Responses to a virtual reality grocery store in persons with and without vestibular dysfunction.

People with vestibular dysfunction often complain of having difficulty walking in visually complex environments. Virtual reality (VR) may serve as a useful therapeutic tool for providing physical therapy to these people. The purpose of this pilot project was to explore the ability of people with and without vestibular dysfunction to use and tolerate virtual environments that can be used in physical therapy. We have chosen grocery store environments, which often elicit complaints from patients. Two patients and three control subjects were asked to stand and navigate in VR grocery stores while finding products. Perceived discomfort, simulator sickness symptoms, distance traveled, and speed of head movement were recorded. Symptoms and discomfort increased in one subject with vestibular dysfunction. The older subjects traveled a shorter distance and had greater speed of head movements compared with young subjects. Environments with a greater number of products resulted in more head movements and a shorter distance traveled.     

Strategic value-directed learning and memory in Alzheimer's disease and behavioural-variant frontotemporal dementia

In healthy adults, the ability to prioritize learning of highly valued information is supported by executive functions and enhances subsequent memory retrieval for this information. In Alzheimer's disease (AD) and behavioural-variant frontotemporal dementia (bvFTD), marked deficits are evident in learning and memory, presenting in the context of executive dysfunction. It is unclear whether these patients show a typical memory bias for higher valued stimuli. We administered a value-directed word-list learning task to AD (n = 10) and bvFTD (n = 21) patients and age-matched healthy controls (n = 22). Each word was assigned a low, medium or high point value, and participants were instructed to maximize the number of points earned across three learning trials. Participants’ memory for the words was assessed on a delayed recall trial, followed by a recognition test for the words and corresponding point values. Relative to controls, both patient groups showed poorer overall learning, delayed recall and recognition. Despite these impairments, patients with AD preferentially recalled high-value words on learning trials and showed significant value-directed enhancement of recognition memory for the words and points. Conversely, bvFTD patients did not prioritize recall of high-value words during learning trials, and this reduced selectivity was related to inhibitory dysfunction. Nonetheless, bvFTD patients showed value-directed enhancement of recognition memory for the point values, suggesting a mismatch between memory of high-value information and the ability to apply this in a motivationally salient context. Our findings demonstrate that value-directed enhancement of memory may persist to some degree in patients with dementia, despite pronounced deficits in learning and memory.     

On the dynamic information underlying visual anticipation skill

What information underwrites visual anticipation skill in dynamic sport situations? We examined this question on the premise that the optical information used for anticipation resides in the dynamic motion structures, or modes, that are inherent in the observed kinematic patterns. In Experiment 1, we analyzed whole-body movements involved in tennis shots to different directions and distances by means of principal component analysis. The shots differed in the few modes that captured most of the variance, especially as a function of shot direction. In Experiments 2 and 3, skilled and less skilled tennis players were asked to anticipate the direction of simulated shots on the basis of kinematic patterns in which only the constituent dynamic structures were manipulated. The results indicated that players predicted shot direction by picking up the information contained in multiple low-dimensional dynamic modes, suggesting that anticipation skill in tennis entails the extraction of this dynamic information from high-dimensional displays.     

Mental Health, Depression, and Dimensions of Spirituality and Religion

The author explores the relationship between spirituality and religion and human growth and development, specifically examining emotional well-being during adulthood. Dimensions of spirituality to be explored are meaning in life, a transcendent purpose, intrinsic values, and spiritual community. The argument is made that spirituality is related to emotional well-being during adulthood. Implications for further research and relevant information for counselors, psychologists, and educators are included.     

Gender Roles and Empathic Accuracy: The Role of Communion in Reading Minds

Although empathic accuracy is considered a stable skill, few individual difference measures consistently predict performance on Ickes’ (e.g., 2001) empathic accuracy measure. Because past work has shown that women are more empathically accurate than men when female gender roles are made salient before an empathic accuracy task, we hypothesized that self-reported communion and related variables might predict empathic accuracy. Participants (194 undergraduates) from a northwestern U.S. university completed an empathic accuracy task and self-report measures of communion and empathy. Communion and empathic concern predicted greater empathic accuracy, but only after controlling for socially desirable responding. The role of communion in empathic inference is discussed, along with the need to include measures of social desirability when examining correlates of empathic accuracy.     

Semantic memory disorders

Semantic memory encompasses knowledge of objects, facts and words. A number of brain regions are probably involved, but the left infero-lateral temporal lobe appears to play a key role. The separability of semantic memory from episodic (or autobiographical) memory is a focus of current debate. Impaired semantic memory is a common feature of Alzheimer's disease but is invariably overshadowed by a profound deficit in episodic memory. In semantic dementia, a rarer disorder associated with focal temporal-lobe atrophy, there is selective loss of semantic memory, characterized by preservation of superordinate knowledge of words, and objects, but loss of finer-grained information. This pattern can be interpreted as a degradation of features from a distributed network of semantic representations. Following Herpes simplex encephalitis, patients sometimes show disproportionate loss of knowledge for natural kinds (e.g. animals) with relative preservation of knowledge about artefacts, this may reflect differential damage to neural systems critical for perceptual as opposed to functional features, perceptual properties being more salient in knowledge about natural kinds.     

Cognitive behavior therapy for fear of flying: sustainability of treatment gains after September 11

This study examines the long-term efficacy of cognitive-behavioral therapy (CBT) for fear of flying (FOF) after a catastrophic fear-relevant event, the September 11, 2001, terrorist attacks. Participants (N = 115) were randomly assigned to and completed treatment for FOF using 8 sessions of either virtual reality exposure therapy (VRE) or standard exposure therapy (SE) prior to September 11, 2001. Individuals were reassessed in June, 2002, an average of 2.3 years after treatment, with a response rate of 48% (n = 55). Analyses were run on the original data and, using multiple imputation procedures, on imputed data for the full sample. Individuals maintained or improved upon gains made in treatment as measured by standardized FOF questionnaires and by number of flights taken. There were no differences between VRE and SE. Thus, results suggest that individuals previously treated for FOF with cognitive-behavioral therapy can maintain treatment gains in the face of a catastrophic fear-relevant event, even years after treatment is completed.     

Virtual reality exposure therapy and standard (in vivo) exposure therapy in the treatment of fear of flying

This controlled clinical trial tested virtual reality exposure (VRE) therapy for the fear of flying (FOF), a relatively new and innovative way to do exposure therapy, and compared it to standard (in vivo) exposure therapy (SE) and a wait list (WL) control with a 6- and 12-month follow-up. Eighty-three participants with FOF were randomly assigned to VRE, SE, or WL. Seventy-five participants, 25 per group, completed the study. Twenty-three WL participants completed randomly assigned treatment following the waiting period. Treatment consisted of 4 sessions of anxiety management training followed either by exposure to a virtual airplane (VRE) or an actual airplane at the airport (SE) conducted over 6 weeks. Results indicate that VRE was superior to WL on all measures, including willingness to fly on the posttreatment flight (76% for VRE and SE; 20% for WL). VRE and SE were essentially equivalent on standardized questionnaires, willingness to fly, anxiety ratings during the flight, self-ratings of improvement, and patient satisfaction with treatment. Follow-up assessments at 6 and 12 months indicated that treatment gains were maintained, with more than 70% of respondents from both groups reporting continued flying at follow-up. Based on these findings, the use of VRE in the treatment of FOF was supported in this controlled study, suggesting that experiences in the virtual world can change experiences in the real world.