The development of a brief group intervention (Dynamic Interpersonal Therapy) for patients with medically unexplained somatic symptoms: a pilot study

The primary aim of this equivalence study was to compare the outcome of a brief group therapeutic intervention, based on the principles of dynamic interpersonal therapy (DIT) with an intervention based on cognitive behavioural therapy (CBT) in patients suffering from medically unexplained somatic symptoms (MUSS). Participants were 89 patients (aged 18 to 62) who were offered 20 sessions of either DIT or CBT, as central part of a treatment package, consisting of art therapy, psychomotor therapy, social therapy and physical therapy. Measurements were conducted at baseline, 10 weeks and 20 weeks, using self-rating scales measuring the level of anxiety and depression, the severity of medically unexplained symptoms and quality of life. Results showed that CBT and DIT were comparable. The conclusion was that it is recommended to design a larger scale randomised controlled trial to further elaborate the short-term and long-term effects of this novel psychodynamic group therapy for MUSS patients.     

The Old Catholic churches of the Union of Utrecht

Abstract

The Old Catholic Churches of the Union of Utrecht have different historical backgrounds. The Dutch Church has her roots in the Catholic Counter‐Reformation, the German‐speaking Churches in the protest‐movements against Vatican I, and the Polish Churches in the problems of emigrants to USA. However, they adhere in common to the conciliar and synodical tradition of the Catholic Church. They lay stress on the relative autonomy of the local church, the episcopal apostolic succession, and the Eucharist as the manifestation of the Church. The autonomy of the local church is not seen as detached from the universal Church or the responsibility to stay in or to restore Church unity. This leads to an ecumenical engagement which has resulted in full communion with the Anglican Churches and a doctrinal consensus with the Orthodox Churches. Reference back to the undivided Church is a key feature of Old Catholic ecclesiology, though this does not lead to uncomplicated ecumenical solutions.     

Priming in the attentional blink: Perception without awareness?

The attentional blink refers to a reduction in accuracy that occurs when observers are required to identify the second of two rapidly sequential targets. Even when the second target cannot be reported, however, it is still capable of priming the response to a subsequent related item. At issue in the present work was whether this priming is attributable mainly to conscious or unconscious processes. To answer this question, we used an exclusion procedure that permitted an assessment of the relative dominance of conscious and unconscious processes. The results showed that second targets that are identified incorrectly are nonetheless processed extensively outside of awareness. Moreover, this processing is sufficient to prime a subsequent response for at least 1 s after the onset of the prime.     

Work stress,work–home interference and perceptions of organisational culture amongst insurance employees in Zimbabwe

The objective of the study was to determine the relationship between work stress, work-home interference, and perceptions of organisational culture amongst insurance employees in the Zimbabwean context. Data were collected from a sample of 190 employees (females=46%) who completed the Occupational Stress Inventory-Revised (OSI-R), the Work-Home Interference Questionnaire (SWING), and the Organisational Culture Index (OCI). Data analysis consisted of correlational and standard multiple regression analyses. The results revealed significant positive correlations between the sub-scales Role Overload, Role Insufficiency, Role Ambiguity, Role Boundary, Responsibilities, and Physical Environment of the OSI-R, the sub-scales Positive Work-Home Interference and Negative Work-Home Interference of the SWING, and the sub-scales Bureaucratic, Innovative and Supportive Culture of the OCI. These findings contribute to new knowledge in terms of the work stress experienced by insurance employees who are always under continuous pressure from the industry. Furthermore, it could be used to gain insight to enhance the work-life balance of insurance employees and the effect of organisational culture as perceived by insurance employees.     

Distinguishing the cognitive and behavioral consequences of attitude importance and certainty: A new approach to testing the common-factor hypothesis

Some published factor analyses have suggested that attitude importance and certainty are distinct psychological constructs, but other factor analytic investigations have suggested they are largely redundant reflections of a more general underlying construct. This latter sort of finding has led investigators to average measures of importance and certainty together into a composite index and then explore its cognitive and behavioral consequences. In this paper, we report three studies gauging the underlying structure of these strength-related attitude attributes by assessing whether they in fact relate in the same ways to information processing and action tendencies. We found that importance and certainty both independently predicted the likelihood that a person attempted to persuade others to adopt his or her attitude. Importance (but not certainty) was associated with the tendency to seek out information that would enable people to use their attitudes in a subsequent judgment and only importance predicted whether or not they turned out to vote in an election to express their attitudes. Certainty (but not importance) was related to the tendency to find more than one political candidate acceptable. And importance and certainty interacted to predict the frequency with which people performed attitude-expressive behaviors. All this suggests that importance and certainty have distinct effects on thinking and behavior and supports the maintenance of conceptual and empirical distinctions between them in social psychological theory building.     

