The effects of safety-seeking behavior and guided threat reappraisal on fear reduction during exposure: an experimental investigation

We examined the effects of safety-seeking behavior and guided threat focus and reappraisal on fear reduction during exposure. Participants (N=46) displaying marked claustrophobic fear were randomized to one of three 30-min exposure conditions: (a) guided threat focus and reappraisal; (b) safety-behavior utilization; or (c) exposure only control. Tripartite outcome assessments during a behavioral approach test, along with measures of suffocation and restriction fears were obtained at pre- and post-treatment, and at a 2-week follow-up. Treatment process measures were collected throughout treatment and consisted of indices of fear activation; within and between-trial fear habituation; and suffocation and entrapment expectancies. Measures of safety behavior utilization and attentional focus were also collected to assess the integrity of the experimental manipulations. Consistent with prediction, those encouraged to utilize safety-behaviors during exposure showed significantly more fear at post-treatment and follow-up relative to those encouraged to focus and reevaluate their core threat(s) during exposure. Moreover, growth curve analyses of treatment process data analyses revealed that safety-behavior utilization exerted a detrimental effect on between-trial habituation; whereas guided threat reappraisal enhanced between-trial habituation.     

On beyond urine: clinically useful assessment instruments in the treatment of drug dependence

Although there are a wealth of clinically useful, brief, and low-cost assessment instruments available for use with drug-dependent populations, relatively few are broadly used in clinical practice. With an emphasis on: (1). the multidimensional nature of drug users' problems; and (2). assessments that can be integrated into empirically validated treatments, clinically useful assessments in four general categories (evaluation and diagnosis of drug dependence, identifying concurrent disorders and problems, treatment planning, and evaluation of treatment outcome) are briefly summarized. Progress in the field of drug abuse treatment has been significantly hampered by the failure to adopt, across research and clinical settings, a common set of assessments.     

Practice effects on coordination and control,metabolic energy expenditure,and muscle activation

One defining characteristic of skilled motor performance is the ability to complete the task with minimum energy expenditure. This experiment was designed to examine practice effects on coordination and control, metabolic energy expenditure, and muscle activation. Participants rowed an ergometer at 100 W for ten 16-min sessions. Oxygen consumption and perceived exertion (central and peripheral) declined significantly with practice and movement economy improved (reliably) by 9%. There was an associated but non-significant reduction in heart rate. Stroke rate decreased significantly. Peak forces applied to the ergometer handle were significantly less variable following practice and increased stability of the post-practice movement pattern was also revealed in more tightly clustered plots of hip velocity against horizontal displacement. Over practice trials muscle activation decreased, as revealed in integrated EMG data from the vastus lateralis and biceps brachii, and coherence analysis revealed the muscle activation patterns became more tightly coordinated. The results showed that practice reduced the metabolic energy cost of performance and practice-related refinements to coordination and control were also associated with significant reductions in muscle activation.     

Rebuttal to Christopher J. Ferguson's critique of the American Psychological Association's practice guidelines for boys and men

We played significant roles in the development of the APA Guidelines for Psychological Practice with Boys and Men (American Psychological Association, 2018). We address Christopher J. Ferguson's critique of the Guidelines, making six points: Criticisms of the Guidelines Tend to Reflect Anti-Feminist and Gender Essentialist Perspectives; The Guidelines Followed All Rules and Regulations Set Forth by the APA; The Guidelines Are Routinely Mischaracterized and Distorted By People Who Disagree with Them; APA Guidelines Are not Research Reports, Systematic Reviews, or Meta-Analyses; Ferguson Conflates Men With Masculinity; and Ferguson Makes Bold Claims Without Justification or a Familiarity with the Field.     

Psychological and existential vulnerability among clinical young women: a quantitative comparison of depression-related subgroups

The objective was to explore psychological and existential vulnerability among clinical young women in Sweden. Females (n?=?53) with depression as the most common preliminary diagnosis were investigated through an online questionnaire. Included measures were Karolinska Scales of Personality, Self-concept, Strategies to Handle Negative Emotions, Sense of Coherence, and questions pertaining to existential meaning-making, including religious/spiritual belief. The sample was divided into High (n?=?35) and Low/Inter (n?=?18) groups according to scores on the anxiety- and depression-related personality scale Inhibition of aggression. Using independent samples t-test, the High group showed signs of significantly higher psychological and existential vulnerability than the Low/Inter group. Salutogenic factors being (1) coming from socially and societally engaged families and (2) being in a functional existential meaning-making process. The conclusion is that vulnerabilities in the psychological and existential domains are linked, especially in individuals high on depression-like aspects of personality. However, no significant differences for religion/spirituality were found. Treatment implications were addressed.     

