Missed first appointments: Prevalence and associated factors in first-time attendees at an outpatient psychiatric clinic in Nigeria

In Nigeria, outpatient care forms the bulk of the psychiatric service. While there are no published data, empirical observations indicate that default may be high and exerting a huge toll on the cost of care. The aims were to determine the first-appointment default rate among newly seen outpatients in a psychiatric clinic and to identify factors associated with it. The study was a survey of all newly seen patients from 1 January 2006 to 31 January 2006, and who were given a follow-up appointment. A total of 223 new patients were seen. Of these, 151 (67.7%) turned up for their appointment, 61 (27.4%) defaulted, and 11 (4.9%) were referred. Defaulters were more likely to be Christians, younger in age, and in employment. On using correlation statistics, respondents’ religion and occupational status demonstrated a linear relationship and a significant association with follow-up attendance/non-attendance. The rate of non-attendance at first follow-up is of clinical concern, and the possible contribution of religion to this may be enormous. Clinicians and health policy makers need to be sensitive to this. The introduction of community psychiatric services and collaboration between orthodox and traditional/religious practitioners may help reduce default rates.     

Domestic dogs (Canis familiaris) coordinate their actions in a problem-solving task

Cooperative hunting is a cognitively challenging activity since individuals have to coordinate movements with a partner and at the same time react to the prey. Domestic dogs evolved from wolves, who engage in cooperative hunting regularly, but it is not clear whether dogs have kept their cooperative hunting skills. We presented pairs of dogs with a reward behind a fence with two openings in it. A sliding door operated by the experimenter could block one opening but not both simultaneously. The dogs needed to coordinate their actions, so that each was in front of a different opening, if one of them was to cross through and get food. All 24 dog pairs solved the problem. In study 1, we demonstrated that dogs understood how the apparatus worked. In study 2, we found that, although the performance of the pairs did not depend on the divisibility of the reward, pairs were quicker at coordinating their actions when both anticipated rewards. However, the dogs did not monitor one another, suggesting that their solutions were achieved by each individual attempting to maximize for itself.     

Attentional biases and memory for emotional stimuli in men and male rhesus monkeys

We examined attentional biases for social and non-social emotional stimuli in young adult men and compared the results to those of male rhesus monkeys (Macaca mulatta) previously tested in a similar dot-probe task (King et al. in Psychoneuroendocrinology 37(3):396–409, 2012). Recognition memory for these stimuli was also analyzed in each species, using a recognition memory task in humans and a delayed non-matching-to-sample task in monkeys. We found that both humans and monkeys displayed a similar pattern of attentional biases toward threatening facial expressions of conspecifics. The bias was significant in monkeys and of marginal significance in humans. In addition, humans, but not monkeys, exhibited an attentional bias away from negative non-social images. Attentional biases for social and non-social threat differed significantly, with both species showing a pattern of vigilance toward negative social images and avoidance of negative non-social images. Positive stimuli did not elicit significant attentional biases for either species. In humans, emotional content facilitated the recognition of non-social images, but no effect of emotion was found for the recognition of social images. Recognition accuracy was not affected by emotion in monkeys, but response times were faster for negative relative to positive images. Altogether, these results suggest shared mechanisms of social attention in humans and monkeys, with both species showing a pattern of selective attention toward threatening faces of conspecifics. These data are consistent with the view that selective vigilance to social threat is the result of evolutionary constraints. Yet, selective attention to threat was weaker in humans than in monkeys, suggesting that regulatory mechanisms enable non-anxious humans to reduce sensitivity to social threat in this paradigm, likely through enhanced prefrontal control and reduced amygdala activation. In addition, the findings emphasize important differences in attentional biases to social versus non-social threat in both species. Differences in the impact of emotional stimuli on recognition memory between monkeys and humans will require further study, as methodological differences in the recognition tasks may have affected the results.     

Fluctuating dynamics of perceived exertion in constant-power exercise

ObjectivesTo reveal and study the fluctuating dynamics of perceived exertion (PE) during constant-power exercise performed under different conditions (duration, intensity, and termination).DesignA pilot and two subsequent experimental studies were performed. The studies consisted of manipulating workload and measuring fluctuating perceived exertion dynamics throughout the cycling task.MethodsIn a pilot study Borg's rating of perceived exertion (RPE) was measured every 15 s in 2 groups of 9 participants each (using RPE 6-20 and CR10 scales, respectively) cycling at heavy intensity until volitional exhaustion. The percentage of participants alternating increased and decreased RPE values (fluctuating dynamics) was calculated. In 2 subsequent experiments PE changes (increase/decrease perceptions) were reported when occurring in 2 groups of 13 participants cycling at a moderate intensity for 30 and 60 min, respectively (Experiment 1), and in another group of 12 participants cycling at heavy intensity until volitional exhaustion (Experiment 2). The individual time series of “increase”/“decrease” reports were divided into 5 non-overlapping temporal windows, and the percentages of “PE increase” were calculated for each window.ResultsIn the pilot study 66.6% (RPE 6-20 group) and 33.3% (CR10 group) of the participants showed an RPE fluctuating dynamics during the exercise. However, all participants showed a clear PE fluctuating dynamics during the moderate and heavy intensity exercises performed in Experiment 1 and Experiment 2, respectively. Nevertheless, a transition towards a PE non-fluctuating dynamics (dominated by “PE increase” reports) was noticed in Experiment 2 while approaching volitional exhaustion.ConclusionsPE seems to have a dominant fluctuating dynamics during constant-power cycling performed under different conditions (duration, intensity, and termination) that changes towards a non-fluctuating dynamics when approaching the volitional exhaustion point.     

