Effectiveness of dialectical behaviour therapy for borderline personality disorder in an inpatient setting

This study evaluates the effectiveness of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in an unselected, comorbid population seeking 3-month inpatient treatment. We studied 50 consecutively admitted individuals (44 women, six men) with BPD as defined by DSM-IV at three time points (at admission, at discharge, and at the 15-month follow-up). For the clinical diagnoses, we used the Structured Clinical Interview for DSM-IV (SCID) and compared the frequencies of comorbid axis I and axis II disorders at admission and at the 15-month follow-up. Overall, participants showed a high degree of comorbidity. Psychopathology was significantly reduced at post-treatment and at follow-up. Effect sizes for outcome measures were within the range of those of previous studies. Our findings support the notion that the results of the DBT efficacy research can be generalized to an inpatient setting and to patients with BPD disorder with high comorbidity.     

Using dynamic field theory to rethink infant habituation

Much of what psychologists know about infant perception and cognition is based on habituation, but the process itself is still poorly understood. Here the authors offer a dynamic field model of infant visual habituation, which simulates the known features of habituation, including familiarity and novelty effects, stimulus intensity effects, and age and individual differences. The model is based on a general class of dynamic (time-based) models that integrate environmental input in varying metric dimensions to reach a single decision. Here the authors provide simulated visual input of varying strengths, distances, and durations to 2 coupled and interacting fields. The 1st represents the activation that drives "looking," and the 2nd, the inhibition that leads to "looking away," or habituation. By varying the parameters of the field, the authors simulate the time course of habituation trials and show how these dynamics can lead to different depths of habituation, which then determine how the system dishabituates. The authors use the model to simulate a set of influential experiments by R. Baillargeon (1986, 1987a, 1987b) using the well-known "drawbridge" paradigm. The dynamic field model provides a coherent explanation without invoking infant object knowledge. The authors show that small changes in model parameters can lead to qualitatively different outcomes. Because in typical infant cognition experiments, critical parameters are unknown, effects attributed to conceptual knowledge may be explained by the dynamics of habituation.     

Early changes in muscle activation patterns of toddlers during walking

Early locomotor behavior has been the focus of considerable attention by developmentalists over several decades. Few studies have addressed explicitly patterns of muscle activity that underlie this coordination pattern. Our purposes were to illustrate a method to determine objectively the onset and offset of muscle firings during early walking and to investigate the emergence of patterns of activation of the core locomotor muscles. We tested eight toddlers as they walked overground at walking onset (max. of 3-6 independent steps) and after three months of walking experience. Surface electrodes monitored activity of the gastrocnemius, tibialis anterior, quadriceps, and hamstrings. We reduced EMG signals to a frame-by-frame designation of "on-off," followed by muscle state and co-contraction analyses, and probability distributions for each muscle's activity across multiple cycles. Our results clearly show that at walking onset muscle activity was highly variable with few, if any, muscles showing recurring patterns of behavior, within or among toddlers. Variability and co-activation decreased with walking experience but remained inconsistent, in contrast to the significant increase in stability shown for joint coordination and endpoint (foot placement) parameters. We propose this trend emerges because of the high number of options (muscle combinations) available. Toddlers learn first to marshal sufficient force to balance and make forward progress but slowly discover how to optimize these resources.     

On how to be unpredictable: evidence from the voluntary task-switching paradigm

The voluntary task-switching paradigm requires subjects to select randomly between tasks and promises to provide a window into executive task selection independent of exogenous influences present in standard task-switching situations. We show here that the degree to which subjects perseverate on tasks across trials captures unique individual differences variance, but also that the switch rate is under strong stimulus-driven control: "Voluntary" switches are much more frequent when the stimulus changes than when it repeats. Most important, we show that individuals whose no-switch trials are selectively slowed exhibit less perseveration and stimulus-driven effects (and thus more voluntary selection) than individuals whose no-switch trials do not show this slowing. We suggest that selective slowing indicates a strategy of treating trials as discrete events--possibly through inhibition of the preceding task set. These results not only demonstrate massive nonvoluntary influences on voluntary selection that are largely untapped by standard task-switching measures, but also show how such influences can be counteracted through strategic adaptations.     

