Digital lives in psychotherapy: ‘the other in the room’

Within the broader area of digital risk, there has been concern over the phenomena of ‘cyber suicide’, a completed or attempted suicide influenced by the internet. We propose a theoretical explanation of the ‘ambivalent self’ in people who go online searching for suicide, by introducing the concept of an inner split between the ‘suicidal part’ (SP) and ‘non-suicidal part’ (NSP) within the personality structure of the individual which struggle for domination of the inner life and external relationships and decisions of the suicidal person. This is grounded in psychoanalytic theory and draws upon a broader conceptualisation of the psyche of the self as split between rival parts, and differing states of mind, competing for control of the vulnerable individual and their capacity to tolerate and manage emotional pain and reality. The recognition and awareness of an inner split between the SP and NSP of the person who goes online, and how this influences virtual relationships, as well as external relationships, such as in psychotherapy, is an important understanding for contemporary psychotherapy and risk management in the digital age.     

Experimental Evidence From Newborn Chicks Enriches Our Knowledge on Human Spatial–Numerical Associations

Núñez and Fias raised concerns on whether our results demonstrate a linear number‐space mapping. Patro and Nuerk urge caution on the use of animal models to understand the origin (cultural vs. biological) of the orientation of spatial–numerical association. Here, we discuss why both objections are unfounded.     

Frontal EEG alpha band asymmetry as a predictor of reasoning deficiency in depressed people

Cognitive deficits in depression are mostly apparent in executive functions, especially when integration of information and reasoning is required. In parallel, there are also numerous studies pointing to the frontal alpha band asymmetry as a psychophysiological marker of depression. In this study, we explored the role of frontal alpha asymmetry as a potential factor explaining the cognitive problems accompanying depression. Twenty-six depressed and 26 control participants completed a reasoning task and underwent 5 minutes of electroencephalography recording. In line with the previous studies, depressed people showed difficulties with reasoning but we did not observe the relationship between frontal asymmetry in the alpha band and depression. However, we found that in the depressed group the frontal alpha asymmetry index was characterised by larger variance than in the control group, and it was also a strong predictor of cognitive functioning exclusively in the depressed group. Our results point to the disruption of a psychophysiological balance, reflected in changed frontal alpha asymmetry (into more left-sided frontal asymmetry in the alpha band, reflecting more right-sided cortical activity) as a possible brain correlate of cognitive disturbances present in depressive disorders.     

基于技术接受模型的青少年网络游戏成瘾机制研究

本研究以技术接受模型(TAM)为理论框架, 通过对380名中学生的问卷调查考察了青少年网络游戏成瘾的影响因素及其机制。结果发现:(1)有用感、易用感、品质感知、游戏体验和态度与网络游戏成瘾显著正相关;(2)品质感知和游戏体验通过态度的部分中介作用对网络游戏成瘾产生间接影响, 同时对网络游戏成瘾有直接效应;有用感和易用感通过态度的完全中介作用对网络游戏成瘾产生间接影响, 对网络游戏成瘾没有直接效应。本研究结果表明, 品质感知、有用感、易用感和游戏体验对青少年网络游戏成瘾具有重要影响, 态度是其中的重要中介变量。     

发展性协调障碍的神经机制

发展性协调障碍是一种特殊的发育障碍, 它的一个显著特征是动作协调困难, 这种障碍影响着5%~8%学龄儿童的学业成绩和日常生活。发展性协调障碍常常与其他类型的学习困难并存。发展性协调障碍的病因非常复杂, 这种障碍与一定程度的视觉空间认知能力受损有关, 早期精细运动技能发育与脑神经发育进程可能存在时间的重合。近年来, 研究者们试图探索影响发展性协调障碍的神经基础, 并先后提出不同的神经关联假说。这些理论假说主要涉及到小脑、顶叶、胼胝体、基底神经节和大脑白质等脑区。本文全面回顾了该领域研究的最新进展, 并提出未来研究应该关注的方向与问题。     

经颅直流电刺激在抑郁症治疗中的应用

已有的神经影像学研究成果揭示, 抑郁症发作的重要原因之一是大脑前额叶皮层结构和功能受损。经颅直流电刺激(tDCS)作为一种无创脑刺激, 选取前额叶皮层作为刺激区域, 通过调节皮层兴奋性来治疗抑郁症, 能够有效缓解抑郁症状和改善受损的认知功能, 疗效明显且持久稳定。针对tDCS在抑郁症治疗研究中的问题, 未来可从有效性、个体差异以及预防干预等六个方面进一步研究, 以期tDCS作为一种具有潜力的治疗手段, 在临床上有更为广泛地应用。     

