Affect is a form of cognition: A neurobiological analysis

In this paper, we suggest that affect meets the traditional definition of "cognition" such that the affect-cognition distinction is phenomenological, rather than ontological. We review how the affect-cognition distinction is not respected in the human brain, and discuss the neural mechanisms by which affect influences sensory processing. As a result of this sensory modulation, affect performs several basic "cognitive" functions. Affect appears to be necessary for normal conscious experience, language fluency, and memory. Finally, we suggest that understanding the differences between affect and cognition will require systematic study of how the phenomenological distinction characterising the two comes about, and why such a distinction is functional.     

Guided self-help versus pure self-help for perfectionism: a randomised controlled trial

Perfectionism is known to be a risk factor for the development and maintenance of obsessive-compulsive (OC) and depressive symptoms. The purpose of the present study was to test the effectiveness of a cognitive-behavioural self-help therapy for perfectionism, and to examine the effect of such treatment on OC and depressive symptomatology. The study compares the effectiveness of guided self-help (GSH, n=24) with pure self-help (PSH, n=25) therapy. Both GSH and PSH were found to be effective in reducing perfectionism, and also in reducing OC and depressive symptomatology. Overall, participants in the GSH condition experienced greater symptom improvement than participants in the PSH condition, and treatment gains for both groups were largely maintained at 3-month follow-up. Twenty percent of PSH participants experienced clinically significant increases in depressive symptoms over the treatment and follow-up period (compared to 0% in the GSH condition), suggesting that PSH may be a less suitable strategy than GSH in treating this population. Overall, the findings suggest that self-help for perfectionism is effective in reducing OC and depressive symptomatology in non-clinical individuals, with GSH being superior to PSH.     

An analogue study of the effects of Psychological Debriefing on eyewitness memory

Sixty-one participants from the community participated in a randomised controlled trial of group debriefing to assess the effect of this intervention upon memory for a stressful event. Participants were randomly allocated to one of three groups: debriefing; debriefing with an experimenter confederate present (who supplied three pieces of misinformation to the group regarding the stressful event); and a no-treatment control. All groups were shown a very stressful video and were again reviewed after 1 month. Members of the debriefing group where a confederate provided misinformation were more likely to recall this misinformation as fact than members of the other two groups. The debriefing group was also more accurate in their recall of peripheral content than the confederate group. Across all groups, participants were found to be more accurate at central rather than peripheral recall yet more confident for incorrect memories of the video than correct memories.     

Expressed emotion in families of children and adults with intellectual disabilities

Expressed emotion (EE) is a measure of the affective relationship between two people characterized by criticism, hostility, and emotionally over-involved attitudes. Outside of the field of intellectual disabilities, there has been considerable interest in EE as an environmental marker that explains variance in the severity and/or course of a number of psychiatric disorders. Researchers have also studied EE in parents and found strong associations with children's behavior problems. In this review, we focus on the data from 11 published studies of EE in families of children and adults with intellectual disabilities. We conclude that there is evidence for the presence of high EE in some families, and that this alone should concern researchers and clinicians and set an agenda for considerable future research effort. We also note a lack of attention to the measurement of EE in intellectual disability. In terms of the existing evidence base, we suggest that there is support for the hypothesis that behavior problems in children and adults with intellectual disabilities may be related to high EE in parents, and a small amount of data predicting over time support the putative causal effect of high EE on maintaining or exacerbating behavior problems. Given that EE is perhaps best conceptualized as the result of an interaction between caregivers and those cared for, there is a need to explore interventions that may help to remediate high EE within families. It is also important to understand from this position that EE may be a normative part of the experience of caring for someone under very stressful circumstances and not something for which families are blamed. Other future research priorities and some implications for practice are also discussed.     

The role of the amygdala in visual awareness

Pessoa and colleagues recently reported the novel finding that objective awareness of a negative stimulus is associated with coactivation of the amygdala and fusiform gyrus. Based on the neuroanatomical connections of the amygdala, we suggest that the amygdala is acting to increase neural activity in the fusiform gyrus, thereby increasing the likelihood that visual representations that have affective value reach awareness. The psychological consequence is that a person's momentary affective state might help to select the contents of conscious experience.     

Remembering the Pattern that Connects: Toward an Eco-Informed MFT

Gregory Bateson, who is regarded as one of the founders of the field of family therapy, warned about the dangers of chopping up the ecology (literally and metaphorically). Yet the ecosystem is showing signs of faltering under the pressure of human mistreatment, and increasingly people are manifesting symptoms associated with extreme disconnection from nature. Although family therapists have devoted little attention to the relationship between human and ecological planetary suffering, as systemically trained professionals MFTs are uniquely situated to see the big picture and to promote integrative healing between individual, familial, and environmental levels. This article explores some of the factors underpinning the field’s lack of attention to ecological issues and provides recommendations for how MFTs can remember the pattern that connects by cultivating a more eco-informed approach to training and clinical practice.     

Wright contra McDowell on perceptual knowledge and scepticism

One of the key debates in contemporary epistemology is that between Crispin Wright and John McDowell on the topic of radical scepticism. Whereas both of them endorse a form of epistemic internalism, the very different internalist conceptions of perceptual knowledge that they offer lead them to draw radically different conclusions when it comes to the sceptical problem. The aim of this paper is to maintain that McDowell’s view, at least when suitably supplemented with further argumentation (argumentation that he may or may not agree with), can be shown to be a viable alternative to Wright’s anti-sceptical proposal, one that retains the driving motivation behind Wright’s proposal while avoiding one of its most fundamental problems. Wright’s wholesale rejection of the McDowellian anti-sceptical strategy is thus premature.     

Adult Attachment in Children Raised by Parents with Schizophrenia

Maternal schizophrenia is known to have an adverse effect on the quality of mother–infant interaction; and children of parents with severe mental illness run a higher risk of poor mental health and social outcomes. Hence, children raised by a parent with schizophrenia may be less likely to attain secure attachment, although there is less evidence so far to support this. Moreover, there is a lack of research in this field that focusses on the needs and experiences, the strengths and vulnerabilities, of the children themselves. Qualitative methods are thus needed to generate new insights and hypotheses. The present study uses semi-structured interviews with 23 adults who, as children, were raised with a parent who experienced schizophrenia. This reveals a range of attachment problems, resulting in difficulties in forming secure adult relationships. Problems with trust and intimacy were found to be common.