Groundhog day: The individual,the couple,the group and the space between

Abstract

The film Groundhog Day first came out in 1993. Five years later, it is still cited in a variety of contexts. The author proposes that this is because the film is a cultural artefact which both elucidates and frustrates the ideal of romantic love in the couple as the agent of internal change.

The author also proposes a re-viewing of the meaning of the concept of couple. The convergence of object relations theories with group analysis suggests that the mind works by repeating and externalizing internal group structures in social relationships. The couple, then, becomes an intermediary structure between the individual and the group where intimacy facilitates a re-working of group internal structures. It is the collapsing and the opening of the ‘space between’ which is the agent of change. This process creates strength, power and a feeling of wholeness. But it also implies the expression of anger, pain and disappointment. The author illustrates these points with an interpretation of the Groundhog Day film and with a clinical case study of a couple in therapy.     

Belief about immutability of moral character and punitiveness toward criminal offenders

The present research examined the association between belief about immutability of moral character and punitiveness toward criminal offenders. Overall, participants who believed that moral character is immutable (entity theorists) were more punitive than those who believed that it is changeable (incremental theorists). More important, the present research identified two mediational paths: Entity theorists made more internal attribution of criminal behavior and held stronger expectation of offenders' recidivism, both of which in turn led to stronger punitiveness. Also, contrary to some researchers' speculation, entity theorists did not perceive less controllability in criminal behavior. Implications for implicit theory research and criminal justice research are discussed.     

Comparing the Self-Concepts of Persons With and Without Physical Disabilities

Tam and Watkins (1995b) explored the basis of self-concepts of physically disabled and nondisabled Hong Kong Chinese adults and developed the hierarchical multidimensional self-concept models. Two questionnaires that measure self-concept were developed and validated for those groups. The questionnaires share 41 common items in 6 self-concept areas. In the present study, the 2 groups' responses were compared via univariate analysis of variance. The nondisabled participants (n % 200) were found to have statistically significantly higher means than their disabled counterparts (n % 214) in total self-concept, material self-concepts, and physical self-concepts. There were no significant differences in their family, social, and work self-concepts. The nondisabled participants reported greater openness (indicated by higher self-criticism scores).     

Goal Orientation and Work Role Performance: Predicting Adaptive and Proactive Work Role Performance Through Self-Leadership Strategies

This article explores the relationship between goal orientation, self-leadership dimensions, and adaptive and proactive work role performances. The authors hypothesize that learning orientation, in contrast to performance orientation, positively predicts proactive and adaptive work role performances and that this relationship is mediated by self-leadership behavior-focused strategies. It is posited that self-leadership natural reward strategies and thought pattern strategies are expected to moderate this relationship. Workers (N = 108) from a software company participated in this study. As expected, learning orientation did predict adaptive and proactive work role performance. Moreover, in the relationship between learning orientation and proactive work role performance through self-leadership behavior-focused strategies, a moderated mediation effect was found for self-leadership natural reward and thought pattern strategies. In the end, the authors discuss the results and implications are discussed and future research directions are proposed.     

Marcos de referencia en el estudio de los mapas cognitivos de ambientes urbanos

Resumen

El presente artículo ofrece una revisión de los estudios realizados en las dos últimas décadas sobre mapas cognitivos aplicados al mundo urbano a partir de las investigaciones llevadas a cabo por los autores de primera línea en el tema. El conjunto de tales trabajos hace patente la falta de articulación en que se encuentra el constructo «mapa cognitivo». Sin embargo, ofrecen unas orientaciones a tener en cuenta necesariamente en cualquier futura investigación.     

El «efecto placebo» en los procesos de cambio terapéutico

RESUMEN

El conocimiento de los efectos placebo plantea el problema metodológico de cómo comprobar la eficacia de distintos procesos terapéuticos. Este problema es analizado por Bayés, que comienza destacando dos necesidades fundamentales: en primer lugar, la de promover investigación científica para evaluar el coste, grado de peligrosidad y eficacia de los tratamientos psicológicos y psiquiátricos, y en segundo, la urgencia de llevar a cabo investigaciones para averiguar de qué factores depende que los cambios positivos obtenidos se mantengan, y si los cambios instaurados a través de una estrategia concreta se mantienen mejor que los obtenidos mediante técnicas alternativas. Seguidamente desarrolla un proyecto de evaluación, secuencial y sistemático, de los efectos de un tratamiento psicológico, señalando tres aspectos fundamentales y dos caminos por los que poder realizar esta evaluación. Respecto al análisis de las condiciones que confieren o restan eficacia a un tratamiento, el autor sugiere dos herramientas: estrategias metodológicas que proporcionen datos empíricos fiables y un marco teórico común. La última parte se reserva al análisis de los diseños intrasujeto y la exposición de los cinco niveles implicados en el entramado de los tratamientos psicológicos, y finaliza destacando algunas estrategias prioritarias para el buen planteamiento del problema.