Diagnosis and rehabilitation attempt of a patient with acquired deep dyslexia

This study presents a patient (JH) suffering from acquired deep dyslexia. According to a cognitive model of reading, JH exhibited a significant impairment in both the phonological and lexical routes to reading. A rehabilitation program was proposed. We decided to focus on the lexical route using a priming paradigm. The written words were associated with a picture and the patient was invited to construct a mental association between the written word and the image. During five sessions, JH was trained to read 50 words. A pre-test, a post-test, and an 8-month follow-up session consisted of reading 140 written words including the 50 trained words. At the post-test, 90% of the trained words were accurately read. At the follow-up session, JH's reading performance for the trained words was still highly accurate at 84%. This strong effect is discussed and ways of increasing the patient's abilities to read are proposed.     

Beneficial factors in family discussion groups of a psychiatric day clinic: perceptions by the therapeutic team and the families of the therapeutic process

This paper reports a pilot investigation of the perception of helpful events by the therapeutic team and the families in two family discussion groups (FDGs) of a psychiatric day clinic. All participants of the FDG, including therapists and observers, filled in questionnaires measuring events helpful for the individual, for the family and for the group after each FDG session. The results showed that the therapeutic team and the families diverged in their overall perception of which factors were important in family discussion group therapy. The therapeutic team saw the relational climate and the structural aspects of the group (including group involvement and support from the group), and specific therapeutic interventions as more helpful than the families. The process aspects in the group members (including the experiencing of communality and gaining insight) were, on the other hand, more frequently mentioned by the families than by the therapeutic team. The clinical implications of these findings and suggestions for future research are discussed.     

Safety Behavior After Extinction Triggers a Return of Threat Expectancy

Safety behavior is involved in the maintenance of anxiety disorders, presumably because it prevents the violation of negative expectancies. Recent research showed that safety behavior is resistant to fear extinction. This fear conditioning study investigated whether safety behavior after fear extinction triggers a return of fear in healthy participants. Participants learned that two stimuli (A and C) were followed by an aversive loud noise (“threat”), and one stimulus (B) was not. Participants then learned to use safety behavior that prevented the loud noise. Next, A and C were no longer followed by the loud noise, which typically led to extinction of threat expectancy. Safety behavior then became available again for C, but not for A and B. All participants used safety behavior on these C trials. In a final test phase, A, B, and C were presented once without the availability to use safety behavior. At each stimulus presentation, participants rated threat expectancy by indicating to what extent they expected that the loud noise would follow. Compared with the last extinction trial, threat expectancy increased for C in the test phase, whereas it did not increase for A and B. Hence, safety behavior after the extinction of classically conditioned fear caused a partial return of fear. The findings suggest that safety behavior may be involved in relapse after exposure-based therapy for anxiety disorders.     

Do stigma and its psychosocial impact differ between Asian-born Chinese immigrants and Western-born Caucasians with head and neck cancer?

Stigma appears to influence emotional distress and well-being in cancer survivors, but cross-cultural differences have been ignored. Previous studies suggest that stigma may be especially relevant for survivors of Asian origin. However, their study designs (e.g. focused on female cancers, qualitative designs, and an absence of comparison groups) limit the strength of this conclusion. We hypothesized that (1) Asian-born Chinese immigrants (AI) would report more perceived cancer-related stigma than Western-born Caucasians (WBC); and (2) the impact of stigma on emotional distress and well-being would be greater in AI as compared to WBC. Head and neck cancer survivors (n = 118 AI and n = 404 WBC) completed measures of well-being, emotional distress, and a three-item indicator of stigma in structured interviews. The majority of respondents (59%) reported one or more indicators of stigma. Stigma correlated significantly with emotional distress (r = .13, p = .004) and well-being (r = ?.09, p = .032). Contrary to our hypotheses, WBCs and AIs did not differ in reported stigma nor did we detect differences in its psychosocial impact. Stigma exerts a deleterious psychosocial impact on head and neck cancer survivors. It did not differ significantly between AI and WBC survivors.     

