Naming impairments following recovery from herpes simplex encephalitis: Category-specific?

An apparently clear case of category-specific naming impairment selectively affecting animals was detected in a patient who had recovered from herpes simplex encephalitis. However, subsequent investigation demonstrated that these category-specific effects could be eliminated by controlling simultaneously for three factors in picture naming: word frequency, concept familiarity, and visual complexity. The results emphasize the importance of controlling for all factors pertinent to picture naming when attempting to demonstrate category specificity in picture naming. Further testing indicated that deficits were also apparent when naming to definition was required, and some impairment in the ability to answer questions about objects and living things was also noted. Theoretical implications of these data are considered.     

Evaluation of a statewide initiative to reduce expulsion of young children

This program evaluation study describes 3 years of implementation of Arkansas's BehaviorHelp (BH) system, a statewide expulsion prevention support system for early care and education (ECE). BH coordinates three tiers of supports to ECE professionals, including phone support, on‐site technical assistance (TA), and infant and early childhood mental health consultation (IECMHC). We examine differences in characteristics of those served across BH service tiers, describe short‐term case outcomes, and explore factors associated with expulsions. BH accepted referrals for 1,195 children in 488 ECE programs. The majority of referrals involved male children over the age of three, and most cases were assigned to the TA tier (68.5%). Cases assigned to receive IECMHC (28.4%) were more likely to involve children in foster care, receiving developmental therapies, and with higher rates of exposure to potentially traumatic events. The expulsion rate among referred children was 2.9%, and reported teacher engagement with the support process was high. Teachers receiving IECMHC services reported significant improvements in children's symptoms of emotional and behavioral problems. Exploratory analyses revealed that risk factors for expulsion included being a male, in foster care, in a lower quality ECE environment, and having a teacher with less training in social–emotional development.     

You Can Take a Horse to Water But You Can’t Make it Drink’: Exploring Children’s Engagement and Resistance in Family Therapy

Children’s engagement and disengagement, adherence and non-adherence, compliance and non-compliance in healthcare have important implications for services. In family therapy mere attendance to the appointments is no guarantee of engaging in the treatment process and as children are not the main initiators of attendance engaging them through the process can be a complex activity for professionals. Through a conversation analysis of naturally occurring family therapy sessions we explore the main discursive strategies that children employ in this context to passively and actively disengage from the therapeutic process and investigate how the therapists manage and attend to this. We note that children competently remove themselves from therapy through passive resistance, active disengagement, and by expressing their autonomy. Analysis reveals that siblings of the constructed ‘problem’ child are given greater liberty in involvement. We conclude by demonstrating how therapists manage the delicate endeavour of including all family members in the process and how engagement and re-engagement are essential for meeting goals and discuss broader implications for healthcare and other settings where children may disengage.     

Why I did Not do What I Felt Like Doing When I Felt Hurt: An REBT-Based Investigation of Reasons Why Hurt-Based Action Tendencies are Not Acted On

In our previous study (Dryden and Hurton in J Ration Emot Cogn Behav Ther 29, 2013), we investigated the action tendencies that 100 people reported having, but did not act on in specific episodes where they felt hurt. In this study, we examine the reasons given by this same group of people for not so acting. Understanding the types of reasons why people do not act on their hurt-based action tendencies will first help REBT therapists to distinguish between constructive and unconstructive factors contained in these expressed reasons and thence to use this information to encourage their clients to act on their constructive tendencies and to discourage their clients from acting on their hurt feelings when it is unconstructive for them to do so.     

Manual rotation training improves direction-estimations in a virtual environmental space

This study investigated in a virtual environment, whether the training of a small-scale ability, i.e., manual or mental rotation, has an influence on the large-scale ability to estimate a direction. Ninety-six participants completed a direction estimation task as a pretest and then received either a manual rotation or a mental rotation training or played a nonspatial computer game. After that they completed the direction estimation task once again. The results showed that the direction estimation error decreased from the pre- to posttest only for the manual rotation training group. For that, the small-scale spatial ability was at least partially related to the large-scale ability, which supports the Partial Dissociation Model.     

Screening for Depression After Stroke: Occupational Therapists' Performance to Protocols

The ability of occupational therapists to enact post-stroke depression screening protocols was considered. The medical notes of 12 patients admitted to an in-patient stroke unit over a 3-month period were consulted to assess timely, appropriate administration, interpretation, and recording of the results of administering the protocols. Post-stroke depression screening by occupational therapists occurred for 83% of patients. Of the screens conducted, all of the patients were administered the correct tool. In 100% of cases screened, the outcome was recorded and in at least 80% clinicians had provided feedback to the patient on the results of the screen.     

The Reversal of Lifelong Labeling: An Autoethnography

The periphery belongs to me. I was born and grew up in a poor neighborhood. In common imagery, it evoked the negatively stereotyped image of a place as a poverty and crime heap. Because of my neighborhood, I’ve suffered various forms of strain. A lifelong labeling process has plagued my life, while in many theories of deviance and crime I would be a criminal. Therefore, how did these theories function with me and with my behavior? How has my lifelong labeling influenced my identity? What suggestions does my life experience offer in terms of urban/social policies? Now I’m trying to answer these questions through my autoethnography.     

On EMDR: Eye movements during retrieval reduce subjective vividness and objective memory accessibility during future recall

In eye movement desensitization and reprocessing (EMDR), a treatment for post-traumatic stress disorder (PTSD), patients make eye movements (EM) during trauma recall. Earlier experimental studies found that EM during recall reduces memory vividness during future recalls, and this was taken as laboratory support for the underlying mechanism of EMDR. However, reduced vividness was assessed with self-reports that may be affected by demand characteristics. We tested whether recall+EM also reduces memory vividness on a behavioural reaction time (RT) task. Undergraduates (N=32) encoded two pictures, recalled them, and rated their vividness. In the EM group, one of the pictures was recalled again while making EM. In the no-EM group one of the pictures was recalled without EM. Then fragments from both the recalled and non-recalled pictures, and new fragments were presented and participants rated whether these were (or were not) seen before. Both pictures were rated again for vividness. In the EM group, self-rated vividness of the recalled+EM picture decreased, relative to the non-recalled picture. In the no-EM group there was no difference between the recalled versus non-recalled picture. The RT task showed the same pattern. Reduction of memory vividness due to recall+EM is also evident from non-self-report data.     

Cognitive mediation of intervention effects on physical exercise: Causal models for the adoption and maintenance stage

Objective: To investigate how the effects of a group-based intervention program (MoVo-LISA) on exercise behaviour were mediated by cognitive variables. Different causal models mapping the short-term (adoption) and long-term (maintenance) intervention effects were tested using path analyses.

Design: N?=?220 in-patients of a rehabilitation clinic were assigned to an usual care or intervention group (quasi-experimental design). Questionnaire-based assessment was conducted at baseline; discharge; and at six weeks, six months and 12 months post discharge.

Measures: The potential mediator variables were outcome expectations, self-efficacy, strength of goal intention (intention strength), self-concordance, action planning and barrier management.

Results: Observed intervention effects on exercise behaviour (p?<?0.05) were mediated by intention strength at the adoption and maintenance stages, by action planning only at the adoption, and by barrier management only at the maintenance stage. Self-efficacy and outcome expectations were only indirectly involved in these mediations by affecting intention strength and self-concordance.

Conclusion: This is the first study to track the cognitive mediation processes of intervention effects on exercise behaviour over a long time-period by differentiating the adoption and maintenance stages of behaviour change. The findings emphasise the importance of deconstructing intervention effects (modifiability vs. predictive power of a mediator) to develop more effective interventions.