An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

Multiple states in visual working memory: Evidence from oculomotor capture by memory-matching distractors

Psychonomic Bulletin & Review - Visual working memory (VWM) representations interact with attentional guidance, but there is controversy over whether multiple VWM items simultaneously influence...     

A concussion by any other name: Differences in willingness to risk brain injury by label and level of participation in high‐school and college sports

One factor in reducing the likelihood of sports‐related brain injuries is the recognition of risks. However, using colloquial terms may deemphasize the severity of these risks. We hypothesized that using colloquial language to describe sports‐related brain injuries will lead to greater willingness to take on the risk. We conducted two experiments, varying the label describing an injury (getting your bell rung, concussion, or brain injury) and assessing willingness of current athletes, former athletes, and nonathletes to accept this risk as part of sports participation. High‐school and college athletes were willing to expose themselves to a high probability of risk, compared with nonathletes, when described colloquially. However, risk thresholds were low and indistinguishable across groups when using the term “brain injury.” Findings remained significant when controlling for knowledge, age, and sensation seeking. These differences indicate that the term “getting your bell rung” should not be used to describe a brain injury.     

Different developmental patterns of simple deductive and probabilistic inferential reasoning

In three studies, we examined simple counterexample-based and probabilistic reasoning in children 6, 7, and 9 years of age. In the first study, participants were asked to make conditional (if-then) inferences under both categorical (certain or uncertain) and probabilistic instructions. Results showed that 6-year-olds respond to both forms of inference in similar ways, but whereas probabilistic conditional inferences showed little development over this period, categorical inferences clearly improved between 6 and 7 years of age. An analysis of the children's justifications indicated that performance under categorical instructions was strongly related to counterexample generation at all ages, whereas this was true only for the younger children for inferences under probabilistic instructions. These findings were replicated in a second study, using problems that referred to concrete stimuli with varying probabilities of inference. A third study tested the hypothesis that children confused probability judgments with judgments of confidence and demonstrated a clear dissociation between these two constructs. Overall, these results show that children are capable of accurate conditional inferences under probabilistic instructions at a very early age and that the differentiation between categorical and probabilistic conditional reasoning is clear by at least 9 years ofage. These results are globally consistent with dual-process theories but suggest some difficulties for the way that the analytic-heuristic distinction underlying these theories has been conceptualized.     

Children's,adolescents', and adults' reference to goals to explain interpersonal actions

This study investigated children's, adolescents', and adults' references to an actor's goals when explaining interpersonal actions. Participants were presented with eight brief stories containing a variety of social events and were asked to explain why the actor in each story performed the central action. Children, adolescents, and adults mentioned goals for most of the stories. Adults and adolescents mentioned psychological goals much more often than did children. Older children, adolescents, and adults mentioned complex psychological goals more often than did younger children. Younger children often mentioned instrumental or social goals. When making goal attributions, children, adolescents, and adults considered both the nature of the action and the social context in which it occurred. Participants mentioned psychological goals more often when explaining an antisocial action and social goals when explaining a prosocial action. Participants were also more likely to mention psychological goals when interpersonal events immediately preceding the central action were described. Thus, goals were offered as explanations for interpersonal actions by all age groups, but the type of goals mentioned varied by the age of the participant, the social context, and the valence of the action. Copyright © 2008 John Wiley & Sons, Ltd.     

Perception and presupposition in real-time language comprehension: insights from anticipatory processing

Recent studies have shown that listeners use verbs and other predicate terms to anticipate reference to semantic entities during real-time language comprehension. This process involves evaluating the denoted action against relevant properties of potential referents. The current study explored whether action-relevant properties are readily available to comprehension systems as a result of the embodied nature of linguistic and conceptual representations. In three experiments, eye movements were monitored as listeners followed instructions to move depicted objects on a computer screen. Critical instructions contained the verb return (e.g., Now return the block to area 3), which presupposes the previous displacement of its complement object--a property that is not reflected in perceptible or stable characteristics of objects. Experiment 1 demonstrated that predictions for previously displaced objects are generated upon hearing return, ruling out the possibility that anticipatory effects draw directly on static affordances in perceptual symbols. Experiment 2 used a referential communication task to evaluate how communicative relevance constrains the use of perceptually derived information. Results showed that listeners anticipate previously displaced objects as candidates upon hearing return only when their displacement was known to the speaker. Experiment 3 showed that the outcome of the original act of displacement further modulates referential predictions. The results show that the use of perceptually grounded information in language interpretation is subject to communicative constraints, even when language denotes physical actions performed on concrete objects.     

Healing Principles: A Model for the Use of Ritual in Psychotherapy

The author presents a model, based on 5 healing principles (i.e., centering, assessment, gathering energy, directing energy, and gratitude and closure), for using ritual in psychotherapy. Application of the model is illustrated in a case study of a neopagan ritual designed to assist the client in strengthening her sense of self, differentiating from her mother, and making a career decision. The author also suggests using the Healing Principle Ritual Therapy Model with other belief systems.     

The Roles of Risk Perception and Borderline and Antisocial Personality Characteristics in College Alcohol Use and Abuse1

This study examined the relationships among risk perceptions, alcohol use and abuse, and borderline and antisocial personality characteristics in college students. College students who perceived themselves less able to avoid negative consequences reported drinking more and having more substance abuse symptoms than those who perceived themselves as more able to avoid negative consequences. College students who scored higher on borderline or antisocial personality tended to rate personal avoidability of negative consequences lower than those who scored lower on these personality characteristics. A multiple regression model accounted for 50% of the variance in self‐reported substance abuse symptoms. Low perceived personal avoidability of negative drinking consequences and high borderline or antisocial personality characteristics are risk factors for substance abuse problems.     

Reflections of the Aging Caesar: Drama as Cultural Perspective

This article affirms the view that literature transmits multiple reflections on human life that shape social mores. Examining stereotypes of age in literature as socially constructed artifacts reveals the prevailing attitudes toward aging during that time. This study focuses on the aging Julius Caesar in William Shakespeare's The Tragedy of Julius Caesar and in George Bernard Shaw's Caesar and Cleopatra. Writing 300 years apart, these two great playwrights inscribe both positive and negative models of aging, reflecting views in their eras that persist today. This article identifies these models, then explores them from a Lacanian standpoint, showing that each dramatist focuses on Caesar's ego development through the opinions of other characters. Offering a primarily negative view of aging, Shakespeare emphasizes the fragmented mirror images that other characters hold up to Caesar. Shaw self-consciously counters Shakespeare by foregrounding Caesar as subject, who beholds his aging self in the mirror of others' opinions while enacting a positive model of aging. Tracing this long tradition of aging stereotypes found in the two plays can be useful as scholars continue to reconstruct society's attitudes toward aging.