Attention and eye movements in reading: inhibition of return predicts the size of regressive saccades

A spatial cuing task was used to identify two types of readers, those with a relatively fast and those with a relatively slow buildup of inhibition of return (IOR). Backward-directed eye movements (regressions) during sentence reading were then examined as a function of the two IOR types. The results revealed that readers with fast IOR executed larger regressions than readers with slow IOR, as they directed the eyes away from the most recently attended area of text. Forward-directed eye movements (saccades), by contrast, were not a function of IOR type. Ease of sentence comprehension influenced the size of regressions, but this effect was also independent of IOR type. Multiple mechanisms of spatial attention, including IOR, bias eye movements toward upcoming words in the text during reading.     

Changes in step variability of new walkers with typical development and with Down syndrome

Models of human gait are based on adult locomotion. C. E. Bauby and A. D. Kuo (2000) proposed that adults rely on passive mechanisms at the spinal level to control motion in the anteroposterior direction and rely on direct monitoring of postural control in the lateral direction. The authors' purpose in this study was to determine if that model applies to control at the onset of walking in typically developing toddlers (n = 9) and in toddlers with Down syndrome (n = 6). Their longitudinal data suggested that toddlers control gait in a distinctly different manner than adults do. An adult pattern of control emerges with experience. In addition, the effect of experience on the emergence of that pattern is magnified by task-specific early intervention. The present data support the emergence and discovery of efficient patterns of control in this fundamental human behavior.     

Semantic inhibition of return is the exception rather than the rule

Inhibition of return (IOR) has recently been reported for lexical/semantic categories (see, e.g., Fuentes, Vivas, & Humphreys, 1999). The present research examines the impact on semantic IOR of three components: item repetition, item heterogeneity, and spatial variability. Experiments 1 and 2 indicate that lexical/semantic IOR occurs only after extensive repetition. Experiment 2 also shows that semantic IOR is independent of spatial variability. Experiments 3 through 5 show facilitatory rather than inhibitory effects when the item pool is heterogeneous. The results support an episodic account of semantic IOR, according to which inhibitory effects accumulate with massive repetition of homogeneous items.     

Disfluency data of German preschool children who stutter and comparison children

This study compared the disfluencies of German-speaking preschool children who stutter (CWS, N = 24) with those produced by age- and sex-matched comparison children who do not stutter (CWNS, N = 24). In accordance with Yairi and Ambrose's [Yairi, E., & Ambrose, N. (1992). A longitudinal study of stuttering in children: A preliminary report. Journal of Speech and Hearing Research, 35, 755-760] guidelines the CWS group had a narrow age range (2-5 years) and were seen close to the reported time of their stuttering onset (average of 8 months). Furthermore, over 95% of the CWS group had not received any type of speech therapy intervention. Consistent with previous findings for English-speaking preschool children, 'stuttering-like' disfluencies (prolongations, blocks, part- and one-syllable word repetitions) were significantly more frequent in CWS (mean = 9.2%) than in CWNS (mean = 1.2%), whereas no significant group differences occurred with respect to 'normal' disfluencies. The number of iterations in stuttering-like disfluencies was also significantly higher in CWS (mean = 1.28 iterations) than in CWNS (mean = 1.09 iterations). In contrast to previous findings, a sub-group of children who have been stuttering for a shorter time (1-5 months) did not differ from a sub-group who had stuttered for a longer period (8-22 months). EDUCATIONAL OBJECTIVES: The reader will be able to: (1) describe how German-speaking preschool children who stutter and who do not stutter display stuttering-like and normal disfluencies including number of iterations; (2) explain how powerful classification measures for the diagnosis of stuttering are for German-speaking preschool children; (3) discuss how disfluency patterns of native English- and German-speaking children close to onset of stuttering differ.     

Die logik der unbestimmtheiten und paradoxien

Ohne Zusammenfassung