The Efficacy of Minimal Contact Interventions for Acute Tinnitus: A Randomised Controlled Study

Acute tinnitus can lead to substantial distress and eventually result in long-lasting impairment. The aim of this study was to compare the efficacy of a cognitive-behavioural intervention (delivered as Internet self-management, bibliotherapy or group training) to the information-only control condition.

Applicants suffered from subjective tinnitus for up to six months, were between 18 and 75 years old and received no other tinnitus-related psychological treatment. A total of 304 participants were randomly assigned to one of the four study arms. Tinnitus distress, depressive symptoms, psychosomatic discomfort and treatment satisfaction were assessed.

At the post-assessment tinnitus distress was significantly lower in the Internet and the group training conditions compared to the control condition. Inter-group effect sizes were moderate to large. At follow-up, all active training conditions showed significantly reduced tinnitus distress compared to the control condition (intention-to-treat analysis). An additional completer analysis showed a significant reduction in tinnitus distress only for the group condition. All effect sizes were moderate. There were no differences regarding psychosomatic discomfort, but depressive symptoms were reduced in the group condition at the post-assessment (intention-to-treat analysis). Treatment satisfaction was significantly higher in the training conditions. The dropout rate was 39%.

The present study shows that distress can be reduced as early as the acute stadium and that minimal-contact interventions are a promising way to do this. In particular, the Internet and group conditions led to a large, immediate decrease in distress, and the participants were highly satisfied with the training.     

My Disaster Recovery: a pilot randomized controlled trial of an Internet intervention

Abstract

This pilot study tested the efficacy of the My Disaster Recovery (MDR) website to decrease negative affect and increase coping self-efficacy. Fifty-six survivors of Hurricane Ike were recruited from a larger study being conducted at the University of Texas Medical Branch at the first anniversary of the storm. Restricted randomization was used to assign participants to the MDR website, an information-only website, or a usual care condition. Group×time interactions indicated that MDR reduced participant worry more than the other conditions. A similar trend was also identified for depression. Both websites were accessed a small to moderate amount and participants reported mixed satisfaction for both websites. Although the effect sizes for worry and depression were in the moderate to large range, small sample size and timing of the intervention qualify the findings. These preliminary findings encourage further evaluation of MDR with a larger, demographically diverse sample and indicate that the MDR website might be helpful in reducing worry and depression.     

Innovative Approaches to Child Custody and Domestic Violence in New Zealand

Summary

In 1995, as part of a major review of domestic violence law, the New Zealand Parliament amended the legislation under which disputes about custody of and access to children are determined by the Court. Specifically, the amendment introduced a rebuttable presumption that a parent who had used violence against a child or against the other parent would not have custody of, or unsupervised access to the child unless the Court could be satisfied that the child would be safe during visitation arrangements. Three years after the implementation of this legislation, it is timely to reflect on the impact of this major domestic violence law reform initiative. Our findings indicate that there are indeed advances. Psychological violence is now clearly being considered when Courts are assessing the issue of children's safety. As well, the delineation of mandatory risk assessment factors has led many judges to see a continuum of power and control tactics as relevant in domestic violence related visitation proceedings; the previous emphasis on physical violence has given way to an analysis which more closely reflects accords with women's and children's realities of the abuse they are exposed to. Some of the old problems continue to exist despite the law changes. There are still recent cases where perpetrators of serious violence are awarded unsupervised access and where their violence continues to be construed as “out of character,” arising because of the perpetrator's “despair” about the breakdown of his relationship. These and other issues are discussed.     

Self-concept: Psychosis and attraction of new religious movements

Self-concept is both a social product and a social force, and can be defined as the sum total of an individual's thoughts and beliefs regarding themselves, as well as perceptions by others. Such a view is essential for the well being of individuals and allows a person to function well within parameters of the society. When this self-concept starts to change then the individual looks for other pointers to gain a degree of self control back. Such an approach can explain some of the reasons why some individuals with mental illness turn towards new religious movements that may well be extreme. With data from two studies showing that patients with first onset psychosis are likely to change their religion, it is proposed that clinicians and researchers alike be aware of some of these factors.     

The specific-word frequency effect in speech production: Evidence from Spanish and French

The role of word frequency in lexical access during the production of homophones remains unresolved. In the current study, we address whether specific-word (the frequency of occurrence of the word “nun”) or homophone frequency (the summed frequency of words with the pronunciation /nΛn/) determines the production latencies of homophones. In Experiments 1a, 2a, and 3a, participants named pictures of high-frequency (e.g., “banco”–a bank: financial institution) and low-frequency (e.g., “banco”–park bench) Spanish (Experiments 1a and 2a) or French (Experiment 3a) homophones and control pictures of nonhomophone words matched in frequency with each of the two uses of the homophones. The naming latencies for low-frequency homophones were longer than those for high-frequency homophones. Furthermore, the naming latencies for homophones were indistinguishable from those for nonhomophone controls matched in specific-word frequency. In Experiments 1b, 2b, and 3b, the participants performed either object decision or picture–word matching tasks with the stimuli used in the corresponding Experiments 1a, 2a, and 3a. There were no reliable differences between high- and low-frequency homophones. The findings support the hypothesis that specific-word and not homophone frequency determines lexical access in speech production.     

