Can Psychoanalysis Become Empirically Supported?

The article discusses the application of the ideas of evidence-based medicine or empirically supported treatment to the field of psychoanalysis. The author argues that empirical support is gradual rather than categorical, and that the randomized clinical trial (RCT), which is commonly heralded as the appropriate method of support, confounds patient suitability factors with treatment 'as such'. As a consequence of the exclusive reliance on the RCT, empirical validation of psychological treatments has generally favoured cognitive-behavioural treatments, although there is ample evidence - albeit non-RCT - for the beneficial effects of short-term and long-term psychoanalytic treatment. The author argues for a suitability matching approach to empirical validation, where each treatment is tested, as powerfully as feasible, on samples based on selfselection (patient's choice, clinical assignment, suitability judgments etc.). The paper concludes by referring to two recent studies, indicating that there is reason to evaluate alleged empirical support with caution.     

Do as you’re told! Facets of agreeableness and early adult outcomes for inner-city boys

With data from the middle cohort of the Pittsburgh Youth Study, a prospective longitudinal study of inner-city boys, we examined whether Big Five agreeableness facets could be reliably recovered in this sample, and whether facets predicted educational, occupational, social, and antisocial life outcomes assessed a decade later. Caregivers described their adolescent boys’ personalities using the Common California Q-Set; twelve years later, participants were interviewed and court records were obtained. Factor analyses recovered two facets: compliance and compassion. Compliance predicted more schooling and lower risk of unemployment, teenage fatherhood, and crime; compassion related to longer committed relationships. Findings highlight the value of studying personality at the facet level.     

Tracking the Time Course of Word‐Frequency Effects in Auditory Word Recognition With Event‐Related Potentials

Although the word‐frequency effect is one of the most established findings in spoken‐word recognition, the precise processing locus of this effect is still a topic of debate. In this study, we used event‐related potentials (ERPs) to track the time course of the word‐frequency effect. In addition, the neighborhood density effect, which is known to reflect mechanisms involved in word identification, was also examined. The ERP data showed a clear frequency effect as early as 350 ms from word onset on the P350, followed by a later effect at word offset on the late N400. A neighborhood density effect was also found at an early stage of spoken‐word processing on the PMN, and at word offset on the late N400. Overall, our ERP differences for word frequency suggest that frequency affects the core processes of word identification starting from the initial phase of lexical activation and including target word selection. They thus rule out any interpretation of the word frequency effect that is limited to a purely decisional locus after word identification has been completed.     

Conditional automaticity in subliminal morphosyntactic priming

We used a gender-classification task to test the principles of subliminal morphosyntactic priming. In Experiment 1, masked, subliminal feminine or masculine articles were used as primes. They preceded a visible target noun. Subliminal articles either had a morphosyntactically congruent or incongruent gender with the targets. In a gender-classification task of the target nouns, subliminal articles primed the responses: responses were faster in congruent than incongruent conditions (Experiment 1). In Experiment 2, we tested whether this congruence effect depended on gender relevance. In line with a relevance-dependence, the congruence effect only occurred in a gender-classification task but was absent in another categorical discrimination of the target nouns (Experiment 2). The congruence effect also depended on correct word order. It was diminished when nouns preceded articles (Experiment 3). Finally, the congruence effect was replicated with a larger set of targets but only for masculine targets (Experiment 4). Results are discussed in light of theories of subliminal priming in general and of subliminal syntactic priming in particular.     

Cognitive Functioning,Behavior, and Quality of Life After Stroke in Childhood

Rationale: To provide a better understanding of cognitive functioning, motor outcome, behavior and quality of life after childhood stroke and to study the relationship between variables expected to influence rehabilitation and outcome (age at stroke, time elapsed since stroke, lateralization, location and size of lesion).

Methods: Children who suffered from stroke between birth and their eighteenth year of life underwent an assessment consisting of cognitive tests (WISC-III, WAIS-R, K-ABC, TAP, Rey-Figure, German Version of the CVLT) and questionnaires (Conner's Scales, KIDSCREEN).

