Feasibility and Acceptability of Cognitive Bias Modification for Interpretation as an Adjunctive Treatment for OCD and Related Disorders: A Pilot Randomized Controlled Trial

Cognitive models implicate interpretation bias in the development and maintenance of obsessive compulsive and related disorders (OCRDs), and research supports Cognitive Bias Modification for Interpretation (CBM-I) in targeting this mechanism. However, prior studies in OCRDs have been limited to nonclinical populations, adolescents, and adults in a laboratory setting. This study evaluated the feasibility and acceptability of CBM-I as an adjunctive intervention during intensive/residential treatment (IRT) for adults with OCRDs. We modified a lab-based CBM-I training for adults seeking IRT for OCRDs, and conducted a feasibility trial (N = 4) and subsequent pilot RCT; participants (N = 31) were randomized to receive CBM-I or psychoeducation. Benchmarks were met for feasibility, acceptability, and target engagement. From pre- to post-intervention, the CBM-I group showed a large effect for change in interpretation bias (d = .90), whereas this effect was trivial (d = .06) for psychoeducation. This was the first study to evaluate CBM-I in naturalistic treatment for adults seeking IRT for OCRDs. Findings support the feasibility and acceptability of CBM-I in this novel sample and setting. A larger scale RCT is needed to determine whether CBM-I can enhance OCRD treatment response.     

Empirical underidentification in estimating random utility models: The role of choice sets and standardizations

A standard approach to distinguishing people’s risk preferences is to estimate a random utility model using a power utility function to characterize the preferences and a logit function to capture choice consistency. We demonstrate that with often-used choice situations, this model suffers from empirical underidentification, meaning that parameters cannot be estimated precisely. With simulations of estimation accuracy and Kullback–Leibler divergence measures we examined factors that potentially mitigate this problem. First, using a choice set that guarantees a switch in the utility order between two risky gambles in the range of plausible values leads to higher estimation accuracy than randomly created choice sets or the purpose-built choice sets common in the literature. Second, parameter estimates are regularly correlated, which contributes to empirical underidentification. Examining standardizations of the utility scale, we show that they mitigate this correlation and additionally improve the estimation accuracy for choice consistency. Yet, they can have detrimental effects on the estimation accuracy of risk preference. Finally, we also show how repeated versus distinct choice sets and an increase in observations affect estimation accuracy. Together, these results should help researchers make informed design choices to estimate parameters in the random utility model more precisely.     

Forgiveness, personality and gratitude

Recent evidence indicates that personality plays a role in the study of forgiveness, but the literature has been limited. This study sought to determine whether gratitude accounted for a significant portion of the variance beyond that of personality in the study of dispositional forgiveness (enduring resentment, sensitivity to circumstances, and overall propensity to forgive). One hundred and fifty-two Portuguese college students (51% females and 49% males, mean = 21.10 years) participated in the study. The results confirmed that personality, particularly agreeableness and neuroticism correlate with enduring resentment and overall tendency to forgive. Additionally, results using multiple regression models indicated that gratitude explained a significant amount of variance of overall propensity to forgive.     

Predicting the Early Developmental Course of Symptoms of Attention Deficit Hyperactivity Disorder

Data from the National Institute of Child Health and Human Development Study of Early Child Care were examined to test whether: attention deficit/hyperactivity disorder (ADHD) symptoms remain stable from 54 months through early elementary school; behavioral inhibition and attention deficits assessed at 54 months predict ADHD symptoms in elementary school, even after controlling for their temporal stability; and early behavioral inhibition and attention deficits moderate the longitudinal stability in ADHD symptoms. Data were examined using continuous and categorical measures of symptoms. Modest stability in ADHD symptoms from 54 months to third grade was found. Measures of inhibition and inattention predicted later teacher ratings uniquely, but no evidence was found for moderation. Measures of preschool behavioral inhibition also predicted “persistently at risk status” defined by elevated teacher ratings over time. Results are discussed in terms of executive and motivational facets of inhibition that may be related to early signs of ADHD.     

