Stress‐related exhaustion disorder – clinical manifestation of burnout? A review of assessment methods,sleep impairments,cognitive disturbances,and neuro‐biological and physiological changes in clinical burnout

The aim of this paper was to provide an overview of the literature on clinically significant burnout, focusing on its assessment, associations with sleep disturbances, cognitive impairments, as well as neurobiological and physiological correlates. Fifty‐nine English language articles and six book chapters were included. The results indicate that exhaustion disorder (ED), as described in the Swedish version of the International Classification of Diseases, seems to be the most valid clinical equivalent of burnout. The data supports the notion that sleep impairments are causative and maintaining factors for this condition. Patients with clinical burnout/ED suffer from cognitive impairments in the areas of memory and executive functioning. The studies on neuro‐biological mechanisms have reported functional uncoupling of networks relating the limbic system to the pre‐frontal cortex, and decreased volumes of structures within the basal ganglia. Although there is a growing body of literature on the physiological correlates of clinical burnout/ED, there is to date no biomarker for this condition. More studies on the role of sleep disturbances, cognitive impairments, and neurobiological and physiological correlates in clinical burnout/ED are warranted.     

Who Is This God of Whom You Speak? Counseling Students' Concept of God

Many clients bring a belief in God or a Higher Power into counseling sessions. What is less clear, however, is how counselors conceptualize “god,” which may affect how spirituality is integrated in the counseling process. To explore this question, the authors conducted a concept map study of god images among counseling students. Results suggest that students harbor broad and diverse conceptualizations of god, which may affect the counseling process.     

Brain drawings following traumatic brain injury (TBI) and links to illness perceptions and health outcomes – Findings from a population-based study

Objective: Individuals’ illness perceptions predict health behaviours and influence functional outcomes. This study examined associations between a novel assessment of illness perceptions, in the form of adult’s brain drawings after traumatic brain injury (TBI) and questionnaire measures of illness perceptions, quality of life and post-concussive symptoms.

Design: Population-based, prospective longitudinal study examining 245 adults with predominantly mild TBI with high risk of complications.

Main outcome measures: Participants were asked to draw pictures of what they thought their brain looked like before injury and at baseline and one month post-injury. Drawing characteristics (height, width and percentage damage at one month) were examined in relation to each outcome of interest at six months.

Results: Greater damage at one month was associated with more negative illness perceptions (rs = .23), poorer mental health (rs = ?.21), and more total post-concussive symptoms (rs = .27 to r = .35) at six months. The extent of damage depicted reduced over time (p < .001). No associations were found between the amount of damage drawn and injury severity, nor the height or width of drawings and injury severity or illness perceptions.

Conclusion: Drawings post-TBI offer a simple, cost- and time-effective way to begin discussions and improve understanding of peoples’ illness perceptions.     

‘Retouch free’: The effect of labelling media images as not digitally altered on women's body dissatisfaction

This study aimed to investigate the effect of ‘retouch free’ labels on thin ideal fashion images on women's body dissatisfaction. This represents an experimental analogue to current practice by some fashion magazines. Participants were 224 female undergraduates who viewed a set of fashion shoots with either no label, or a label indicating that the image had not been digitally altered. Results indicated that, although body dissatisfaction increased after exposure to the thin ideal images, there was no significant effect of label type on mood or body dissatisfaction. It was concluded that labelling images as digitally unaltered appears neither helpful nor harmful in terms of body dissatisfaction. Nevertheless, more extensive research is required to guide the most effective use of labels.     

Christ in the Limelight: Contemporary Films and Christological Discourse

The aim of this article is to show how theology can, through the medium of film, engage contemporary interpretations of Jesus’ person and work. Starting out by tracing the development taking place in films about Jesus throughout the twentieth century, the focus then moves to a theological reading of Mel Gibson's interpretation of the passion story for the twenty‐first century in his movie The Passion of the Christ.     

