clinical outcomes were assessed using blind independent evaluators, parent-, and teacher-report, and an objective behavioral measure. Treatment recipients completed a three-month follow-up to assess durability of treatment gains.

Results

Data indicated increased functional speaking behavior post-treatment as rated by parents and teachers, with a high rate of treatment responders as rated by blind independent evaluators (75%). Conversely, children in the Waitlist comparison group did not experience significant improvements in speaking behaviors. Children who received IBTSM also demonstrated significant improvements in number of words spoken at school compared to baseline, however, significant group differences did not emerge. Treatment recipients also experienced significant reductions in social anxiety per parent, but not teacher, report. Clinical gains were maintained over 3 month follow-up.

Conclusion

IBTSM appears to be a promising new intervention that is efficacious in increasing functional speaking behaviors, feasible, and acceptable to parents and teachers.     

Western Buddhism: Tradition and Modernity

The idea of a fragmented, de-traditionalized society has been much discussed over recent years. While Anthony Giddens has suggested that the issues surrounding postmodernism and postmodernity do not constitute the end of modernism and modernity, there has been a significant disjunction in the modernist narrative. Indeed, the project of modernity has been instrumental in the perceived de-traditionalization of society through an intensification of globalization where local contexts are invaded by abstract systems. In this paper, using the existence of Buddhism in the West as an example, I argue that this does not signify the end of tradition as such. Introducing certain aspects of Theravada Buddhist philosophy as a means of comparison, I further argue that it is possible to reclaim a place for religion by suggesting that traditions may exist in their own cultural niches which appear throughout society; as well as at various times during the life of an individual. This I call a de-universalized society in which religious tradition persists, albeit not in an inclusive form.     

Visual working memory declines when more features must be remembered for each object

The article reports three experiments investigating the limits of visual working memory capacity with a single-item probe change detection paradigm. Contrary to previous reports (e.g., Vogel, Woodman, & Luck, Journal of Experimental Psychology. Human Perception and Performance, 27, 92–114, 2001), increasing the number of features to be remembered for each object impaired change detection. The degree of impairment was not modulated by encoding duration, size of change, or the number of different levels on each feature dimension. Therefore, a larger number of features does not merely impair memory precision. The effect is unlikely to be due to encoding limitations, to verbal encoding of features, or to chunk learning of multifeature objects. The robust effect of number of features contradicts the view that the capacity of visual working memory can be described in terms of number of objects regardless of their characteristics. Visual working memory capacity is limited on at least three dimensions: the number of objects, the number of features per object, and the precision of memory for each feature.     

Forgetting to forget: On the duration of voluntary suppression of neutral and emotional memories

Can we control the content of our memory and forget what we do not want to think about by an act of will? If so, is forgetting temporary or permanent, and is it independent of the nature of what we wish to forget? Using Anderson and Green’s (2001) “think/no-think” paradigm with neutral and emotional nouns, we found in agreement with other studies that memory for neutral words was reduced instantly upon repeated attempts at suppression. However, the effect was temporary and vanished after a period of one week, which strongly suggests that intended memory suppression interferes with immediate retrieval but does not lead to long-term forgetting. Furthermore, the amount of training that clearly reduced immediate recall of neutral items did not at all reduce recall of emotional items. This finding is in accordance with the notion that emotional items have a higher degree of salience and tend to attract more attention than neutral items.     

Dyslexia and reasoning: The importance of visual processes

Recent research has suggested that individuals with dyslexia rely on explicit visuospatial representations for syllogistic reasoning while most non‐dyslexics opt for an abstract verbal strategy. This paper investigates the role of visual processes in relational reasoning amongst dyslexic reasoners. Expt 1 presents written and verbal protocol evidence to suggest that reasoners with dyslexia generate detailed representations of relational properties and use these to make a visual comparison of objects. Non‐dyslexics use a linear array of objects to make a simple transitive inference. Expt 2 examined evidence for the visual‐impedance effect which suggests that visual information detracts from reasoning leading to longer latencies and reduced accuracy. While non‐dyslexics showed the impedance effects predicted, dyslexics showed only reduced accuracy on problems designed specifically to elicit imagery. Expt 3 presented problems with less semantically and visually rich content. The non‐dyslexic group again showed impedance effects, but dyslexics did not. Furthermore, in both studies, visual memory predicted reasoning accuracy for dyslexic participants, but not for non‐dyslexics, particularly on problems with highly visual content. The findings are discussed in terms of the importance of visual and semantic processes in reasoning for individuals with dyslexia, and we argue that these processes play a compensatory role, offsetting phonological and verbal memory deficits.     

Representation of letter position in spelling: Evidence from acquired dysgraphia

The graphemic representations that underlie spelling performance must encode not only the identities of the letters in a word, but also the positions of the letters. This study investigates how letter position information is represented. We present evidence from two dysgraphic individuals, CM and LSS, who perseverate letters when spelling: that is, letters from previous spelling responses intrude into subsequent responses. The perseverated letters appear more often than expected by chance in the same position in the previous and subsequent responses. We used these errors to address the question of how letter position is represented in spelling. In a series of analyses we determined how often the perseveration errors produced maintain position as defined by a number of alternative theories of letter position encoding proposed in the literature. The analyses provide strong evidence that the grapheme representations used in spelling encode letter position such that position is represented in a graded manner based on distance from both-edges of the word.     

Effect of pre- and postcompetition emotional state on salivary cortisol in top-ranking wrestlers

The purpose was three-fold: (1) to investigate the effect of baseline, precompetition, and postcompetition stress on salivary cortisol levels in top-ranking Brazilian wrestlers (N = 17) participating in a national competition; (2) to estimate correlations among three stress measures (perceived stress, salivary cortisol, and physiological stress reaction); and (3) to compare cortisol concentrations between losers and winners. Salivary cortisol was collected at baseline, pre-, and postcompetition. Physiological stress reaction and perceived stress scores were measured just before warm-up for the competition. Analysis showed a significant main effect for testing time. Correlations among the stress measures were not significant. Analysis of covariance between the winners (n = 10) and the losers (n = 7) was also not significant. Salivary cortisol concentrations increased after the intense exercise of competition. The wrestlers did not perceive any physiological effects.     

Derived relational responding: a comparison of match-to-sample and the relational completion procedure

Previous research suggests that the Relational Completion Procedure may be an effective alternative procedure for studying derived relational responding. However, the parameters that make it effective, relative to traditional match-to-sample, remain to be determined. The present experiment compared the Relational Completion Procedure and match-to-sample protocols for training and testing Same and Opposite derived stimulus relations. Trials to criterion and overall pass rate (i.e., yield) in both procedures were compared across three variables: presence versus absence of a confirmatory response requirement, three versus five comparison stimuli, and top-to-bottom versus left-to-right presentation format. Findings demonstrated a facilitative effect of the confirmatory response requirement in both procedures. Training trials to criterion were nominally but not significantly lower during the nonarbitrary training phase in the Relational Completion Procedure compared to match-to-sample, and the overall yield on the arbitrary relational test was greater in the former procedure compared to the latter. The present findings support the further development of the Relational Completion Procedure as an efficient alternative procedure for establishing Same and Opposite relations with adult humans, and with potential applicability to other types of derived relations.