Approaching Complex Cases With a Crisis Intervention Model and Teamwork

Patients referred for genetic counseling may be in a state of crisis, feeling as though they are incapable of making decisions about the management of their pregnancy, genetic testing options and/or life planning issues. The role of the genetic counselor is to assist a patient through this crisis state by increasing the patient's understanding and by helping to facilitate decision making and adjustment to those decisions. In this paper we present a clinical genetic counseling case that was complicated by numerous medical and psychosocial issues. The wide scope of this case required the involvement of both a prenatal and a medical genetic counselor. Working as a team we utilized a crisis intervention model. Our counseling focused on identifying and isolating the issues, providing factual information, setting a time frame for decisions to be made, and encouraging social support and emotion-focused coping strategies.     

Tactile discrimination of shape by octopus

Experiments are described showing that Octopus can be trained to distinguish by touch between a cube and a sphere, a surprising result since previous work has always indicated that octopuses cannot take proprioceptive information into account in learning. It can be shown, however, that the cube/sphere discrimination is made by detecting the distortion imposed on the rims of individual suckers in contact with the corners of the cube. Thus it is shown (1) that a cube with the corners even slightly rounded is less readily distinguishable from a sphere than a cube with sharp corners and, more important, (2) that a narrow rod is readily accepted in place of the cube by trained animals. Indeed, the rod seems to be a “better” cube than the original, and errors of discrimination decrease when it replaces the cube, presumably because it lacks flat surfaces liable to be confused with the surface of the sphere by a system depending on information from sense organs arranged in circles on the rims of the suckers.     

Turing's Analysis of Computation and Theories of Cognitive Architecture

Turing's analysis of computation is a fundamental part of the background of cognitive science. In this paper it is argued that a re-interpretation of Turing's work is required to underpin theorizing about cognitive architecture. It is claimed that the symbol systems view of the mind, which is the conventional way of understanding how Turing's work impacts on cognitive science, is deeply flawed. There is an alternative interpretation that is more faithful to Turing's original insights, avoids the criticisms made of the symbol systems approach and is compatible with the growing interest in agent-environment interaction. It is argued that this interpretation should form the basis for theories of cognitive architecture.     

Myths and Small Groups: Development, Managed Care, and the Year 2000

In this article, the author defines myth and shows that disguised myths of archaic and primitive peoples can be found in the modern world. He discusses the myths that guide the development of small groups. He sketches out mythic aspects of the encounter between group therapy and managed care. Finally, he suggests the mythic significance of the year 2000 for the future of group development and of group therapy.     

Metacognitive Therapy in Major Depression: An Open Trial of Comorbid Cases

This open trial investigated the transdiagnostic effects of metacognitive therapy (MCT) in patients with severe major depressive disorder and comorbid psychiatric disorder. Ten patients were treated with MCT over 10 sessions and were assessed with measures of depression, anxiety, rumination, and metacognitions at pre- and posttreatment and at 6 months follow-up. None of the patients were diagnosed as depressed at posttreatment, and of the initial 21 total diagnoses at pretreatment only 3 diagnoses remained at postintervention. The effect sizes were large for symptoms of depression, rumination, and worry. At 6 months follow-up standardized recovery criteria on the BDI showed that 70% were recovered, 20% improved, and 10% unchanged. The results indicate that MCT was associated with high rates of transdiagnostic improvement.     

What’s in a voice? Dolphins do not use voice cues for individual recognition

Most mammals can accomplish acoustic recognition of other individuals by means of “voice cues,” whereby characteristics of the vocal tract render vocalizations of an individual uniquely identifiable. However, sound production in dolphins takes place in gas-filled nasal sacs that are affected by pressure changes, potentially resulting in a lack of reliable voice cues. It is well known that bottlenose dolphins learn to produce individually distinctive signature whistles for individual recognition, but it is not known whether they may also use voice cues. To investigate this question, we played back non-signature whistles to wild dolphins during brief capture-release events in Sarasota Bay, Florida. We hypothesized that non-signature whistles, which have varied contours that can be shared among individuals, would be recognizable to dolphins only if they contained voice cues. Following established methodology used in two previous sets of playback experiments, we found that dolphins did not respond differentially to non-signature whistles of close relatives versus known unrelated individuals. In contrast, our previous studies showed that in an identical context, dolphins reacted strongly to hearing the signature whistle or even a synthetic version of the signature whistle of a close relative. Thus, we conclude that dolphins likely do not use voice cues to identify individuals. The low reliability of voice cues and the need for individual recognition were likely strong selective forces in the evolution of vocal learning in dolphins.     

Sex differences in attention to disgust facial expressions

Research demonstrates that women experience disgust more readily and with more intensity than men. The experience of disgust is associated with increased attention to disgust-related stimuli, but no prior study has examined sex differences in attention to disgust facial expressions. We hypothesised that women, compared to men, would demonstrate increased attention to disgust facial expressions. Participants (n?=?172) completed an eye tracking task to measure visual attention to emotional facial expressions. Results indicated that women spent more time attending to disgust facial expressions compared to men. Unexpectedly, we found that men spent significantly more time attending to neutral faces compared to women. The findings indicate that women’s increased experience of emotional disgust also extends to attention to disgust facial stimuli. These findings may help to explain sex differences in the experience of disgust and in diagnoses of anxiety disorders in which disgust plays an important role.