Fear conditioning in posttraumatic stress disorder: evidence for delayed extinction of autonomic, experiential, and behavioural responses

Aversive conditioning has been proposed as an important factor involved in the etiology of posttraumatic stress disorder (PTSD). However, it is not yet fully understood exactly which learning mechanisms are characteristic for PTSD. PTSD patients (n=36), and healthy individuals with and without trauma exposure (TE group, n=21; nTE group, n=34), underwent a differential fear conditioning experiment consisting of habituation, acquisition, and extinction phases. An electrical stimulus served as the unconditioned stimulus (US), and two neutral pictures as conditioned stimuli (CS+, paired; CS-, unpaired). Conditioned responses were quantified by skin conductance responses (SCRs), subjective ratings of CS valence and US-expectancy, and a behavioural test. In contrast to the nTE group, PTSD patients showed delayed extinction of SCRs to the CS+. Online ratings of valence and US-expectancy as well as the behavioural test confirmed this pattern. These findings point to a deficit in extinction learning and highlight the role of affective valence appraisals and cognitive biases in PTSD. In addition, there was some evidence that a subgroup of PTSD patients had difficulties in learning the CS-US contingency, thereby providing preliminary evidence of reduced discrimination learning.     

Intrusive images in PTSD and in traumatised and non-traumatised depressed patients: a cross-sectional clinical study

Although intrusive images are a hallmark of post-traumatic stress disorder (PTSD) and also occur in depression, little is known about the differences and similarities of such images in these conditions. Our study focuses on the qualities and triggers of intrusive images and responses to them in three groups--patients with PTSD, and depressed patients with and without trauma (n=65)-to highlight the diagnostic specificity of intrusive images for PTSD and depression. We distinguished intrusive images from verbal intrusive cognitions such as rumination and intrusive (brief) lexical thoughts. Consistent with the literature, the intrusive images of PTSD patients had a more "here-and-now quality" and were perceived more visually compared to those of both depressed groups. The groups showed a good deal of similarity concerning other image qualities. Most importantly, the intrusive images in PTSD and depressed patients with and without trauma were perceived as similarly distressing. Rumination and intrusive (brief) lexical thoughts were two of the five most named triggers of intrusive images. Limitations, such as the lack of a control group, and the clinical implications of these results are discussed, demonstrating the need to help non-PTSD patients with and without trauma to deal with intrusive images.     

Preference for attractiveness and thinness in a partner: Influence of internalization of the thin ideal and shape/weight dissatisfaction in heterosexual women, heterosexual men, lesbians, and gay men

This study assesses whether characteristics of one's own body image influences preferences of attractiveness in a partner. The role of gender and sexual orientation is also considered. Heterosexual women (n = 67), lesbian women (n = 73), heterosexual men (n = 61) and gay men (n = 82) participated in an internet survey assessing attitudes towards the body and preferences of attractiveness in a partner. Men in particular were found to prefer attractive partners, regardless of sexual orientation. Weight/shape dissatisfaction was found to be a negative predictor for heterosexual men and women. For gay men, preferences were better explained by internalization and weight/shape dissatisfaction. No such associations were found in the lesbian group. Levels of weight/shape dissatisfaction and internalization of socio-cultural slenderness ideals influence expectations of thinness and attractiveness in a partner with this effect being modified by gender and sexual orientation.     

PALME

Background

Single mothers and their children are exposed to increased psychosocial burdens and risks. Nevertheless, in Germany offers of help especially designed for the needs of this group are lacking.

Method

An emotion-oriented parental training program (PALME, http://www.palme-elterntraining.de) based on the attachment theory was developed particularly for single mothers with preschool children. The training is guided by trained kindergarten nurses. The effectiveness of the parental training program on the measure of maternal psychological impairment, emotional competence and child problem behavior was investigated within a randomized, controlled study with 61 single mothers suffering from medium grade psychosocial impairment.

Results

Analyses of variance revealed significant group×time interaction effects in favor of the intervention group compared to controls. After the training the mothers showed improvement in their psychological impairment, depression and emotional competence. In addition, evidence suggests that behavioral problems of the children were reduced.

Conclusion

In view of the benefits of this parental training and its low costs it should be recommended as a regular offer of support for single mothers within community settings.     

Is hostility linked with affiliation among males and with achievement among females? A critique of Pollak and Gilligan

This investigation attempted to replicate and to clarify methodologically an investigation by Pollak and Gilligan (1982). Those investigators reported sex differences in violence imagery to Thematic Apperception Test (TAT) pictures depicting affiliation and achievement situations. Pollak and Gilligan concluded that men perceive danger in situations of affiliation whereas women perceive danger in situations of achievement. It was demonstrated in the present study that Pollak and Gilligan incorrectly classified TAT cards into motivational categories, which may have resulted in incorrect inferences. In addition, their findings could not be replicated when using four different systems for classifying TAT cards into motivational categories. Other potential sources of error in their research, including a restrictive scoring scheme for hostility, unusual instructions, and failure to control for sex role in the TAT pictures, did not influence the pattern of results.     

Should assessment center dimension ratings be mechanically-derived?

This study examined the relationship between consensusderived and mechanically-derived assessment center ratings using a sample of 110 police candidates. It was determined that the two sets of dimension ratings were highly correlated (medianr=.83). Further, the mechanically-derived and the consensus-derived assessment ratings both correlated with the overall assessment ratings (OAR) at .71. It was estimated that the organization in this study could save $6137.92 a year, and $36.89 per assessee by eliminating the team meeting (consensus decision-making).     

Critical issues in interference theory

Critical issues in the theoretical and experimental analysis of interference processes in retention are reviewed. The evolution of classical two-factor theory is traced, and the strengths and weaknesses of the contemporary version of this p6sition are examined. Recent critiques of Current interference theories by Martin (1971a) and Greeno, James, and Da Polito (1971) are reviewed and examind. New conceptualizations of interference proposed by these authors, which place major emphasis on retrieval dependencies and on the role of encoding and retrieval processes, are considered and evaluated.     

The spacing effect in the learning of word pairs

Following the presentation of a single list of word pairs consisting of a three-letter word on the left and a five-letter word on the right, groups of 64 Ss each were asked to recall the (a) three-letter words, (b) five-letter words, (c) intact pairs, or (d) five-letter words with the three-letter words provided. Two types of repeated pairs were presented, one in which the same three- and five-letter words were repeated together (same pairs) and one in which the same five-letter word was repeated with different three-letter words (different pairs). For half of the Ss in each recall group, the repetitions of a pair containing a given five-letter word were massed (MP); for the other half, the repetitions were distributed (DP). Recall of MP same pairs and the eomponents of these pairs was consistently poorer than that of DP same pairs. Recall of the repeated component of the different pairs was also poorer under MP than under DP. The results were interpreted as supportive of an attenuation-of-attention explanation of the spacing effect.     

Body Language in Relational Family Therapy

Journal of Religion and Health - The mechanism of projective and introjective identification has been re-evaluated in modern analysis. It is no longer just about the transference of mental content...