A Goal‐Priming Approach to Cognitive Consistency: Applications to Judgment

A fundamental criterion of judgment is consistency among beliefs. To augment traditional methods for studying cognitive consistency, we treat it as a goal and present a priming method for increasing its activation. Three studies use three criteria to validate the method: an increase in the biased evaluation of incoming information, speed in a lexical decision task, and participants' direct reports of greater goal activation. The method is then used to verify the role of the consistency goal in three diverse judgment phenomena. Priming cognitive consistency increases the search for postdecisional supporting information (selective exposure to information), the agreement between preference and prediction (the desirability bias or wishful thinking), and the adjustment of a socially unacceptable implicit attitude to conform to the corresponding explicit attitude. One conclusion is that the cause of these phenomena is not only motivated reasoning (driven directionally by a desired outcome) but also the purely cognitive and nondirectional process of simply making beliefs more consistent. Copyright © 2015 John Wiley & Sons, Ltd.     

Daily hassles,ethnic identity and psychological adjustment among Lebanese‐Canadians

Acculturation, as a process of cultural change, has been related to a number of consequences including psychological distress. While some research has demonstrated how post‐migration stressors influence the adjustment of immigrants, it has been proposed that daily hassles—irritants in daily interactions—such as minor chronic problems with the in‐group and the out‐group have an even greater impact on adjustment than major life events. Furthermore, research has shown that ethnic identification profiles and discrimination are two factors closely associated with adjustment among immigrant populations. This study was, therefore, meant to further investigate the relationships among ethnic identity, discrimination (personal and collective), and adjustment (self‐esteem and depression) through a model proposing daily hassles as a mediator among these factors. There were 100 first‐ and second‐generation Lebanese‐Canadians who participated in the study. They completed a questionnaire measuring ethnic identification to their in‐ and out‐group, discrimination, hassles experienced with their in‐ and out‐group, depression, and self‐esteem. Path analyses revealed the mediating role of daily hassles between identity and discrimination, on the one hand, and indices of depression and self‐esteem, on the other. The results also demonstrated that greater experienced personal discrimination was associated with higher levels of experienced out‐group hassles and more out‐group hassles related to lower levels of adjustment. Processes of identity revealed that a higher level of Lebanese identity was associated with less experienced in‐ and out‐group hassles, which positively related to better adjustment. However, Canadian identity directly and positively related to depression. These results are discussed, first, with respect to their implications for current theorizing regarding the process of acculturation. Daily hassles would indeed now stand as a key mediating factor in the explanation of adjustment among immigrants. Second, the findings are deemed to have practical implications in term of the direction of programmes aimed at alleviating acculturative stress.     

Implicit trust in clinical decision-making by multidisciplinary teams

Synthese - In clinical practice, decision-making is not performed by individual knowers but by an assemblage of people and instruments in which no one member has full access to every piece of...     

Positive aspects of voice-hearing: a qualitative metasynthesis

Voice-hearing occurs in clinical and non-clinical samples, and the role of spiritual and cultural frameworks of understanding for percipients has received increased attention. This review aimed to identify and synthesise the existing qualitative literature relating to positive aspects of voice-hearing experiences, and to make recommendations based on these findings for clinical practice and future research. Qualitative papers that included positive aspects of voice-hearing were identified by undertaking a systematic search of six electronic databases, resulting in 22 papers. The quality of each paper was assessed and the meta-ethnographic approach was used to extract and synthesise the data. Six themes were identified relating to voices providing safety and protection, guidance, creating psychological and emotional well-being, providing companionship, facilitating personal growth and development, and connecting hearers to religious or spiritual belief systems. The findings suggest positive aspects of voice-hearing that may have clinical and research implications.     

Effects of therapy balls on children diagnosed with attention deficit hyperactivity disorder

Therapy balls are air‐filled rubber balls ranging from 20 to 30 in. in diameter that are sometimes used in place of traditional 4‐legged chairs in classrooms. Unfortunately, research on the effects of therapy balls as chairs is limited. Therefore, this study evaluated the effects of therapy balls on the on‐task behavior and academic performance of elementary students diagnosed with Attention Deficit Hyperactivity Disorder. An alternating treatments design was implemented with 4 students from the 3rd and 4th grades comparing therapy ball seating to traditional classroom chairs. No effect of the therapy balls was found, although students preferred sitting on the therapy balls. Teachers reported that the therapy balls were difficult to use and did not find them particularly effective.