Dynamic testing of learning potential in adults with cognitive impairments: A systematic review of methodology and predictive value

Dynamic testing includes procedures that examine the effects of brief training on test performance where pre‐ to post‐training change reflects patients’ learning potential. The objective of this systematic review was to provide clinicians and researchers insight into the concept and methodology of dynamic testing and to explore its predictive validity in adult patients with cognitive impairments. The following electronic databases were searched: PubMed, PsychINFO, and Embase/Medline. Of 1141 potentially relevant articles, 24 studies met the inclusion criteria. The mean methodological quality score was 4.6 of 8. Eleven different dynamic tests were used. The majority of studies used dynamic versions of the Wisconsin Card Sorting Test. The training mostly consisted of a combination of performance feedback, reinforcement, expanded instruction, or strategy training. Learning potential was quantified using numerical (post‐test score, difference score, gain score, regression residuals) and categorical (groups) indices. In five of six longitudinal studies, learning potential significantly predicted rehabilitation outcome. Three of four studies supported the added value of dynamic testing over conventional testing in predicting rehabilitation outcome. This review provides preliminary support that dynamic tests can provide a valuable addition to conventional tests to assess patients’ abilities. Although promising, there was a large variability in methods used for dynamic testing and, therefore, it remains unclear which dynamic testing methods are most appropriate for patients with cognitive impairments. More research is warranted to further evaluate and refine dynamic testing methodology and to further elucidate its predictive validity concerning rehabilitation outcomes relative to other cognitive and functional status indices.     

A phase transition model for the speed-accuracy trade-off in response time experiments

Most models of response time (RT) in elementary cognitive tasks implicitly assume that the speed-accuracy trade-off is continuous: When payoffs or instructions gradually increase the level of speed stress, people are assumed to gradually sacrifice response accuracy in exchange for gradual increases in response speed. This trade-off presumably operates over the entire range from accurate but slow responding to fast but chance-level responding (i.e., guessing). In this article, we challenge the assumption of continuity and propose a phase transition model for RTs and accuracy. Analogous to the fast guess model (Ollman, 1966), our model postulates two modes of processing: a guess mode and a stimulus-controlled mode. From catastrophe theory, we derive two important predictions that allow us to test our model against the fast guess model and against the popular class of sequential sampling models. The first prediction--hysteresis in the transitions between guessing and stimulus-controlled behavior--was confirmed in an experiment that gradually changed the reward for speed versus accuracy. The second prediction--bimodal RT distributions--was confirmed in an experiment that required participants to respond in a way that is intermediate between guessing and accurate responding.     

Assessment of psychopathology in 2‐ to 5‐year‐olds: Applying the Infant–Toddler Social Emotional Assessment

The information provided by parents is indispensable for the early identification of psychopathology; for this reason, developmentally appropriate, reliable, and valid questionnaires are needed to gather their information. This study was designed to examine the utility of the Infant Toddler Social Emotional Assessment (ITSEA), a parent‐report questionnaire covering a wide range of behavior and emotional problems and competencies, in preschoolers referred for child psychiatric evaluation. The fathers and mothers of 85 children (23.2% girls; age 15–57 months) with autism spectrum, externalizing, or internalizing disorders completed the ITSEA, the Child Behavior Checklist (CBCL/2–3 and 4–18 versions), and the child domain of the Parenting Stress Index (PSI). The ITSEA showed good interrater reliability between parents, and validity was supported by significant correlations with corresponding CBCl and PSI domains. Evidence supporting the validity of the ITSEA for psychopathology was mixed across scales, with good diagnostic accuracy at the level of the broader psychiatric syndromes being achieved by the combination of subscales within the Externalizing, Internalizing, and Competence domains. The value of the ITSEA lies in the ability to systematically evaluate a wide range of problem behaviors and competencies. The ITSEA may be useful to create profiles of children's functioning in preschoolers referred for psychiatric assessment.