A phenomenological survey of auditory verbal hallucinations in the hypnagogic and hypnopompic states

The phenomenology of auditory verbal hallucinations (AVHs) occurring in hypnagogic and hypnopompic (H&H) states has received little attention. In a sample of healthy participants (N = 325), 108 participants reported H&H AVHs and answered subsequent questions on their phenomenology. AVHs in the H&H state were found (1) to be more likely to only feature the occasional clear word than to be clear, (2) to be more likely to be one-off voices than to be recurrent voices, (3) to be more likely to be voices of people known to the individual than unknown persons, (4) to be more likely to talk directly to the person rather than not, and (5) to only rarely give commands, ask questions, or to result in an interactive conversation. Their phenomenology was similar to normative AVHs in wakefulness (as established by previous research) in that the voice-hearer was usually the target of the voice, and the voice was more likely to be of a recognized person. However, H&H AVHs differed from AVHs in wakefulness in that commands and questions were rare, and there was typically no dialogical engagement with the voice. We conclude by proposing that two distinct types of H&H AVHs may exist (which we term “dialogic” and “monologic”), based on an analysis of the phenomenology of the experience, and suggest avenues for future research.     

Understanding and working with existential information in a Norwegian adolescent psychiatry context: a need and a challenge

This is one of several studies on existential information in psychotherapy in Southern Norway. The aim of this study was to explore how therapists' backgrounds and existential information influence their therapeutic practice and philosophy of care, and the use of existential information in psychotherapy. The method used was qualitative, semi-structured interviews. Through emerging themes from the interviews and clinical case illustrations, information relating to therapists' backgrounds and existential orientations strongly influenced: therapeutic practice, philosophy of care, and if as well as how existential information was used in therapy. Professional and continued education/training in this area were insufficient. However, the area itself was considered essential for understanding clients' psychosocial and sociocultural needs in multicultural Norway. Therapists expressed the importance of communication about existential information. Clinical examples were given that focused on this information's usefulness for identifying strategies addressing both salutogenic and pathogenic aspects of adolescent psychosocial functioning. Clinical educational and training insufficiencies related to working with existential information were noted. Although strategic thinking and organisational framework in the working context permitted existential information to be raised in therapy, many expressed the lacking of methodological confidence and training in this area. Education and training were, therefore, priorities. Accessing this type of information with all clients, whatever their existential information, was emphasised for strengthening the therapeutic alliance.     

The CORE‐10: A short measure of psychological distress for routine use in the psychological therapies

Background: There is a need for a generic, short, and easy‐to‐use assessment measure for common presentations of psychological distress in UK primary care mental health settings. This paper sets out the development of the CORE‐10 in response to this need. Method: Items were drawn from the CORE‐OM and 10 items were selected according to a combination of usefulness, coverage of item clusters, and statistical procedures. Three CORE‐OM datasets were employed in the development phase: (1) a primary care sample, (2) a sample from an MRC platform trial of enhanced collaborative care of depression in primary care, and (3) a general population sample derived from the Office of National Statistics Psychiatric Morbidity Follow‐up survey. A fourth dataset comprising a sample from an occupational health setting was used to evaluate the CORE‐10 in its standalone format. Results: The internal reliability (alpha) of the CORE‐10 was .90 and the score for the CORE‐10 correlated with the CORE‐OM at .94 in a clinical sample and .92 in a non‐clinical sample. The clinical cut‐off score for general psychological distress was 11.0 with a reliable change index (90% CI) of 6. For depression, the cut‐off score for the CORE‐10 was 13 and yielded sensitivity and specificity values of .92 (CI=.83–1.0) and 0.72 (CI=.60–.83) respectively. Conclusion: The CORE‐10 is an acceptable and feasible instrument that has good psychometric properties and is practical to use with people presenting with common mental health problems in primary care settings.     