The word class effect in the picture–word interference paradigm

The word class effect in the picture–word interference paradigm is a highly influential finding that has provided some of the most compelling support for word class constraints on lexical selection. However, methodological concerns called for a replication of the most convincing of those effects. Experiment 1 was a direct replication of Pechmann and Zerbst (2002 Pechmann, T. and Zerbst, D. 2002. The activation of word class information during speech production. Journal of Experimental Psychology: Learning, Memory, and Cognition, 28: 233–243. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Experiment 4). Participants named pictures of objects in the context of noun and adverb distractors. Naming took place in bare noun and sentence frame contexts. A word class effect emerged in both bare noun and sentence frame naming conditions, suggesting a semantic origin of the effect. In Experiment 2, participants named objects in the context of noun and verb distractors whose word class relationship to the target and imageability were orthogonally manipulated. As before, naming took place in bare noun and sentence frame naming contexts. In both naming contexts, distractor imageability but not word class affected picture naming latencies. These findings confirm the sensitivity of the picture–word interference paradigm to distractor imageability and suggest the paradigm is not sensitive to distractor word class. The results undermine the use of the word class effect in the picture–word interference paradigm as supportive of word class constraints during lexical selection.     

Effects of the degree of meaning similarity on cross-language semantic priming in highly proficient bilinguals

This study aimed to determine if access to meaning can be directly achieved from the words in the two languages, examining the influence of the degree of semantic overlap between related words across languages in the pattern of priming effects. Nonassociative semantically related words (members of the same category) were used, avoiding explicitly associative relationships. Using a priming paradigm, highly proficient Catalan–Spanish bilinguals were visually presented with pairs of words that either were translations of each other, had a very close semantic relationship (in terms of shared features), a close semantic relationship, or no semantic relationship at all. Participants performed either a lexical decision task (Experiment 1) or a semantic decision task (Experiment 2). The main results of the study were the same in both language directions (Spanish–Catalan and Catalan–Spanish), showing that the degree of semantic overlap (in terms of shared features) between words in different languages can modulate priming effects, regardless of the language of the prime and the task used. These results demonstrate that there is cross-language activation of shared semantic representations and, thus, that highly proficient bilinguals can have direct access to word meaning from the two languages.     

From Noosphere to Theosphere: Cyclotrons, Cyberspace, and Teilhard's Vision of Cosmic Love

Two theme–setting quotations introduce this essay—that of Yeats's falcon, deaf to the falconer's call, adrift in space above the blood–dimmed tide, counterpoised to Pierre Teilhard de Chardin's call to abandon old nationalistic prejudices and build the earth. With primary references to the thought of Teilhard, along with, among others, to Ewert Cousins, Andrew M. Greeley, Karl Jaspers, Marshall McLuhan, Ilya Prigogine, Karl Rahner, Leonard Swidler, David Tracy, and Alfred North Whitehead, I argue that the most crucial intellectual paradigm shift of the twenty–first century will challenge humanity to take the turn from uncritical attachment to rigid absolutism or atomistic fragmentation toward a sense of open–ended, off–centered centeredness and fluid connections—from a static to a dynamic model of reality. Central to my argument is the Teilhardian reinterpretation of the Christian metaphors of creation, fall, incarnation, salvation, and the eschaton in the evolutionary terms of the emergence of cosmic consciousness from the chrysalis of the world of the past—from chaos to order, from biosphere via noosphere to theosphere. Facilitated by the exponential growth of populations, collaborative research, science, technology, and global communication (most dramatically manifested by the Internet), this emergent understanding of what it means to be human can, first, foster the awareness that in humanity evolution has become conscious of itself, and then, gradually, precipitate the formation of “the global village” (the mystical body of Christ), as respectful dialogue replaces diatribe and the dualistic pugilism of Samuel Huntington's “Clash of Civilizations” is gradually transformed into a nonadversarial mentality that values shared humanity and a common purpose. Thus, eons hence, empowered by love–energy, the transmutation of the human into the ultra–human can take the ultimate quantum leap into a yet higher dimension where spirit/energy is no longer in need of flesh/mass, and Earth can be safely left behind.