Can confidence come too soon? Collective efficacy,conflict and group performance over time

Groups with a strong sense of collective efficacy set more challenging goals, persist in the face of difficulty, and are ultimately more likely to succeed than groups who do not share this belief. Given the many advantages that may accrue to groups who are confident, it would be logical to advise groups to build a high level of collective efficacy as early as possible. However, we draw on Whyte’s (1998) theory of collective efficacy and groupthink, to predict that when confidence emerges at a high level toward the beginning of a group’s existence, group members may be less likely to engage in process conflict; a form of conflict that may be beneficial in the early phase of a group project. We found support for this prediction in two longitudinal studies of classroom project teams.     

Right‐wing authoritarianism and social dominance orientation and the dimensions of generalized prejudice: A longitudinal test

A Dual Process Model (DPM) approach to prejudice proposes that there should be at least two dimensions of generalized prejudice relating to outgroup stratification and social perception, which should be differentially predicted by Right‐Wing Authoritarianism (RWA) and Social Dominance Orientation (SDO). The current study assessed the causal effects of SDO and RWA on three dimensions of prejudice using a full cross‐lagged longitudinal sample (N = 127). As expected, RWA, but not SDO, predicted prejudice towards ‘dangerous’ groups, SDO, but not RWA, predicted prejudice towards ‘derogated’ groups, and both RWA and SDO predicted prejudice towards ‘dissident’ groups. Results support previously untested causal predictions derived from the DPM and indicate that different forms of prejudice result from different SDO‐ and RWA‐based motivational processes. Copyright © 2009 John Wiley & Sons, Ltd.     

Provoked vestibulodynia: Psychological predictors of topical and cognitive-behavioral treatment outcome

Psychological factors have been found to impact the pain experience and associated sexual impairment of women suffering from provoked vestibulodynia (PV). Despite a lack of randomized treatment outcome studies, particularly concerning psychological predictors of outcome, recent studies have shown that topical applications and cognitive-behavioral therapy (CBT) are among the most popular first-line interventions for PV. The present study aimed to determine the extent to which baseline fear-avoidance variables and pain self-efficacy were differentially associated with topical application and CBT outcomes at six-month follow-up. Data were obtained from 97 women who completed a randomized trial comparing these two treatments. Regression analyses revealed that for topical treatment, higher levels of baseline avoidance predicted worse pain and sexual functioning outcomes, whereas higher levels of pain self-efficacy predicted better outcomes. For CBT, higher levels of baseline fear of pain and catastrophizing contributed to higher pain intensity at follow-up, whereas higher levels of pain self-efficacy were associated with less pain. Psychological factors did not predict sexual functioning outcomes for CBT. Consistent with biopsychosocial models of pain and sexual dysfunction, results indicate that psychological factors contribute to pain and sexual impairment following treatment for PV. Specifically, findings suggest that fear-avoidance variables and pain self-efficacy are significant predictors of topical and CBT treatment outcomes in women with PV.     

An examination of the construct validity of posttraumatic stress disorder with veterans using a revised criterion set

Ongoing concerns exist in the literature regarding the construct of posttraumatic stress disorder (PTSD) and how to best conceptualize and measure this disorder. We compared the traditional DSM-IV PTSD symptom criteria (i.e., symptoms from clusters B, C, and D) to a revised criterion set that omits overlapping mood and other anxiety symptoms on PTSD prevalence, PTSD diagnostic caseness, associated psychiatric comorbidity, functional status, and structural validity using a cross-sectional, multi-site primary care sample of 747 veterans. After removing items theorized to overlap with mood and other anxiety disorders, PTSD prevalence was identical using both criterion sets (i.e., 12%). Overall, there were few statistically significant differences in PTSD caseness, associated psychiatric comorbidity, functional status, and structural validity across the two diagnostic criterion sets. These data provide further support that removing items that overlap with other psychiatric disorders does not significantly impact the prevalence of PTSD, its associated comorbidity and functional impairment, or its structural validity. Although the revised criterion set represents a more parsimonious model, the current study findings generally support the strong construct validity of PTSD. The implications of these study findings for research and clinical practice are discussed.