Immediate Effect of Training at the Onset of Reaching in Preterm Infants: Randomized Clinical Trial

The authors' aim was to investigate the immediate effect of a single specific training session (serial varied practice), of short duration on the kinematic parameters of reaching, in the period of the emergence of the skill in preterm and low birth weight infants. The study included 16 infants of both sexes, born at a mean gestational age of 32.13 (±1.36) weeks and mean birth weight of 1720.94 (±358.46) g. The infants were randomly divided into 2 groups: experimental and control. The experimental group was given a 5-min training session in reaching, while the control group received no training. The results showed significant differences in peak velocity in the intra (Z = –2.10, p = .036) and intergroup (U = 9.00, p = .016) evaluations, which decreased in the experimental group after training. Cohen's d test for clinical relevance suggested that the specific, short duration training proved effective in promoting slower reaches, with greater adjustment and lower number of units of movement. These results are positive for preterm infants given that these parameters more closely resemble the typical development of mature reaching behaviors in term infants, which suggests that this protocol of reaching training (serial varied practice) could be used as an evidence-based intervention strategy.     

A Girl's Loyalty to her Mother

This paper explores the alliance between the analytic couple and the analytic process. The patient doesn't ally only with the analyst, but also with the unfolding of an experiential world. The developmental origins of this alliance are described in terms of infant and child being inside a forming intelligence; womb, mother and family—transforming the mental state of the subject. The structure of the experience is pictured by the resemblance to a simple—experiencing—self being inside a dream, and a rhetoric “I” speaking in an internal dialogue to an unanswering, but present, “you”. The writer describes the negative therapeutic reaction as an attempt to break into this forming intelligence; as an attempt to see who is the creator of the experiential universe. Staying inside the unfolding process is further investigated through the experiences of aloneness and presential immediateness.     

Adaptive n-back training does not improve fluid intelligence at the construct level: Gains on individual tests suggest that training may enhance visuospatial processing

Short-term adaptive cognitive training based on the n-back task is reported to increase scores on individual ability tests, but the key question of whether such increases generalize to the intelligence construct is not clear. Here we evaluate fluid/abstract intelligence (Gf), crystallized/verbal intelligence (Gc), working memory capacity (WMC), and attention control (ATT) using diverse measures, with equivalent versions, for estimating any changes at the construct level after training. Beginning with a sample of 169 participants, two groups of twenty-eight women each were selected and matched for their general cognitive ability scores and demographic variables. Under strict supervision in the laboratory, the training group completed an intensive adaptive training program based on the n-back task (visual, auditory, and dual versions) across twenty-four sessions distributed over twelve weeks. Results showed that this group had the expected systematic improvements in n-back performance over time; this performance systematically correlated across sessions with Gf, Gc, and WMC, but not with ATT. However, the main finding showed no significant changes in the assessed psychological constructs for the training group as compared with the control group. Nevertheless, post-hoc analyses suggested that specific tests and tasks tapping visuospatial processing might be sensitive to training.     

Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome - A randomized controlled trial

The aim of this study was to investigate if cognitive behavior therapy (CBT) based on exposure and mindfulness exercises delivered via the Internet would be effective in treating participants with irritable bowel syndrome (IBS). Participants were recruited through self-referral. Eighty-six participants were included in the study and randomized to treatment or control condition (an online discussion forum). One participant was excluded after randomization. The main outcome measure was IBS-symptom severity and secondary measures included IBS-related quality of life, GI-specific anxiety, depression and general functioning. Participants were assessed at pre-treatment, post-treatment and 3 month follow-up (treatment condition only). Four participants (5% of total sample) in the treatment condition did not participate in post-treatment assessment. Participants in the treatment condition reported a 42% decrease and participants in the control group reported a 12% increase in primary IBS-symptoms. Compared to the control condition, participants in the treatment group improved on all secondary outcome measures with a large between group effect size on quality of life (Cohen’s d = 1.21). We conclude that CBT-based on exposure and mindfulness delivered via the Internet can be effective in treating IBS-patients, alleviating the total burden of symptoms and increasing quality of life.     

