Development of hot and cool executive function during the transition to adolescence

This study examined the development of executive function (EF) in a typically developing sample from middle childhood to adolescence using a range of tasks varying in affective significance. A total of 102 participants between 8 and 15 years of age completed the Iowa Gambling Task, the Color Word Stroop, a Delay Discounting task, and a Digit Span task. Age-related improvements were found on all tasks, but improvements on relatively cool tasks (Color Word Stroop and Backward Digit Span) occurred earlier in this age range, whereas improvements on relatively hot tasks (Iowa Gambling Task and Delay Discounting) were more gradual and occurred later. Exploratory factor analysis indicated that performance on all tasks could be accounted for by a single-factor model. Together, these findings indicate that although similar abilities may underlie both hot and cool EF, hot EF develops relatively slowly, which may have implications for the risky behavior often observed during adolescence. Future work should include additional measures to characterize more intensively the development of both hot and cool EF during the transition to adolescence.     

Magnitude and chronometry of neural mechanisms of emotion regulation in subtypes of aggressive children

Emotion regulation is a key social skill and children who fail to master it are at risk for clinical disorders. Specific styles of emotion regulation have been associated with particular patterns of prefrontal activation. We investigated whether anxious aggressive children would reveal a different pattern of cortical activation than non-anxious aggressive children and normally-developing children. We examined the magnitude and timing of source activation underlying the N2—an ERP associated with inhibitory control—during a go/nogo task with a negative emotion induction component (loss of earned points). We estimated cortical activation for two regions of interest—a ventral prefrontal and a dorsomedial prefrontal region—for three 100-ms windows over the range of the N2 (200–500 ms). Anxious aggressive children showed high ventral prefrontal activation in the early window; non-anxious aggressive children showed high ventral prefrontal activation in the late window, but only for the duration of the emotion induction; and normally-developing children showed low ventral prefrontal activation throughout. There were no group differences in dorsomedial prefrontal activation. These results suggest that anxious aggressive children recruit ventral prefrontal activation quickly and indiscriminately, possibly giving rise to their rigid, threat-oriented approach to conflict. The late ventral prefrontal activation seen for non-anxious aggressive children may underlie a more delayed, situation-specific, but ineffective response to frustration.     

Psychotherapie und Internet

The Internet plays an important role in healthcare. Approximately two thirds of Internet users search the medium for, e.g. personal questions of health, including aspects of mental health. In countless discussion forums or blogs mentally stressed people discuss their problems and search for contact to other affected individuals but also to professional helpers. In this article an attempt is made to systematize the interface between Internet and psychotherapy in the narrower and broader sense. In particular five topics and problem areas will be dealt with: (1) as information medium Internet delivers an immense number of resources on mental disorders, which raises the problem of quality assurance. (2) As a communication medium it can provide support for therapeutic interventions. Psychological online counseling has now been proven to be effective. (3) Internet alters the traditional therapeutic relationship in one way or another. In particular e-mail communications supplement a face-to-face treatment. (4) Use of the Internet also brings along clinically relevant problems and because of this patients visit psychotherapeutic practices increasingly more often. (5) Internet can be fruitful for psychotherapy research.     

Sexueller Sadismus und Sexualkriminalität

The categorization of sadism has turned out to be a versatile phenomenon, which covers a spectrum from harmless symbolic rituals to extremely violent acts where strong impulses or prolonged fantasies and rituals are involved. As the phenomenon is versatile its causes and appearances vary as well, although so-called BDSM (bondage & discipline & dominance & submission & sadism & masochism) practitioners and persons with severe sadism in a forensic context share only few common preferences. Based on own clinical experiences with sadism in forensic patients the authors support the proposed revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) especially the diagnostic disjuncture of sadism and masochism. Sexual sadism appears more frequently in forensic contexts in combination with sadistic, antisocial and borderline personality disorders but rarely with masochism. Masochism is otherwise reported to be more prevalent in patients of general psychiatry, however, combined with depression or dependent personality traits rather than with sadism. Moreover, the authors believe that if use of the diagnostic term sadism is perpetuated the establishment of the proposed new diagnosis “paraphilic coercive disorder” is unnecessary. The diagnostic term is also important for treatment and assessment. Despite the lack of reliable long-term studies with larger samples, it is reasonable to assume that medication, sometimes even anti-androgenic treatment, can be indicated in patients with severe sadism.     