Working memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: A systematic review and meta-analysis

Recent studies have used non-invasive brain stimulation (NIBS) techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), to increase dorsolateral prefrontal cortex (DLPFC) activity and, consequently, working memory (WM) performance. However, such experiments have yielded mixed results, possibly due to small sample sizes and heterogeneity of outcomes. Therefore, our aim was to perform a systematic review and meta-analyses on NIBS studies assessing the n-back task, which is a reliable index for WM. From the first data available to February 2013, we looked for sham-controlled, randomized studies that used NIBS over the DLPFC using the n-back task in PubMed/MEDLINE and other databases. Twelve studies (describing 33 experiments) matched our eligibility criteria. Active vs. sham NIBS was significantly associated with faster response times (RTs), higher percentage of correct responses and lower percentage of error responses. However, meta-regressions showed that tDCS (vs. rTMS) presented only an improvement in RT, and not in accuracy. This could have occurred in part because almost all tDCS studies employed a crossover design, possibly due to the reliable tDCS blinding. Study design was also associated with no improvement in correct responses in the active vs. sham groups. To conclude, rTMS of the DLPFC significantly improved all measures of WM performance whereas tDCS significantly improved RT, but not the percentage of correct and error responses. Mechanistic insights on the role of DLPFC in WM are further discussed, as well as how NIBS techniques could be used in neuropsychiatric samples presenting WM deficits, such as major depression, dementia and schizophrenia.     

Effects of aging on action-intentional programming

Background: Action-intentional programs control “when” we initiate, inhibit, continue, and stop motor actions. The purpose of this study was to learn if there are changes in the action-intentional system with healthy aging, and if these changes are asymmetrical (right versus left upper limb) or related to impaired interhemispheric communication. Methods: We administered tests of action-intention to 41 middle-aged and older adults (61.9 ± 12.3 years). Results: Regression analyses revealed that older age predicted a decrement in performance for tests of crossed motor response inhibition as well as slower motor initiation with the left hand. Conclusion: Changes in action-intention with aging appear to be related to alterations of interhemispheric communication and/or age-related right hemisphere dysfunction; however, further research is needed to identify the mechanisms for age-related changes in the brain networks that mediate action-intention.     

功能性近红外光谱技术在社会互动脑机制研究中的应用

功能性近红外光谱技术是一种以大脑组织中的血容和血氧为信息载体,通过测量大脑皮层中血容和血氧的分布和变化情况来了解局部脑活动的技术手段。近年来该技术在双脑研究非言语互动、言语互动、混合互动等社会互动脑机制领域做出了重要贡献。为了更清晰地揭示自然情境中社会互动的神经机制,未来尚需进一步改进近红外光谱技术本身,开发有效的数据分析方法,细化互动任务类型,丰富完善实验范式,促进多种脑成像技术的融合。     

Does multitasking mediate the relationships between episodic memory,attention, executive functions and apathetic manifestations in traumatic brain injury?

Apathy is frequently described in patients with traumatic brain injury (TBI); its negative consequences particularly affect functional independence. Among apathetic manifestations, lack of initiative and lack of interest have mainly been associated with cognitive impairments. However, few studies have been conducted to precisely identify the underlying cognitive processes. Our aims were (1) to determine the best predictor of apathy from among several cognitive processes, including episodic memory and attention/executive mechanisms and multitasking, and (2) to examine to what extent multitasking could mediate the relationships between specific cognitive processes and lack of initiative/interest. Seventy participants (34 patients with TBI matched with 36 control participants) were given a questionnaire to assess anxio‐depressive symptoms, four tasks to assess specific cognitive processes, and one task to assess real‐life multitasking. Participants’ relatives completed an apathy questionnaire. Multitasking, as assessed by the number of goals not achieved, was the only significant predictor of apathetic manifestations. In addition, the mediation analyses revealed that multitasking performance mediated the relationships between verbal episodic memory and lack of initiative/interest, whereas executive and attentional functions were only indirectly related to lack of initiative/interest due to their significant impacts on multitasking. These results shed new light on the aetiology of apathetic manifestations in patients with TBI, indicating how specific cognitive deficits are expressed in real‐life multitasking, and consequently, how they may lead to the development and/or maintenance of apathetic manifestations.     

天人合一心理研究范式发微

从学科本体对心理学做重新审视。在方法论上,把意识和物质等同犯了“范畴错误”; 在科学性上,心理学不该用证实主义而应用证伪主义的标准,且心理学难以成为自然科学意义的科学却有望成为胡塞尔“严格意义的科学”; 在认识论上,主客二分研究范式具有“‘主-客-间'双重障碍”。天人合一范式可解决双重障碍,并以直观内省体察普遍性定理。故汲取中国哲学中的观物取象法、虚壹而静原则、中国式内省并结合西方现象学提出天人合一研究范式的初步构想。