Evidence for intact memory-guided attention in school-aged children

Visual scenes contain many statistical regularities such as the likely identity and location of objects that are present; with experience, such regularities can be encoded and can ultimately facilitate the deployment of spatial attention to important locations. Memory-guided attention has been extensively examined in adults with the 'contextual cueing' paradigm and has been linked to specific neural substrates – a medial temporal lobe (MTL)-frontoparietal network. However, it currently remains unknown when this ability comes 'online' during development. Thus, we examined the performance of school-aged children on an age-appropriate version of the contextual cueing paradigm. Children searched for a target fish among distractor fish in new displays and in 'old' displays on a touchscreen computer. Old displays repeated across blocks of trials and thus provided an opportunity for prior experience with the invariant configuration of the stimuli to guide attentional deployment. We found that over time children searched old displays significantly faster than new displays, thus revealing intact memory-guided attention and presumed function of an MTL-frontoparietal network in 5- to 9-year-olds. More generally, our findings suggest that children are remarkably sensitive to the inherent structure of their visual environment and this enables attentional deployment to become more efficient with experience.     

Begutachtung der Kriminalprognose

A variety of standardized instruments allows risk assessment based upon empirical data. This paper calls attention to the pitfalls immanent to the application of popular prognostic instruments (Violence Risk Appraisal Guide, Static-99, Historical Clinical Risk Management-20, Psychopathy Checklist-Revised). Psychopathological assessment, however, has not been superseded by standardized instruments but serves as a valuable addition in terms of an integrative approach.     

Psychosomatische Aspekte des Diabetes mellitus

The term “diabetes mellitus” describes a group of endocrinological diseases characterised by hyperglycemia. The treatment is demanding for patients in terms of self-management and self-responsibility, and some patients need not only medical but psychological support as well. This article reviews essential psychological aspects of diabetes, starting with factors affecting adherence to diabetes treatment. The main part describes epidemiology and interactions between anxiety disorders, eating disorders and depression in patients with diabetes. Treatment recommendations are derived from current knowledge in accordance with evidence-based treatment guidelines.     

聋童执行功能发展：聋童与正常儿童的比较

利用标准Dimensional Change Card Sort任务(DCCS),对76名智力正常的3~8岁聋童和78名3~5.5岁的正常儿童进行了对比测试,旨在考察聋童执行功能发展的年龄特征与发展水平。结果发现,3岁组的聋童和正常儿童在DCCS任务上的表现没有显著性差异,但正常儿童在4~4.5岁时进入一个迅速发展期,而聋童要在6岁时才有快速的发展,到7岁后才相当于正常儿童5岁的发展水平,大约滞后2年。研究认为,造成聋童执行功能发展滞后的原因主要有：（1）语言符号系统和聋童特有的符号系统之间可能存在的差异;（2）聋童可能存在计划和灵活性的缺陷;（3）聋童可能存在命名和标识策略上的困难和注意机制的缺陷。结合关于聋童心理理论发展滞后于正常儿童7年以上的报道,心理理论发展和执行功能发展在聋童身上表现出较大的不一致性。     

Subjektive Einschätzung der eigenen Gesundheit und gesundheitsrelevantes Verhalten bei niedergelassenen Psychologischen Psychotherapeuten

From June until August 2004 we asked 488 established psychological psychotherapists in selected German federal states for a subjective evaluation of their own health, their utilization of the health care system and their health-related behavior. It turned out that the psychotherapists mainly reported a good state of health although their reported state of health was more negative than in the general population with equal age and level of education. This finding is surely connected with specific mental, physical and existential burdens of their profession as well as with specifics of the “psychotherapist personality”. The psychotherapists’ evaluations highly depend on age, but not significantly on sociodemographical criteria like gender and place of establishment (East/West Germany). Also the affiliation to a therapy school (psychoanalysis, depth psychological funded psychotherapy, behavior therapy) is irrelevant for the subjective evaluation of one’s own health. Concerning the annual number of consultations and disability days the psychotherapists are clearly below average. They report a lot of attentiveness about their health and practice a health-benefical behavior. In this case they make higher demands on themselves than the general population.     

Deconstructing executive deficits among persons with autism: implications for cognitive neuroscience

Individuals with autism demonstrate impairments on measures of executive function (EF) relative to typically developing comparison participants. EF is comprised of several processes including inhibition, working memory and set shifting that develop throughout the lifespan. Impairments in EF may appear early in development and persist, or may represent a more transient delay which resolves with time. Given the unevenness of the cognitive profile of persons with autism, understanding the development of EF poses methodological challenges. These issues include those related to matching measures and the choice of comparison participants to which the performance of persons with autism will be compared. In the current review, we attempt to break down the processes of inhibition, working memory and set shifting among persons with autism. We propose to do this within a developmental perspective that highlights how matching measures and comparison participants can affect the interpretation of research findings.     

The facilitative effect of positive stimuli on 3-year-olds’ flexible rule use

This study examined the effect of emotional stimuli on 3- to 4-year old children's flexible rule use, as measured by the Dimensional Change Card Sort (DCCS). In Experiment 1, children in two countries (Canada and China) were given 2 versions of the DCCS. The Standard version required children to sort red and blue boats and rabbits first by shape and then by color (or vice versa); the Emotional Faces version required children to sort happy and sad male and female faces first by emotion and then by gender (or vice versa). Children performed significantly better on the Emotional Faces version, and performance on the 2 versions was related. Order in which dimensions were presented had no effect. Experiment 2 examined which aspects of the emotional faces were responsible for the facilitation of children's performance. Performance on the Standard version was compared to performance on three contextual faces versions, in which children were shown happy, sad, or neutral faces and required to sort them by age (child versus adult) and then by gender (or vice versa). Facilitation was only seen in the context of happy faces. Results are consistent with the suggestion that positive stimuli promote cognitive flexibility, perhaps by increasing dopamine levels in prefrontal cortex.     

Affektverarbeitung und Beziehungsgestaltung bei somatoformen Störungen

Somatoform disorders are usually associated with disturbances in affective processing and consequently with relational disorders. The effect of psychotherapy on the emotional regulation and the relational behaviour in the course of treatment of a patient with somatoform autonomous dysfunction and dysthymia has been examined. Pre-post comparisons of inpatient treatment have been performed by means of standardized questionnaire data; the course of therapy has been evaluated by the analysis of the dependence of the leading symptom of hypogastric pain on mood parameters with the help of multivariate time-series analyses. One effect of psychotherapy was the initiation of an intrapsychic discourse, which led to an improved ability of affect regulation as well as to a better functioning in relationships. This was accompanied by a reduction of somatization. The interrelations between somatization, affect- and relationship-regulation are discussed.     

Studienbezogene Belastungen, Lebensqualität und Beziehungserleben bei Medizinstudenten

In a cross-sectional study of medical students we examined educational strains, health feeling, and relationship patterns. Work stress was measured using the questionnaire by Jurkat et al., health-related quality of life was measured using the Short Form- (SF-)36 Health Survey, and relationship patterns to the partner as well as to a friend were mapped using“Beziehungsmusterfragebogen“ (BeMus). Study stress was assessed as being high by 60% of the students. Consequently, 39% had not enough time for their partners und 29% had no time for own interests. The mental health averaged significantly below the norm. A high workload and discontent correlated with aggressiveness, especially in the partnership, whereas loving care towards the partner or friend correlated with a high level of satisfaction and a lower strain level. Therefore, an improvement of psychosocial competence in medical students as well as a practice-oriented preparation for the profession is needed.