Investigating healthcare providers' knowledge of trichotillomania and its treatment

Given the low prevalence rate and rather secretive nature of trichotillomania, it is uncertain how much trichotillomania-related knowledge physicians and psychologists possess, what the perceived role of a psychologist is in the treatment process, what level of familiarity practitioners have with effective treatments and whether providers have resource materials available for patients. In a postal survey of 501 psychologists and physicians in the USA, providers responded correctly to 61% of the general knowledge items about trichotillomania. Most providers believed that psychologists may play a variety of roles in the clinical management of the disorder. Although providers were fairly accurate about the effectiveness of certain treatments for trichotillomania (e.g. medication, habit-reversal), a number of non-empirically supported treatments were endorsed as being effective. Furthermore, an overwhelming majority of healthcare providers did not have resources or referral information available for patients with trichotillomania. Implications of the findings and limitations of the study are discussed.     

Neuropsychological Sequelae of Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease: A Critical Review

Neuropsychologists are increasingly involved in surgical candidacy evaluations and postoperative neurobehavioral assessments of patients with movement disorders, most notably those with disease (PD). We review here the initial studies regarding neuropsychological outcomes of deep brain stimulation (DBS) within the subthalamic nucleus (STN) for treatment of PD. Overall, these initial investigations provide preliminary support for the cognitive and neurobehavioral safety of STN DBS. Improvements in self-reported symptoms of depression and diminished verbal fluency were the most common findings, whereas changes in global cognitive abilities, memory, attention, and frontal/executive functions were inconsistent and most often described as nominal and/or transient. The generalizability of this literature is hindered by several methodological limitations, including small samples and the absence of appropriate control participants. The clinical and theoretical implications of these initial studies are highlighted and recommendations are offered to guide future research.     

The effects of trichotillomania disclosure on peer perceptions and social acceptability

Many individuals with trichotillomania (TTM) do not disclose their condition to others. Although disclosure may have beneficial effects, little is known about the consequences of it. The purpose of the current study was to examine the effects of a brief, simplified preventative disclosure of TTM. Young adults (N = 225) read one of four vignettes, which varied in a 2 (male versus female character) × 2 (preventative disclosure of TTM versus nondisclosure) design, and answered several questions regarding the character in the vignette. Although some potential positive effects of disclosure were found (e.g., reduced likelihood of misattribution), some areas of concerns also surfaced. The findings suggest that a brief, simplified preventative disclosure of TTM led to an increase in negative social perceptions compared to non-disclosure. More specifically, those characters that disclosed TTM were evaluated more negatively and more socially rejected than those that did not disclose. However, the overall perceptions of persons with noticeable hair loss, regardless of disclosure status, were not necessarily negative. Implications of the findings, limitations to the study, and directions for future research are discussed.     

Location and frequency cues in auditory selective attention

The roles of frequency and location cues in auditory selective attention were investigated in a series of experiments in which target tones were distinguished from distractors by frequency, location, or the conjunction of frequency and location features. When frequency separations in high-rate tone sequences were greater than 1 octave, participants were fastest at identifying targets defined by frequency and were sometimes faster at identifying conjunction than location targets. Frequency salience diminished as filtering demands were reduced: At long interstimulus intervals (> 2.0 s), performance was superior in location conditions. The results suggest that frequency may play a role in auditory selective attention tasks analogous to the role of spatial position in visual attention.     

And so indeed are perfect cheat

Ethical discourse and fallacy theory come together in a natural way over concepts such as bias, prejudice, preconceived opinion, prototypical and stereotypical thinking, dogmatism and loyalty. By and large, these are concepts that have not been sufficiently worked up to bear the theoretical weight either of ethics or of logic. The present paper seeks to ameliorate this situation. It proposes that situations describable by any such concepts partition into (a) the rationally and morally regrettable and (b) the rationally and morally impeccable, and in any event, unavoidable. Finding (b) will come as a surprise to some theorists.[A]ll the artificial and figurative application of Words Eloquence hath invented are for nothing else but to insinuate wrongIdeas, move the Passions, and thereby mislead the Judgment; and so indeed are perfect cheat; And therefore, however laudable or allowable Oratory may render them in Harangues and popular Addresses, they are certainly, in all Discourses that pretend to inform or instruct, wholly to be avoided. ...John Locke,Essay on Human Understanding, Book III.     

Preattentive control of serial auditory processing in dichotic listening

Dichotic listening performance was examined in an auditory selective attention task where subjects responded to occasional consonant-vowel (CV) or shaped broadband noise-burst (NB) targets in rapid serial auditory presentation (RASP). Trial types were randomized and included monaural CVs and NBs as well as dichotic CV-CV and CV-NB pairings. CVs were spoken by two different voices (male and female), and the two NB stimuli differed in their filter slopes at higher frequencies. The target was designated by stimulus category (/ba/, /da/, /ga/, or NB) and voice (e.g., "female /ba/"). Performance was compared for targets in the left and right ears on monaural and dichotic trials using accuracy and reaction time (RT) measures. Right ear advantages (REAs) were present for CV targets with either CV or NB distractors, but not for monaural CVs. The REA found for monaural NB targets was eliminated by CV distractors, yielding a left ear advantage (LEA) for the distractor effect of CVs on NB targets. The pattern of results suggests initial preprocessing of speech stimuli through phonetic feature analysis, followed by serial attentional processing of the objects in the auditory field. REAs are attributed to a rightward asymmetry in the preattentive control of auditory attention similar to that found in visual search.     

Apocalyptic relevance

In their book, Relevance, Sperber and Wilson make an important contribution towards constructing a credible theory of this unforthcoming notion. All is not clear sailing, however. If it is accepted as a condition on the adequacy of any account of relevance that it not be derivable either that nothing is relevant to anything or that everything is relevant to everything, it can be shown that Sperber and Wilson come close to violating the condition.     

Irrational beliefs and conflict-handling orientations

Before a series of conflict-resolution and communication-skills workshops, measures were obtained on the dependent variables of conflict-handling orientations and on the independent variables of irrational beliefs. The population was rather general, i.e. nonstudent, nonclinical and non-volunteer, who were the managers and the engineers of three enterprises. Correlation analysis showed that irrational beliefs underlying anger, anxiety, frustration, guilt and other negative emotions were correlated with different conflict-handling orientations. On the basis of the obtained results a series of workshops was conducted in the format of Rational-Emotive Therapy (RET).Mikhael I. Timofeev, Ph.D., is a senior lecturer at the Inter-Branch Institute of Advanced Training, St. Petersburg Technical University, Politechnicheskaya, 29, St. Petersburg, 195251, Russia.