The effect of message framing and the nature of the targeted illness on individuals’ intention to participate in clinical trials

IntroductionClinical trials are considered as the most useful methods to evaluate the efficacy of new medical treatments, but the participation of healthy individuals is often too small, which limits the statistical power of the trial and hence its effectiveness.ObjectiveThe goal of the present research is to assess, for the first time, the effects of message framing (gain versus loss) and of the nature of the illness targeted by a clinical trial (highly- versus mildly-contagious) on individuals’ intention to enter it.MethodsThe experimental manipulation is carried out within a scenario promoting a clinical trial, in a 2 (framing: gain vs loss) × 2 (nature of the illness: highly- vs mildly-contagious) between-participants design. After reading the scenario, participants were asked to rate their intention to enter the trial and their perception of its utility.ResultsStatistical analyses validated a causal model explaining that a gain-framed message describing a highly-contagious illness increases the perception of the utility of the clinical trial, which in turn enhances the intention to participate.ConclusionThe discussion mainly focuses on the contributions of these findings at a theoretical level, considering the limits and potential of their possible application.     

Video game experience and its influence on visual attention parameters: An investigation using the framework of the Theory of Visual Attention (TVA)

Experts with video game experience, in contrast to non-experienced persons, are superior in multiple domains of visual attention. However, it is an open question which basic aspects of attention underlie this superiority. We approached this question using the framework of Theory of Visual Attention (TVA) with tools that allowed us to assess various parameters that are related to different visual attention aspects (e.g., perception threshold, processing speed, visual short-term memory storage capacity, top-down control, spatial distribution of attention) and that are measurable on the same experimental basis. In Experiment 1, we found advantages of video game experts in perception threshold and visual processing speed; the latter being restricted to the lower positions of the used computer display. The observed advantages were not significantly moderated by general person-related characteristics such as personality traits, sensation seeking, intelligence, social anxiety, or health status. Experiment 2 tested a potential causal link between the expert advantages and video game practice with an intervention protocol. It found no effects of action video gaming on perception threshold, visual short-term memory storage capacity, iconic memory storage, top-down control, and spatial distribution of attention after 15 days of training. However, observations of a selected improvement of processing speed at the lower positions of the computer screen after video game training and of retest effects are suggestive for limited possibilities to improve basic aspects of visual attention (TVA) with practice.     

Children’s age modulates the effect of part and whole practice in motor learning

Motor skills can be learned by practicing the whole or part of a movement. In whole practice (WP), a skill is acquired by practicing the movement in its entirety, whereas in part practice (PP), a task is learned by practicing its components before combining them. However, the effectiveness of WP and PP in children is unclear. We, therefore, examined the effects of WP and PP on the learning of juggling among first-, third-, and fifth-graders. Children of each grade were pseudo-randomly assigned to the WP or PP group to learn cascade juggling in 6 days. After baseline assessments, the WP learners practiced three-beanbag juggling. The PP learners practiced one-beanbag juggling on the first 2 days, two-beanbag juggling on the following 2 days, and three-beanbag juggling on the last 2 days. Practice consisted of 40 trials each day. Skill retention and transfer trials (juggling in the opposite direction) were measured 24 h after training (number of catches). There was no significant difference between WP and PP in skill retention (WP: 1.28 ± 0.73; PP: 1.42 ± 046, p = .40) and transfer (WP: 1.31 ± 0.78; PP: 1.37 ± 0.55, p = .49). However, a time × grade × group interaction (p < .001) was observed in retention. Children of different grades received differential benefits from the WP and PP regimens. The fifth-graders learned better using WP, whereas the first- and third-graders showed better learning with PP. We discuss the three possible explanations for the results (neural maturity, explicit learning, and coordination capabilities).     

Influence of practice schedules and attention on skill development and retention

Focus of attention during dual-tasks and practice schedules are important components of motor skill performance and learning; often studied in isolation. The current study required participants to complete a simple key-pressing task under a blocked or random practice schedule. To manipulate attention, participants reported their finger position (i.e., skill-focused attention) or the pitch of an auditory tone (i.e., extraneous attention) while performing two variations of a dual-task key-pressing task. Analyses were conducted at baseline, 10 min and 24 h after acquisition. The results revealed that participants in a blocked schedule, extraneous focus condition had significantly faster movement times during retention compared to a blocked schedule, skill focus condition. Furthermore, greatest improvements from baseline to immediate and delayed retention were evident for an extraneous attention compared to the skill-focused attention, regardless of practice schedule. A discussion of the unique benefits an extraneous focus of attention may have on the learning process during dual-task conditions is presented.     

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.