Results: Twenty-one patients after stroke in childhood (15 males, mean 11;11 years, SD 4;3, range 6;10–21;2) participated in the study. Mean Intelligence Quotients (IQ) were situated within the normal range (mean Full Scale IQ 96.5, range IQ 79–129). However, significantly more patients showed deficits in various cognitive domains than expected from a healthy population (Performance IQ p?=?.000; Digit Span p?=?.000, Arithmetic's p?=?.007, Divided Attention p?=?.028, Alertness p?=?.002). Verbal IQ was significantly better than Performance IQ in 13 of 17 patients, independent of the hemispheric side of lesion. Symptoms of ADHD occurred more often in the patients' sample than in a healthy population (learning difficulties/inattention p?=?.000; impulsivity/hyperactivity p?=?.006; psychosomatics p?=?.006). Certain aspects of quality of life were reduced (autonomy p?=?.003; parents' relation p?=?.003; social acceptance p?=?.037). Three patients had a right-sided hemiparesis, mean values of motor functions of the other patients were slightly impaired (sequential finger movements p?=?.000, hand alternation p?=?.001, foot tapping p?=?.043). In patients without hemiparesis, there was no relation between the lateralization of lesion and motor outcome. Lesion that occurred in the midst of childhood (5–10 years) led to better cognitive outcome than lesion in the very early (0–5 years) or late childhood (10–18 years). Other variables such as presence of seizure, elapsed time since stroke and size of lesion had a small to no impact on prognosis.

Conclusion: Moderate cognitive and motor deficits, behavioral problems, and impairment in some aspects of quality of life frequently remain after stroke in childhood. Visuospatial functions are more often reduced than verbal functions, independent of the hemispheric side of lesion. This indicates a functional superiority of verbal skills compared to visuospatial skills in the process of recovery after brain injury. Compared to the cognitive outcome following stroke in adults, cognitive sequelae after childhood stroke do indicate neither the lateralization nor the location of the lesion focus. Age at stroke seems to be the only determining factor influencing cognitive outcome.     

Spatial Simon effects and compatibility effects induced by observed gaze direction

Preconditions for the processing of observed gaze direction were studied by spatial Simon and compatibility effects. In five experiments, responses in the direction of a gaze were faster than responses in the opposite direction. Gaze direction influenced response speed although its processing was not required (Experiments 1, 2, 4, and 5). The result supports the notion of an inclination to process observed gaze direction in humans. However, the processes underlying the Simon effect of observed gaze direction were relatively time-consuming: Simon effects induced by gaze direction increased with response speed. Focusing of attention seemed to be part of the necessary processes: Simon effects were eliminated if attention was focused away from the eyes (Experiment 2). Further, if the processing of observed gaze direction was required, Simon effects by faces' observer-relative screen positions were absent (Experiment 3). Control conditions revealed that Simon effects by gaze direction can be produced with faces tilted by 90°, but that corresponding Simon effects do not result from numerical stimuli with an analogue spatial structure (Experiment 4), and that Simon effects result from gaze directions of scrambled faces (Experiment 5).     

Is there an age deficit in the selection of mental sets?

Efficient selection of actions is dependent on higher-level constraints (mental sets) on lower-level selection. This paper explores the hypothesis that ageing leads to specific impairments associated with higher-level selection between mental sets. Indirect evidence for such a deficit comes from occasional findings of age differences in situations with high executive-control demands (e.g., Mayr & Kliegl, 1993) that are not easily explained in terms of other factors, such as general slowing or working memory parameters. More direct evidence comes from recent results with the so-called task-switching paradigm. Specifically, age-sensitive set-selection processes are indicated by age differences in “global selection costs” (i.e., the response-time difference between task-switching blocks and single-task blocks) which seem to be particularly large when demands in terms of “keeping competing mental sets apart” are high. Finally, data from a new variant of the task-switching paradigm (the “fade-out paradigm”) are reported which show that age differences in global costs persist substantially beyond a phase in which set-selection is actually necessary. Generally, evidence is consistent with the view that in older age, a costly set-selection mode of processing dominates over the more efficient within-set-selection mode of processing, possibly because of a problem with maintaining distinct representations of what ought to be done in the face of competing representations of what could be done in principle.     

Perfect visual short-term memory for periodic patterns

Abstract

The short-term memory for spatial frequency information was assessed by measuring the spatial frequency discrimination thresholds for briefly flashed luminance gratings as a function of the time interval between the test and reference gratings, using a computer-controlled two-interval forced-choice procedure. Discrimination thresholds were stable for interstimulus intervals in the range 1–30 sec under all conditions tested. At low contrasts, short exposure times and low spatial frequencies discrimination thresholds increased, but no interactions between stimulus parameters affecting thresholds and interstimulus interval were observed. It is concluded that factors limiting spatial discrimination are associated with the sensory coding stage. Spatial discrimination and visual memory may be based on a common representation, which is perfectly retained in short-term memory. Visual half-field tests revealed no hemispheric differences in the processing and retention of spatial frequency information.