抑制性控制在幼儿执行功能与心理理论中的作用

将执行功能任务和心理理论任务中的共同成分——抑制性控制区分为3个不同的难度水平,从而构成心理理论任务（错误信念）的3个变式A1、A2、A3和执行功能任务（白天/黑夜）的3个变式B1、B2、B3。实验1以48名4岁幼儿为被试,探讨对两类任务中各自的3个变式所包含的抑制性控制的难度区分的适当性,结果表明幼儿在两类任务中各自的3个变式上的正确率差异显著,说明其抑制性控制的确表现出了高、中、低3个不同的难度水平;实验2根据实验1所设计的两类任务,以144名3~6岁幼儿为被试,探讨了不同抑制性控制的难度水平在幼儿执行功能和心理理论的相关中的作用,结果表明抑制性控制的难度水平是影响幼儿执行功能与心理理论的相关的一个重要因素。     

Psychotherapie bei lebensbedrohlich Erkrankten

In den letzten 20 Jahren ist die begleitende psychotherapeutische Behandlung bei körperlich Schwerkranken fester Bestandteil der Tätigkeit von psychosomatischen Konsiliar- und Liaisondiensten im Krankenhaus geworden. Eine Konzeptualisierung dieser Tätigkeit auf psychodynamischer Basis wird beschrieben. Ziele der psychotherapeutischen Interventionen sind die Stabilisierung der Abwehr des Patienten und die Rückgewinnung eines strukturierten Umgangs mit der Krankheit, mit den Behandlern und den nahen Bezugspersonen. Therapiebausteine sind eine narrative Gesprächsstruktur, ein psychodynamisches Verständnis der aktuellen Krankheitssituation auf dem Hintergrund der Lebensgeschichte, aktives Zuhören, Fokusformulierung und systemische Sichtweise. Wichtige Wirkfaktoren sind eine empathische Beziehung, Verbalisierung von belastenden, negativen Gefühlen, Fokussieren auf aktuelle Probleme und Ressourcenorientierung. Probleme entstehen durch negative Gegenübertragung des Psychotherapeuten und ausgeprägte Verleugnungsvorgänge auf Patientenseite. Die Umsetzung erfordert vom Psychotherapeuten kontinuierliche Präsenz und regelmäßige Rücksprachen und Konsultationen mit dem behandelnden Team.     

A Brain-Based Account of the Development of Rule Use in Childhood

ABSTRACT— The ability to follow explicit rules improves dramatically during the course of childhood, but relatively little is known about the changes in brain structure and function that underlie this behavioral improvement. Drawing from neuroscientific studies in human adults and other animals, as well as from an emerging literature in developmental cognitive neuroscience, we propose a brain-based account of the development of rule use in childhood. This account focuses on four types of rules represented in different parts of the prefrontal cortex: simple rules for reversing stimulus–reward associations, pairs of conditional stimulus–response rules (both univalent and bivalent), and higher-order stimulus–response rules for selecting among task sets. It is hypothesized that the pattern of developmental changes in rule use reflects the different rates of development of specific regions within the prefrontal cortex.     

A hierarchical competing systems model of the emergence and early development of executive function

The hierarchical competing systems model (HCSM) provides a framework for understanding the emergence and early development of executive function – the cognitive processes underlying the conscious control of behavior – in the context of search for hidden objects. According to this model, behavior is determined by the joint influence of a developmentally invariant habit system and a conscious representational system that becomes increasingly influential as children develop. This article describes a computational formalization of the HCSM, reviews behavioral and computational research consistent with the model, and suggests directions for future research on the development of executive function.     

The emergence of functional play in infants: Evidence for a major cognitive transition

Sixty-four infants, eight boys and eight girls at each of four ages, $\text{9}\text{1}\text{2}\text{, 11}\text{1}\text{2}\text{, 13}\text{1}\text{2}\text{,}\text{and}\text{15}\text{1}\text{2}$ months, were observed during a 15-minute free play session. Three types of play (stereotypical, relational, and functional) and the number of appropriate uses for specific realistic toys were recorded. Stereotypical play (87% of total active play at $\text{9}\text{1}\text{2}$ months) gave way to relational (35% at $\text{13}\text{1}\text{2}$ months) and functional play (52% at $\text{15}\text{1}\text{2}$ months) as the dominant activity. Both functional play and the number of different appropriate uses of toys were rare at $\text{9}\text{1}\text{2}$ months, appeared reliably at $\text{11}\text{1}\text{2}$ months and increased lineraly through $\text{15}\text{1}\text{2}$ months. A change in the quality of play from indiscriminate mouthing, waving, banging, and fingering of objects to the matching of appropriate uses for a large array of toys indicates that the child's manipulations become more object specific and functional over this 6-month age span. Among possible explanations for the linear increase in the frequency and diversity of appropriate toy uses is the suggestion that an important cognitive change occurs toward the end of the first year of life. A case study is presented to illustrate the application of the play procedure for both assessment and treatment.     

Implications of 3-yr.-olds' successful performance on a no conflict version of the Dimensional Change Card Sort

Moriguchi and Itakura (2005) compared 3-yr.-old children's performance on the standard version of the Dimensional Change Card Sort with performance on a new, No Conflict version. Here, it is noted that the children's successful performance on the No Conflict version is consistent with existing theoretical interpretations of children's performance on the standard version.