Characteristics and organization of the worst moment of trauma memories in posttraumatic stress disorder

It has been proposed that the organization of the worst moment in traumatic memories (“hotspots”) is of particular importance for the development of PTSD. However, current knowledge regarding the organization and content of worst moments is incomplete.In the present study, trauma survivors with (n = 25) and without PTSD (n = 54) were asked to indicate the worst moment of their trauma and to give a detailed narrative of the traumatic event. The worst moment and the remaining narrative were analyzed separately with regard to organization and emotional content.Results indicated that worst moments of trauma survivors with PTSD differed from the remaining narrative and from worst moments described by trauma survivors without PTSD in that they were characterized by more unfinished thoughts, more use of the present tense and lower levels of cognitive processing. However, hypotheses regarding differentiating emotional content were not supported. Implications for our theoretical understanding of PTSD and potential therapeutic interventions are discussed.     

“Phobie à deux” and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive–compulsive disorder

Meta-analyses suggest that exposure with response prevention (ERP) is the most efficacious treatment for obsessive–compulsive disorder (OCD) and treatment guidelines for the disorder accordingly recommend ERP. Despite this, many therapists, including those with a cognitive-behavioral therapeutic background, do not perform ERP in patients with OCD. The present study aimed to elucidate the reasons why. German therapists (N = 216) completed an anonymous online survey, the newly developed Reasons for Not Performing Exposure in OCD Scale (REPEX), that inquired whether, to what extent, and how they perform ERP in the treatment of OCD. We also asked their reasons for not applying ERP in the past. Most therapists considered ERP an efficient treatment for OCD. Marked differences emerged between physicians and psychologists, however. The former used exposure less often and for a shorter period, preferred in sensu to in vivo exposure, and conducted exposure less often in the personal environment of the patient than did psychologists. Both groups were familiar with clinical guidelines to a similar extent. A factor analysis of the REPEX scale revealed five factors. Patient lack of motivation, preference for exposure to be self-help as well as alleged organizational difficulties were endorsed most often. The latter was correlated with the age of the therapist and was far more often affirmed by physicians. Fear of side effects was named by a subgroup of clinicians; in the context of patient ambivalence, this may foster “phobie à deux”. Unlike prior research, lack of expertise was rarely identified as a reason not to use ERP. Recommendations for improving adherence to guidelines are discussed.     

The time course of spatial memory distortions

Four experiments investigated the memory distortions for the location of a dot in relation to two horizontally aligned landmarks. In Experiment 1, participants reproduced from memory a dot location with respect to the two landmarks. Their performance showed a systematic pattern of distortion that was consistent across individual participants. The three subsequent experiments investigated the time course of spatial memory distortions. Using a visual discrimination task, we were able to map the emergence of spatial distortions within the first 800 msec of the retention interval. After retention intervals as brief as 50 msec, a distortion was already present. In all but one experiment, the distortion increased with longer retention intervals. This early onset of spatial memory distortions might reflect the almost immediate decay of detailed spatial information and the early influence of an enduring spatial memory representation, which encodes spatial information in terms of the perceived structure of space.     

Binocular depth perception in the pigeon.

By means of a discrete-trial simultaneous discrimination procedure, pigeons were trained to respond differentially to visual arrays that were identical except that one of them contained a circle displaced in depth when viewed stereoscopically. Performance was severely disrupted when one eye was occluded. The monocular deficit was peculiar to the depth task, inasmuch as no such decrement was seen on a pattern discrimination. The results imply that presence of the displaced circle was discriminated on the basis of a binocular cue. It was also found that pigeons could discriminate the direction of the displacement. Discrimination of depth was independent of the global form and still occurred when elements of the array were randomly displaced in depth. Performance was not disrupted when the absolute convergence angle of the depth stimulus was changed. The cue that consistently accounted for the behavior seen was the detection of the relative angles of convergence--that is, the retinal disparity of the two planes in depth. Thus, despite the lateral position of the eyes of the pigeon, a small binocular field mediates the binocular discrimination of near objects in depth.     

The implications of maternal grandmother coresidence and involvement for adolescent adjustment in South Africa

Maternal grandmothers residing in 3‐generation households often provide care and support to their grandchildren. However, the implications of grandmother coresidence and involvement for adolescent adjustment have been neglected in the South African literature. This study examined whether the involvement of maternal grandmothers who coreside with grandchildren and their parents differed from that of non‐coresident grandmothers. In addition, we assessed the associations between maternal grandmother coresidence and involvement, and adolescents' internalising problems, externalising problems and prosocial behaviour. Self‐report survey data were obtained from a sample of 384 “coloured” (mixed‐race) and black African Grade 8 and Grade 9 students in Cape Town. The mean age of the participants was 13.96 years, 58% were females and 27% lived in 3‐generation households. Results indicated that there was no significant difference in the involvement of coresident and non‐coresident grandmothers, and that adolescents in 3‐generation and 2‐generation households displayed similar levels of adjustment. Hierarchical multiple regression analyses revealed that greater maternal grandmother involvement was associated with more adolescent prosocial behaviour (p < .001) regardless of household structure, and with fewer adolescent internalising problems in 3‐generation households (p = .03). Findings underscore the need to move beyond the immediate family to consider how grandparents may influence adolescent development.     

Restricted Maximum Likelihood Estimation for Parameters of the Social Relations Model

In many areas of research, the round-robin design is used to study interpersonal judgments and behaviors. The resulting data are analyzed with the social relations model (SRM), whereby almost all previously published studies have used ANOVA-based methods or multilevel-based methods to obtain SRM parameter estimates. In this article, the SRM is embedded into the linear mixed model framework, and it is shown how restricted maximum likelihood can be employed to estimate the SRM parameters. It is also described how the effect of covariates on the SRM-specific effects can be estimated. An example is presented to illustrate the approach. We also present the results of a simulation study in which the performance of the proposed approach is compared to the ANOVA method.     

Emotional Valence and Perceived Event Frequency Affect Memory Accuracy for a Personally Relevant Life Event

False autobiographical remembering is known to be affected both by an event's emotional valence and its perceived frequency (PEF). Here, we present a procedure that enables the assessment of retrieval accuracy for details of an overarching personally relevant real‐life event (a graduation ceremony) while taking into account variations in both their valence and PEF. Former university students who attended the same graduation ceremony completed a questionnaire with true and false statements about the ceremony. Their task was to judge whether the event details were true. Event details were previously rated for valence (positive vs. negative) and PEF (high vs. low) and their truth status was confirmed with original video footage from the ceremony. The results showed that valence modulated the effect of PEF on memory accuracy in that a decrease in false memory judgements was observed only for negative low‐PEF (implausible) event details. These results are interpreted within the affect‐as‐information framework. Copyright © 2016 John Wiley & Sons, Ltd.     

Support interventions for older adults: Confidante relationships,perceived family support,and meaningful role activity

The rationale and problems encountered in implementing a peer-support telephone intervention are described. The research conducted by Heller, Thompson, Trueba, Hogg, and Vlachos-Weber (1991) was based on epidemiological literature documenting the moral enhancing value of confidante relationships. However, that literature may be insufficiently precise to form the basis for an intervention without prior ethnographic study of the local target population. Furthermore, the positive effects of peer friendships may refer to long established relationships rather than to newly formed social ties. It is concluded that future support intervention research with older adults should concentrate on reinforcing meaningful role activities, and that greater attention should be given to strengthening indigenous ties before attempting to create new ones. While prior process research and formative evaluation are of value, we also emphasize the importance of well-controlled field studies in the ultimate test of intervention hypotheses.