Investigating a socially anxious‐impulsive subgroup of adolescents: A prospective community study

Previous research has identified a subgroup of socially anxious adults who are both anxious and impulsive. To date, however, this subgroup has not been identified in adolescence. Therefore, in this study we aimed to identify this subgroup in a sample of adolescents. In addition, we hypothesized that this subgroup would be higher on problem behaviors, and that these processes would be moderated by gender. We used longitudinal data from 714 adolescents who were in the 7th and 8th grades at Time 1. They were followed annually for three years. Cluster analyses identified an anxious‐inhibited subgroup as well as an anxious‐impulsive subgroup in early adolescence (Time 1). The socially anxious‐impulsive adolescent boys were generally higher on both intoxication frequency and delinquency compared with all other adolescents in all clusters at each time point. Findings suggest that social anxiety subgroups may differ on problem behavior, and that early detection of an anxious‐impulsive subgroup may be important to prevent maladjustment, especially for adolescent boys.     

Translating close-up research into action: a critical reflection

This paper argues that simple dissemination models do not work. One of the strengths of close-up research, with its emphasis on depth and understanding, is that it can identify why things are as they are and, by extension, when we identify wrongs seek to challenge them. The paper suggests, however, that making a difference is fraught with contradictions and that the translation from research to action is far from straightforward. We illustrate these tensions by reflecting on our experiences of conducting two projects for the UK Higher Education Academy. At the same time as exploring the slippages of translation and loss of criticality, however, we want to defend notion of praxis as theoretically informed change for critical social purposes. This involves a view of making a difference and research that moves beyond thinking of research as a discrete act and invokes the significance of corporate agency and the possibilities of acting collectively.     

Autobiographical reflections on what it means to experience disruption

Accepting disruption as an inevitable occurrence in life, five nurse-teacher-researchers explore their experience with being disruptive/being disrupted. Reflection on the all-encompassing embodied experience of disruption takes us through a process of exploration and meaning-making. We pause to show what it is like to be in-between the known and unknown in creating a life in academia through stories. Plotlines such as being in-between family and work; transplanted outsider seeking a sense of belonging; going into the chaos while feeling invisible; and self-induced disruption in response to loss illuminate our reflection. The metaphor of the breathturn allows us to reconstruct our experience and to discern possibilities beyond the usual negative connotations.     

Trait anxiety and impaired control of reflective attention in working memory

The present study investigated whether the control of reflective attention in working memory (WM) is impaired in high trait anxiety individuals. We focused on the consequences of refreshing—a simple reflective process of thinking briefly about a just-activated representation in mind—on the subsequent processing of verbal stimuli. Participants performed a selective refreshing task, in which they initially refreshed or read one word from a three-word set, and then refreshed a non-selected item from the initial phrase or read aloud a new word. High trait anxiety individuals exhibited greater latencies when refreshing a word after experiencing the refreshing of a word from the same list of semantic associates. The same pattern was observed for reading a new word after prior refreshing. These findings suggest that high trait anxiety individuals have difficulty resolving interference from active distractors when directing reflective attention towards contents in WM or processing a visually presented word.     

Now or Later? Attentional Processing and Intertemporal Choice

The tendency to discount future prospects in lieu of smaller immediate outcomes is known as temporal discounting. The current work used eye‐tracking methodology to examine attentional processing to different elements of choice during an intertemporal decision task. Our findings reveal that those who tend to prefer the immediate option demonstrate attentional biases that were predictive of choice. When losses were at stake, selective attention biases also predicted unique variance in self‐report measures of risk taking, impulsivity, and self‐control beyond what was accounted for by a discounting parameter (k), a typical method for summarizing intertemporal choice data. Overall, our findings suggest that eye‐tracking measures of selective attention may allow for a better theoretical understanding of the mechanisms and processes involved in intertemporal choice. Copyright © 2015 John Wiley & Sons, Ltd.     

Accumulated reinforcers increase academic responding and suppress problem behavior for students with Attention‐Deficit Hyperactivity Disorder

We compared rates of academic responses and problem behavior during mathematics with distributed and accumulated reinforcer arrangements for 3 students with Attention‐Deficit Hyperactivity Disorder who engaged in chronic, severe problem behavior. All 3 students engaged in more academic responding and less problem behavior when reinforcers accumulated throughout the session, relative to conditions in which reinforcers were distributed throughout the session or withheld completely. We then conducted concurrent‐chain analyses to evaluate student preference for the reinforcer arrangements. Two students preferred distributed reinforcers, even though this arrangement continued to produce problem behavior. One student preferred accumulated reinforcers. Our data replicate previous findings regarding the efficacy of accumulated‐reinforcer arrangements, but suggest that students do not always prefer the most efficacious reinforcer arrangement.     

Which components of processing speed are affected in ADHD subtypes?

The term “processing speed” (PS) encompasses many components including perceptual, cognitive and output speed. Despite evidence for reduced PS in Attention-Deficit/Hyperactivity Disorder (ADHD), little is known about which component(s) is most impacted in ADHD, or how it may vary by subtypes. Participants included 151 children, ages 8–12 years, with ADHD Predominantly Inattentive Type, ADHD Combined Type and typically developing controls using DSM-IV criteria. All children completed four measures of processing speed: Symbol Search, Coding, Decision Speed, and simple reaction time. We found children with ADHD-PI and ADHD-C had slower perceptual and psychomotor/incidental learning speed than controls and that ADHD-PI had slower decision speed than controls. The subtypes did not differ on any of these measures. Mean reaction time was intact in ADHD. Hence, at a very basic output level, children with ADHD do not have impaired speed overall, but as task demands increase their processing speed becomes less efficient than controls’. Further, perceptual and psychomotor speed were related to inattention, and psychomotor speed/incidental learning was related to hyperactivity/impulsivity. Thus, inattention may contribute to less efficient performance and worse attention to detail on tasks with a higher perceptual and/or psychomotor load; whereas hyperactivity/impulsivity may affect psychomotor speed/incidental learning, possibly via greater inaccuracy and/or reduced learning efficiency. Decision speed was not related to either dimension. Results suggest that PS deficits are primarily linked to the inattention dimension of ADHD but not exclusively. Findings also suggest PS is not a singular process but rather a multifaceted system that is differentially impacted in ADHD.     

Qualities of reflection: using Saul’s (2001) On Equilibrium to restore humanity to reflection in healthcare

Reflection features strongly in health and care work as a tool for personal and professional development and can support us as practitioners to be critical and self-aware in practice, of practice and the impact on clients and patients. Its power to transform learning and practice, however, has been watered down through recipe-following in reflective recording and through the avoidance of recording uncertainty or practice that might not measure against professional codes. Drawing on the humanist philosophy of John Ralston Saul, I suggest using Saul’s ‘six qualities’ as themes for reflective questions. I reflect on the influence of reason through codes of practice and offer suggestions for questions to restore an awareness of Self in work with clients and patients. Finally, from my experience as a counselling student and healthcare educator, I argue that we should have a greater appreciation of the power of uncertainty in reflective recording.