Sex Differences in Perception: Exploring the Integration of Sensory Information with Respect to Vision and Proprioception

Inter- and intra-modal matching by right hand preferred Norwegian adults were tested using a matching task. The task required them to locate target pins visually, proprioceptively or in combination, while matching was always carried out without vision. When combined scores for both hands were analysed, the females showed superior performance in the intra-modal matching condition. For both groups, when the scores for the two hands were treated separately, superior performance was obtained in using the right hand to match under the visual condition. The only significant sex difference relative to hand preference was that the females matched the target more accurately with the right hand in the intra-modal matching condition. These findings are discussed relative to inter-hemispheric processing     

图形项目记忆与位置来源提取的ERP研究

采用事件相关电位（ERP）方法研究大学生图形项目记忆与位置来源提取新/旧效应的时、空分布特征。学习屏幕左侧（或右侧）呈现的图形后在屏幕中央呈现某一测验项目（已学图形或新图形）,对受试者进行两类测验：其一是判断该项目是否已学过;其二是将从某侧学过的测验项目判断为目标,而将其它测验项目判断为非目标的来源测验（排除任务）。实验结果表明：图形位置来源提取比项目再认新/旧效应的头皮分布更广,持续时程更长;与前人相同实验范式的研究结果相比,本研究位置来源提取效应的头皮分布范围较广;非目标-旧图形与目标图形新/旧效应的头皮激活程度不同。上述结果说明：图形位置来源提取比项目再认激活的大脑区域更多,这与双重加工模型的观点一致;实验范式和来源知觉的特性共同调节来源记忆新/旧效应的时、空分布特征;意识水平对来源信息提取的新/旧效应存在一定的影响     

Family Therapy, You Make Me Feel Like Dancing

In this article we use our experience with ballroom dancing to revisit three central systemic/relational ideas—summativity, pragmatics/aesthetics, and communication—in order to reaffirm our theoretical grounding in family therapy and to connect that grounding to community-mindedness in therapy. Community-mindedness consists of deliberate attention to the socially constructed grand narratives that dominate clients and therapists in the process of therapy. A detailed example is provided. Thanks to Leo Sayer     

成人气管、支气管异物误诊原因之辩证分析

气管、支气管异物是耳鼻喉科常见疾病,但成人气管、支气管异物较少见,因异物吸入史不明确、临床表现不典型,常易误诊。利用哲学原理辩证分析其误诊的主客观原因,以提高对成人气管、支气管异物认识,减少误诊,防止误治。哲学对于当前临床医学是十分重要的。     

The role of self-blame for trauma as assessed by the Posttraumatic Cognitions Inventory (PTCI): a self-protective cognition?

The Posttraumatic Cognitions Inventory (PTCI) assesses cognitions hypothesised to be associated with poor recovery from traumatic experiences and the maintenance of PTSD. The validity of the PTCI has received good support but doubts have been raised about its Self-BLAME subscale. The main aim of the present study was to test the ability of the PTCI subscales to discriminate between traumatised individuals with and without PTSD and to predict posttraumatic symptom severity. Participants (N=63) who had experienced a traumatic event were recruited via the media and completed the PTCI and self-report measures of PTSD and depression symptoms. Full criteria for a diagnosis of PTSD were met by 37 but not by the other 26. There were significant differences between these two groups on the total PTCI score and the Negative Cognitions About SELF and the Negative Cognitions About the WORLD subscales, but not on the Self-BLAME subscale. The two groups were discriminated by the PTCI subscales with 65% accuracy and the multiple correlation (R=.68) between the subscales and posttraumatic symptom severity was highly significant. However, in these analyses, higher scores on the Self-BLAME subscale were associated with less risk of a diagnosis of PTSD and with less posttraumatic symptomatology. Possible interpretations of these results, in terms of statistical suppressor effects and the protective role of behavioural self-blame, are discussed.     

Against Anthropocentrism: A Jobian Appeal to Science on Theology's Behalf

Abstract : The author asks how science can affect the work of the theologian and uses the experience of Job in the “wild” as pointing toward a new seeing. From science's study of temporality the theologian may learn (1) that humans belong with the (other) creatures, against anthropocentrism, (2) that the traditional distinction between creation and preservation inadequately recognizes God's continuing creative work, and (3) that Christian soteriology needs to address the “groaning” (Romans 8) of the whole creation. While science may help the theologian see thus newly, theology needs to retain its own integrity, as represented by the distinction between creation and fall.