On the costs and benefits of directing attention towards or away from threat-related stimuli: A classical conditioning experiment

In attentional bias modification programs, individuals are trained to attend away from threat in order to reduce emotional reactivity to stressful situations. However, attending towards threat is considered to be a prerequisite for fear reduction in other models of anxiety. We compared both views by manipulating attention towards or away from an acquired signal of threat. The strength of extinction and reacquisition was assessed with threat and US-expectancy ratings. We found more extinction in the attend towards threat group, compared to both the attend away from threat group and a control group in which attention was not manipulated. The results are in line with the Emotional Processing Theory and cognitive accounts of classical conditioning.     

Mindfulness and acceptance are associated with exercise maintenance in YMCA exercisers

Although most U.S. adults have initiated an exercise program at some time, only a fraction are able to maintain consistent exercise. Instead, research suggests that intermittent exercise is commonplace among U.S. adults, underscoring the importance of identifying factors associated with consistent exercise at a level that promotes health and long-term maintenance of this activity. We proposed a theoretical model in which mindfulness and acceptance may promote exercise initiation and maintenance. Mindfulness, acceptance, and suppression were examined as a function of exercise status in 266 YMCA exercisers. Those who were successful at maintaining exercise tended to score higher on measures of mindfulness and acceptance, and lower on measures of suppression. Findings are discussed in light of our proposed theoretical model in which exercisers having greater mindfulness and acceptance are less reactive; responding with more balanced appraisals to threats to their exercise regimen which in turn promotes increased exercise maintenance. Future studies should utilize longitudinal design to examine causal relationships between variables.     

TEACHING ABDUCTION‐PREVENTION SKILLS TO CHILDREN WITH AUTISM

Three children with autism were taught abduction‐prevention skills using behavioral skills training with in situ feedback. All children acquired the skills, which were maintained at a 1‐month follow‐up assessment. In addition, 1 of the children demonstrated the skills during a stimulus generalization probe in a community setting.     

Assessment and treatment of elopement maintained by access to stereotypy

We evaluated a treatment for elopement maintained by access to stereotypic door play. First, we conducted a functional analysis of elopement that produced undifferentiated results. Next, we conducted an assessment in which we evaluated the relation between elopement and door play. Results suggested a functional relation between the 2 behaviors (i.e., elopement was maintained by contingent access to door play). Finally, we implemented functional communication training as a treatment for elopement in which access to door play was made contingent on a target appropriate communication response.     

A taste of reflecting practice

This article describes a training exercise in which students who are new to systemic practice but have some experience in therapeutic work in other modalities were invited to experience reflecting practice. The students were asked to follow a role‐played therapy session by offering reflections on the connections felt to a ‘family’ member. The students stood beside the ‘family member’, reflected on the problems and accounted for the connections felt in terms of particular resonances felt. The students thus experienced a therapeutic use of self congruent with the reflecting team approach and the therapeutic position adopted in reflecting practice.     

How to explain receptivity to conjunction-fallacy inhibition training: Evidence from the Iowa Gambling Task

Intuitive predictions and judgments under conditions of uncertainty are often mediated by judgment heuristics that sometimes lead to biases. Using the classical conjunction bias example, the present study examines the relationship between receptivity to metacognitive executive training and emotion-based learning ability indexed by Iowa Gambling Task (IGT) performance. After completing a computerised version of the IGT, participants were trained to avoid conjunction bias on a frequency judgment task derived from the works of Tversky and Kahneman. Pre- and post-test performances were assessed via another probability judgment task. Results clearly showed that participants who produced a biased answer despite the experimental training (individual patterns of the biased → biased type) mainly had less emotion-based learning ability in IGT. Better emotion-based learning ability was observed in participants whose response pattern was biased → logical. These findings argue in favour of the capacity of the human mind/brain to overcome reasoning bias when trained under executive programming conditions and as a function of emotional warning sensitivity.