Habit reversal versus supportive psychotherapy in Tourette's disorder: a randomized controlled trial and predictors of treatment response

Tourette syndrome (TS) is characterized by chronic motor and vocal tics. Habit reversal therapy (HR) is a behavioral treatment for tics which has received recent empirical support. The present study compared the efficacy of HRT in reducing tics, improving life-satisfaction and psychosocial functioning in comparison with supportive psychotherapy (SP) in outpatients with TS. In addition, we investigated whether impairments in response inhibition in patients with TS predict response to HR treatment which specifically aims to inhibit tics. Thirty adult outpatients with DSM-IV TS were randomized to 14 individual sessions of HR (n = 15); or SP (n = 15). HR but not SP reduced tic severity over the course of the treatment. Both groups improved in life-satisfaction and psychosocial functioning during active treatment. Reductions in tic severity (HR) and improvements in life-satisfaction and psychosocial functioning (HR and SP) remained stable at the 6-month follow-up. The extent of pre-treatment response inhibition impairment in the HR group predicted reductions in tic-severity from pre- to post-treatment. Our results suggest that HR has specific tic-reducing effects although SP is effective in improving life-satisfaction and psychosocial functioning. Assessments of response inhibition may be of value for predicting treatment response to HR.     

Picture-object recognition in pigeons: evidence of representational insight in a visual categorization task using a complementary information procedure

Success in tasks requiring categorization of pictorial stimuli does not prove that a subject understands what the pictures stand for. The ability to achieve representational insight is by no means a trivial one because it exceeds mere detection of 2-D features present in both the pictorial images and their referents. So far, evidence for such an ability in nonhuman species is weak and inconclusive. Here, the authors report evidence of representational insight in pigeons. After being trained on pictures of incomplete human figures, the birds responded significantly more to pictures of the previously missing parts than to nonrepresentative stimuli, which demonstrates that they actually recognized the pictures' representational content.     

How are inflectional affixes organized in the mental lexicon?: evidence from the investigation of agreement errors in agrammatic aphasics

Recent psycholinguistic studies have provided evidence that regularly inflected words are decomposed into stems and affixes, both of which have their own representations in the mental lexicon. Specific models of the lexical organization of inflectional affixes have, however, only rarely been investigated in psycho- or neurolinguistic work. We test two recently proposed theoretical models: a representation of affixes (i) in default inheritance trees (Corbett and Fraser, 1993) and (ii) in underspecified paradigms (Wunderlich, 1996). Based on an analysis of agreement errors in elicited speech-production data of German agrammatic aphasics, we argue that affixes are organized with respect to the morphosyntactic features they encode. Specifically, our data indicate that inflectional affixes are best captured within an underspecified paradigm.     

Interpretive biases for ambiguous information in body dysmorphic disorder

Anxiety-disordered patients and individuals with high trait anxiety tend to interpret ambiguous information as threatening. The purpose of this study was to investigate whether interpretive biases would also occur in body dysmorphic disorder (BDD), which is characterized by a preoccupation with imagined defects in one's appearance. We tested whether BDD participants, compared with obsessive-compulsive disorder participants and healthy controls, would choose threatening interpretations for ambiguous body-related, ambiguous social, and general scenarios. As we hypothesized, BDD participants exhibited a negative interpretive bias for body-related scenarios and for social scenarios, whereas the other groups did not. Moreover, both clinical groups exhibited a negative interpretive bias for general scenarios.     

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