Attentional biases to threat in social anxiety disorder: time to focus our attention elsewhere?

Background: Cognitive models propose that attentional biases to threat contribute to the maintenance of social anxiety disorder (SAD). However, the specific characteristics of such biases are still object to debate.

Objectives: The current study aimed to disentangle effects of trait and state social anxiety on attention allocation towards social stimuli.

Methods: Participants with SAD (n?=?67) and healthy controls (n?=?62) completed three visual search tasks while their eye movements were recorded. Half of the participants in each group were randomly assigned to a state anxiety induction.

Results: Contrary to our predictions, neither trait nor state social anxiety was associated with a facilitated attention to or a delayed disengagement from threat. However, participants with SAD did show reduced fixation durations for threatening stimuli, indicating an avoidance of threat. Induction of state anxiety led to an increased distractibility by threat.

Conclusions: We suggest that attention allocation in SAD is characterized by an avoidant rather than a vigilant attentional bias. Accordingly, our results contradict previous results that associate SAD with facilitated attention to threat and existing approaches to modify attentional biases, that aim to decrease attention towards threatening stimuli.     

Ideology,inquiry, and antiquity: a critical notice of Lloyd's The Ideals of Inquiry: An Ancient History

A discussion of Lloyd's Tarner Lectures at Trinity College. The importance of Lloyd's previous scholarship is characterized and these sweeping, erudite lectures are placed in the context of that scholarship. In the broadest terms, the lectures are a call to culturally and historically comparative study of human reasoning. At their heart is a comparative history of scientific theorizing from the ancients through to modern science. Lloyd rejects the positivist picture, and the view of modern and ancient science as discontinuous; he urges scholars to undertake comparative work on the ancient sciences in different traditions. This critical notice evaluates Lloyd's view and raises several questions for further reflection.     

The countertransference impact of autistic defence in an otherwise neurotic patient

This paper investigates the question of why, in the psychoanalytic psychotherapy of a patient with encapsulated autistic pathology, the steady maintenance of a therapeutically neutral stance can be especially difficult. Transference and countertransference vicissitudes are examined. The author notices that the patient's intolerance of ‘opposites’ (cf. Tustin, 1986), combined with extreme antipathy to having that intolerance noticed, can elicit corresponding, and potentially destabilizing, countertransference reactions. These reactions comprise an unstable tension between co‐existing pressures towards fusion with, or expulsion of, the patient, their co‐existence under further pressure to remain unnoticed. Until perceived, this state of affairs risks collusion with the pressure either to merge with or to expel the patient, and compromises the capacity to notice the detail of the transference process and even to notice co‐existent positive and negative transference images. Detailed clinical illustration is given, including a session where it was difficult to notice the patient's experience of a couple as a combined object. The author finds these observations of bipolar countertransference tensions illuminated by Green's concepts of positive and negative narcissism and of the disobjectalizing function, and specifically accounted for by Ribas's theory of autism as radical drive defusion.     

Effects of psychotherapy for depression in children and adolescents: a meta-analysis

Serious sequelae of youth depression, plus recent concerns over medication safety, prompt growing interest in the effects of youth psychotherapy. In previous meta-analyses, effect sizes (ESs) have averaged .99, well above conventional standards for a large effect and well above mean ES for other conditions. The authors applied rigorous analytic methods to the largest study sample to date and found a mean ES of .34, not superior but significantly inferior to mean ES for other conditions. Cognitive treatments (e.g., cognitive-behavioral therapy) fared no better than noncognitive approaches. Effects showed both generality (anxiety was reduced) and specificity (externalizing problems were not), plus short- but not long-term holding power. Youth depression treatments appear to produce effects that are significant but modest in their strength, breadth, and durability.     

Material-illumination ambiguities and the perception of solid objects

The appearance of objects depends on their material, shape, and on the illumination conditions. Conversely, object appearance provides us with cues about the illumination and the material. This so-called inverse problem is basically underdetermined and therefore we expect that material and illumination perception are confounded. To gain insight into the relevant mechanisms, we rendered a set of artificial spheres for vastly different canonical light fields and reflectance functions. We used four physics-based bidirectional reflectance distribution functions (BRDFs) representing glossy, pitted, velvety, and matte material. The six illumination conditions were collimated illumination from four directions, hemispherical diffuse illumination, and fully diffuse (Ganzfeld) illumination. In three sub-experiments we presented pairs of stimuli and asked human observers to judge whether the material was the same, whether the illumination was the same, and for a subset in which either the illumination or the material was the same to judge which of the two was constant. We found that observers made many errors in all sub-experiments. In experiment 2 the illumination direction was chosen at random. Using an interactive interface, we asked human observers to match the illumination direction of a sphere of one of the four materials with that of a Lambertian sphere. We found systematical material-dependent deviations from veridical performance. Theoretical analysis of the radiance patterns suggests that judgments were based mainly on the position of the shadow edge. In conclusion, we found no evidence for 'material constancy' for perception of smooth rendered spheres despite vast quantitative and qualitative differences in illumination and in BRDF between the stimuli. Although human observers demonstrated some 'illumination constancy', they made systematic errors depending on the material reflectance, suggesting that they used mainly the location of the shadow edge. Our results suggest that material perception and light-field perception are basically confounded.