Landscape,nation and globe: Theoretical nuances in the analysis of Asian Christianity

This brief afterword comments on the papers from this special issue, arguing that each explores current complexities of interactions between national and transnational orientations, but also helps to nuance understandings of the global through the invocation of history. As a result, we not only observe the interplay between colonial and post-colonial regimes of religion and politics, but also gain an appreciation of transnational religious impulses that were in operation well before the last few decades of explicitly ‘global consciousness’. Christianisation has a significant history in the regions covered, but it cannot be understood through crude, unilinear models of development or progress.     

Meanings of movement,place and home at Walsingham

This paper examines the revival, over the past 100 years, of the Catholic pilgrimage site of Walsingham. It argues that, for some habitual pilgrims, the site is akin to a second ‘home’, constituting a place for ‘dwelling in movement’. Contemporary pilgrimage practices not only establish links between local parishes and the Walsingham shrines, but also incorporate specific forms of mobility that express connections with personal, collective and institutional representations of the past. An examination of the site encourages the blurring of analytical distinctions between ‘local’ and ‘visitor’, and also poses questions concerning the relationship between culture, place and forms of belonging.     

Children's Antisocial and Prosocial Lies to Familiar and Unfamiliar Adults

Although parents frequently instruct children not to lie, children often observe lie‐telling within the family environment. To date, no empirical research has examined children's spontaneous lie‐telling to different lie‐recipients. The current study examined children's spontaneous deceptive behaviour to parents and unfamiliar adults. In Experiment 1 (N = 98), children's (ages 6–9) antisocial lies to a parent or an unfamiliar adult were examined using a modified Temptation Resistance Paradigm. In Experiment 2, (N = 99) children's (ages 6–9) prosocial lies to a parent versus an unfamiliar adult were examined using the Disappointing Gift Paradigm. Results indicate that, across different types of lies, children are more likely to lie to an unfamiliar adult than to a parent. Copyright © 2013 John Wiley & Sons, Ltd.     

Inhibitory control over the present and the past

From the perspective of the Hasher, Zacks, and May (1999) inhibitory framework, optimal performance occurs only when there is control over nonrelevant information. Relative to a current, goal-directed task, there are at least two potential sources of nonrelevant information that need to be controlled. The first is no longer relevant information. Such information would include, for example, a previous topic of conversation, or, in our work, a previous list of materials presented for study and recall. The second source of nonrelevant information is currently present (in thought or in the world) stimuli that are not relevant to the task at hand. Inhibitory processes are critical to the effective control of both sources of information?the no longer relevant past and the irrelevant present. If inhibitory processes are inefficient, irrelevant information from both the past and the present will disrupt performance on the current task. We illustrate this with studies showing the role of irrelevant information in reducing the working memory capacity of older adults and in slowing them down as they do even reasonably simple tasks.     

Factores familiares en la recaída de pacientes esquizofrénicos

Resumen

Nuestro estudio de la atmósfera emocional de los hogares de los pacientes esquizofrénicos en California del Sur ha replicado los descubrimientos británicos en relación con la influencia del ambiente familiar sobre el curso de la esquizofrenia. Como en los estudios británicos, las críticas y la implicación emocional excesiva de un familiar clave para el paciente en el momento de su ingreso constituyen el mejor predictor aislado de recaída sintomática en los nueve meses posteriores al alta hospitalaria. Al igual que en los resultados británicos, la asociación entre la emoción expresada de los familiares y la recaída fue independiente de todas las demas variables investigadas. Los resultados transculturales sobre los efectos preventivos de la medicación sugieren que los clínicos deben considerar la atmósfera emocional del hogar, a la hora de explicar los fracasos de la medicación.     

Let's exist again (like we did last summer)

ABSTRACT

This paper is a defence of a psychological view of personal identity against the attack Peter Unger launches against it in his Identity, Consciousness and Value. Unger attempts to undermine the traditional support which a psychological criterion of identity has drawn from thought-experiments, and to show that such a criterion has totally unacceptable implications—in particular, that it allows that persons can go out of and come back into existence. I respond to both aspects of this criticism, arguing that the relevant thought- experiments (and the support they appear to offer) survive Unger's attack intact, and that he does not establish his case against intermittent existence.