Using Dichotic Listening to Study Bottom-up and Top-down Processing in Children and Adults

The study examined top-down attention modulation of bottom-up processing in children and adults under conditions of varying bottom-up stimulus demands. Voiced and unvoiced consonant-vowel syllables were used in a dichotic-listening situation to manipulate the strength of the bottom-up stimulus-driven right ear advantage when subjects were instructed to focus attention on, and report, either the left or right ear stimulus. We predicted that children would differ from adults in their ability to use attention to modulate a lateralized ear advantage, and particularly when there was a conflict between the direction of the bottom-up ear advantage and the direction of the top-down attention instruction. Thirty children and 30 adults were presented with dichotic presentations of consonant-vowel syllables. The results showed that the voicing manipulation affected the strength of the ear advantage, and that the children performed significantly below the adults when the voicing parameter caused a strong conflict between bottom-up and top-down processing. Thus, children seem to lack the cognitive flexibility necessary to modulate a stimulus-driven bottom-up ear advantage, particularly in situations where right ear advantage (REA) is enhanced by the acoustic properties of the stimuli and attentional demands require a left ear shift. It is suggested that varying the stimulus demands in a dichotic-listening situation may be a novel way to study cognitive development.     

Art Speaks in Healing Survivors of War

Abstract

Mental health clinics can use creative art therapies as a means of reaching out to war refugees in their communities who may not respond to traditional talk therapy. In this case, the use of quilting and other artwork was utilized by the staff at Chicago Health Outreach to assist displaced Bosnians to cope with their war-related trauma and integration into their new environment in the United States. It can be difficult to reach refugee populations within a community whose culture and language are different from the majority, but finding other means of communicating can make a real difference for these individuals as they find safety and understanding by working on and sharing special creative projects.     

The effect of feature discriminability on the intertrial inhibition of focused attention

Identifying the shape of a colour oddball is faster when the distractor colour is viewed in the preceding target-absent trial and slower when the target colour is previewed, an intertrial effect known as the distractor previewing effect (DPE). We tested the effect of feature discriminability on the DPE. In Experiment 1, we determined the interitem discriminability of two colour pairs and two shape pairs. In Experiments 2 and 3, we measured DPEs with these set of target–distractor discriminability pairs. Our results showed that when the defining features allow for efficient parallel search, the a priori degree of interitem discriminability did not modulate the DPE. The results suggest the DPE does not arise as a strictly bottom-up modulation of saliency of the search-relevant features but reflects an attentional bias aimed at preventing attention from revisiting recently rejected “search features”. The underlying mechanism of this attentional bias is discussed.     

A Critical Methodological Review of Discourse and Conversation Analysis Studies of Family Therapy

Discourse (DA) and conversation (CA) analysis, two qualitative research methods, have been recently suggested as potentially promising for the study of family therapy due to common epistemological adherences and their potential for an in situ study of therapeutic dialog. However, to date, there is no systematic methodological review of the few existing DA and CA studies of family therapy. This study aims at addressing this lack by critically reviewing published DA and CA studies of family therapy on methodological grounds. Twenty‐eight articles in total are reviewed in relation to certain methodological axes identified in the relevant literature. These include choice of method, framing of research question(s), data/sampling, type of analysis, epistemological perspective, content/type of knowledge claims, and attendance to criteria for good quality practice. It is argued that the reviewed studies show “glimpses” of the methods’ potential for family therapy research despite the identification of certain “shortcomings” regarding their methodological rigor. These include unclearly framed research questions and the predominance of case study designs. They also include inconsistencies between choice of method, stated or unstated epistemological orientations and knowledge claims, and limited attendance to criteria for good quality practice. In conclusion, it is argued that DA and CA can add to the existing quantitative and qualitative methods for family therapy research. They can both offer unique ways for a detailed study of the actual therapeutic dialog, provided that future attempts strive for a methodologically rigorous practice and against their uncritical deployment.     

The Efficacy of Systemic Therapy for Childhood and Adolescent Externalizing Disorders: A Systematic Review of 47 RCT

Systemic (family) therapy is a widely used psychotherapy approach. However, most systematic efficacy reviews have focused solely on “family‐based treatment” rather than on the theoretic orientation “systemic therapy.” We systematically review trials on the efficacy of systemic therapy for the treatment of childhood and adolescent externalizing disorders. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems‐oriented therapy in various forms (family, individual, group, multi‐family group therapy) with child or adolescent index patients (0–17 years) suffering from mental disorders were identified by data base searches and cross‐references. Inclusion criteria were as follows: index patient diagnosed with a DSM‐ or ICD‐listed mental disorder, and trial published in any language up to the end of 2011. The RCTs were analyzed for their research methodology, interventions applied, and results (postintervention; follow‐up). A total of 47 trials from the United States, Europe, and China, published in English, German, and Mandarin, were identified. A total of 42 of them showed systemic therapy to be efficacious for the treatment of attention deficit hyperactivity disorders, conduct disorders, and substance use disorders. Results were stable across follow‐up periods of up to 14 years. There is a sound evidence base for the efficacy of systemic therapy for children and adolescents (and their families) diagnosed with externalizing disorders.     

An Activities Approach to the Treatment of Mentally Retarded Clients in an Acute Care Psychiatric Hospital

This article describes therapeutic activities offered in an occupational therapy treatment program for mentally retarded patients in an acute-care hospital facility. Implications of therapeutic activities for the building of ego strengths are discussed.     

Personhood of the Therapist in Couples Therapy

SUMMARY

Integrity Therapy (Lander, 1986; Lander & Nahon, 1992a, 1995a; Mowrer, 1961b, 1964a) views the personhood of the therapist as the very essence of therapy. By meeting the deepest part of the therapist with the deepest self of individuals in therapy, a healing process unfolds which opens up the healing potential of both the individuals and the couple. This article offers couple therapists and other mental health professionals an Integrity Therapy perspective of the personhood of the therapist and its therapeutic potential for helping couples in distress to reclaim their personhood. Two aspects of the Integrity Therapy approach which play a critical role in enhancing therapists' use of their personhood in the therapeutic process are explored: (a) the use of therapist self-disclosure, and (b) therapists' awareness and therapeutic use of counter-transference issues.     

Introduction

Abstract

This article provides a beginning exploration of the pro cess involved in becoming an emotionally focused therapist. The under lying assumptions of emotionally focused therapy (EFT) are identified and examined in relation to how the theory affects therapeutic practice with couples and families. A number of themes are outlined including fit between the therapist and EFT, the challenges of working within this model and transference issues. The authors utilize examples from their supervisory experience in training therapisLs to illustrate common strug gles, pitfalls and the necessary clinical set required in becoming an emo tionally focused therapist.